Near-Infrared Spectroscopy Device Selection Affects Intervention Management for Cerebral Desaturation During Cardiopulmonary Bypass Surgery
It is inappropriate to use the same intervention criteria for different near-infrared spectroscopy oximetry devices. Moreover, brain atrophy influence rSO2 values depending on device selection. It is important to note that inappropriate device selection may misguide perfusionists into performing unnecessary or excessive intervention during CPB.
Extended Neuromonitoring in Aortic Arch Surgery: A Case Series
Monitoring consisting of BIS, NIRS, and TCD may have an impact on hemodynamic management in aortic arch operations.
The Effect of Using the Minimized Cardio-Pulmonary Bypass Systems for Coronary Artery Bypass Grafting in Diabetic Patients
The use of conventional cardiopulmonary bypass for Coronary Artery Bypass Grafting in diabetic patients was associated with higher use of postoperative vasogenic and inotropic support. However, that did not translate into higher complications rate or mortality.
Influence of Cardiopulmonary Bypass Set-Up and Management on Clinical Outcomes After Minimally Invasive Aortic Valve Surgery
In conclusion, despite differences in CPB parameters in patients undergoing CAVR and MIAVR, the incidences of adverse outcomes were similar. However, compared to CAVR, MIAVR was associated with shorter durations of mechanical ventilation and hospital stay as well as less transfusion of blood products.
Fluid Status After Cardiac Surgery Assessed by Bioelectrical Impedance Vector Analysis and the Effects of Extracorporeal Circulation
Fluid status assessment with BIVA in cardiac surgery showed an increase in total body water up to 24 hours after surgery. Off-pump surgery prevented overhydration, which partially could explain the reduction in some of the postoperative complications. BIVA could serve as a useful method for monitoring fluid status in the setting of goal-directed therapy to assist in maintaining euvolemia in cardiac surgical patients.
The Assessment of Patients Undergoing Cardiac Surgery for Covid-19: Complications Occurring During Cardiopulmonary Bypass
The present study has shown that patients undergoing cardiac surgery with CPB who test positive for COVID-19 have higher CPB complication rate than those who test negative.
In Search of Optimal Cardioplegia for Minimally Invasive Valve Surgery
Despite there being a wide diversity in use of different cardioplegic solutions across the world, this comprehensive literature review found no superiority of one cardioplegic solution over the other for myocardial protection during minimally invasive valve procedures.
Initial Experience with del Nido Cardioplegia Solution at a Pediatric and Congenital Cardiac Surgery Program in Brazil
In our congenital cardiac surgery population, del Nido cardioplegia strategy was associated with less ventricular dysfunction with LCOS, a lower VIS and decreased ICU LOS compared with patients that received our standard myocardial protection using a modified St. Thomas’ solution. Despite the limitation of this study, including its retrospective nature and cohort size, these data supported our transition to incorporate del Nido cardioplegia solution with a mandatory reperfusion period as the preferred myocardial protection method in our program.
The Impact of Acute Kidney Injury by Serum Creatinine or Urine Output Criteria on Major Adverse Kidney Events in Cardiac Surgery Patients
Acute kidney injury is common in patients undergoing cardiac surgery, and even milder forms of acute kidney injury, including isolated stage 1 oliguria, are associated with adverse long-term consequences.
Scavenging Right Atrial Bretschneider Histidine-Tryptophan-Ketoglutarate Cardioplegia: Impact on Hyponatremia and Seizures in Pediatric Cardiac Surgery Patients
Right atrial effluent scavenging was protective against fluctuations in serum sodium levels after crossclamp and Custodiol-HTK cardioplegia administration independently in both entire and matched cohort, and was also associated with decreased incidence of postoperative seizures.
Gravitational Ischemia in the Brain—May Contribute to Delirium and Mortality in the Intensive Care Unit
Gravitational ischemia in the brain results from the mass effect of one part of the brain upon another in a gravitational field
Does Targeted Temperature Management Improve Neurological Outcome in Extracorporeal Cardiopulmonary Resuscitation (ECPR)?
Among ECPR patients, survival and neurological outcome were not different between those with TTM vs. without TTM. Our study suggests that neurological and survival outcome are improving over time as ECPR therapy is more widely used. Our results were limited by the heterogeneity of included studies and further research with granular temperature data is necessary to assess the benefit and risk of TTM in ECPR population.