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Acute Respiratory Distress Syndrome in the Perioperative Period of Cardiac Surgery: Predictors, Diagnosis, Prognosis, Management Options, and Future Directions
More research in the setting of ARDS after cardiac surgery is needed at multiple levels (risk factors, diagnosis, treatment options). Prevention of lung injury appears to be of the utmost importance, and a better characterization of the risk factors is needed. Avoiding excessive perioperative transfusions and the optimization of ventilation and hemodynamics seem to be the most modifiable risk factors. In patients who develop ARDS after cardiac surgery, extracorporeal techniques may represent a valid choice in experienced hands. The use of NMBAs, prone positioning, and iNO can be considered on a case-by-case basis, whereas aggressive lung recruitment and oscillatory ventilation probably should be avoided.
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Effectiveness of a Cardiac Surgery-Specific Transfusion Protocol
This study aims to evaluate the effect of this protocol ontransfusion of blood products and the occurrence of clinical events.
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Maintenance of Life With Intravenous Oxygen: Article from a Pioneer
Dr. Lillehei with Dr. DeWall then built and clinically established a heart lung machine using a bubble oxygenator. This became the standard method for oxygenating blood in the heart lung machine until the membrane oxygenator was perfected approximately twenty years ago.
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