Active Bleeding after Cardiac Surgery: A Prospective Observational Multicenter Study
This article estimates the incidence of active bleeding after cardiac surgery (AB) based on a definition directly related on blood flow from chest drainage; describes the AB characteristics and its management; and identifies factors of postoperative complications.
Blood Conservation Strategies in Cardiac Surgery: More is Better
We present our results after the implementation of a more aggressive strategy for intraoperative blood conservation in cardiac surgery.
Is Low Serum Albumin Associated with Postoperative Complications in Patients Undergoing Cardiac Surgery
A best evidence topic was written according to a structured protocol. The clinical question investigated was: is low serum albumin associated with postoperative complications in patients undergoing cardiac surgery?
Point-of-Care Platelet Function Testing Predicts Bleeding in Patients Exposed to Clopidogrel Undergoing Coronary Artery Bypass Grafting: Verify Pre-Op TIMI 45–A Pilot Study
Guidelines recommend delaying coronary artery bypass grafting (CABG) for 5 days after discontinuing clopidogrel. However, platelet function may recover quicker in certain individuals.
Minimized Extracorporeal Circulation Does Not Impair Cognitive Brain Function After Coronary Artery Bypass Grafting
Objective evaluation of the impact of minimized extracorporeal circulation (MECC) on perioperative cognitive brain function in coronary artery bypass grafting (CABG) by electroencephalogram P300 wave event-related potentials and number connection test (NCT) as metrics of cognitive function.
Predictors of Mortality in Cardiac Surgery: Brain Natriuretic Peptide Type B
We evaluated whether the preoperative serum concentration of brain natriuretic peptide (BNP) is a predictor of in-hospital mortality in patients that underwent cardiac surgery.
Intraoperative tight glucose control using hyperinsulinemic normoglycemia increases delirium after cardiac surgery
In this study the authors sought to determine the effect of tight intraoperative glucose control using a hyperinsulinemic-normoglycemic clamp approach on postoperative delirium in patients undergoing cardiac surgery.
Effect of Respiratory Rehabilitation Before Open Cardiac Surgery on Respiratory Function: A Randomized Clinical Trial
The aim of this study was to evaluate the role of pulmonary rehabilitation before surgery for reducing the risk of pulmonary complications after surgery.
Glycemic Control in Type 1 Diabetes and Long-Term Risk of Cardiovascular Events or Death After Coronary Artery Bypass Grafting
The aim of this study was to investigate whether preoperative hemoglobin A1c (HbA1c) levels could predict cardiovascular events or death after coronary artery bypass grafting (CABG).
Genome-Wide Association Study of Acute Kidney Injury after Coronary Bypass Graft Surgery Identifies Susceptibility Toci
Acute kidney injury (AKI) is a common, serious complication of cardiac surgery. Since prior studies have supported a genetic basis for postoperative AKI, we conducted a genome-wide association study (GWAS) for AKI following coronary bypass graft (CABG) surgery.
Pre-Operative Anaemia
In this article, we review the incidence and impact of anaemia on the pre-operative patient. We explain how anaemia may be caused by functional iron deficiency, and how iron deficiency anaemia may be diagnosed and treated.
How Can We Identify the High-Risk Patient
Accurate and early identification of high-risk surgical patients allows for targeted use of perioperative monitoring and interventions that may improve their outcomes. This review summarizes current evidence on how information from the preoperative, operative, and immediate postoperative periods can help identify such individuals.