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Department of Anaesthesiology, Fujian Medical University Union Hospital, Fuzhou, China. Electronic address:
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Cardiovascular Departement, University Hospital Bern, Bern, Switzerland.
There have been few recent innovations since the introduction of cardioplegia more than 50 years ago. Surprisingly, cardioplegia as one of the most essential steps in terms of heart muscle protection during a surgical procedure requiring cardiac arrest has never been really standardized. As a consequence, a considerable variety of cardioplegic solutions and applications have developed: cold versus warm, crystalloid versus blood cardioplegia, antegrade versus retrograde or both, as well as different time schedules for repeated administration.
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