Perfusion Recruitment Strategies Using Choice-Based Conjoint Analysis
Based on the respondents who completed this survey, the impact ECMO has on the perfusionist was the most significant job attribute. Offering large sign-on bonuses and relocation packages to entice new employees is not indicated as a viable way to satisfy perfusionists. Appropriate management of hours worked, days on call, and how ECMO impacts the perfusionists will be most impactful in recruitment of new employees.
Extracorporeal Membrane Oxygenation Support In COVID-19: An International Cohort Study of The Extracorporeal Life Support Organization Registry
In patients with COVID-19 who received ECMO, both estimated mortality 90 days after ECMO and mortality in those with a final disposition of death or discharge were less than 40%. These data from 213 hospitals worldwide provide a generalisable estimate of ECMO mortality in the setting of COVID-19.
A Randomized Controlled Trial of Antithrombin Supplementation During Extracorporeal Membrane Oxygenation
Antithrombin supplementation may not decrease heparin requirement nor diminish the incidence of bleeding and/or thrombosis in adult patients on venovenous extracorporeal membrane oxygenation.
Clinical Controversies in Anticoagulation Monitoring and Antithrombin Supplementation for ECMO
In this clinically focused review, the authors discuss the complexities of anticoagulation monitoring and therapeutic intervention for patients on ECMO and examine the challenges surrounding AT supplementation given both the historical and current perspectives summarized in the literature on these topics.
Artificial Intelligence in Cardiothoracic Surgery
In this review, we discuss the current initiatives that are using AI in cardiothoracic surgery and surgical care in general.
Pericardial fluids or Cardiopulmonary Bypass-Is There a Major Culprit for Changes in Coagulation and Inflammation?
Direct recirculation of pericardial fluids rather than conventional CPB itself causes major intraoperative changes of some coagulation markers. Pericardial blood loss with direct recirculation should be kept to a minimum to avoid unnecessary activation of coagulation.
Venovenous Bypass During Liver Transplantation: A New Look at an Old Technique
Advances in extracorporeal technologies offer new opportunities for VVB in managing critically ill patients in LT. Here, we review these new developments in VVB.
The Need for Clinical Judgement in The Application of Evidence-Based Medicine
In some instances, when there is a lack of evidence, or faulty interpretation of the evidence, clinical judgement should inform the application of EBM.
Establishment of An Extracorporeal Cardio-Pulmonary Resuscitation Program in Berlin – Outcomes Of 254 Patients with Refractory Circulatory Arrest
An eCPR program can be life-saving for a subset of individuals with refractory circulatory arrest, with time to initiation of eCPR being a main determinant of survival.
Clotting Functional Stability of Withdrawing Blood in Storage for Acute Normovolemic Hemodilution: A Pilot Study
Even though the MCE significantly decreased in a time-dependent manner, MCF of FIBTEM and EXTEM was normal up to 24 h storage. The blood of ANH can use for the purpose of hemostasis at least 8 h stored at room temperature after blood withdrawal.
Multi-Modal Cardiopulmonary Bypass Skills Assessment within a High-Fidelity Simulation Environment
Multimodal assessment using cognitive, technical, and motion analysis of basic CPB tasks using a high-fidelity simulation environment is a valid system to measure performance and discriminate experts from trainees.
The Care and Keeping of Clinicians in Quality Improvement
Our findings highlight areas that organizations and professional development programs should focus on to promote clinician development and engagement in quality improvement. Barriers related to training, time, mentorship, organizational support and implementation must be concurrently addressed to augment the effectiveness of other approaches.