Cardiopulmonary Bypass and Internal Thoracic Artery: Can Roller or Centrifugal Pumps Change Vascular Reactivity of the Graft? The IPITA Study: A Randomized Controlled Clinical Trial
Endothelium-dependent relaxation of the internal thoracic arteries was preserved during CPB whatever the type of pump used. The inflammatory response observed in the blood was not found in the graft wall within this time frame.
Sterility and Performance of Open and Closed Extracorporeal Circuits After Long-Term Dry-Wet Setups
There was no observed compromise to the sterility of the circuits and no clinically significant gas exchange abnormalities observed over the duration of the study period.
The Evolving Role of the Modern Perfusionist: Insights from Transesophageal Echocardiography
Transesophageal echocardiography may serve the clinical perfusionist by providing imaging guidance for identifying potential problems before cardiopulmonary bypass, guiding the proper placement of cannulas, monitoring cardiac performance on cardiopulmonary bypass, and providing useful feedback during weaning from cardiopulmonary bypass.
Warm Blood Cardioplegia for Myocardial Protection: Concepts and Controversies
This review describes the physiologic basis for warm blood cardioplegia in adult cardiac surgery and outlines the current basic and clinical research that evaluates the usefulness of this technique when compared with cold blood and crystalloid cardioplegia.
Clinical and Operative Determinants of Acute Kidney Injury after Cardiac Surgery
Use of minimally invasive surgery and therapies mitigating PSPAP and intraoperative blood loss may offer protection against CSA-AKI.
Is There a “Safe” Suction Pressure in the Venous Line of Extracorporeal Circulation System?
The gaseous cavitation in centrifugal pumps is a phenomenon that appears with decreasing inlet pump pressures.
Risk Factors for Agitation and Hyperactive Delirium in Adult Postcardiotomy Patients with Extracorporeal Membrane Oxygenation Support: an Observational Study
Our results suggest that the prevalence of agitation and hyperactive delirium in postcardiotomy patients with extracorporeal membrane oxygenation support is high. In addition, previous stroke and severe mean arterial pressure reduction before extracorporeal membrane oxygenation initiation is predictive of agitation and hyperactive delirium.
Validation of Cardiac Surgery Score (CASUS) in Postoperative Cardiac Patients
CASUS is a useful scoring system in post-cardiac surgery patients. The accuracy of CASUS and ICNARC scores in predicting mortality, pulmonary, and renal complications are comparable.
The Early Change in PaCO2 after Extracorporeal Membrane Oxygenation Initiation Is Associated with Neurological Complications
In patients receiving ECMO for respiratory failure, a large relative decrease in PaCO2 in the first 24 hours after ECMO initiation is independently associated with an increased incidence of neurological complications.
Can Upper Extremity (Deltoid) Near Infrared Spectroscopy be Used to Assess Cerebral Tissue Bed Saturation on Femorally Cannulated Veno-Arterial Extracorporeal Membrane Oxygenation Patients?
The use of upper extremity (peripheral deltoid) tissue monitoring does not provide adequate correlation and should not be used as a surrogate to cerebral monitoring.
Intracranial Hemorrhage on Extracorporeal Membrane Oxygenation: An International Survey
Considering the important management implications reported by most centers when intracranial hemorrhage is diagnosed, perhaps clinicians should consider widening their indications for early neuroimaging.
Haemolysis Induced by Mechanical Circulatory Support Devices: Unsolved Problems
There are few results reported about tests of haemolysis in blood pumps.