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Effects of Cerebral Near-Infrared Spectroscopy on the Outcome of Patients Undergoing Cardiac Surgery: A Systematic Review of Randomised Trials
Goal-directed optimization of cerebral oxygenation using near-infrared spectroscopy (NIRS) during cardiopulmonary bypass is widely used. We tested the hypotheses that the use of NIRS cerebral oximetry results in reductions in cerebral injury (neurocognitive function, serum biomarkers), injury to other organs including the heart and brain, transfusion rates, mortality and resource use.
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A Comparative Analysis of Four Activated Clotting Time Measurement Devices in Cardiac Surgery with Cardiopulmonary Bypass
Careful validation must be undertaken when adopting a different method as decision limits would be affected. Clinicians should also be cautious using ACT as the only indicator for full heparin reversal.
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Patient Blood Management for Neonates and Children Undergoing Cardiac Surgery: 2019 NATA Guidelines
The objective of the task force from the Network for the Advancement of Patient Blood Management, Haemostasis and Thrombosis (NATA, www.nataonline.com) is to provide evidence-based recommendations regarding anemia management and blood transfusion practices in the perioperative care of neonates and children undergoing cardiac surgery, and to highlight potential areas where additional research is urgently required.
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