Mechanisms of Perioperative Brain Damage in Children with Congenital Heart Disease.
This study analyses the forms of structural and functional brain damage in the early postoperative period, along with the recent evolution of research on its contributing factors.
Elevated Procalcitonin as a Risk Factor for Postoperative Delirium in the Elderly after Cardiac Surgery—A Prospective Observational Study
In a multivariable logistic regression model, preoperative procalcitonin (odds ratio (OR) = 3.05), depressive symptoms (OR = 5.02), age (OR = 1.14), impaired daily functioning (OR = 0.76) along with CPB time (OR = 1.04) were significant predictors of postoperative delirium.
Smart Bracelet to Assess Physical Activity After Cardiac Surgery: A Prospective Study.
After cardiac surgery, wearing a smart bracelet recording daily steps is simple, well tolerated and suitable for measuring physical activity. Standard patients achieved around 6000 daily steps 2 months after discharge. 85% of this activity is reached in the first month.
Cardiopulmonary Bypass Increases Endothelial Dysfunction After Pulmonary Ischaemia-Reperfusion in An Animal Model.
CPB significantly increased the IR-mediated effects on pulmonary endothelial dysfunction. Therefore, the use of CPB during lung transplantation could be deleterious, by increasing endothelial dysfunction.
Neuroendocrine Predictors of Vasoplegia After Cardiopulmonary Bypass.
Preoperative impaired response to low-dose ACTH stimulation test is not a risk factor for post-cardiotomic vasoplegia; conversely, higher preoperative copeptin predicts the complication.
Blockage of Extracorporeal Circulation During Emergency Surgery for Fulminant Infective Endocarditis.
Extracorporeal circulation was turned on during direct heart massage. After opening of the aorta, the circulation was blocked by total clogging of the arterial line filter by fibrine deposits.
Cardiac Surgery: Beyond Conventional Sternotomy With Cardiopulmonary Bypass
This article increases nursing-related knowledge of minimally invasive cardiac procedures, providing an overview of current minimally invasive cardiac surgeries and their associated risks and benefits.
Haematic Antegrade Repriming Procedure to Initiate A Safer Cardiopulmonary Bypass
HAR is proposed as a new approach to increase the safety of the CPB. Its overall benefits should be properly assessed and validated by current and further studies.
Sensors for Continuous Monitoring of Surgeon’s Cognitive Workload in the Cardiac Operating Room
The primary novelty and contribution of this work is in demonstrating the feasibility of collecting continuous sensor data from a surgical team member in a real-world setting.
Description of the Minimized Extracorporeal Circuit to Perform Haematic Antegrade Repriming in Cardiopulmonary Bypass
Detailing the MiECC circuit used during HAR is a differencing feature that increases the replicability of the procedure reducing errors and the impact of the cardiopulmonary bypass.
Diabetic Control Agents and Their Impact on Cardiac Surgery Patients: A Clinical Overview
A literature review was performed to identify articles discussing the effects of anti-diabetic medications (ADMs) on cardiovascular outcomes and surgical mortality and morbidity rates.
Inter-hospital COVID ECMO Air Transportation
The detailed protocol is described alongside initial data of its use. To date, 14 patients have been placed on ECMO support at an outside facility and successfully transported via helicopter to our hub hospital using this protocol.