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The dynamic interplay between endothelial reactivity, temperature, and vascular resistance in cardiopulmonary bypass

Title: The dynamic interplay between endothelial reactivity, temperature, and vascular resistance in cardiopulmonary bypass
Authors: Condello, Ignazio; Federico, Massimo; Condello, Salvatore
Source: Annals of Medicine & Surgery ; volume 87, issue 8, page 4695-4700 ; ISSN 2049-0801
Publisher Information: Ovid Technologies (Wolters Kluwer Health)
Publication Year: 2025
Description: Cardiopulmonary bypass serves as a cornerstone in cardiac surgery, enabling life-sustaining circulatory and respiratory support during complex procedures that necessitate the temporary cessation of cardiac activity. This intricate process involves the deliberate modulation of the patient’s body temperature, a method that plays a critical role in safeguarding organ function and minimizing metabolic stress during surgery. This editorial delves into the nuanced relationship between endothelial reactivity to these temperature variations and its consequential impact on vascular resistance, a key determinant of perfusion quality and surgical success. Through a thorough examination of the underlying biological mechanisms, an exploration of the significant patient-specific variability in physiological response, and discussed of potential strategic interventions, this article sought to deepen the understanding of these complex interactions. The insights provided aim to enhance clinical practice by tailoring approaches to individual patient needs and to encourage the ongoing advancement of research in this vital field, ultimately improving outcomes in cardiac surgery.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1097/ms9.0000000000003481
DOI: 10.1097/MS9.0000000000003481
Availability: https://doi.org/10.1097/ms9.0000000000003481; https://journals.lww.com/10.1097/MS9.0000000000003481
Rights: http://creativecommons.org/licenses/by-nc-nd/4.0/
Accession Number: edsbas.EF534081
Database: BASE