Switch from Minimally Invasive Biventricular Mechanical Support to Cardiopulmonary Bypass During Heart Transplant
With this cardiopulmonary bypass configuration, orthotopic heart transplantation was routinely performed and, at the end of the procedure, the 2 cannulas were uneventfully removed.
Relationship of Intraoperative Perfusion Parameters to The Need for Immediate Extracorporeal Support Following Heart Transplantation
We note that DO2 < 300-AOC was significantly associated with the need for postoperative ECMO following heart transplant. Further study will clarify whether potential DO2 differences in patients who require post-OHT ECMO reflect vasoplegia, or a more causative relationship which might be leveraged to improve outcomes.
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.