The role of ECMO in COVID-19: Can it Provide Rescue Therapy in Those Who Are Critically Ill?
Our understanding of COVID‐19 is ever‐changing and the need for intensive care beds is rising, which means that ECMO will surely play a key role in the near future.
Severe Impairment of Microcirculatory Perfused Vessel Density Is Associated With Postoperative Lactate and Acute Organ Injury After Cardiac Surgery
In patients undergoing cardiac surgery, there was a significant decrease in postoperative microcirculatory convective blood flow and diffusive capacity during early postoperative resuscitation.
Hyperlactatemia of Dialysis-Dependent Patients After Cardiac Surgery Impacts on In-Hospital Mortality: A Two-Center Retrospective Study
In dialysis-dependent patients after cardiac surgery, the early-onset of a maximum arterial lactate concentration of > 4.5 mmol/L was significantly associated with in-hospital mortality.
Effect of Pulsatile Cardiopulmonary Bypass in Adult Heart Surgery
Findings of this study do not support the superiority of pulsatile flow pattern during CPB, in terms of cerebral oxygen saturation or postoperative mortality/morbidity.
Anticoagulation Management During Pulmonary Endarterectomy With Cardiopulmonary Bypass and Deep Hypothermic Circulatory Arrest
This study shows a wide variation in individual heparin sensitivity in patients undergoing pulmonary endarterectomy with deep hypothermic circulatory arrest.
Minimally Invasive Extracorporeal Circulation Is a Cost-Effective Alternative to Conventional Extracorporeal Circulation for Coronary Artery Bypass Grafting: Propensity Matched Analysis
Minimally invasive extracorporeal circulation for coronary artery bypass grafting is associated with a reduced requirement for blood transfusion, reduced incidence of acute kidney injury and a significant cost saving. Minimally invasive extracorporeal circulation should be considered as an adjunct for all patients undergoing coronary artery bypass grafting.
Feasibility Study of a Novel Method of Concentrating Fresh Frozen Plasma by Hemoconcentrating Filter Outside Cardiopulmonary Bypass
We invented a novel method of concentrating FFP by applying a hemoconcentrating filter directly to FFP to both minimize volume and avoid affecting platelet function.
Acute Kidney Injury, Stroke and Death After Cardiopulmonary Bypass Surgery: The Role of Perfusion Flow and Pressure
Neither low perfusion pressure nor low perfusion flow during cardiopulmonary bypass were predictive of postoperative acute kidney injury, stroke or death.
Pressure and Flow Properties of Dual-Lumen Cannulae for Extracorporeal Membrane Oxygenation
Non-standardized testing of pressure–flow properties of extracorporeal membrane oxygenation dual-lumen cannulae prevents an adequate prediction of pressure–flow results when these cannulae are used in patients. Properties of dual-lumen cannulae may vary between sizes within same cannula family, in particular concerning the drainage flow.
Watershed Phenomena during Extracorporeal Life Support and their Clinical Impact: a Systematic In Vitro Investigation
Using an in vitro mock circulation loop, we systematically investigated the impact of heart failure, extracorporeal support, and cannulation routes on the formation of flow phenomena and flow distribution in the arterial tree.
Neurological Pupil index for Early Prognostication After Venoarterial Extracorporeal Membrane Oxygenation
Quantitative NPi alone had excellent ability to predict a poor outcome from day 1 after VA-ECMO insertion, with no false positives. Combining NPi and 12-h PREDICT-VA ECMO score increased the sensitivity of outcome prediction, while maintaining 100% specificity.
Thrombotic Risk in Central Venoarterial Extracorporeal Membrane Oxygenation Post Cardiac Surgery
Stasis is the predominant risk factor for intracardiac thrombosis. This occurs rapidly and the outcome is poor. As a result, we suggest early left ventricular decompression. Conventional management of post-bypass coagulopathy seems safe if the aortic valve is opening.