Heparin Therapy during Extracorporeal Circulation: Deriving anOptimal Activated Clotting Time during Cardiopulmonary Bypass for Isolated Coronary Artery Bypass Grafting
The effect of heparin dose, sensitivity, metabolism, patient size, elective/urgent, protamine reversal regime, returned pump blood volume and heparin content, and average ACT during CPB with regard to postoperative blood loss and resternotomy was examined in a consecutive series of patients undergoing isolated coronary artery bypass surgery.
A Novel Technique for Intra-aortic Balloon Positioning in the Intensive Care Unit
In this technique, we rely on the left radial arterial trace obliteration as the IABP catheter is pushed in along a guidewire as a marker for tip positioning.
Endogenous Gas Formation – An In Vitro Study with Relevanceto Gas Microemboli during Cardiopulmonary Bypass
Gas embolism is an identified problem during cardiopulmonary bypass (CPB). Our aim was to analyze the potential influence from gas solubility based on simple physical laws, here called endogenous gas embolism.
Patient Safety Database – FLIPR (EP Video)
Mark Martin discusses the Florida Perfusion Society's new patient safety initiative (40:59 minutes).
Update of Pediatric Heart Surgery Mission Throughout the World (EP Video)
Brian Fosberg provides an update on pediatric heart surgery missions throughout the world (28:21 minutes).
Totally Thoracoscopic Surgical Treatment for Atrial Septal Defect: A Mid-Term Follow-up Results in 45 Consecutive Patients
Totally thoracoscopic operation provides minimally invasive alternative for patients with atrial septal defect. In this study, we report the mid-term follow-up results of 45 patients with atrial septal defect who underwent totally thoracoscopic operation and discuss the feasibility and safety of this new technique.
Increasing Surgical Experience with Off-Pump Coronary Surgery Does Not Mitigate the Morbidity of Emergency Conversion to Cardiopulmonary Bypass
The incidence of emergency conversion during OPCAB has decreased with increasing surgical experience; however, the morbidity in these patients remains essentially unchanged. The outcomes in these patients remain worse than those in nonconverted patients. Safer bailout strategies during OPCAB are still warranted.
Cerebral Blood Flow Autoregulation is Preserved after Continuous-Flow Left Ventricular Assist Device Implantation
This study compares cerebral blood flow (CBF) autoregulation in patients undergoing continuous-flow left ventricular assist device (LVAD) implantation with that in patients undergoing coronary artery bypass grafting (CABG).
Drug, Devices, Technologies, and Techniques for Blood Management in Minimally Invasive and Conventional Cardiothoracic Surgery: A Consensus Statement From the International Society for Minimally Invasive Cardiothoracic Surgery (ISMICS) 2011
The objectives of this consensus conference were to evaluate the evidence for the efficacy and safety of perioperative drugs, technologies, and techniques in reducing allogeneic blood transfusion for adults undergoing cardiac surgery and to develop evidence-based recommendations for comprehensive perioperative blood management in cardiac surgery, with emphasis on minimally invasive cardiac surgery.
LVAD Placement in HITT Patient (EP Video)
Amanda Cerqua presents a case report on LVAD placement on a patient with HITT (29:04 minutes).
Right Ventricular Dysfunction and Left Ventricular Assist Device Implantation (EP Video)
Dr. Cedric Sheffield discusses right ventricular dysfunction and LVAD implantation (48:52 minutes).
Case Reports from the Swamp: VADS and TAVR (EP Video)
Dr. Charles Koldell discusses the state of VADS and TAVR at Shands Hospital in Florida (58:51 minutes).