Importance of Perioperative Blood Glucose Management in Cardiac Surgical Patients
The evidence for a link between blood glucose levels and rates of morbidity and mortality in cardiac surgical patients in the intensive care unit is discussed.
Virtual Patient Simulator for the Perfusion Resource Management Drill
High-fidelity simulator systems with controllable difficulty levels and high physiological reproducibility are useful in constructing a perfusion resource management environment that enable basic training and periodic crisis management drills to be performed.
How Good Patient Blood Management Leads to Excellent Outcomes in Jehovah’s Witness Patients Undergoing Cardiac Surgery
Patient blood management leads to excellent short-term and long-term outcomes in JW. Combined efforts in regard to preoperative hematological parameter optimization, effective volume management and meticulous surgical techniques make this possible but raise the cautionary note why this is only possible in JW patients.
Management of Intraoperative Fluid Balance and Blood Conservation Techniques in Adult Cardiac Surgery
This review discusses currently available techniques that can be used intraoperatively in an attempt to avoid or minimize fluid balance positiveness, to preserve the patient's own red blood cells, and to decrease blood product utilization during cardiac surgery.
An Educational Training Simulator for Advanced Perfusion Techniques Using a High-Fidelity Virtual Patient Model
This simulation model is a useful educational tool to learn the recognition and management skills of extracorporeal circulation.
Limited Blood Transfusion Does Not Impact Survival in Octogenarians Undergoing Cardiac Operations
Octogenarians receive RBCs more often than do younger patients. Although transfusion of 1 to 2 units of RBCs increases the risk of early death in patients younger than 80 years, this effect was not present among octogenarians. There was no significant effect of RBCs in late death in either age group.
Hemoglobin-Driven Pathophysiology is an in Vivo Consequence of the Red Blood Cell Storage Lesion that can be Attenuated in Guinea Pigs by Haptoglobin Therapy
Pathologies observed after transfusion with old blood, together with the favorable response to Hp supplementation, allowed us to define the in vivo consequences of the rbc storage lesion as storage-related posttransfusion hemolysis producing Hb-driven pathophysiology. Hb sequestration by Hp might therefore be a therapeutic modality for enhancing transfusion safety in severely ill or massively transfused patients.
Indication and Structures and Management of Transcatheter Aortic Valve Implantation: A Review of the Literature
Currently, TAVI should be restricted to patients with severe symptomatic aortic valve stenosis and contraindications against open heart surgery or maximum perioperative risk. The surgical risk should be assessed by a multidisciplinary team. The procedure should be performed by interdisciplinary heart teams in hospitals with a cardiac surgery unit.