Renal Outcome in Patients Undergoing Cardiac Surgery Using Cardiopulmonary Bypass
The main predictor of poor renal outcomes for cardiac surgery is preoperative creatinine. While other factors, such as age, gender, body mass index, cardiopulmonary bypass time, diabetes, hypertension, and dyslipidemia, did not show any risk to the postoperative renal outcome.
Alternative Technique of Long Acting Cardioplegia Delivery Results in Less Hemodilution
Besides the safe delivery of del-Nido cardioplegia, the National University Hospital Technique reduces hemodilution and provides other technical benefits including a steeper temperature gradient, modification of circuit configuration to deliver another cardioplegia while on bypass, as well as re-configuration of clamps to spike the base solution.
Regional Oxygen Saturation Change Rate for Detection of Leg Ischemia in Minimally Invasive Cardiac Surgery
ΔrSO2 measurement by near-infrared spectroscopy can facilitate distal leg perfusion monitoring and assist surgeons in preventing critical leg ischemia during minimally invasive cardiac surgery.
Preoperative Anemia Correction in Cardiac Surgery: A Propensity-Matched Study
Anemia correction before cardiac surgery is associated with a reduction in both the RBC transfusion rate and the amount of units transfused.
The Contact Activation System: Problems and Paradoxes for Cardiac Anesthesiologists
In searching for what might be a revolutionary way to manage CPB, understanding pathology of the contact activation system, such as HAE, represents a critically important point for cardiac anesthesiologists to consider.
Nitric Oxide Added to the Sweep Gas of the Oxygenator during Cardiopulmonary Bypass in Infants: A Pilot Randomized Controlled Trial
Nitric oxide added to the sweep gas of the oxygenator during CPB in infants did not have an appreciable effect on preservation of platelet count, platelet responsiveness to agonist, or clinical outcomes.
Toward Optimal Anticoagulation Monitoring During Cardiopulmonary Bypass: It Is Still A Tough “ACT”
A switch from ACT to anti-Xa monitoring cannot be recommended in cardiac surgery with CPB at the moment.
Machine Learning Models with Preoperative Risk Factors and Intraoperative Hypotension Parameters Predict Mortality After Cardiac Surgery
Machine learning models incorporating intraoperative adverse factors might offer better predictive ability for risk stratification and triaging of patients after cardiac surgery.
Decrease in Serum Alkaline Phosphatase and Prognostic Relevance in Adult Cardiopulmonary Bypass
Increased perioperative AP loss is associated with adverse early outcome. Prospective trials are needed to determine whether this effect can be counteracted by perioperative AP supplementation.
Normoxic Management of Cardiopulmonary Bypass Reduces Myocardial Oxidative Stress in Adult Patients Undergoing Coronary Artery Bypass Graft Surgery
Normoxic cardiopulmonary bypass is associated with reduced myocardial oxidative stress compared to hyperoxic cardiopulmonary bypass in adult coronary artery bypass patients.
Acute Isotonic Hyponatremia After Single Dose Histidine-Tryptophan-Ketoglutarate Cardioplegia: An Observational Study
Administration of histidine-tryptophan-ketoglutarate cardioplegia during cardiac surgery leads to acute moderate to severe isotonic hyponatremia, which resolves spontaneously in the first 18 hours perioperatively. Correction with hypertonic saline is not necessary.