Isolated High Lactate or Low Central Venous Oxygen Saturation After Cardiac Surgery and Association with Outcome
To determine if isolated abnormally low central venous oxygen saturation (ScvO2) or elevated lactate levels on admission to an intensive care unit (ICU) are associated with increased morbidity and length of stay (LOS) after cardiac surgery.
Anticoagulation for Pediatric Mechanical Circulatory Support
This review details all current monitoring methods and highlights how they can be used during pediatric mechanical circulatory support.
The Haematocrit–An Important Factor causing Impaired Haemostasis in Patients with Cyanotic Congenital Heart Disease
Patients with CCHD and elevated haematocrit are hypocoagulable.
Gastrointestinal Bleeding and Subsequent Risk of Thromboembolic Events During Support with a Left Ventricular Assist Device
Between July 2003 and September 2011, 389 patients (308 male) underwent implantation of a continuous-flow LVAD at the University of Michigan Health System and the Mayo Clinic. Outcomes were analyzed for the association of GI bleeding events and subsequent TE events, defined as stroke, transient ischemic attack, hemolysis or suspected or confirmed pump thrombosis.
Retransfusion of Cardiotomy Suction Blood Impairs Haemostasis: Ex vivo and in vivo Studies
The ex vivo results suggest that addition of unwashed cardiotomy suction blood in clinically relevant volumes impairs systemic haemostasis.
Rewarming for Accidental Hypothermia in an Urban Medical Center using Extracorporeal Membrane Oxygenation
We report a case of severe hypothermia complicated by prolonged cardiac arrest successfully resuscitated using ECMO.
Timing of Temporary Right Ventricular Assist Device Insertion for Severe Right Heart Failure After Left Ventricular Assist Device Implantation
Data on how the timing of a temporary right ventricular assist device (RVAD) insertion affects outcome are limited in patients receiving left ventricular assist device (LVAD).
Percutaneous Left Atrial Appendage Occlusion with a Watchman Device Following Recurrent Stroke on Warfarin and Rivaroxaban in Patient with Paroxysmal Atrial Fibrillation
The optimal management of recurrent cardioembolic stroke in a patient on oral anticoagulation is controversial.
Which Is Better: A Miniaturized Percutaneous Ventricular Assist Device or Extracorporeal Membrane Oxygenation for Patients With Cardiogenic Shock
The purpose of this study is to compare outcomes associated with the use of Impella and TandemHeart short-term support devices with venoarterialextracorporeal membrane oxygenation (ECMO) therapy for postinfarction- or decompensated cardiomyopathy-related cardiogenic shock.
Reduced Sevoflurane Loss during Cardiopulmonary Bypass when using a Polymethylpentane versus a Polypropylene Oxygenator
The results of this study show that using a polymethylpentane membrane oxygenator rather than a polypropylene oxygenator significantly reduces the losses of sevoflurane, resulting in higher plasma concentrations and greater depth of anesthesia.
Extracorporeal Membrane Oxygenation Can Provide Cardiopulmonary Support during Bronchoscopic Clearance of Airways after Sand Aspiration
In this case report of sand aspiration with acute pulmonary failure, the use of extracorporeal membrane oxygenation for respiratory support allowed more effective removal of sand particles by rigid bronchoscopy and lavage with less patient compromise.
Major Bleeding, Transfusions, and Anemia: The Deadly Triad of Cardiac Surgery
Major bleeding is per se a risk factor for operative mortality.