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Anesthesiology Research and Practice
Volume 2011, Article ID 949034, 14 pages
Review Article

Recommendations for Haemodynamic and Neurological Monitoring in Repair of Acute Type A Aortic Dissection

1Department of Cardiac Surgery, UHB NHS FT, Edgbaston, Birmingham B15 2TH, UK
2School of Clinical and Experimental Medicine, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
3Department of Cardiac Anaesthesia, UHB NHS FT, Edgbaston, Birmingham B15 2TH, UK

Received 15 December 2010; Revised 16 March 2011; Accepted 7 June 2011

Academic Editor: Maxime Cannesson

Copyright © 2011 Deborah K. Harrington et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


During treatment of acute type A aortic dissection there is potential for both pre- and intra-operative malperfusion. There are a number of monitoring strategies that may allow for earlier detection of potentially catastrophic malperfusion (particularly cerebral malperfusion) phenomena available for the anaesthetist and surgeon. This review article sets out to discuss the benefits of the current standard monitoring techniques available as well as desirable/experimental techniques which may serve as adjuncts in the monitoring of these complex patients.