Hyperoxia During Cardiopulmonary Bypass Does Not Increase Respiratory or Neurological Complications: A Post Hoc Analysis of The CARDIOX Study
Based on this post hoc analysis of the CARDIOX study, hyperoxia during CPB did not increase neurological or pulmonary complications. Controlled studies with a larger sample size are required to better address this specific issue.
Determinants of Neurological Outcome in Neonates with Congenital Heart Disease Following Heart Surgery
For HLHS and d-TGA patients, duration of mechanical ventilation and DHCA are associated with adverse neurologic outcome. Neonatal brain MRI commonly demonstrates acquired brain injuries, but the clinical impact of these abnormalities are not often seen before 2 years of age.
Perioperative Management of Hemophilia A Patients Undergoing Cardiac Surgery: A Literature Review of Published Cases
Execution of a perioperative management strategy with a multidisciplinary approach, a thorough factor replacement protocol, and careful monitoring of factor levels facilitate an optimal outcome for HA patients undergoing cardiac surgery.
Investigation of the Effect of Pulsatile and Nonpulsatile Flow on Kidney in Coronary Surgery With NIRS
fNIRS is being used to track cerebral functions. During operation, it also provides a correct observation for blood feeding of somatic organs, such as the kidneys, but it requires more clinical study to be accepted as routine.
Influence of Hypoxic and Hyperoxic Preconditioning on Endothelial Function in a Model of Myocardial Ischemia-Reperfusion Injury with Cardiopulmonary Bypass (Experimental Study)
Hypoxic-hyperoxic preconditioning helps to maintain the balance of nitric oxide metabolites, reduces endothelin-1 hyperproduction, and enforces organ protection.
Effect of Goal-directed Hemodynamic Therapy in Postcardiac Surgery Patients
Early goal-directed therapy reduces the postoperative ventilatory period, frequency of changes in inotropes, and incidence of AKI.
Building A Patient Blood Management Program in A Large-Volume Tertiary Hospital Setting: Problems and Solutions
In this review, we aimed to share previous experiences and indicate current problems with solutions which would ensure the implementation of a PBM protocol in our hospital that can be also a guide for similar large-volume tertiary hospitals.
Latent Trajectories of Fluid Balance Are Associated With Outcomes in Cardiac and Aortic Surgery
A progressively positive fluid balance is associated with AKI and de novo dialysis in patients undergoing cardiac or aortic surgery.
Impact of Brain Protection Strategies on Mortality and Stroke in Patients Undergoing Aortic Arch Repair with Hypothermic Circulatory Arrest: Evidence from The Canadian Thoracic Aortic Collaborative
Antegrade cerebral perfusion and nadir temperature ≥24°C during HCA for aortic arch repair are predictors of improved survival and neurological outcomes.
Impact of Patient Blood Management Guidelines on Blood Transfusions and Patient Outcomes During Cardiac Surgery
Following the publication of the guidelines, there was a measurable reduction in perioperative blood transfusions in cardiac surgery with an associated reduction in hospital length of stay but no detectable differences in other patient outcomes.
The Use of Automated Pupillometry To Assess Cerebral Autoregulation: A Retrospective Study
Automated pupillometry cannot predict CAR indices such as Mxa in a heterogeneous population of critically ill patients.
Role of Extracorporeal Membrane Oxygenation In COVID-19: A Systematic Review
Our study highlights the paucity of evidence and the need for further data to consolidate the efficacy of ECMO in improving patient outcomes.