Efficacy of Intraoperative Cell Salvage in Decreasing Perioperative Blood Transfusion Rates in First-Time Cardiac Surgery Patients: A Retrospective Study
Evidence regarding the safety and efficacy of intraoperative cell salvage (ICS) in transfusion reduction during cardiac surgery remains conflicting. We sought to evaluate the impact of routine ICS on outcomes following cardiac surgery.
Management of Massive Bleeding in a Jehovah’s Witness Obstetric Patient: The Overwhelming Importance of a Pre-Established Multidisciplinary Protocol
Life-threatening massive bleeding is doubtlessly one of the biggest challenges in health care, especially in patients who reject allogeneic transfusion, such as Jehovah's Witnesses.
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.
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.
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).
A Retrospective Comparative Study of Minimally Invasive Extracorporeal Circulation Versus Conventional Extracorporeal Circulation in Emergency Coronary Artery Bypass Surgery Patients: A Single Surgeon Analysis
The purpose of this study was to compare the outcome of emergency coronary artery bypass grafting (CABG) operations using either minimally invasive extracorporeal circulation (MiECC) or conventional extracorporeal circulation (CECC) in patients requiring emergency CABG with regard to the perioperative course and the occurrence of major adverse cardiac and cerebral events (MACCE).
Diabetic Patients have Increased Perioperative Cardiac Risk in Heart-Type Fatty Acid-Binding Protein-Based Assessment
To test the potential role of heart-type fatty acid-binding protein (H-FABP) in detecting increased perioperative cardiac risk in comparison with cardiac troponin I (cTnI) in the early postoperative period.
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?
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.
Elevated Growth Differentiation Factor 15 Levels Predict Outcome in Patients Undergoing Transcatheter Aortic Valve Implantation
Transcatheter aortic valve implantation (TAVI) has emerged as a treatment of aortic stenosis in patients at high surgicalrisk. However, risk stratification in this elderly population is challenging, as patients at extreme risk might not benefit from TAVI.
Early Outcome of Off-Pump Versus On-Pump Coronary Revascularization
The use of coronary artery bypass surgery (CABG) with cardiopulmonary bypass (CPB) or without CPB technique (off-pump) can be associated with different mortality and morbidity and their outcomes remain uncertain. The goal of this study was to evaluate the early outcome of on-pump versus off-pump CABG.