Virtual Patient Simulator for the Perfusion Resource Management Drill
High-fidelity simulator systems with controllable difficulty levels and high physiological reproducibility are useful in constructing a perfusion resource management environment that enable basic training and periodic crisis management drills to be performed.
Limited Blood Transfusion Does Not Impact Survival in Octogenarians Undergoing Cardiac Operations
Octogenarians receive RBCs more often than do younger patients. Although transfusion of 1 to 2 units of RBCs increases the risk of early death in patients younger than 80 years, this effect was not present among octogenarians. There was no significant effect of RBCs in late death in either age group.
Hemoglobin-Driven Pathophysiology is an in Vivo Consequence of the Red Blood Cell Storage Lesion that can be Attenuated in Guinea Pigs by Haptoglobin Therapy
Pathologies observed after transfusion with old blood, together with the favorable response to Hp supplementation, allowed us to define the in vivo consequences of the rbc storage lesion as storage-related posttransfusion hemolysis producing Hb-driven pathophysiology. Hb sequestration by Hp might therefore be a therapeutic modality for enhancing transfusion safety in severely ill or massively transfused patients.
Indication and Structures and Management of Transcatheter Aortic Valve Implantation: A Review of the Literature
Currently, TAVI should be restricted to patients with severe symptomatic aortic valve stenosis and contraindications against open heart surgery or maximum perioperative risk. The surgical risk should be assessed by a multidisciplinary team. The procedure should be performed by interdisciplinary heart teams in hospitals with a cardiac surgery unit.
Second Valve Implantation for the Treatment of a Malpositioned Transcatheter Aortic Valve
TAVI-in-TAV for correction of malpositioned or embolized valves is technically feasible and leads to favorable functional results during mid-term follow-up.
Automatic Aorta Segmentation and Valve Landmark Detection in C-Arm CT for Transcatheter Aortic Valve Implantation
Under the guidance of the automatically extracted patient-specific aorta model, the physicians can properly determine the C-arm angulation and deploy the prosthetic valve. Promising outcomes have been achieved in real clinical applications.
Peri-aortic Hematoma Complicated with Aortic Regurgitation Following Transcatheter Aortic Valve Implantation: Description of a Novel Mechanism of Paravalvular Leak
The present case describes a novel complication associated with TAVI, a severe paravalvular leak related to "stretch-induced" peri-aortic hematoma.
Data Collection and Interpretation in Blood Management (EP Video)
Dr. Mark Popovsky discusses the collection and interpretation of data in a blood management program (43:34 minutes).
TEG: Total Excellence Guaranteed
The TEG 5000 Hemostasis Analyzer provides the clinician with a complete picture of an individual patient’s hemostasis profile; thus guiding therapy and a targeted treatment: Right product, Right does, Right patient, Right time. This baseline test lets the clinician know if the patient is hypercoagulable, normal, hypocoagulable, or fibrinolytic.
Activated Partial Thromboplastin Time is a Better Trending Tool in Pediatric Extracorporeal Membrane Oxygenation
To determine whether activated partial thromboplastin times are a better heparin management tool than activated clotting times in pediatric extracorporeal membrane oxygenation.
Challenges Encountered with Argatroban Anticoagulation During Cardiopulmonary Bypass
We report a case where the challenges in dosing argatroban led to failure to provide adequate anticoagulation during CPB, as evidenced by clot formation in the oxygenator, and extensive bleeding in the postoperative period.