Clinical Utility of the Quantra® Point‐of‐care Haemostasis Analyser During Urgent Cardiac Surgery
We have shown that point‐of‐care testing using the novel Quantra system provides useful data for guiding transfusion management.
Moderate and Deep Hypothermic Circulatory Arrest has a Comparable Effect on Acute Kidney Injury After Total Arch Replacement with Frozen Elephant Trunk Procedure in Type A Aortic Dissection
MHCA was not superior to DHCA in decreasing postoperative AKI. Thus, MHCA should not definitively replace DHCA.
Aortic Cannula Orientation and Flow Impacts Embolic Trajectories: Computational Cardiopulmonary Bypass
This numerical study illustrated distinct trajectory behaviours between gaseous and solid emboli where slight changes in aortic cannula orientation influenced idealised emboli direction with higher pump flows magnifying the effects.
Minimally Invasive Surgical Approaches to Left Main and Left Anterior Descending Coronary Artery Revascularization are Superior Compared to First- and Second-generation Drug-eluting Stents: a Network Meta-analysis
Surgical approaches to left main or proximal left anterior descending disease remain superior to first- or second-generation DES in terms of long-term freedom from MI and target vessel revascularization as well as improved overall long-term survival.
Minimally Invasive Versus Conventional Surgery of the Ascending Aorta and Root: a Systematic Review and Meta-analysis
MIS may be associated with improved early clinical outcomes compared to MS, but the quality of the evidence is very low. Randomized evidence is needed to confirm these findings.
Extracorporeal Membrane Oxygenation in Pregnant and Postpartum Women: A Systematic Review and Meta-Regression Analysis
Extracorporeal membrane oxygenation can be considered as an acceptable salvage therapy for pregnant and postpartum patients with critical cardiac or pulmonary illness.
A Multicenter Comparison of 2 Point-of-Care Activated Clotting Time Test Systems
Activated clotting time (ACT) is used to monitor unfractionated heparin anticoagulation during invasive procedures such as percutaneous coronary or electrophysiology interventions.
Audition for Your Job Every Day
On the last day of fellowship my mentor, Dr. Michael O’Connor, sat the fellows down and in 6 statements summarized what we each needed to know going into practice.
Evaluation of Increase in Intraoperative Lactate Level as a Predictor of Outcome in Adults After Cardiac Surgery
An increase in intraoperative lactate, independent of the level on induction, is a useful dynamic parameter to identify patients at risk of postoperative morbidity and mortality and might provide an early trigger for introducing measures to avoid poor outcomes.
Evaluation of Acute Kidney Injury with Oxidative Stress Biomarkers and Renal Resistive Index after Cardiac Surgery
Our data suggest that serum cystatin C level and RRI could be used as an early biomarker for postoperative AKI after cardiac surgery.
Transfusing Platelets During Bypass Rewarming in Neonates Improves Postoperative Outcomes: A Randomized Controlled Trial
Platelet transfusion during the rewarming phase of neonatal cardiac surgery was associated with reduced bleeding and improved postoperative outcomes, compared to platelets given after coming off bypass.