An Implementation Science Approach to Handoff Redesign in a Cardiac Surgery Intensive Care Unit
The use of an implementation-based approach for handoff redesign can be effective for improving the leading indicators of successful adoption of a structured handoff process. Future quality improvement studies addressing sustainability and widespread adoption of this approach appear to be warranted, and should include the relationships to improved care coordination and reduced preventable medical errors.
Enhanced Recovery After Surgery: A Narrative Review of its Application in Cardiac Surgery
This review presents pertinent current research related to the implementation of ERAS programs in the field of cardiac surgery and provides a call to action for further investigation and adaption of ERAS in cardiac surgery.
Safety and Efficacy of a Novel Pneumatically Driven Extracorporeal Membrane Oxygenation Device
The pneumatically driven ECMO device provided excellent safety and physiologic efficacy in a 7-day sheep experiment without visible clotting, hemolysis, or sustained reductions in fibrinogen or platelets.
Effects of Cardiopulmonary Bypass on Dialysis-dependent Patients
Coronary artery bypass grafting under ONCAB was a potential risk for morbidity and mortality in patients with end-stage renal disease. Performing OPCAB surgery may improve postoperative outcomes and should be kept in mind as a surgical option.
Is Aortic Valve Replacement with a Minimally Invasive Extracorporeal Circuit a Contemporary Option for Octogenarians?
SAVR utilizing a minimally invasive extracorporeal circuit improves the quality of patient care and can offer an alternative to TAVR in octogenarians.
Closed-Loop Control of Vasopressor Administration in Patients Undergoing Cardiac Revascularization Surgery
The authors of the present article developed an automated closed-loop vasopressor (CLV) controller to improve the titration of vasopressor (eg, norepinephrine) in order to maintain MAP within a narrow range (§5 mmHg of the chosen target) in the perioperative setting.
Acute Kidney Injury after Congenital Heart Disease Surgery: A Single-Center Experience in a Low- to Middle-Income Country
Most patients with AKI showed spontaneous resolution. Prolonged CPB time and increased hemoglobin were found to be significant risk factors.
Pitfalls of Retrograde Cardioplegia Cannulation: Left Atrium Dissection
Left atrial dissection (LAD) is a rare complication of cardiac surgery. We present a case of LAD that occurred during a partial arch repair for Stanford acute type A aortic dissection.
Intra-aortic Balloon Counterpulsation Timing: A New Numerical Model for Programming and Training in the Clinical Environment
The new IABP module is easy to manage and can be used as a training tool in a clinical setting. Although based on literature data, the outcome of the simulations is encouraging. Additional work is ongoing with a view to further validate its features.
Haemoglobin Oxygen Affinity in Patients with Severe COVID‐19 Infection
We have measured Hb O2 affinity curves from severely ill COVID‐19 patients and, in comparison to age‐ and sex‐matched controls, find no evidence for a shift in O2 affinity that would support any change in clinical management.