The Effect of Minimally Invasive Surgery and Sternotomy on Physical Activity and Quality of Life
Compared to conventional MS, MI was associated with better HRQoL and early functional outcome, even in frail patients.
Optimization of CPB Circuits and Techniques Minimize the Total Number of Intraoperative Emboli Delivery in Congenital Heart Surgery Patients
In summary, the generation and delivery of microemboli during CPB procedures are multifactorial and multidisciplinary. Therefore, the solutions to this significant problem should also be multidisciplinary. Optimization of CPB circuitry and techniques are necessary to minimize intraoperative injuries during pediatric cardiac surgery.
First Harvest of Pediatric and Congenital Heart Surgery Multicenter Database in Turkey: Novel Application of Real-Time Online Reporting
CKCV Database has a great potential for nationwide quality improvement studies. Users could instantly analyze and compare their results to national and international aggregate data using a real-time online reporting function. This is the first multicenter congenital database study in Turkey.
Pediatric Cardiac Surgical Patterns of Practice and Outcomes in Japan and Europe
The distribution of the benchmark procedures and age at the time of surgery differ between Japan and Europe. Postoperative length of stay is longer, and the mean complexity is higher in Japan compared to European data. These comparisons of patterns of practice and outcomes demonstrate opportunities for continuing bidirectional transcontinental collaboration and quality improvement.
Monitoring of Perfusion Quality and Prediction of Donor Heart Function During Ex-Vivo Machine Perfusion by Myocardial Microcirculation versus Surrogate Parameters
The combination of mLDP and Lac (r2 = 0.876, p = 0.005) showed best results. mLDP seems to be superior to Lac to show perfusion disorders and predict DCD-heart contractility.
Multi-institutional Analysis of 100 Consecutive Patients with COVID-19 and Severe Pulmonary Compromise Treated with Extracorporeal Membrane Oxygenation: Outcomes and Trends Over Time
Extracorporeal membrane oxygenation may facilitate salvage and survival of selected critically ill patients with COVID-19. Survivors tend to be younger. Substantial variation exists in the drug treatment of COVID-19, but ECMO offers a reasonable rescue strategy.
The Effects of the Combined Argatroban/Nitric Oxide-Releasing Polymer on Platelet Microparticle-Induced Thrombogenicity in Coated Extracorporeal Circuits
These results indicate that PMPs may be an important measure of platelet activation during ECC. Platelet-derived microparticles may provide a simplified way to measure platelet function during clinical ECC.
I-PASS Handover System: A Decade of Evidence Demands Action
Thus, consistent with all previous studies, I-PASS was implemented successfully and handover quality improved. However, is the lack of association of I-PASS implementation with clinical outcomes and adverse events in this study a concern? To answer this question, it is necessary to review the origins of I-PASS more than a decade ago and its continually expanding evidence base.
SARS-CoV-2 Leakage From the Gas Outlet Port During Extracorporeal Membrane Oxygenation for COVID-19
In conclusion, SARS-CoV-2 could leak to the gas outlet port of the ECMO circuit through silicone-coated polypropylene membranes during ECMO support of critically ill COVID-19 patients.
Influence of Administration of Mesenchymal Stromal Cell on Pediatric Oxygenator Performance and Inflammatory Response
The administration of mesenchymal stromal cells does not interfere with oxygenator function. Allogeneic mesenchymal stromal cells show no immunogenicity, and increase plasma IL-6 level during ex vivo circulation. Further investigation is necessary to determine the effect of mesenchymal stromal cell delivery through CPB during pediatric cardiac surgery.
Microcirculatory Effects of Landiolol: A Double-Blind, Randomised, Controlled Study after Cardiac Surgery
The aim of this prospective randomised, controlled, double-blind study conducted in patients undergoing cardiac surgery was to assess the microcirculatory effects of landiolol given at a moderate dose to prevent POAF. We tested the hypothesis that landiolol could limit cardiopulmonary-bypass-induced microcirculatory abnormalities.
Cardiac Surgery Simulation – Part II: Cannulation
Whereas a trainee has the opportunity to cannulate for cardiopulmonary bypass only once during a case, the trainee can utilize this simulation model to easily and faithfully practice each step hundreds of times to improve his or her technical skills and to be more prepared for the next case. We believe that practicing in this way can enhance intraoperative learning, performance, and confidence.