A Case of Cytokine Hemofiltration and Extracorporeal Life Support as Treatment of Coronavirus Disease 2019 (COVID-19) Respiratory Failure
A hyperactive immune response has been implicated in COVID-19 respiratory failure. Hemofiltration with a membrane designed to remove cytokines offers a potential avenue for treatment.
How I Approach Membrane Lung Dysfunction in Patients Receiving ECMO
The decision to exchange a ML is complex and without clear guidelines. In this manuscript, we outline a physiologic approach to troubleshooting this common yet high risk event.
A Last Resort When There is No Blood: Experiences and Perceptions of Intraoperative Autotransfusion Among Medical Doctors Deployed to Resource-Limited Settings
The participants found that simple IAT is under-utilised in resource-limited settings. Missed opportunities to use IAT were mainly associated with armed conflict settings and obstetrical emergencies.
Smart Bracelet to Assess Physical Activity After Cardiac Surgery: A Prospective Study.
After cardiac surgery, wearing a smart bracelet recording daily steps is simple, well tolerated and suitable for measuring physical activity. Standard patients achieved around 6000 daily steps 2 months after discharge. 85% of this activity is reached in the first month.
Blockage of Extracorporeal Circulation During Emergency Surgery for Fulminant Infective Endocarditis.
Extracorporeal circulation was turned on during direct heart massage. After opening of the aorta, the circulation was blocked by total clogging of the arterial line filter by fibrine deposits.
Cardiac Surgery: Beyond Conventional Sternotomy With Cardiopulmonary Bypass
This article increases nursing-related knowledge of minimally invasive cardiac procedures, providing an overview of current minimally invasive cardiac surgeries and their associated risks and benefits.
Haematic Antegrade Repriming Procedure to Initiate A Safer Cardiopulmonary Bypass
HAR is proposed as a new approach to increase the safety of the CPB. Its overall benefits should be properly assessed and validated by current and further studies.
Sensors for Continuous Monitoring of Surgeon’s Cognitive Workload in the Cardiac Operating Room
The primary novelty and contribution of this work is in demonstrating the feasibility of collecting continuous sensor data from a surgical team member in a real-world setting.
Description of the Minimized Extracorporeal Circuit to Perform Haematic Antegrade Repriming in Cardiopulmonary Bypass
Detailing the MiECC circuit used during HAR is a differencing feature that increases the replicability of the procedure reducing errors and the impact of the cardiopulmonary bypass.
Inter-hospital COVID ECMO Air Transportation
The detailed protocol is described alongside initial data of its use. To date, 14 patients have been placed on ECMO support at an outside facility and successfully transported via helicopter to our hub hospital using this protocol.
Safely Repositioning Dual-Lumen ECMO Cannulas with A Transfemoral Lasso Snare
We describe three patients who successfully had dual-lumen cannulas repositioned without cessation of ECMO using a transfemoral “lasso” technique.
Comparison of A Perfusion Simulator to A Clinical Operating Room: Evaluation of Eye Tracking Data and Subjective Perception. A Pilot Study
The use of the simulator for (advanced) training is accepted and explicitly requested by perfusionists. Yet further research is needed to identify the decisive factors (like simulation duration or additional tasks) for a valid execution in the simulator. Furthermore, a larger sample size should be regarded to allow statistical analysis.