The Incidence, Risk Factors, and Prognosis of Postoperative Hyperbilirubinemia after Cardiac Surgery: A Systematic Review and Meta-Analysis
Hyperbilirubinemia was common and was associated with increased in-hospital mortality. Preoperative high right atrial pressure, high TB concentration, prolonged CPB and ACC time, and a large amount of blood transfused were the commonly observed risk factors for postoperative hyperbilirubinemia in cardiac surgery patients. Addressing these risk factors may be helpful to lower the occurrence of postoperative hyperbilirubinemia.
Circulating Endothelial Microparticles: A Promising Biomarker of Acute Kidney Injury after Cardiac Surgery with Cardiopulmonary Bypass
Circulating EMP may serve as a potential biomarker of AKI after cardiac surgery with CPB.
Is Airway Pressure Release Ventilation, A Better Primary Mode of Post-Operative Ventilation for Adult Patients Undergoing Open Heart Surgery? A Prospective Randomised Study
Our study suggests that APRV can be a useful alternative primary mode of ventilation to improve lung compliance and oxygenation in adult post-cardiac surgical patients.
A Tool to Assess Nontechnical Skills of Perfusionists in the Cardiac Operating Room
The Perfusionists' Intraoperative Non-Technical Skills tool presented moderate inter-rater reliability among perfusionists with varied levels of experience. This tool can be used to train and assess perfusionists in relevant nontechnical skills, with the potential to enhance safety and improve surgical outcomes.
Diagnostic Yield of Routine Daily Blood Culture in Patients on Veno-Arterial Extracorporeal Membrane Oxygenation
Although routine daily BCs are less effective than on-demand BCs and expose to contamination and inappropriate antimicrobial therapy, a policy restricted to on-demand BCs would omit a significant proportion of BSIs. This argues for a tailored approach to routine daily BCs on V-A ECMO, based on risk factors for positivity.
Oxidative Stress Response in Children Undergoing Cardiac Surgery: Utility of the Clearance of Isoprostanes
Children undergoing CS, particularly neonatal patients, experience a significant post-operative OS response that might play an important role in postoperative morbidity. TGA patients undergoing arterial switch operations demonstrate the highest post-operative OS response. Rapid clearance of isoprostanes, which occurs more frequently in older patients with more mature antioxidant systems, might be associated with better clinical outcomes.
Rotational Thromboelastometry and Conventional Coagulation Tests in Patients Undergoing Major Cardiac or Aortic Surgery: A Retrospective Single-Center Cohort Study
The predictability of conventional coagulation test results by ROTEM is limited, thus hampering the interchangeability of methods in clinical practice.
CIRP Secretion during Cardiopulmonary Bypass Is Associated with Increased Risk of Postoperative Acute Kidney Injury
A large amount of CIRP was released during cardiac surgery. The secreted CIRP was associated with the increased risk of AKI after cardiac surgery.
Efficacy of Intraoperative Hemodynamic Optimization Using FloTrac/EV1000 Platform for Early Goal-Directed Therapy to Improve Postoperative Outcomes in Patients Undergoing Coronary Artery Bypass Graft with Cardiopulmonary Bypass: A Randomized Controlled Trial
EGDT using FloTrac/EV1000 can be applied in CABG with CPB to improve postoperative outcomes.
Effect of an Assessment of Fibrin-Based Rotational Thromboelastometry on Blood Transfusion and Clinical Outcomes in Cardiovascular Surgery: A Cohort Study
The assessment of fibrin polymerization with thromboelastometry using the blood transfusion protocol reduced the blood transfusion volume in cardiovascular surgery.
Extracorporeal Membrane Oxygenation for COVID-19: Updated 2021 Guidelines from the Extracorporeal Life Support Organization
Given the paucity of available data when prior ECMO guidelines were published, this guideline has been created to summarize currently available literature and offer recommendations to update select areas within the previous guidelines. This document will focus on care specific to COVID-19 patients receiving ECMO and recommended alterations in the utilization of ECMO during a pandemic. We recommend referral to existing guidelines for general ECMO practices.