Aortic Cannula Tip Dislodgement: A Rare Complication
This is a rare complication which none of us were expecting. By prechecking the various components of the cardiopulmonary bypass circuit, this complication was expected to be avoided.
The “Ice Age” in Cardiac Surgery: Evolution of the “Siberian” Method of Brain Protection During Deep Hypothermic Perfusionless Circulatory Arrest
Deep hypothermic perfusionless circulatory arrest was an important stepping stone in the development of modern approaches in neuroprotection and monitoring during cardiac surgery.
Extracorporeal Membrane Oxygenation in the Emergency Department
Extracorporeal membrane oxygenation (ECMO) is an invasive form of artificial life support used for severe cardiac and/or pulmonary failure. The worldwide use of ECMO is rapidly growing and indications for its application are expanding.
Precondition of Sevoflurane Upregulates TIMP3 Expression to Alleviate Myocardial Ischemia/Reperfusion Injury
Sef preconditioning ameliorated myocardial I/R injury by modulating MAPKs pathway activity via upregulating TIMP3.
Left Ventricular Unloading is Associated with Lower Mortality in Cardiogenic Shock Patients Treated with Veno-Arterial Extracorporeal Membrane Oxygenation: Results From An International, Multicenter Cohort Study
These findings support use of left ventricular unloading in cardiogenic shock patients treated with VA-ECMO and call for further validation, ideally in a randomized, controlled trial.
Optical Monitoring of Cerebral Perfusion and Metabolism in Adults During Cardiac Surgery with Cardiopulmonary Bypass
This study presents the clinical translation of a hybrid optical neuromonitor for continuous intraoperative monitoring of cerebral perfusion and metabolism in ten patients undergoing non-emergent cardiac surgery with non-pulsatile CPB.
Extracorporeal Membrane Oxygenation For COVID-19 Induced Hypoxia: Single-Center Study
ECMO is a supportive intervention for COVID-19 associated pneumonia that could be considered if the optimum mechanical ventilation is deemed ineffective.
Continuous Monitoring of Cerebral Autoregulation in Children Supported by Extracorporeal Membrane Oxygenation: A Pilot Study
CA assessment is feasible in pediatric ECMO. The first 24 h following ECMO represents the most critical period regarding CA. Impaired autoregulation is significantly more severe among patients who experience ANE.
Effect of Modified Ultrafiltration on Cytokines and Hemoconcentration In Dogs Undergoing Cardiopulmonary Bypass
Our results demonstrated that MUF can be applied in dogs undergoing CPB and is effective in achieving hemoconcentration. Moreover, MUF may be useful for the removal of cytokines. Further studies are needed to validate these findings and clarify the effects of inflammatory cytokines after CPB.
Novel Choices of Cannula for Blood Delivery via Femoral Artery in Pediatric Patients
Therefore, we devised a combination of the JELCO IV catheter, an extension tube, and a three-way stopcock with a larger opening to obtain more flow rate keeping the CPB circuit pressure significantly lower than when using the Radifocus Introducer sheath successfully.
Development of an Electronic Medical Record for Extracorporeal Membrane Oxygenation and Its Role in a Multidisciplinary Team
We present a format for centers looking to implement a comprehensive EMR for ECMO patients. An expanding ECMO program required a change to our staffing model, and an EMR with electronic checklists and remote access facilitated the transition to a multidisciplinary team.
ECMO Membrane Lung Failure due to Hypertriglyceridemia: A Case Report and Review of the Literature
Hypertriglyceridemia should be suspected in patients with high transmembrane pressures and ML failure not attributable to thrombosis, and these patients may require frequent ML changes if a prolonged ECMO run is required.