Modular Minimally Invasive Extracorporeal Circulation Ensures Perfusion Safety and Technical Feasibility in Cardiac Surgery; A Systematic Review of the Literature
Use of modular MiECC secures safety and ensures technical feasibility in all cardiac surgical procedures. It represents a type III active closed system, while its stand-by component is reserved for a small (<5%) proportion of procedures and for a partial procedural time. Thus, it eliminates any safety concern regarding air handling and volume management, while it overcomes any unexpected intraoperative scenario.
SubZero Balance – Simple Modified Ultrafiltration (SBUF-SMUF) Technique for Pediatric Cardiopulmonary Bypass
The novel combination of a continuous and non-continuous form of ultrafiltration, Subzero Balance Simple Modified Ultrafiltration (SBUF-SMUF) here described, seeks to enhance recovery from pediatric cardiac surgery and CPB.
Heater–Cooler Devices and Risk of Contamination during Cardiac Surgery
HCDs cannot be expected to remain sterile despite extensive decontamination procedures. However, airborne transmission of microorganisms directly from the HCD to the operating field appears unlikely.
CPB and ECMO Cannulation Survey
We are seeking input from clinical perfusionists, cardiac surgeons, and clinicians responsible for the care and placement of femoral cannula in patients' requiring extracorporeal circulation
Sometimes… You Have to Learn How to Walk All Over Again…
_________________ Editor’s Note: Having negotiated the intricacies of assimilating into 57 heart programs prior- the one thing I know for sure: Each […]
A Prospective Observational Study of Emboli Exposure in Open Versus Closed Chamber Cardiac Surgery
Patients undergoing open-chamber surgery are exposed to considerably higher numbers of cerebral arterial emboli after removal of the aortic cross-clamp than those undergoing closed-chamber surgery, and more emboli enter the right middle cerebral artery than the left. These results may help inform the evaluation of the pathophysiological impact of emboli exposure.
Hyponatremia: An Overlooked Risk Factor Associated With Adverse Outcomes After Cardiac Surgery
Preoperative hyponatremia is relatively common and is associated with adverse short-term and long-term outcomes after cardiac surgery. Preoperative hyponatremia can be used independently from standard risk factors to identify high-risk patients for cardiac surgery.
Evaluation of Extracorporeal Membrane Oxygenation Therapy as a Bridging Method
Our study suggests bridging ECMO patients to an LVAD before transplantation will result in improved 1-year survival compared with patients bridged to immediate transplantation. With the new heart allocation system, continued evaluation of outcomes is required to inform management strategies.
The Ethics of Extracorporeal Membrane Oxygenation: Revisiting the Principles of Clinical Bioethics
ECMO programs continue to grow in number and capacity. A deep appreciation of the bioethical dimensions of this technology and its application must be pursued, understood and applied to individual patient scenarios.
Association of Heparin Dose, Route, Timing, and Duration With Heparin-Induced Thrombocytopenia
Odds of HIT were increased 10-fold in adult cardiac surgery patients receiving preoperative or postoperative intravenous UFH infusion. Intraoperative UFH dose and subcutaneous route were not associated with HIT. Future study should evaluate incorporation of intravenous UFH administration, dose, and duration in HIT scoring tools for cardiac surgery patients.
Optimal Protamine Dosing after Cardiopulmonary Bypass: The PRODOSE Adaptive Randomised Controlled Trial
Using a mathematical model to guide protamine dosing in patients following CPB improved TEG r-time and reduced the dose administered relative to a fixed ratio. No differences were detected in postoperative mediastinal/pleural drainage or red blood cell transfusion requirement in our cohort of low-risk patients.
Hydroxyethyl Starch and Acute Kidney Injury in High-Risk Patients Undergoing Cardiac Surgery: A Prospective Multicenter Study
The use of modern hydroxyethyl starch 6% HES 130/0.4 was not associated with an increased risk of AKI nor dialysis in this cohort of patients at elevated risk for developing AKI after cardiac surgery.