Effectiveness of Extra Corporeal Membrane Oxygenation When Conventional Ventilation Fails: Valuable Option or Vague Remedy?
In this article, we reviewed the usefulness of ECMO in patients with severe ARDS in the light of current evidence.
Comparison of Effectiveness and Safety of Transcatheter Aortic Valve Implantation in Patients Aged ≥90 Years Versus <90 Years
In conclusion, even very elderly nonagenarians can experience acceptable clinical results and benefits after TAVI.
Interoperative Platelet Pheresis (EP Video)
Melissa Aberts discusses the value of interoperative platelet pheresis (35:26 minutes).
Implementing a Blood Management Program to Improve Patient Safety (EP Video)
Ty Walker discusses the development of a blood management program and its impact on patient safety (32:07 minutes).
The RBC Storage Lesion (EP Video)
Dr. Yazer discusses the impact of storage on red blood cell quality and function (42:53 minutes).
Point-of-Care Testing: A Prospective, Randomized Clinical Trial of Efficacy in Coagulopathic Cardiac Surgery Patients
The current investigation aimed to study the efficacy of hemostatic therapy guided either by conventional coagulation analyses or point-of-care (POC) testing in coagulopathic cardiac surgery patients.
Admission Rapid Thrombelastography Can Replace Conventional Coagulation Tests in the Emergency Department: Experience With 1974 Consecutive Trauma Patients
Injury and shock lead to alterations in conventional coagulation tests (CCTs). Recently, rapid thrombelastography (r-TEG) has become recognized as a comprehensive assessment of coagulation abnormalities.
Educational Program in Crisis Management for Cardiac Surgery Teams Including High Realism Simulation
Cardiac surgery demands effective teamwork for safe, high-quality care. The objective of this pilot study was to develop a comprehensive program to sharpen performance of experienced cardiac surgical teams in acute crisis management.
Successful Management of Membrane Oxygenator Failure During Cardiopulmonary Bypass–The Importance of Safety Algorithm and Simulation Drills
We present a case of a failed membrane oxygenator and discuss the real-life aspects to managing this complication without added risk to the patient.
Improving Teamwork, Confidence, and Collaboration Among Members of a Pediatric Cardiovascular Intensive Care Unit Multidisciplinary Team Using Simulation-Based Team Training
Findings show that simulation-based team training (SBTT) is effective at increasing teamwork skills.
When the Timing is Right: Antibiotic Timing and Infection After Cardiac Surgery
Guidelines recommend antibiotic prophylaxis 60 minutes before skin incision; however, it is unclear whether more precise timing would further reduce sternal wound infection. Our objectives were to examine the relationship between antibiotic timing and infection, test potential efficacy of optimal antibiotic timing in preventing infection, and determine whether patient comorbidity is related to timing and infection.
Simulation for Technical Skills
The incorporation of simulation into resident education will allow us to increase the hours of practice for a given technique and develop expertise before needing it in the operating room.