Total Surgical Aortic Arch Replacement as a Safe Strategy to Treat Complex Multi-segmental Proximal Thoracic Aortic Pathology
This study analyzed the results after elective open total aortic arch replacement analyzing 39 patients (median age 63 years, median logistic EuroSCORE 18.4) who underwent elective open total arch replacement between 2005 and 2012.
Pharmacologic Tools to Reduce Bleeding in Surgery
Strategies to reduce blood loss and the need for transfusions in surgery include enhancement of coagulation, inhibition of fibrinolysis, and an improved decision algorithm for transfusion based on bedside monitoring of global hemostasis.
Coronary Artery Bypass Grafting after Aprotinin: Are We Doing Better?
Accordingly, the usage of aprotinin should be reconsidered for treatment among cohorts of low-risk cardiac patients.
Use of Briefings and Debriefings as a Tool in Improving Team Work, Efficiency, and Communication in the Operating Theatre
Briefings and debriefings had a positive impact on teamwork and communication.
Preventing Deep Wound Infection after Coronary Artery Bypass Grafting: A Review
We recommend that cardiac surgery programs supplement their audit processes and ongoing vigilance for infections with periodic, multidisciplinary reviews of best-practice standards for preoperative, intraoperative, and postoperative patient care.
Quality, Patient Safety, and the Cardiac Surgical Team
This article reviews a decade of discussion surrounding quality and safety issues in cardiac surgery
Depicting Adverse Events in Cardiac Theatre: The Preliminary Conception of the RECORD Model
This article aims to raise awareness for safety measures in the cardiac surgical room
Trends in Aortic Clamp Use during Coronary Artery Bypass Surgery: Effect of Aortic Clamping Strategies on Neurologic Outcomes
The purpose of the present study was to determine the effect of different clamping strategies during coronary artery bypass grafting on the incidence of postoperative stroke.
Variation in Ventilation Time After Coronary Artery Bypass Grafting: An Analysis From The Society of Thoracic Surgeons Adult Cardiac Surgery Database
After adjustment for severity of illness, substantial inter-center variation exists in postoperative ventilation time in this subset of patients undergoing isolated CABG.
Clampless Technique during Coronary Artery Bypass Grafting for Proximal Anastomoses in the Hostile Aorta
We have found that clampless fibrillating heart surgery with circulatory arrest for proximal anastomoses is a safe and effective technique for revascularizing patients with significant ascending aortic disease who are at high risk for cerebral embolic complications.
Psychiatric Outcome after Severe Cardio-Respiratory Failure Treated with Extracorporeal Membrane Oxygenation: A Case-Series
Extracorporeal membrane oxygenation (ECMO) is increasingly used to save patients with severe cardiopulmonary failure at high risk of dying, but the long-term psychiatric outcome of the treatment has not been studied.
The Mechanisms of Cell Therapy for Clinical Investigations: An Urgent Need for Large-Animal Models
Evidence from experiments performed in animal models and from early-stage clinical trials demonstrate that the contractile performance of hearts with severe ischemic injury can be improved by transplanting a variety of cell types into the injured heart.