Cardiopulmonary Bypass in Surgery for Interrupted Aortic Arch
Profound hypothermic cardiopulmonary bypass either with low flow rate or with circulatory arrest is equally the preferable choice for the surgery of interrupted aortic arch.
Extended Support With the Terumo BABY-RX Oxygenator
The Terumo Baby-RX™, a new-generation low prime oxygenator, recently has entered the perfusion market in North America. This oxygenator is designed exclusively for neonates and infants and has the smallest priming volume of any clinically available oxygenator.
Myocardial Reperfusion Injury: Etiology, Mechanisms, and Therapies
Although single therapies have shown some promise, the complexity of the response to reperfusion has made dramatic improvement elusive. Effective treatment will most likely require multifaceted antagonism of the numerous pathological cascades initiated by reperfusion.
Aprotinin and Hemostasis Monitoring Concerns During Cardiac Surgery
Aprotinin (Trasylol) is a serine protease inhibitor, isolated from bovine lung that initially was marketed for the treatment of pancreatitis. In the mid 1980s, reports of its ability to decrease hemorrhaging after cardiopulmonary bypass surgery introduced the drug to the realm of cardiac surgery.
The Effectiveness of Low-Prime Cardiopulmonary Bypass Circuits at Removing Gaseous Emboli
Every effort should be made to minimize and prevent air from being entrained in the venous line of a low prime CPB circuit to minimize the risk of arterial gaseous microemboli generation.
Anticoagulant Monitoring Techniques in a Heparin-Induced Thrombocytopenia Patient Undergoing Cardiopulmonary Bypass Using Bivalirudin Anticoagulant
Heparin is widely used as the anticoagulant of choice for cardiopulmonary bypass. However, some patients exposed to heparin therapies develop heparin-induced thrombocytopenia (HIT).
Retrograde Autologous Prime With Shortened Bypass Circuits Decreases Blood Transfusion in High-Risk Coronary Artery Surgery Patients
Minimizing hemodilution by shortening the bypass circuit and performing retrograde autologous prime conserves the use of blood during routine coronary artery bypass surgery.
Impact of Extracorporeal Circuit Prime Volume Reduction on Whole Blood Sequestration During Acute Normovolemic Hemodilution for Adult Cardiac Surgery Patients
The combination of PPV reduction with ANH may represent a useful blood conservation approach in adult patients undergoing cardiac surgery with CPB.
The Use of Platelet Rich Plasma with Growth Factors (Autologous Platelet Gel) to Enhance Hard and Soft Tissue Healing and Maturation in the Reconstruction of the Maxillary Pneumatized Sinus
The use of both Platelet Rich and Platelet Poor Plasma in sinus grafting procedures is an efficient way to stimulate the hard tissue mineralization rate of the grafted sinus by the local delivery of growth factors to all regions of the graft within the sinus cavity.
Intranasal Sinus Surgery: Revision Frontal Sinus Surgery Using Autologous Platelet Concentrate Enriched with Growth Factors
Endoscopic pranasal sinus surgery is the accepted modality for dealing with chronic sinusitis that has failed medical therapy.
Platelet Concentrate Preparation In The Office Setting: A Comparison of Manual and Automated Devices
This report summarizes the results of testing performed to assess the platelet yield, increase above baseline platelet concentration, and growth factor release of the automated Harvest Technologies SmartPReP Platelet Concentrate System verses manual technique laboratory centrifuges involving both single and double spin techniques.
Strict Blood Glucose Control in the ICU: Panacea or Pandora’s Box?
Presently, the recommendation for adults undergoing cardiovascular surgical procedures is that there should be concern about blood glucose levels preoperatively and that control of blood glucose should start early; otherwise, the aggressive approach mandated by the development of hyperglycemia will increase the incidence of hypoglycemia.