Watershed Phenomena during Extracorporeal Life Support and their Clinical Impact: a Systematic In Vitro Investigation
Using an in vitro mock circulation loop, we systematically investigated the impact of heart failure, extracorporeal support, and cannulation routes on the formation of flow phenomena and flow distribution in the arterial tree.
Bivalirudin
Bivalirudin is an inhibitor of thrombin, an essential factor within the coagulation cascade crucial to thrombus formation.
Development and Application of ‘Systems Thinking’ Principles for Quality Improvement
Application of the adapted principles underpins, and is characteristic of, a holistic systems approach and may aid care team and organisational system understanding and improvement.
Neurological Pupil index for Early Prognostication After Venoarterial Extracorporeal Membrane Oxygenation
Quantitative NPi alone had excellent ability to predict a poor outcome from day 1 after VA-ECMO insertion, with no false positives. Combining NPi and 12-h PREDICT-VA ECMO score increased the sensitivity of outcome prediction, while maintaining 100% specificity.
Preoperative Disturbances of Glucose Metabolism and Mortality after Coronary Artery Bypass Grafting
In this study, patients with pre-diabetes or newly discovered diabetes prior to CABG had similar long-term survival compared with patients with NGT.
Challenges and Possibilities of Developing Cardiac Surgery in a Peripheral Hospital of Low- and Middle-Income Countries
The availability of a regular cardiac surgery service in the periphery of the country makes such services more accessible for the patients and helps in reducing the long waiting lists and unmanageable workload in the established cardiac centers in the capital city.
Thrombotic Risk in Central Venoarterial Extracorporeal Membrane Oxygenation Post Cardiac Surgery
Stasis is the predominant risk factor for intracardiac thrombosis. This occurs rapidly and the outcome is poor. As a result, we suggest early left ventricular decompression. Conventional management of post-bypass coagulopathy seems safe if the aortic valve is opening.
Comparison of Three Autotransfusion Devices for Utilization in the Pediatric Population
Each device proved effective within our pediatric population.
Successful Use of Protek Duo Cannula to Provide Veno-Venous Extra-Corporeal Membrane Oxygenation and Right Ventricular Support for Acute Respiratory Distress Syndrome in an Adolescent with Complex Congenital Heart Disease
When placed under fluoroscopy guidance, the TPD cannula can be considered as a safe alternative to provide vvECMO and RV support in patients with congenital heart disease.
Acute Perioperative Pulmonary Embolism—Management Strategies and Outcomes
Exposure to contemporary concepts related to PE management is important for all physicians caring for perioperative patients.
Comparison of Glycemic Variability Indices: Blood Glucose, Risk Index, and Coefficient of Variation in Predicting Adverse Outcomes for Patients Undergoing Cardiac Surgery
Both CV and the BGRI had good predictive ability. The BGRI being a continuous variable could be a preferred measure of glycemic variability in predicting adverse outcomes (cutoff value 2.24) after cardiac surgery.
Guidelines for Conduct of Cardiopulmonary Bypass
The recently published 2019 European Association for Cardio-Thoracic Surgery (ECTS)/European Association for Cardiothoracic Anaesthesiology (EACTA)/European Board for Cardiovascular Perfusion guideline on CPB in adult cardiac surgery, is a timely, well-informed collaborative document that includes an exhaustive structured review of the related literature, and where evidence is lacking, expert consensus from all 3 disciplines is provided.