Implementation of aTransfusion Algorithm to Reduce Blood Product Utilization in Pediatric Cardiac Surgery
The goal of this project is to measure the impact of standardization of transfusion practice on blood product utilization and postoperative bleeding in pediatric cardiac surgery patients.
Strategic and Operational Aspects of a Transfusion-Free Neonatal Arterial Switch Operation
We report an overview of the literature regarding blood transfusion-free complex congenital cardiac surgery.
Pain Assessment and Training: The Impact on Pain Control after Cardiac Surgery
We analyzed the effects of training and the application of a form for the systematized assessment of pain control after cardiac surgery on pain intensity and supplementary use of morphine.
High Lactate Levels are Predictors of Major Complications after Cardiac Surgery
The aim of this study was to evaluate whether high lactate levels after cardiac surgery are predictors of major complications including mortality.
The Effect of Retrograde Autologous Priming Volume on Haemodilution and Transfusion Requirements During Cardiac Surgery
This study is designed to determine the influence or RAP on intraoperative haematocrit, transfusion and its clinical consequences.
Death on an LVAD-Two Sides of a Coin
We present two contrasting cases of death on LVAD support and present some ethical issues surrounding the end of life on LVAD support.
Magnitude and Time Course of Changes Induced by Continuous-Flow Left Ventricular Assist Device Unloading in Chronic Heart Failure: Insights into Cardiac Recovery
Continuous-flow LVAD unloading induced in a subset of patients, both ischemic and nonischemic, early improvement in myocardial structure and systolic and diastolic function that was largely completed within 6 months, with no evidence of subsequent regression.
Modification of Self-Concept in Patients with a Left-Ventricular Assist Device: An Initial Exploration
We explored how patients with left-ventricular assist devices (LVAD) met the health-deviation requisite of modifying self-concept to accept this form of treatment and restore normalcy.
Percutaneous Closure of a Patent Foramen Ovale to Prevent Paradoxical Thromboembolism in a Patient With a Continuous-Flow LVAD
Strategies to diagnose PFO at the time of LVAD implantation and physiological implications of a right-to-left atrial shunt during mechanical unloading of the failing left ventricle are reviewed.
Long-Term Outcome of High-Urgency Heart Transplant Patients With and Without Temporary Ventricular Assist Device Support
The use of short-term ventricular assist devices (VAD) in patients awaiting high-urgency (HU) heart transplantation (HTx) in Spain has steadily increased due to longer waiting times and the new heart allocation system.
From Bloodless Surgery to Patient Blood Management
Safety and efficacy concerns of allogeneic blood transfusions and their impact on patient outcomes and associated staggering costs and restricted supply have fueled the quest for other modalities and strategies to reduce use of blood components.
Open Cardiac Surgery in the First Hours of Life Using Autologous Umbilical Cord Blood
This article describes the first clinical experience of complete repair of complex critical congenital heart diseases (CHDs) in the first hours of life using autologous umbilical cord blood (UCB).