A Roadmap for Bridging the Quality Chasm in Cardiac Surgery (EP Video)
Dr. Richard Prager presents a roadmap for bridging the disparity in quality outcomes (56:25 minutes).
Failure Mode Effects Analysis (EP Video)
Jim Reagor discusses failure mode effects analysis to enhance perfusion safety (20:13 minutes).
Is it Worth Packing the Head with Ice in Patients Undergoing Deep Hypothermic Circulatory Arrest?
We conclude that topical head cooling with ice is of use during DHCA but not during rewarming following DHCA and that it may be possible to advance topical head cooling techniques using circulating water rather than packed ice.
The Optimal Flow Rate for Antegrade Cerebral Perfusion During Deep Hypothermic Circulatory Arrest
Cerebral protection effects of ACP at 25 and 50 mL/kg/min were superior to that of ACP at 80 mL/kg/min as determined by cerebral markers, immunology, and histology.
Clinical Efficacy of Intermittent Pressure Augmented-Retrograde Cerebral Perfusion
IPA-RCP might provide more homogenous cerebral perfusion and a more effective oxygen supply to the brain with better clinical results than conventional RCP.
The Effects of Sevoflurane Anesthesia and Cardiopulmonary Bypass on Renal Function in Cyanotic and Acyanotic Children Undergoing Cardiac Surgery
We have concluded that renal function was not affected during open heart surgery with sevoflurane anesthesia, in both cyanotic and acyanotic children.
Establishment of a Co-Culture Model for Studying Inflammation after Pediatric Cardiopulmonary Bypass: From Bench to Bedside
Our coculture model could be useful for studies on the mechanisms of CPB-induced inflammation.
Surgical Management by Means of Electroretinographic Examination During Extracorporeal Circulation
This exam can assess the defect of the waves indicative of insufficient ocular and brain perfusion of patients supported by ECC during cardiosurgical interventions.
The Volatile Anesthetic Sevoflurane Inhibits Activation of Neutrophil Granulocytes During Simulated Extracorporeal Circulation
Sevoflurane inhibits granulocyte activation during ex vivo ECC and therefore has the potential to decrease the ECC-triggered inflammatory response.
Are Right Ventricular Risk Scores Useful?
The use of risk scores failed to predict the need of RV support after LVAD.
Vasoreactivity Changes During Extracorporeal Circulation: Effects of Halogenated Agents
Absence of deleterious effects in SVR decrease when administering isoflurane during normothermic CPB was assumed but prospective comparative studies comparing effects of halogenated agents and other anesthetic agents are needed in order to confirm these findings.
The Early Inflammatory Response in A Mini-Cardiopulmonary Bypass System: A Prospective Randomized Study
The Medtronic RHS may induce less systemic inflammation than conventional CPB systems, particularly when cardiotomy suction was used, but it did not result in improved clinical benefit.