Blood Conservation Strategies in Cardiac Surgery: More is Better
Recent data show that up to 50% of heart procedures require blood transfusion, which can have adverse long- and short-term outcomes for the patient. This led to the updated 2011 Society of Thoracic Surgery (STS)/Society of Cardiovascular Anesthesiologists (SCA) guidelines in an attempt to adopt more effective blood conservation techniques.
ACCF/AHA/ASE/ASNC/HFSA/HRS/SCAI/SCCT/SCMR/STS 2013 Multimodality Appropriate Use Criteria for the Detection and Risk Assessment of Stable Ischemic Heart Disease : A Report of the American College of Cardiology Foundation Appropriate Use Criteria Task Forc
The American College of Cardiology Foundation along with key specialty and subspecialty societies, conducted an appropriate use review of common clinical presentations for stable ischemic heart disease (SIHD) to consider use of stress testing and anatomic diagnostic procedures.
The Cost of Waste of Consumable Materials in a Surgical Center
Thia study identified the types, quantities and cost of the consumable materials sent, used, returned unopened and wasted in surgical operations; to classify the incidences of waste as avoidable or unavoidable losses, and to calculate the rate of waste of the consumable materials in the peri-operative period in the Surgical Center of a São Paulo university hospital.
Lean Thinking in Hospitals: Is There a Cure for the Absence of Evidence? A Systematic Review of Reviews
Lean interventions aim to improve quality of healthcare by reducing waste and facilitate flow in work processes. The specific aim of the study was to identify factors facilitating intended outcomes from lean interventions, and to understand when and how different facilitators contribute.
The Effect of Adult and Pediatric Cardiopulmonary Bypass on Pharmacokinetic and Pharmacodynamic Parameters
Cardiopulmonary bypass (CPB) is known to have important effects on the disposition of drugs,
Impact of Perioperative Acute Kidney Injury as a Severity Index for Thirty-Day Readmission after Cardiac Surgery
the severity of postoperative AKI should be used when assessing a patient's risk for readmission.
Raised IL-2 and TNF-α Concentrations are Associated with Postoperative Delirium in Patients undergoing Coronary-Artery Bypass Graft Surgery
The knowledge base regarding the pathogenesis of postoperative delirium is limited
Hyperoxic Condition Promotes an Inflammatory Response during Cardiopulmonary Bypass in a Rat Model
These data suggest that it is better to avoid too much oxygen insufflation
Pain and Inflammatory Response following Off-Pump Coronary Artery Bypass Grafting
This article reviews the literature regarding inflammation and pain following cardiac surgery
Perioperative Cardiovascular System Failure in South Asians Undergoing Cardiopulmonary Bypass is Associated with Prolonged Inflammation and Increased Toll-Like Receptor Signaling in Inflammatory Monocytes
South Asians develop an exacerbated systemic inflammatory response after CPB
Transfusion of 1 and 2 Units of Red Blood Cells is Associated with Increased Morbidity and Mortality
Transfusion of as little as 1 or 2 units of RBCs is common and is significantly associated with increased morbidity and mortality
Arterial Hyperoxia During Cardiopulmonary Bypass and Postoperative Cognitive Dysfunction.
Arterial hyperoxia during CPB was not associated with neurocognitive decline after 6 weeks in cardiac surgical patients