Extracorporeal Membrane Oxygenation in Pediatric Patients: Our Experience in the Last Ten Years
The use of extracorporeal membrane oxygenation (ECMO) in children after cardiac surgery is well established. ECMO support is becoming an integral tool for cardiopulmonary resuscitation in specified centers.
Extracorporeal Carbon Dioxide Removal Through Ventilation of Acidified Dialysate: An Experimental Study
Extracorporeal (EC) carbon dioxide (CO(2)) removal (ECCO(2)R) may be a powerful alternative to ventilation, possibly avoiding the need for mechanical ventilation and endotracheal intubation. We previously reported how an infusion of lactic acid before a membrane lung (ML) effectively enhances ECCO(2)R. We evaluated an innovative ECCO(2)R technique based on ventilation of acidified dialysate.
Plasma Expander and Blood Storage Effects on Capillary Perfusion in Transfusion after Hemorrhage
The type of plasma expander used for hemodilution influences the short-term outcome of subsequent volume resuscitation
Updated Treatment Algorithm of Pulmonary Arterial Hypertension
The current treatment algorithm may be divided into 3 main areas: 1) general measures, supportive therapy, referral strategy, acute vasoreactivity testing and chronic treatment with calcium channel blockers; 2) initial therapy with approved PAH drugs; and 3) clinical response to the initial therapy, combination therapy, balloon atrial septostomy, and lung transplantation. All three sections will be revisited highlighting information newly available in the past 5 years and proposing updates where appropriate.
Should Patients with Asymptomatic Significant Carotid Stenosis Undergo Simultaneous Carotid and Cardiac Surgery
A best evidence topic in cardiovascular surgery was written according to a structured protocol. The question addressed was whether patients with severe asymptomatic carotid and coronary artery diseases should undergo simultaneous carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG).
Techniques and Applications of Perioperative Therapeutic Plasma Exchange
Therapeutic plasma exchange (TPE) is a useful adjunct in the management of antibody-mediated disorders. The indications for TPE now include the perioperative setting. This review updates the anesthesiologist on the relevant clinical indications and precautions of plasma exchange.
Update of Transcatheter Valve Treatment
As the evidence accumulates, transcatheter valve treatment might be an alterative surgery for younger patients with surgically low or intermediate risk valvular heart diseases in the near future. In this paper, the updates on transcatheter valve treatment are reviewed.
The 2013 Canadian Cardiovascular Society Heart Failure Management Guidelines Update: Focus on Rehabilitation and Exercise and Surgical Coronary Revascularization
The 2013 Canadian Cardiovascular Society Heart Failure Management Guidelines Update provides focused discussions on the management recommendations on 2 topics: (1) exercise and rehabilitation; and (2) surgical coronary revascularization in patients with heart failure.
Is Crystalloid Cardioplegia a Strong Predictor of Intra-Operative Hemodilution?
Crystalloid cardioplegia, compared to blood cardioplegia not only causes much more intra-operative hemodilution but also increases the blood transfusion requirement.
Cardiopulmonary Bypass Standby Avoids Fatality due to Vascular Laceration in Laser-Assisted Lead Extraction
Cardiopulmonary bypass standby avoids fatality due to vascular laceration in laser-assisted lead extraction
72 Hours Standby Time of Wet-Primed Cardiopulmonary Bypass Circuits: A Microbiological Quality Assurance Study
These findings indicate the safe use of primed cardiopulmonary bypass circuits in standby mode for 72 hours.
A Novel Rotary Pulsatile Flow Pump for Cardiopulmonary Bypass
A pediatric pulsatile rotary ventricular pump (PRVP) was designed