Preoperative Evaluation and Anesthetic Management of Patients with Liver Cirrhosis Undergoing Cardiac Surgery
Accurately classifying the extent of liver disease, preoperative optimization, and surgical risk communication with the patient are crucial. In addition, all teams involved in the surgery should communicate openly and coordinate in order to ensure optimal care. To reduce perioperative complications, consider using off-pump cardiopulmonary bypass techniques and optimal perfusion modalities to mimic current physiologic conditions.
Outcomes of Individualized Goal-Directed Therapy Based on Cerebral Oxygen Balance in High-Risk Patients Undergoing Cardiac Surgery: A Randomized Controlled Trial
In high-risk patients undergoing cardiac surgery, individualized GDT therapy did not yield better outcomes, however, the achievement of preoperative individual targets may be associated with less morbidity.
Sodium Abnormalities in Cardiac Surgery With Cardiopulmonary Bypass in Adults: A Narrative Review
This narrative review examines the definition and classification of dysnatremia. It also covers the etiology and pathophysiology of dysnatremia, implications during cardiac surgery requiring cardiopulmonary bypass, and the perioperative management of dysnatremia.
Massive Blood Loss Protocol ‘Code Red’ At Papworth Hospital: A Closed Loop Audit
Preparation for and anticipation of massive blood loss has likely decreased the number of incidences requiring ‘Code Red’ activation, permitting delivery of safe patient care.
The Impact of Minimal Invasive Extracorporeal Circulation on Postoperative Kidney Function
Our findings challenge the superiority of minimal invasive compared to conventional extracorporeal circulation in terms of preservation of renal function following low-risk coronary surgery.
Efficacy of Plasma Free Hemoglobin for Detecting Centrifugal Pump Thrombosis
Our results showed the efficacy of pfHb for detecting centrifugal pump thrombosis.
Factors Associated with Errors in The Heparin Dose Response Test: Recommendations to Improve Individualized Heparin Management in Cardiopulmonary Bypass
Based on our analysis, we provide several recommendations and a flow chart to improve the quality of individualized heparin management on CPB.
COVID-19: FAQs in Pediatric Cardiac Surgery—A Sequel
Our knowledge of the COVID-19 pandemic continues to grow rapidly, leading to further clarity and revealing new questions in turn, thus it is critically important that clinician knowledge is updated frequently.
Persistent Cognitive Deficits and Neuroinflammation In A Rat Model of Cardiopulmonary Bypass
By using an established rat model of CPB that does not display neuronal loss, we examined behavioral and structural effects of CPB at 6 months postsurgery. Persistent deficits in performance on a complex behavioral task and sustained activation of macrophages/microglia were observed with no evidence of neuronal loss.
Transfusion in Elective Aortic Root Replacement: Analysis of the STS Adult Cardiac Surgery Database
Elective aortic root replacement can be performed with acceptable requirements for blood products. Composite root replacement has a greater likelihood of transfusion than does a valve-sparing procedure.
Mild AKI Is Associated with Mortality of Patients Who Underwent Cardiopulmonary Bypass Surgery
AKI stage I is the most common form of AKI and it is independently related to all-cause mortality in patients who underwent cardiovascular surgery with cardiopulmonary bypass.
Interaction of Heparin and Protamine in Presence of Overdosage: In Vitro Study
We reconfirmed that the ROTEM device enables discrimination of the effects heparin and protamine on coagulation and detection of the coagulation-impairing effects of protamine overdosage. Furthermore, we were able to show a positive effect on coagulation times by heparin in the presence of protamine overdosage.