Active Bleeding after Cardiac Surgery: A Prospective Observational Multicenter Study
This article estimates the incidence of active bleeding after cardiac surgery (AB) based on a definition directly related on blood flow from chest drainage; describes the AB characteristics and its management; and identifies factors of postoperative complications.
Management of Massive Bleeding in a Jehovah’s Witness Obstetric Patient: The Overwhelming Importance of a Pre-Established Multidisciplinary Protocol
Life-threatening massive bleeding is doubtlessly one of the biggest challenges in health care, especially in patients who reject allogeneic transfusion, such as Jehovah's Witnesses.
Blood Conservation Strategies in Cardiac Surgery: More is Better
We present our results after the implementation of a more aggressive strategy for intraoperative blood conservation in cardiac surgery.
Is Low Serum Albumin Associated with Postoperative Complications in Patients Undergoing Cardiac Surgery
A best evidence topic was written according to a structured protocol. The clinical question investigated was: is low serum albumin associated with postoperative complications in patients undergoing cardiac surgery?
Predictors of Mortality in Cardiac Surgery: Brain Natriuretic Peptide Type B
We evaluated whether the preoperative serum concentration of brain natriuretic peptide (BNP) is a predictor of in-hospital mortality in patients that underwent cardiac surgery.
Prediction of Post-Weaning Fibrinogen Status during Cardiopulmonary Bypass: An Observational Study in 110 Patients
After cardiac surgery with cardiopulmonary bypass (CPB), acquired coagulopathy often leads to post-CPB bleeding. Though multifactorial in origin, this coagulopathy is often aggravated by deficient fibrinogen levels.
Predicting the Risk of Death Following Coronary Artery Bypass Graft Made Simple: A Retrospective Study Using The American College of Surgeons National Surgical Quality Improvement Program Database
The objective of this study was to develop a 30-day postoperative mortality risk model for patients undergoing CABG using the American College of Surgeons National Surgical Quality Improvement Program database.
Point-of-Care Platelet Function Testing Predicts Bleeding in Patients Exposed to Clopidogrel Undergoing Coronary Artery Bypass Grafting: Verify Pre-Op TIMI 45–A Pilot Study
Guidelines recommend delaying coronary artery bypass grafting (CABG) for 5 days after discontinuing clopidogrel. However, platelet function may recover quicker in certain individuals.
How Can We Identify the High-Risk Patient
Accurate and early identification of high-risk surgical patients allows for targeted use of perioperative monitoring and interventions that may improve their outcomes. This review summarizes current evidence on how information from the preoperative, operative, and immediate postoperative periods can help identify such individuals.
Minimized Extracorporeal Circulation Does Not Impair Cognitive Brain Function After Coronary Artery Bypass Grafting
Objective evaluation of the impact of minimized extracorporeal circulation (MECC) on perioperative cognitive brain function in coronary artery bypass grafting (CABG) by electroencephalogram P300 wave event-related potentials and number connection test (NCT) as metrics of cognitive function.
Heart valve surgery in patients with homozygous sickle cell disease: A management strategy
Patients with the homozygous sickle cell disease have increased perioperative mortality. Some indications like heart valve surgery, may justify an exchange blood transfusion to reduce the proportion of hemoglobin S (HbS) and complications.
Effect of Respiratory Rehabilitation Before Open Cardiac Surgery on Respiratory Function: A Randomized Clinical Trial
The aim of this study was to evaluate the role of pulmonary rehabilitation before surgery for reducing the risk of pulmonary complications after surgery.