Evaluation of Point-of-Care ACT Coagulometers and Anti-Xa Activity During Cardiopulmonary Bypass
This suggests that ACT devices should not be used interchangeably, but cut-off values for safe anticoagulation during cardiopulmonary bypass should be determined for each type of device, particularly when switching supplier.
Predicting Postoperative Delirium and Postoperative Cognitive Decline with Combined Intraoperative Electroencephalogram Monitoring and Cerebral Near-Infrared Spectroscopy in Patients Undergoing Cardiac Interventions
The results of our study show that the degree of intraoperative EEG suppression on one hand, and low rScO2 at the end of procedure on the other hand, are associated with respectively POD and POCD in patients undergoing cardiac interventions.
Selling the Role of Salvage: Cell Salvage Past and Present
Despite the body of evidence to support the use of salvaged blood for transfusion, hesitation around its use still persists, with staff apprehension around set up of cell salvage equipment and general underestimation of intraoperative blood loss being key factors in its underuse.
Optimization of Extracorporeal Membrane Oxygenation Therapy Using Near-Infrared Spectroscopy to Assess Changes in Peripheral Circulation: A Pilot Study
NIRS for optimizing ECMO therapy may be reliable for monitoring global circulatory status.
Connector Sensors for Permittivity-Based Thrombus Monitoring in Extracorporeal Life Support
The connector sensor is therefore envisioned as an affordable alternative to OCT for real-time permittivity-based monitoring of thrombogenesis at tube–connector interface.
Risk of COVID-19 Among Front-Line Health-Care Workers and the General Community: A Prospective Cohort Study.
Health-care systems should ensure adequate availability of PPE and develop additional strategies to protect health-care workers from COVID-19, particularly those from Black, Asian, and minority ethnic backgrounds.
The Effect of Roller Head Pump on Platelet Deterioration During the Simulated Extracorporeal Circulation
We thus conclude that roller pumping induced platelet apoptosis and caused decreases in platelet count and aggregation after the recirculation.
Haemoadsorption: Effective in Reducing Circulating Fragments of the Endothelial Glycocalyx During Cardiopulmonary Bypass in Patients Undergoing On-Pump Cardiac Surgery?
In this study representing a real-life scenario, we could demonstrate that the novel hemoadsorption device (CytoSorb®) was able to effectively adsorb HEP from the circulation if integrated in a CPB circuit.
Extracorporeal Hemadsorption versus Glucocorticoids during Cardiopulmonary Bypass: A Prospective, Randomized, Controlled Trial
We compared intraoperative hemadsorption and methylprednisolone, with usual care, during complex cardiac surgery on CPB, for inflammatory responses, hemodynamics, and perioperative course.
Vasoplegia After Cardiopulmonary Bypass: A Narrative Review of Pathophysiology and Emerging Targeted Therapies
This narrative review addresses both the definition, risk factors, and pathophysiology of vasoplegia and potential therapeutic interventions.
Post Cardiotomy Extra Corporeal Membrane Oxygenation: Australian Cohort Review
Identification of poor prognostic indicators in this study may help inform the development of guidelines for the most appropriate use of this support modality.
Efficacy of Nitric Oxide Administration in Attenuating Ischemia/Reperfusion Injury During Neonatal Cardiopulmonary Bypass
Systemic administration of NO during the Norwood procedure has myocardial protective effects (lower Troponin levels) but we observed no effect on postoperative recovery. Larger sample size may be needed to show clinical differences.