Anthony L. Estrera, MD, Roy Sheinbaum, MD, Charles C

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Cerebrospinal Fluid Drainage During Thoracic Aortic Repair: Safety and Current Management Anthony L. Estrera, MD, Roy Sheinbaum, MD, Charles C. Miller, PhD, Ali Azizzadeh, MD, Jon-Cecil Walkes, MD, Taek-Yeon Lee, MD, PhD, Larry Kaiser, MD, Hazim J. Safi, MD The Annals of Thoracic Surgery Volume 88, Issue 1, Pages 9-15 (July 2009) DOI: 10.1016/j.athoracsur.2009.03.039 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Treatment of delayed neurologic deficits: the “COPS” Protocol for Cerebrospinal Fluid Drainage Management. Patient status also includes assessing the patient and correcting for conditions that affect oxygen delivery (ie, sepsis, bleeding, compartment syndrome, tamponade, visceral ischemia, atrial fibrillation, pneumothorax, etc). (BP = blood pressure; BSA = body surface area; COPS = CSF drain status/Oxygen delivery/Patient Status; CSFP = cerebrospinal fluid pressure; MAP = mean arterial pressure; SCPP or spinal cord perfusion pressure = mean arterial pressure - cerebrospinal fluid pressure.) The Annals of Thoracic Surgery 2009 88, 9-15DOI: (10.1016/j.athoracsur.2009.03.039) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions