Contemporary Results for Proximal Aortic Replacement in North America
The purpose of this study was to characterize operative outcomes for ascending aorta and arch replacement on a national scale and to develop risk models for mortality and major morbidity.
Total Arch Replacement Under Flow Monitoring During Selective Cerebral Perfusion Using a Single Pump
Flow monitoring showed that selective perfusion using a single pump adequately distributed flow among all supraaortic vessels. This monitoring system might help to improve brain protection and outcomes during total aortic arch replacement.
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.
Safe Management of Cesarean Section in a Patient of Eisenmenger Syndrome
We report our experience of a 29-year-old female with a complete atrio-ventricular septal defect leading to a single ventricle physiology and Eisenmenger syndrome.
A Survey on the use of Intra-Aortic Balloon Pump in Cardiac Surgery
Intra-aortic balloon pump (IABP) is an established tool in the management of cardiac dysfunction in cardiac surgery. The best timing for IABP weaning is unknown and varies greatly among cardiac centers.
Duration of Deep Hypothermia During Aortic Surgery and the Risk of Perioperative Blood Transfusion
The objective of the current study was to examine the relationship between the duration of deep hypothermia and perioperative bleeding.
β-Blockers Improve Survival of Patients With Chronic Obstructive Pulmonary Disease After Coronary Artery Bypass Grafting
This study showed that in patients with COPD undergoing coronary artery bypass grafting the administration of β-blockers is safe and significantly improves survival at mid-term follow-up.
Patient Safety and Quality Improvement: An Overview of QI
It is important for pediatric providers to be involved in quality improvement (QI) activities to improve children’s health outcomes.
A Failure Mode Effect Analysis on Extracorporeal Circuits for Cardiopulmonary Bypass
Although many refinements in perfusion methodology and devices have been made, extracorporeal circulation remains a contributor to neurological complications, bleeding coagulopathies, use of blood products, as well as systemic inflammatory response.
A Novel Approach for Evaluating the Risk of Health Care Failure Modes
Failure mode and effects analysis (FMEA) can be employed to reduce medical errors by identifying the risk ranking of the health care failure modes and taking priority action for safety improvement. The purpose of this paper is to propose a novel approach of data analysis.
The Role of Failure Modes and Effects Analysis in Showing the Benefits of Automation in the Blood Bank
Failure modes and effects analysis (FMEA) is a risk management tool used by the manufacturing industry but now being applied in laboratories.
Developing a Benchmarking Process in Perfusion: A Report of the Perfusion Downunder Collaboration
The Perfusion Downunder Collaboration has established a multi-center perfusion focused database aimed at achieving these goals through the development of quantitative quality indicators for clinical improvement through benchmarking.