Acute Kidney Injury after Cardiac Surgery according to Risk/Injury/Failure/Loss/End-stage, Acute Kidney Injury Network, and Kidney Disease: Improving Global Outcomes Classifications
The AKIN classification correlated better with mortality than did the RIFLE criteria.
Lack of Effectiveness of Sodium Bicarbonate in Preventing Kidney Injury in Patients undergoing Cardiac Surgery: A Randomized Controlled Trial
A perioperative infusion of sodium bicarbonate did not reduce the rate of acute kidney injury or adverse outcomes in patients with chronic kidney disease who underwent cardiac surgery.
Direct Thrombolytic Therapy for Thrombosis of a Centrifugal Flow Left Ventricular Assist Device
In patients receiving left ventricular assistance for end-stage heart failure, pump-related thrombosis is a potentially fatal complication that may manifest as hemolysis and abnormally high pump power consumption.
Perioperative Dexmedetomidine Improves Outcomes of Cardiac Surgery
Perioperative dexmedetomidine use was associated with a decrease in postoperative mortality up to 1 year and decreased incidence of postoperative complications and delirium in patients undergoing cardiac surgery.
Acute Kidney Injury and Death Associated With Renin Angiotensin System Blockade in Cardiothoracic Surgery: A Meta-analysis of Observational Studies
In retrospective studies, preoperative use of RAS blockers was associated with increased odds of postoperative AKI and mortality in patients undergoing cardiovascular surgery.
Impella to Unload the Left Ventricle during Peripheral Extracorporeal Membrane Oxygenation
We present our experience of the Impella 2.5 as an adjunct for left ventricular unloading during peripheral VA ECMO support
Blood Conservation Devices in Critical Care: A Narrative Review
This review summarises the current evidence base and confirms that blood conservation devices do reduce the volume of iatrogenic blood loss.
Intraoperative Plasma Lactate as an Early Indicator of Major Postoperative Events in Pediatric Cardiac Patients
Hyperlactatemia and unmeasured anions (UMA) have been suggested to be useful predictors of outcomes after pediatric cardiac surgery in the ICU.
Anti-Inflammatory Strategies to Reduce Acute Kidney Injury in Cardiac Surgery Patients: A Meta-Analysis of Randomized Controlled Trials
In adult patients, probably other factors are predominant on inflammation in determining AKI, and only leukocyte filters were effective.
Preoperative Statin Therapy is Associated with Lower Requirement of Renal Replacement Therapy in Patients undergoing Cardiac Surgery: A Meta-Analysis of Observational Studies
Patients undergoing CABG might derive benefit from preoperative statin therapy in terms of reducing the need for postoperative renal replacement therapy and mortality.
Thrombelastography (TEG®): Practical Considerations on Its Clinical Use in Trauma Resuscitation
Thrombelastography has characteristics of an ideal coagulation test for use in early trauma resuscitation.
Blood Conservation: What Is Current Blood Draw Practice?
Creating a culture of low-volume blood drawing may help to reduce blood transfusions.