Iatrogenic Extracorporeal Membrane Oxygenator Rupture: Successful Management of a Unique Crisis
This article reports a rare complication related to the mechanical circulatory support and its successful management.
Toward an Artificial Endothelium: Development of Blood-Compatible Surfaces for Extracorporeal Life Support
Here, we describe clinically approved and new investigational biomaterial solutions for thrombosis, such as immobilized heparin, nitric oxide-functionalized polymers, “slippery” nonadhesive coatings, and surface endothelialization.
Effects of Tubing Degradation and Pump Position on Extracorporeal Circulation Performance
A shift of the pump position within the ECC setup can be recommended to prevent blood damaging negative pressures.
Comparison of Mechanical Cardiopulmonary Support Strategies During Lung Transplantation
The optimal strategy for intraoperative cardiopulmonary support during lung transplantation remains an area of debate. Current data suggest that off pump is associated with better outcomes and could be considered whenever feasible.
Neurological Dysfunction After Cardiac Surgery and Cardiac Intensive Care Admission: A Narrative Review Part 1: The Problem; Nomenclature; Delirium and Postoperative Neurocognitive Disorder; And the Role of Cardiac Surgery and Anesthesia.
The association with cardiac surgery with cognitive decline was first reported in the 1960s after the introduction of coronary artery surgery. The incidence in cognitive decline was thought to be more after cardiac surgery, especially with the use of the cardiopulmonary bypass.
Neurological Dysfunction After Cardiac Surgery and Cardiac Intensive Care Admission: A Narrative Review Part 2: Cognitive Dysfunction After Critical Illness; Potential Contributors in Surgery and Intensive Care; Pathogenesis; And Therapies to Prevent/Treat Perioperative Neurological Dysfunction
Severe cognitive decline and cognitive dysfunction has been attributed to patient's stay in the cardiovascular intensive care unit.
Platelet Factor-4 Concentration in Adult Veno-Arterial ECMO Patients
Our data suggest that PF4 concentration is mildly elevated during VA ECMO compared to control plasma. Estimated PF4-heparin ratios were not optimal for HIT antibody formation. These data support epidemiologic studies where HIT incidence is low during VA ECMO.
Real-Time PCR, The Best Approaches for Rapid Testing for Mycobacterium Chimaera Detection in Heater Cooler Units and Extracorporeal Membrane Oxygenation.
In conclusion, this study introduces novel PMA-PCR designed to specifically detect M. chimaera in HCUs and ECMO devices; this method can replace the culture method for continuous microbiological surveillance.
Peripheral Versus Central Extracorporeal Membrane Oxygenation for Postcardiotomy Shock: Multicenter Registry, Systematic Review, And Meta-Analysis
In patients with postcardiotomy shock treated with VA-ECMO, central cannulation was associated with greater in-hospital mortality than peripheral cannulation.
Primary Isolated CABG Restrictive Blood Transfusion Protocol Reduces Transfusions and Length of Stay
A restrictive transfusion protocol reduced blood transfusions and postoperative length of stay without adversely affecting outcomes following isolated primary CABG.
Intraoperative Red Blood Cell Salvage in Posterior Spinal Fusions for Idiopathic Scoliosis: Identifying Potential Criteria for Selective Use
The use of ICS in IS patients undergoing PSF resulted in the return of > / = 250 cc of ICS blood (similar volume to one allogeneic unit) in only 6.5% of cases. Charges for ICS set-up and processing of one bowl of ICS is much higher than for one allogeneic unit ($1200 vs. $462 US), hence transfusing lower volumes of autologous ICS blood is not cost-effective for all PSF for IS.
Multicenter International Survey on Cardiopulmonary Bypass Perfusion Practices in Adult Cardiac Surgery
This international CPB survey revealed that techniques for optimization of pump flow and oxygenation during CPB usually were applied.