The Unintended Consequences of Over-Reducing Cardiopulmonary Bypass Circuit Prime Volume
The Society of Thoracic Surgeon blood conservation guidelines recommend minimizing cardiopulmonary bypass circuit prime volume (PV) as an integral, evidence-based (Class I, Level A) blood conservation strategy. We used a large, multiinstitutional registry to evaluate the effectiveness of restricting cardiopulmonary bypass PV on intraoperative red blood cell (RBC) transfusion.
Acute Respiratory Distress Syndrome After Cardiac Surgery
Acute respiratory distress syndrome (ARDS) is a leading cause of postoperative respiratory failure, with a mortality rate approaching 40% in the general population and 80% in the subset of patients undergoing cardiac surgery.
Allogeneic Blood Product Usage in Coronary Artery Bypass Grafting (CABG) with minimalized Extracorporeal Circulation System (MECC) Versus Standard On-Pump Coronary Artery Bypass Grafting
Intraoperative allogeneic blood product transfusion (ABPT) in cardiac surgery is associated with worse overall outcome, including mortality. The objective of this study was to evaluate the ABPTs in minimalized extracorporeal cardiopulmonary (MECC(TM)) compared with standard open system on-pump coronary revascularization.
The Emergent Use of Cardiopulmonary Bypass and Extracorporeal Membrane Oxygenator in a Child with Sickle Cell Disease
The use of cardiopulmonary bypass (CPB) and extracorporeal membrane oxygenator (ECMO) in patients suffering from sickle cell disease (SCD) needs specific precautions.
Perioperative Management of Patients with Left Ventricular Assist Devices Undergoing Noncardiac Surgery
The aim of this study was to describe our institutional experience, primarily with general anesthesiologists consulting with cardiac anesthesiologists, caring for left ventricular assist device (LVAD) patients undergoing noncardiac surgery.
Point of Care and Factor Concentrate-Based Coagulation Algorithms
The use of point of care (POC) devices integrated in algorithms is one of the important mechanisms to limit blood product exposure.
Blood Conservation Strategies in Cardiac Valve Replacement: A Retrospective Analysis of 1645 Patients
We aimed to evaluate whether blood conservation strategies including intraoperative autologous donation (IAD) could reduce perioperative blood transfusion for patients undergoing cardiac valve replacement including mitral valve replacement, aortic valve replacement (AVR), and double valve replacement (DVR).
Normothermic Machine Perfusion of Deceased Donor Liver Grafts Is Associated With Improved Postreperfusion Hemodynamics
Graft reperfusion poses a critical challenge during liver transplantation and can be associated with hemodynamic instability/postreperfusion syndrome.
Cardiopulmonary Bypass Priming Using Autologous Cord Blood in Neonatal Congenital Cardiac Surgery
This study aimed to assess the feasibility of using autologous cord blood for a cardiopulmonary bypass (CPB) priming as an alternative to an allo-transfusion in neonatal cardiac surgery.
The Effectiveness of 10 Years of Interventions to Control Postoperative Bleeding in Adult Cardiac Surgery
Postoperative bleeding in cardiac surgery remains an important complication, leading to increased morbidity and mortality. Different interventions are possible to prevent/treat postoperative bleeding. The present study aims to investigate the effectiveness of these interventions in a real-world scenario.
Poor Anticoagulation Relates to Extended Access Times for Cardioversion and is Associated with Long-Term Major Cardiac and Cerebrovascular Events
Patients undergoing elective electrical cardioversion (ECV) for atrial fibrillation have a temporarily increased risk of thromboembolism.
Anticoagulation During Pregnancy: Evolving Strategies With a Focus on Mechanical Valves
Development of anticoagulant agents that are homogeneous, efficacious, safe to the fetus, and not affected by physiological perturbations of pregnancy will have tremendous effect on the outcomes of pregnancy in women who require anticoagulation.