Gastrointestinal Complications After Cardiac Surgery
Gastrointestinal complications after cardiac surgery are often difficult to diagnose, and are associated with high morbidity and mortality rates. The aim of this study was to determine risk factors for these complications.
The Kinetics of Plasmin Inhibition by Aprotinin in Vivo
The rise in plasmin generation and fibrin degradation that occurs during standard CPB is suppressed by the addition of aprotinin, which returns the patient to near baseline fibrin degradation rates during CPB.
Non-Occlusive Condition with the Better-Header Roller Pump: Impacts of Flow Dynamics and Hemolysis
Possible flow loss of the non-occlusion setting with the BH should be almost negligible in most clinical situations. The BH-NO350 demonstrated hemolytic characteristics similar to those of the BH-SO, but not as good as those of the CP.
Experience and Result of Extracorporeal Membrane Oxygenation in Treating Fulminant Myocarditis With Shock: What Mechanical Support Should Be Considered First?
Owning to advantages of fewer complications, easier application, and biventricular support, ECMO can be considered as the first-line treatment of mechanical support for FM with profound shock when intraaortic balloon pumping is inadequate or infeasible.
The Current Status of ECMO Therapy and Its Implications
Extracorporeal membrane oxygenation (ECMO) has become a more or less accepted standard in the algorithm of advanced acute respiratory distress syndrome therapy in adult patients when all other treatment options have failed.
Extended Support With the Terumo BABY-RX Oxygenator
The Terumo Baby-RX™, a new-generation low prime oxygenator, recently has entered the perfusion market in North America. This oxygenator is designed exclusively for neonates and infants and has the smallest priming volume of any clinically available oxygenator.
Myocardial Reperfusion Injury: Etiology, Mechanisms, and Therapies
Although single therapies have shown some promise, the complexity of the response to reperfusion has made dramatic improvement elusive. Effective treatment will most likely require multifaceted antagonism of the numerous pathological cascades initiated by reperfusion.
Aprotinin and Hemostasis Monitoring Concerns During Cardiac Surgery
Aprotinin (Trasylol) is a serine protease inhibitor, isolated from bovine lung that initially was marketed for the treatment of pancreatitis. In the mid 1980s, reports of its ability to decrease hemorrhaging after cardiopulmonary bypass surgery introduced the drug to the realm of cardiac surgery.
The Effectiveness of Low-Prime Cardiopulmonary Bypass Circuits at Removing Gaseous Emboli
Every effort should be made to minimize and prevent air from being entrained in the venous line of a low prime CPB circuit to minimize the risk of arterial gaseous microemboli generation.
Anticoagulant Monitoring Techniques in a Heparin-Induced Thrombocytopenia Patient Undergoing Cardiopulmonary Bypass Using Bivalirudin Anticoagulant
Heparin is widely used as the anticoagulant of choice for cardiopulmonary bypass. However, some patients exposed to heparin therapies develop heparin-induced thrombocytopenia (HIT).
Retrograde Autologous Prime With Shortened Bypass Circuits Decreases Blood Transfusion in High-Risk Coronary Artery Surgery Patients
Minimizing hemodilution by shortening the bypass circuit and performing retrograde autologous prime conserves the use of blood during routine coronary artery bypass surgery.
Impact of Extracorporeal Circuit Prime Volume Reduction on Whole Blood Sequestration During Acute Normovolemic Hemodilution for Adult Cardiac Surgery Patients
The combination of PPV reduction with ANH may represent a useful blood conservation approach in adult patients undergoing cardiac surgery with CPB.