The Science behind Percutaneous Hemodynamic Support: A Review and Comparison of Support Strategies
With these goals in mind, the scientific principles that govern hemodynamic effectiveness and myocardial protection as they pertain to acute support devices are reviewed.
Methylene Blue to Treat Vasoplegia due to a Severe Protamine Reaction: A Case Report
This case report describes a 57-year-old woman who after cardiac bypass experienced a severe protamine reaction with profound hypotension, which was unresponsive to volume resuscitation and vasopressor therapy.
Emergency Cardiac Surgery in Patients with Acute Coronary Syndromes: A Review of the Evidence and Perioperative Implications of Medical and Mechanical Therapeutics
Patients with acute coronary syndromes who require emergency cardiac surgery present complex management challenges.
Preliminary Evidence for Reduced Preoperative Cerebral Blood Flow Velocity as a Risk Factor for Cognitive Decline Three Months after Cardiac Surgery: An Extension Study
This extension study investigated the association between preoperative cerebral blood flow (CBF) velocity and postoperative cognitive decline (POCD) at a three-month follow-up in patients who underwent cardiac surgery.
Thrombin Generation Assay: A New Tool to Predict and Optimize Clinical Outcome in Cardiovascular Patients?
In this review we provide a brief description of the assay and we summarize the principals of previous studies by analyzing the relationship between anticoagulant drugs and TGA.
Drug Shortages in the Perioperative Setting: Causes, Impact, and Strategies
Concern about drug shortages is growing, particularly because they can cause significant patient harm.
Cardiac Power Index: Staging Heart Failure for Mechanical Circulatory Support
We compared cardiac power index to other commonly used hemodynamic parameters to validate its usefulness to stage heart failure patients and determine the optimal time for implantation of mechanical circulatory support.
Left Tilt Position for Easy Extracorporeal Membrane Oxygenation Cannula Insertion in Late Pregnancy Patients
The aim was to describe how to avoid technical difficulties during venous femoral cannula insertion for extracorporeal membrane oxygenation (ECMO) in a woman in late pregnancy.
Cannulation Strategy for Aortic Arch Reconstruction Using Deep Hypothermic Circulatory Arrest
In this study, we use computational fluid dynamics to investigate the effect of different cannulation strategies in neonates.
Antiplatelet Drugs: Mechanisms and Risks of Bleeding Following Cardiac Operations
We hypothesize that review of available evidence regarding drug-related bleeding risk, underlying mechanisms of platelet dysfunction, and variations in patient response to antiplatelet drugs will aid surgeons as they assess preoperative risk and attempt to limit perioperative bleeding.
Contemporary Extracorporeal Membrane Oxygenation for Adult Respiratory Failure: Life Support in the New Era
Extracorporeal membrane oxygenation (ECMO) has been used in clinical medicine for 40 years but remains controversial therapy, particularly in adult patients with severe respiratory failure.
Mild-to-Moderate Hypothermia in Aortic Arch Surgery Using Circulatory Arrest: A Change of Paradigm?
Systemic mild-to-moderate hypothermia that is adapted to the duration of circulatory arrest is a simple, safe, and effective method of organ protection and can be recommended in routine aortic arch surgery with circulatory arrest and cerebral perfusion.