Recognizing and Supporting Morally Injured ICU Professionals during the COVID‑19 Pandemic
A person becomes morally injured if exposed to repeated incidents of moral distress or due to a single egregious violation of morality.
The Influence of Postoperative Albumin Levels on the Outcome of Cardiac Surgery
The presence of postoperative hypoalbuminemia after CS is frequent and the degree of hypoalbuminemia may be associated with worst outcomes, even in the long-term scenario.
Fluid Therapy With Gelatin May Have Deleterious Effects on Kidney Function: An Observational Trial
these findings suggested that gelatin solutions may have deleterious effects on renal function in cardiac surgical patients. The adverse clinical effects of HES on kidney function observed in other studies may have been blunted by the restrictive use of this synthetic colloid.
Long-term Outcome of Perioperative Low Cardiac Output Syndrome in Cardiac Surgery: 1-year Results of a Multicenter Randomized Trial
Levosimendan administration does not improve 1-year survival in cardiac surgery patients with perioperative myocardial dysfunction. One-year mortality in these patients is 17%. Six predictive factors for long-term mortality were identified.
Microcirculatory Perfusion Disturbances following Cardiopulmonary Bypass: a Systematic Review
CPB during cardiac surgery impaired sublingual microcirculatory perfusion as reflected by reduced FCD, PVD, and PPV. Four studies reported this effect at least 24 h after surgery. Further research is warranted to conclude on the duration of CPB-induced microcirculatory perfusion disturbances and the relationship with clinical outcome.
Cardiac Operation under Cardiopulmonary Bypass during Pregnancy
Cardiac operation under cardiopulmonary bypass during pregnancy is a challenge for physicians in multidisciplinary teams. Strictly evaluating the indication is vital. On the other hand, some patients can benefit from this management.
Effect of Ulinastatin on Post-operative Blood Loss and Allogeneic Transfusion in Patients Receiving Cardiac Surgery with Cardiopulmonary Bypass: a Prospective Randomized Controlled Study with 10-year Follow-up
Ulinastatin reduced post-operative blood loss and allogeneic erythrocyte transfusion in heart surgery with CPB. The mortality and major morbidity was comparable among the groups shown by the 10-year follow-up.
AV Flow Cannula: A New Device for Antegrade Selective Cerebral Perfusion
The novelty of this device is the possibility of a guidewire introduction using the Seldinger technique.
Association Between Low pH and Unfavorable Neurological Outcome among Out-of-hospital Cardiac Arrest Patients Treated by Extracorporeal CPR: a Prospective Observational Cohort Study in Japan
This multi-institutional observational study showed that low pH value (< 7.03) before the implementation of ECPR was associated with 1 month unfavorable neurological outcome among OHCA patients treated with ECPR. It may be helpful to consider the candidate for ECPR.
Commercial Influences on Electronic Health Records and Adverse Effects on Clinical Decision Making
The direct access to physicians and the assumption that these tools are unbiased and evidence based make them a potentially powerful marketing device.
Cannula and Circuit Management in Peripheral Extracorporeal Membrane Oxygenation: An International Survey of 45 Countries
An evidence-based guideline would be beneficial to improve ECMO line management according to 78% of respondents. Evidence gaps were identified for antiseptic agents, dressing products and regimens, securement methods, and needleless valves. Future research addressing these areas may provide opportunities for consensus guideline development and practice improvement.