Anest. intenziv. Med. 2016;27(1):15-18

Initial experience with adenosin-induced circulatory arrest during cerebral artery aneurysm surgery - first experienceAnaesthesiology - Case Reports

V. Černý^1,2,3,4,*, M. Sameš⁵, T. Radovnický⁵, P. Vojtíšek¹

¹ Klinika anesteziologie, perioperační a intenzivní medicíny, Univerzita J. E. Purkyně v Ústí nad Labem, Masarykova nemocnice v Ústí nad Labem, Institut postgraduálního vzdělávání ve zdravotnictví

² Centrum pro výzkum a vývoj, Fakultní nemocnice Hradec Králové

³ Dept. of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University, Halifax, Canada

⁴ Klinika anesteziologie, resuscitace a intenzivní medicíny, Univerzita Karlova v Praze, Lékařská fakulta v Hradci Králové

⁵ Neurochirurgická klinika, Univerzita J. E. Purkyně v Ústí nad Labem, Masarykova nemocnice v Ústí nad Labem

The presented case report describes the first use of adenosine-induced transient circulatory arrest in a patient undergoing cerebral aneurysm clipping in the Czech Republic. Short episodes of circulatory arrest improved surgical conditions (as assessed by the surgeon) without any apparent complications during surgery. The cumulative length of circulatory arrest was 47 seconds; the total dose of administered adenosine was 90 mg. The postoperative course was uneventful and the patient was discharged home with a good functional status. Current scientific evidence in this field and key practical points of this technique are discussed.

Keywords: cerebral aneurysm clipping; adenosin; asystole

Received: September 21, 2015; Accepted: October 28, 2015; Published: February 1, 2016  Show citation