Surgical Risk Factors for Ischemic Stroke Following Coronary Artery Bypass Grafting. A Multi-Factor Multimodel Analysis
Aortic cross-clamping was found to be the primary cause of post-CABG ischemic stroke. Instead, additional aortic manipulation from a side-biting clamp, on-pump surgery, multiple aortic touches, number of proximal anastomoses, and aortic cannulation were found not to increase the estimate of stroke significantly. Further research on this topic is warranted.
Impact on Renal Function and Hospital Outcomes of an Individualized Management of Cardiopulmonary Bypass in Congenital Heart Surgery: A Pilot Study
A safe individualized strategy for conduction of CPB, which allows significant flow reduction while maintaining normal hemodynamic and metabolic parameters, does not impact on renal function and hospital outcomes.
Volatile Anesthetic Preconditioning Modulates Oxidative Stress and Nitric Oxide in Patients Undergoing Coronary Artery Bypass Grafting
Volatile anesthetics, isoflurane and sevoflurane modulate oxidative and nitrosative stress during CABG. Between the two pre-conditioning agents, isoflurane seems to provide better protection during the pre-bypass period, while sevoflurane provides protection during both pre- as well as post-bypass period.
An Unusual Cause of Heparin Resistance – A Case Report
We report a case of surgical closure of ventricular septal defect with PIL with altered heparin response. Such an association of PIL with altered heparin response in CHD has not been reported in literature.
Cefazolin Prophylaxis in Children Undergoing Cardiac Surgery with the Use of Cardiopulmonary Bypass-Is the Dosing Correct?
Direct extrapolation of antibiotic prophylaxis recommendations from adults to children may result in suboptimal antibiotic concentrations. An additional cefazolin dose to ECC priming appears necessary and the dosing should be based on ECC priming volume rather than on the weight of the patient.
Adverse Outcomes Prediction for Congenital Heart Surgery: A Machine Learning Approach
The nonlinear ML-based models of OCTs are intuitively interpretable and provide superior predictive power. The associated risk calculator allows easy, accurate, and understandable estimation of individual patient risks, in the theoretical framework of the average performance of all centers represented in the database. This methodology has the potential to facilitate decision-making and resource optimization in CHS, enabling total quality management and precise benchmarking initiatives.
Experience With the Crescent® Cannula for Adult Respiratory VV ECMO: A Case Series
The Crescent® is a safe and effective device by which to deliver VV ECMO support to patients with severe acute respiratory failure.
Similar Frequency of Atrial Perforation Between Atrial and Bicaval Dual Lumen Veno-Venous ECMO Cannulas in A Pediatric Population
There were no significant differences in frequency of pericardial effusions or severe cannula-related complications between the treatment groups across all pediatric patients and within the subgroup of patients under 2 years of age.
Right-Sided Cardiac Tumors and Awake Femoro-femoral Bypass
The authors describe two cases of obstructing right-sided intracardiac tumors in which awake peripheral cannulation for cardiopulmonary bypass (CPB) before induction of general anesthesia was initiated. Informed consent was obtained from both patients.
Nine Lessons Learned From the COVID-19 Pandemic for Improving Hospital Care and Health Care Delivery
Although there is much to debate about the national public health response to COVID-19, we focus on the lessons learned through COVID-19 that we believe have applicability for improving hospital care in the future. The growth of telehealth has been covered elsewhere. We present 9 other lessons for improving hospital care and health care delivery.
Outcomes With Heparin-Induced Thrombocytopenia After Cardiac Surgery
Although uncommon, HIT is a highly morbid and potentially lethal complication, which should reinforce the importance of timely recognition and treatment of this adverse outcome.
Long-term Impact of Perioperative Red Blood Cell Transfusion on Patients Undergoing Cardiac Surgery
Patients with perioperative PRBC transfusions have increased operative and long-term mortality and hospital readmissions. Total units of PRBCs transfused were directly associated with mortality and readmissions.