Amp Up Your Heart Game: ABCP Certification Practice Exam 2025 – Master Perfusion with Confidence!

Question: 1 / 425

Which stat strategy is predominantly utilized for pediatric patients undergoing DHCA?

Alpha stat

pH stat

The pH stat strategy is predominantly utilized for pediatric patients undergoing deep hypothermic circulatory arrest (DHCA) because it helps to maintain optimal cerebral perfusion and metabolic function during periods of decreased blood flow and oxygen delivery. In pediatric patients, who are particularly vulnerable to the effects of hypothermia and changes in metabolic rates, the pH stat approach allows for adjustments in blood gas management according to changes in temperature.

Using pH stat, blood gases are buffered to maintain a physiological pH at the core body temperature. This approach allows for enhanced cerebral protection by ensuring adequate levels of carbon dioxide, which can help to maintain cerebral blood flow due to the inherent vasodilation properties of elevated carbon dioxide levels. This is especially crucial in pediatric cases, where the neuroprotection strategy is vital given the developing brain's sensitivity to ischemia.

In comparison, other methods such as alpha stat, which maintains pH at a constant value regardless of temperature, tend to be less advantageous in the context of pediatric patients during DHCA. Temperature control is certainly critical in DHCA management, yet it is not the direct operational strategy referred to when discussing acid-base management. Standard bypass protocol encompasses general practices used during cardiopulmonary bypass but does not specifically address

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Temperature control

Standard bypass protocol

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