Silent Brain Injury after Cardiac Surgery: A Review: Cognitive Dysfunction and Magnetic Resonance Imaging Diffusion-Weighted Imaging Findings
The appearance of cognitive dysfunction after cardiac surgery in the absence of focal neurologic signs, a poorly understood but potentially devastating complication, almost certainly results from procedure-related brain injury.
Right Ventricular Dysfunction Following Continuous Flow Left Ventricular Assist Device Placement in 51 Patients: Predicators and Outcomes
The adjustment of septal deviation through gradual increase of the LVAD flow can prevent the acute RV dysfunction following LVAD placement.
Non-Invasive Estimation of Jugular Venous Oxygen Saturation: A Comparison Between Near Infrared Spectroscopy and Transcutaneous Venous Oximetry
Placement of cerebral oximetry patches directly over the internal jugular vein (as opposed to on the forehead) appeared to approximate internal jugular venous saturation better...
A Review of Postoperative Cognitive Dysfunction and Neuroinflammation Associated with Cardiac Surgery and Anaesthesia
We briefly discuss the evidence for cardiopulmonary bypass-related neuronal injuries in adult cardiac surgery patients, and review the evidence that immune priming is a key factor in the pathogenesis of cognitive dysfunction after cardiac surgery.
Is it Worth Packing the Head with Ice in Patients Undergoing Deep Hypothermic Circulatory Arrest?
We conclude that topical head cooling with ice is of use during DHCA but not during rewarming following DHCA and that it may be possible to advance topical head cooling techniques using circulating water rather than packed ice.
Vasoreactivity Changes During Extracorporeal Circulation: Effects of Halogenated Agents
Absence of deleterious effects in SVR decrease when administering isoflurane during normothermic CPB was assumed but prospective comparative studies comparing effects of halogenated agents and other anesthetic agents are needed in order to confirm these findings.
Percutaneous Mechanical Support for the Failing Right Heart
This article considers the available mechanical approaches to provide hemodynamic support to treat profound RV failure in the common clinical scenarios in which percutaneous mechanical RV support may be most beneficial.
Right Ventricular Failure after Cardiac Surgery
Techniques for managing the pulmonary circulation and strategies for optimizing RV function in various clinical settings are presented.
A Modified Protocol for Retrograde Cerebral Perfusion: Magnetic Resonance Spectroscopy in Pigs
Application of the modified RCP protocol significantly improved cerebral energy conservation during HCA and accelerated energy recovery after rewarming.
The Optimal Flow Rate for Antegrade Cerebral Perfusion During Deep Hypothermic Circulatory Arrest
Cerebral protection effects of ACP at 25 and 50 mL/kg/min were superior to that of ACP at 80 mL/kg/min as determined by cerebral markers, immunology, and histology.
Clinical Efficacy of Intermittent Pressure Augmented-Retrograde Cerebral Perfusion
IPA-RCP might provide more homogenous cerebral perfusion and a more effective oxygen supply to the brain with better clinical results than conventional RCP.
The Volatile Anesthetic Sevoflurane Inhibits Activation of Neutrophil Granulocytes During Simulated Extracorporeal Circulation
Sevoflurane inhibits granulocyte activation during ex vivo ECC and therefore has the potential to decrease the ECC-triggered inflammatory response.