Effect of Ulinastatin on Post-operative Blood Loss and Allogeneic Transfusion in Patients Receiving Cardiac Surgery with Cardiopulmonary Bypass: a Prospective Randomized Controlled Study with 10-year Follow-up
Ulinastatin reduced post-operative blood loss and allogeneic erythrocyte transfusion in heart surgery with CPB. The mortality and major morbidity was comparable among the groups shown by the 10-year follow-up.
AV Flow Cannula: A New Device for Antegrade Selective Cerebral Perfusion
The novelty of this device is the possibility of a guidewire introduction using the Seldinger technique.
Association Between Low pH and Unfavorable Neurological Outcome among Out-of-hospital Cardiac Arrest Patients Treated by Extracorporeal CPR: a Prospective Observational Cohort Study in Japan
This multi-institutional observational study showed that low pH value (< 7.03) before the implementation of ECPR was associated with 1 month unfavorable neurological outcome among OHCA patients treated with ECPR. It may be helpful to consider the candidate for ECPR.
Commercial Influences on Electronic Health Records and Adverse Effects on Clinical Decision Making
The direct access to physicians and the assumption that these tools are unbiased and evidence based make them a potentially powerful marketing device.
Cannula and Circuit Management in Peripheral Extracorporeal Membrane Oxygenation: An International Survey of 45 Countries
An evidence-based guideline would be beneficial to improve ECMO line management according to 78% of respondents. Evidence gaps were identified for antiseptic agents, dressing products and regimens, securement methods, and needleless valves. Future research addressing these areas may provide opportunities for consensus guideline development and practice improvement.
A Cardiovascular Model for Renal Perfusion during Cardiopulmonary Bypass Surgery
The cardiac-renal perfusion model developed in this study can be linked with other kidney models to simulate the changes in renal oxygenation during CPB.
Electroencephalogram Burst-suppression during Cardiopulmonary Bypass in Elderly Patients Mediates Postoperative Delirium
The inference from the present study is that CPB burst-suppression mediates the effects of physical function, lowest CPB temperature, and electroencephalogram alpha power on delirium.
Coagulation Ability when Separating from Cardiopulmonary Bypass With and Without Fresh Frozen Plasma: a Pilot Study
Coagulation function 90 min after separating from CPB was not significantly different between the groups. Prior FFP administration before separation did not provide significant improvement in coagulation function.
Extracorporeal Membrane Oxygenation Support for Pediatric Burn Patients: Is It Worth the Risk?
Extracorporeal membrane oxygenation could be considered as an additional level of support for the pediatric burn population, especially in the setting of respiratory failure.
Minimally Invasive Cardiac Surgical Procedures in Children
In this summary we will review the approaches that have been described and comment on the evidence that they achieve the desired goal of minimizing the trauma of the surgical procedure and enhancing recovery.
Does Intraoperative Cell Salvage Reduce Postoperative Infection Rates in Cardiac Surgery?
Cell salvage was directly associated with higher infection rates, but this direct effect was almost completely eliminated by its indirect protective effect through reduced allogeneic blood transfusion.
Extracorporeal Oxygenation and COVID-19 Epidemic is the Membrane Fail-Safe to Cross Contamination?
We concluded that it is possible for SARS-CoV-2 to cross the membrane and aerosolize through the gas-exit port of the membrane lung. This phenomenon might be dependent on the presence of viral traces in the bloodstream and on the occurrence of fibers damage, which are both considered rare scenarios.