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Case ReportOpen Access
Anesthetic Management of Cerebral Aneurysm Clipping Using the Deep Hypothermic Circulatory Arrest Technique : A Case Report
Tuchinda L 
,
Kyokong O ,
LimUTaitip S ,
Khaoroptham S ,
Siwanuwatn R ,
Benchacholamas V
,
Kyokong O ,
LimUTaitip S ,
Khaoroptham S ,
Siwanuwatn R ,
Benchacholamas V ORANUCH KYOKONG, M.D.*,
SURACHAI KHAOROPTHAM, M.D.**,
VICHAI BENCHACHOLAMAS, M.D.***
Deep hypothermic circulatory arrest may prove advantageous during surgery of some
technically difficult brain lesions. This technique was first applied in one patient with a large
intracavernous aneurysm which had failed standard neurosurgical techniques. For this technique
to be successful the cooperation of neurosurgeons, cardiovascular surgeons, anesthesiologists,
perfusionists and nurses is essential. Techniques aimed at improving the outcome include a short
period of circulatory arrest, the depth of hypothermia, barbiturate administration, coagulation
management and well-controlled blood glucose levels. The total time of circulatory arrest and
the thiopentone dosage were 61 minutes and 1,700 mg respectively. The lowest core temperature
was 13.9เธÂC. The positive outcome supports the use of this technique in selected patients with
complex intracranial vascular lesions who may not be operable by standard techniques.
Key word : Anesthesia, Cerebral Aneurysm, Cardiopulmonary Bypass, Deep Hypothermia
SURACHAI KHAOROPTHAM, M.D.**,
VICHAI BENCHACHOLAMAS, M.D.***
Deep hypothermic circulatory arrest may prove advantageous during surgery of some
technically difficult brain lesions. This technique was first applied in one patient with a large
intracavernous aneurysm which had failed standard neurosurgical techniques. For this technique
to be successful the cooperation of neurosurgeons, cardiovascular surgeons, anesthesiologists,
perfusionists and nurses is essential. Techniques aimed at improving the outcome include a short
period of circulatory arrest, the depth of hypothermia, barbiturate administration, coagulation
management and well-controlled blood glucose levels. The total time of circulatory arrest and
the thiopentone dosage were 61 minutes and 1,700 mg respectively. The lowest core temperature
was 13.9เธÂC. The positive outcome supports the use of this technique in selected patients with
complex intracranial vascular lesions who may not be operable by standard techniques.
Key word : Anesthesia, Cerebral Aneurysm, Cardiopulmonary Bypass, Deep Hypothermia
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