Regarding Deep Hypothermic Circulatory Arrest (DHCA) during cardiac surgery:
a) Explain the rationale for DHCA. (30% marks)
b) List six indications for DHCA. (30% marks)
c) Outline the adverse effects of DHCA that may be encountered in ICU post DHCA.
c) Adverse effects:
Conolly, Sarah, Joseph E. Arrowsmith, and Andrew A. Klein. "Deep hypothermic circulatory arrest." Continuing Education in Anaesthesia, Critical Care & Pain 10.5 (2010): 138-142.
Ziganshin, Bulat A., and John A. Elefteriades. "Deep hypothermic circulatory arrest." Annals of cardiothoracic surgery 2.3 (2013): 303.
Ziganshin, Bulat A., et al. "Straight deep hypothermic circulatory arrest for cerebral protection during aortic arch surgery: safe and effective." The Journal of thoracic and cardiovascular surgery 148.3 (2014): 888-900.