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 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.
Thrombolysis for Suspected Intrapump Thrombosis in Patients with Continuous Flow Centrifugal Left Ventricular Assist Device
We report the risk factors and nonsurgical management and outcomes of five patients implanted with continuous flow centrifugal left ventricular assist devices who displayed clinical, hemodynamic, and laboratory features of intrapump thrombosis.
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.
Blood Conservation: What Is Current Blood Draw Practice?
Creating a culture of low-volume blood drawing may help to reduce blood transfusions.
Optimal Endovascular Methods for Placement of Bicaval Dual-Lumen Cannulae for Venovenous Extracorporeal Membrane Oxygenation
We present our endovascular technique for Avalon bicaval cannula placement with fluoroscopic guidance to prevent inadvertent intracardiac placement.
First Berlin Heart EXCOR Pediatric VAD Interhospital Transports of Nonambulatory Patients with the Ikus Stationary Driver
We report the first two cases of interhospital air and ground transport of nonambulatory or intubated pediatric (<13 kg) patients supported by Berlin Heart EXCOR pediatric VADs and Ikus stationary drivers.
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.
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.
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.
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.