Del Nido cardioplegia in low risk adults undergoing first time coronary artery bypass surgery.
Single-dose del Nido cardioplegia has been used in the pediatric population for many years. Only a small amount of data exists about its use in adult cardiac surgery. We sought to compare the outcomes of all patients undergoing coronary artery bypass, using our 4:1 blood cardioplegia versus single-dose 1:4 del Nido cardioplegia, at our institution.
Outcomes of extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest in adult cardiac surgery patients
The role of extracorporeal cardiopulmonary resuscitation (ECPR) in adult cardiac surgery patients with refractory cardiac arrest is uncertain. We hypothesized that ECPR would be associated with better than expected outcomes in this group of patients.
Venovenous Extracorporeal Membrane Oxygenation in Adult Respiratory Failure: Scores for Mortality Prediction
This study was aimed to test the predictive powers of these published scores in a medium-sized cohort enrolling adults treated with VV-ECMO for acute respiratory failure, and develop an institutional prediction model under the framework of the 3 scores if a superior predictive power could be achieved.
Detection of Optimal PEEP for Equal Distribution of Tidal Volume by Volumetric Capnography and Electrical Impedance Tomography During Decreasing Levels of PEEP in Post Cardiac-Surgery Patients
In this study we aimed to compare the ability of volumetric capnography and electrical impedance tomography (EIT) in detecting homogenous ventilation for prevention of ventilator-induced lung injury In postoperative cardiac patients.
Perioperative Ventilatory Management in Cardiac Surgery: A French Nationwide Survey
Protective ventilation is associated with a lower incidence of pulmonary complications. However
The Safety and Efficacy of Dexmedetomidine for Postoperative Sedation in the Cardiac Surgery Intensive Care Unit
In this study we hypothesized that routine use of dexmedetomidine allows early extubation in cardiac surgery patients.
Pre-Treatment Before Coronary Artery Bypass Surgery Improves Post-Operative Outcomes in Moderate Chronic Obstructive Pulmonary Disease Patients
The aim of this study was to analyze the impact of different chronic obstructive pulmonary disease (COPD) stages, as defined by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) spirometric criteria, on the early surgical outcomes in patients undergoing primary isolated non-emergency coronary artery bypass grafting (CABG).
Bivalirudin for Alternative Anticoagulation in Extracorporeal Membrane Oxygenation
Extracorporeal membrane oxygenation (ECMO) offers therapeutic options in refractory respiratory and/or cardiac failure. Systemic anticoagulation with heparin is routinely administered. However, in patients with heparin-induced thrombocytopenia or heparin resistance, the direct thrombin inhibitor bivalirudin is a valid option and has been increasingly used for ECMO anticoagulation. We aimed at evaluating its safety and its optimal dosing for ECMO.
Protamine Reduces Bleeding Complications without Increasing the Risk of Stroke after Carotid Endarterectomy: A Meta-analysis
The aim was to evaluate the safety and efficacy of heparin reversal with protamine after completion of carotid endarterectomy (CEA), summarising the available data from both randomised and non-randomised studies.
Role of Intra-Aortic Balloon Pump in Off-Pump Coronary Artery Bypass
Hemodynamic deterioration during positioning of the heart has been the most critical complication of off-pump coronary artery bypass surgery. Pre-operative use of intra-aortic balloon pump has been shown to prevent this complication in high risk patients. The role of balloon pump in high risk patients has been questioned by our group. We modified the role of balloon pump in our patients, thus avoiding the conversion to cardiopulmonary bypass.