Is There a “Safe” Suction Pressure in the Venous Line of Extracorporeal Circulation System?
The gaseous cavitation in centrifugal pumps is a phenomenon that appears with decreasing inlet pump pressures.
Risk Factors for Agitation and Hyperactive Delirium in Adult Postcardiotomy Patients with Extracorporeal Membrane Oxygenation Support: an Observational Study
Our results suggest that the prevalence of agitation and hyperactive delirium in postcardiotomy patients with extracorporeal membrane oxygenation support is high. In addition, previous stroke and severe mean arterial pressure reduction before extracorporeal membrane oxygenation initiation is predictive of agitation and hyperactive delirium.
Validation of Cardiac Surgery Score (CASUS) in Postoperative Cardiac Patients
CASUS is a useful scoring system in post-cardiac surgery patients. The accuracy of CASUS and ICNARC scores in predicting mortality, pulmonary, and renal complications are comparable.
The Early Change in PaCO2 after Extracorporeal Membrane Oxygenation Initiation Is Associated with Neurological Complications
In patients receiving ECMO for respiratory failure, a large relative decrease in PaCO2 in the first 24 hours after ECMO initiation is independently associated with an increased incidence of neurological complications.
Effect of Intraoperative Dexamethasone on Major Complications and Mortality Among Infants Undergoing Cardiac Surgery The DECISION Randomized Clinical Trial
Among infants younger than 12 months undergoing cardiac surgery with cardiopulmonary bypass, intraoperative administration of dexamethasone, compared with placebo, did not significantly reduce major complications and mortality at 30 days.
The Developing Balance of Thrombosis and Hemorrhage in Pediatric Surgery: Clinical Implications of Age-Related Changes in Hemostasis
We review the current understanding of the development and function of the hemostatic system, including the complex and overlapping interactions of coagulation proteins, platelets, fibrinolysis, and immune mediators from the neonatal period through early childhood and to young adulthood.
Can Upper Extremity (Deltoid) Near Infrared Spectroscopy be Used to Assess Cerebral Tissue Bed Saturation on Femorally Cannulated Veno-Arterial Extracorporeal Membrane Oxygenation Patients?
The use of upper extremity (peripheral deltoid) tissue monitoring does not provide adequate correlation and should not be used as a surrogate to cerebral monitoring.
Intracranial Hemorrhage on Extracorporeal Membrane Oxygenation: An International Survey
Considering the important management implications reported by most centers when intracranial hemorrhage is diagnosed, perhaps clinicians should consider widening their indications for early neuroimaging.
Haemolysis Induced by Mechanical Circulatory Support Devices: Unsolved Problems
There are few results reported about tests of haemolysis in blood pumps.
Use of Coagulation Point-of-Care Tests in the Management of Anticoagulation and Bleeding in Pediatric Cardiac Surgery: A Systematic Review
At present, literature data are too weak to define POCTs as a “gold standard” for the treatment of perioperative bleeding in pediatric cardiac surgery.
American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Postoperative Delirium Prevention
The Sixth Perioperative Quality Initiative (POQI-6) consensus conference brought together a team of multidisciplinary experts to formally survey and evaluate the literature on postoperative delirium prevention and provide evidence-based recommendations.
The Impact of Roller Pump-Assisted Cardiotomy Suction Unit on Hemolysis
Ex‐vivo generation of large negative pressures by STO events is the main cause of cardiotomy suction‐associated hemolysis. The clinical relevance of this mechanism needs further investigations.