Mannitol Increases Renal Blood Flow and Maintains Filtration Fraction and Oxygenation in Postoperative Acute Kidney Injury: A Prospective Interventional Study
Mannitol treatment of postoperative AKI induces a renal vasodilation and redistributes systemic blood flow to the kidneys.
Identifying and Categorising Patient Safety Hazards in Cardiovascular Operating Rooms Using an Interdisciplinary Approach: A Multisite Study
Cardiac surgery is a complex, high-risk procedure with potential vulnerabilities for patient safety.
Preoperative Hypoalbuminemia is a Major Risk Factor for Acute Kidney Injury Following Off-pump Coronary Artery Bypass Surgery
Preoperative low serum albumin level is an independent risk factor for AKI, and postoperative AKI is associated with poor outcomes after OPCAB in patients with preoperative normal renal function.
Diagnosis of Infection in Patients Undergoing Extracorporeal Membrane Oxygenation: A Case-Control Study
Traditional and emerging inflammatory biomarkers, especially if compounded in the procalcitonin and C-reactive protein combined assay, can aid in the diagnosis of infection in patients undergoing venoarterial extracorporeal membrane oxygenation.
A Perioperative Infusion of Sodium Bicarbonate Does Not Improve Renal Function in Cardiac Surgery Patients: A Prospective Observational Cohort Study
Routine perioperative administration of sodium bicarbonate failed to improve postoperative renal function in a large population of cardiac surgical patients.
Review Article: High Stakes and High Risk: A Focused Qualitative Review of Hazards During Cardiac Surgery
Cardiac surgery is a high-risk procedure performed by a multidisciplinary team using complex tools and technologies.
Diagnosis and Management of Circulatory Arrest in Pediatric Ventricular Assist Device Patients: Presentation of Two Cases and Suggested Guidelines
Pediatric patients supported by ventricular assist devices (VADs) are becoming more common. No guidelines exist to provide an approach to diagnosis or management of circulatory arrest in these patients. We present two case reports of apparent circulatory arrest in pediatric VAD-supported patients at our institution.
Infections Occurring in Adult Patients Receiving Mechanical Circulatory Support: The Two-Year Experience of an Italian National Referral Tertiary Care Center
Infection during mechanical circulatory support is a frequent adverse complication. We analyzed infections occurring in this population in a national tertiary care center, and assessed the differences existing between the setting of extracorporeal membrane oxygenation (ECMO) and ventricular assist devices (VADs).
Physical Therapist Management of Patients With Ventricular Assist Devices: Key Considerations for the Acute Care Physical Therapist
This article provides an overview of the utilization of ventricular assist devices (VADs), reviews the common features of VADs and management of VAD recipients, discusses clinical considerations in the rehabilitation process, and describes the role of the acute care physical therapist in the care of VAD recipients.
Can Long-Term Ventricular Assist Devices Be Safely Implanted in Low-Volume Non-Heart Transplant Centres
Long-term VADs can be implanted at low-volume, nontransplant centres with survival rates comparable with contemporary clinical trials.
Selective Antegrade Cerebral Perfusion and Mild (28°C-30°C) Systemic Hypothermic Circulatory Arrest for Aortic Arch Replacement: Results from 1002 Patients
Current data suggest that ACP and mild systemic hypothermic circulatory arrest can be safely applied to complex aortic arch surgery even in a subgroup of patients with up to 90 minutes of ACP. Unilateral ACP offers at least equal brain and visceral organ protection as bilateral ACP and might be advantageous in that it reduces the incidence of embolism arising from surgical manipulation on the arch vessels.