Is It Possible to Predict the Risk of Ischaemic Bowel after Cardiac Surgery
This best evidence topic presents 68 214 cardiac surgical patients from seven major cardiothoracic centers dated from 1980 to 2011.
Sarcomas of the Heart as a Difficult Interdisciplinary Problem
The management of cardiac sarcomas must be individualized due to their rarity and significant differences in the course of disease.
A 16-year Experience in Minimally Invasive Aortic Valve Replacement: Context for the Changing Management of Aortic Valve Disease
The aim of this study was to evaluate short-and long-term morbidity and mortality in patients with aortic valve disease who had minimally invasive aortic valve replacement (AVR) through upper hemisternotomy.
Emergency Coronary Artery Bypass Grafting for Acute Coronary Syndrome: Mid-Term Follow-Up Results
We summarized the experience with emergency coronary artery bypass grafting (ECABG) for management of acute coronary syndrome and analyze the mid-term follow-up results.
Jehovah’s Witnesses and Cardiac Surgery: A Single Institution’s Experience
This article describes a single institution's experience in perioperative care of Jehovah's Witnesses undergoing cardiac surgery.
Extracorporeal Membrane Oxygenation in Pediatric Patients: Our Experience in the Last Ten Years
The use of extracorporeal membrane oxygenation (ECMO) in children after cardiac surgery is well established. ECMO support is becoming an integral tool for cardiopulmonary resuscitation in specified centers.
Extracorporeal Carbon Dioxide Removal Through Ventilation of Acidified Dialysate: An Experimental Study
Extracorporeal (EC) carbon dioxide (CO(2)) removal (ECCO(2)R) may be a powerful alternative to ventilation, possibly avoiding the need for mechanical ventilation and endotracheal intubation. We previously reported how an infusion of lactic acid before a membrane lung (ML) effectively enhances ECCO(2)R. We evaluated an innovative ECCO(2)R technique based on ventilation of acidified dialysate.
Bivalirudin and Post-Cardiotomy ECMO: A Word of Caution
Bivalirudin has been proposed as the sole anticoagulant in patients under extracorporeal membrane oxygenation (ECMO) or cardiopulmonary bypass.
Extracorporeal Membrane Oxygenation in the Adult: A Review of Anticoagulation Monitoring and Transfusion
In this review article, we discuss the evolution of the various modalities of ECMO, indications, contraindications, and complications. Furthermore, we review the different strategies for anticoagulation and treatment of coagulopathy while on ECMO. Finally, we discuss the cost of ECMO and associated blood product transfusion.
Variability in Anticoagulation Management of Patients on Extracorporeal Membrane Oxygenation: An International Survey
The objective of this study was to determine current practices of anticoagulation in patients on extracorporeal membrane oxygenation.
The 2013 Canadian Cardiovascular Society Heart Failure Management Guidelines Update: Focus on Rehabilitation and Exercise and Surgical Coronary Revascularization
The 2013 Canadian Cardiovascular Society Heart Failure Management Guidelines Update provides focused discussions on the management recommendations on 2 topics: (1) exercise and rehabilitation; and (2) surgical coronary revascularization in patients with heart failure.
Techniques and Applications of Perioperative Therapeutic Plasma Exchange
Therapeutic plasma exchange (TPE) is a useful adjunct in the management of antibody-mediated disorders. The indications for TPE now include the perioperative setting. This review updates the anesthesiologist on the relevant clinical indications and precautions of plasma exchange.