Preoperative Endothelial Dysfunction in Cutaneous Microcirculation Is Associated with Postoperative Organ Injury After Cardiac Surgery Using Extracorporeal Circulation: A Prospective Cohort Study
Patients who postoperatively developed organ injury (SOFA score > 3 at 48 h) had preoperatively a longer time to reach the peak of endothelium-dependent vasodilation.
Veno-Venous Extracorporeal Membrane Oxygenation Allocation in the COVID-19 Pandemic
In discussing how to best manage these issues in the COVID-19 pandemic at present, we identify gaps in the literature and policy important to clinicians as this crisis continues.
Improving Perioperative Brain Health: An Expert Consensus Review of Key Actions for The Perioperative Care Team
Six statements were selected based not only on the strength of the evidence, but also on the potential for impact and the feasibility of widespread implementation. The actions focus on education, cognitive and delirium screening, non-pharmacologic interventions, pain control, and avoidance of antipsychotics. Strategies for effective implementation are discussed.
SARS-CoV-2 Does Not Spread Through Extracorporeal Membrane Oxygenation or Dialysis Membranes
Though our findings may not alter practices, they may contribute to address legitimate interrogations raised by caregivers and reinforce adhesion and trust into infection control measure policies, which is likely to play a major role against the outbreak spreading.
Polypropylene Oxygenators: Risk Of SARS-Cov-2 Contamination in The Operation Theatre?
In summary, although there is no evidence-based research to support that membrane oxygenators used during CPB could be another source of SARS-CoV-2 transmission, simple precautions like the vacuum suction or filtration should be recommended, until we assure it is not necessary.
A Comparison of Prothrombin Complex Concentrate and Recombinant Activated Factor VII for the Management of Bleeding With Cardiac Surgery
The results demonstrate feasibility of utilizing the minimum amount of drug in order to achieve a desired effect. Both 4-factor PCC and rFVIIa appear to be safe and effective options for the management of bleeding associated with cardiac surgery.
Universal Definition of Perioperative Bleeding in Cardiac Surgery Adults and Association with Mortality in A Mexican Cardiovascular Critical Care Unit
We found that the higher the degree in UDPB was associated with higher mortality independently to EuroScore II and CPB duration for adult patients undergoing cardiac surgery.
The Correlation Between Bowel Complications and Cardiac Surgery
The intention of this review is to identify which risk factors play important roles in predisposing patients to such complications and to gain better insight into the pathogenesis of the sequelae. Furthermore, strategies for prevention have been discussed to educate and increase awareness of how adverse cardiac surgical outcomes can be minimized.
Increased Cerebral Mitochondrial Dysfunction and Reactive Oxygen Species with Cardiopulmonary Bypass
Exposure to 4 h of CPB resulted in a significant increase in cerebral mitochondrial ROS formation compared to shorter durations. Further study is needed to improve the understanding of cerebral mitochondrial health and its effects on the pathophysiology of neurological injury following exposure to CPB.
Unilateral or Bilateral Cerebral Perfusion in Hemiarch Replacement: A Prospective Randomized Study
The present randomized clinical prospective study could not prove the superiority of one of the technique in cerebral protection probably because, our overall ACP time was too short.
Anemia in Cardiac Surgery – Can Something Bad Get Worse?
Anemia in patients undergoing CABG with CPB is bad, but blood transfusion can be worse, increasing at least 50% the risk for mortality and/or morbidity.
Management of Congenital Cardiac Surgery During COVID-19 Pandemic
In this article, we present crucial precautions that were applied in paediatric cardiovascular surgery and extensive list of cases in order to deliver highest level of the patient safety and protection for the surgical team.