Starting Elective Cardiac Surgery After 3 pm Does Not Impact Patient Morbidity, Mortality, or Hospital Costs
We report no differences in perioperative outcomes, operative mortality, length of stay, or total hospital cost for elective cases that start after 3 pm. This may be attributable to the resources available at a large quaternary center regardless of time of day.
Validation of the ‘Paediatric Extracorporeal Membrane Oxygenation Prediction’ Model in a UK Extracorporeal Membrane Oxygenation Centre
This small single-centre study with a small number of events was unable to validate the paediatric extracorporeal membrane oxygenation prediction-model of risk-adjustment. Although this remains the most promising of all the available models, further validation in larger data sets and/or refinement may be required before widespread use.
Fixed and Dilated Pupils, Not a Contraindication for Extracorporeal Support: a Case Series
The patients described demonstrate that fixed and dilated pupils are not a contraindication for extracorporeal support in select patients.
Thromboelastographic Results and Hypercoagulability Syndrome in Patients With Coronavirus Disease 2019 Who Are Critically Ill
Our findings suggest that alterations of diagnostic and prophylactic treatment guidelines may be critical for the successful treatment of coagulopathies associated with COVID-19.
Mortality and Pulmonary Complications in Patients Undergoing Surgery with Perioperative SARS-CoV-2 Infection: an International Cohort Study
Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery.
Managing Teamwork in the Face of Pandemic: Evidence-based Tips
We hope the evidence-based tips we provided about teamwork under stress can be used by healthcare providers, team leaders and management to take constructive actions both during and in the early aftermath of the COVID-19 pandemic.
Recognizing and Supporting Morally Injured ICU Professionals during the COVID‑19 Pandemic
A person becomes morally injured if exposed to repeated incidents of moral distress or due to a single egregious violation of morality.
The Influence of Postoperative Albumin Levels on the Outcome of Cardiac Surgery
The presence of postoperative hypoalbuminemia after CS is frequent and the degree of hypoalbuminemia may be associated with worst outcomes, even in the long-term scenario.
Fluid Therapy With Gelatin May Have Deleterious Effects on Kidney Function: An Observational Trial
these findings suggested that gelatin solutions may have deleterious effects on renal function in cardiac surgical patients. The adverse clinical effects of HES on kidney function observed in other studies may have been blunted by the restrictive use of this synthetic colloid.
Long-term Outcome of Perioperative Low Cardiac Output Syndrome in Cardiac Surgery: 1-year Results of a Multicenter Randomized Trial
Levosimendan administration does not improve 1-year survival in cardiac surgery patients with perioperative myocardial dysfunction. One-year mortality in these patients is 17%. Six predictive factors for long-term mortality were identified.
Microcirculatory Perfusion Disturbances following Cardiopulmonary Bypass: a Systematic Review
CPB during cardiac surgery impaired sublingual microcirculatory perfusion as reflected by reduced FCD, PVD, and PPV. Four studies reported this effect at least 24 h after surgery. Further research is warranted to conclude on the duration of CPB-induced microcirculatory perfusion disturbances and the relationship with clinical outcome.
Cardiac Operation under Cardiopulmonary Bypass during Pregnancy
Cardiac operation under cardiopulmonary bypass during pregnancy is a challenge for physicians in multidisciplinary teams. Strictly evaluating the indication is vital. On the other hand, some patients can benefit from this management.