The Impact of Cardiopulmonary Bypass Management on Outcome: a Propensity Matched Comparison Between Minimally Invasive and Conventional Valve Surgery
This study showed that increasing the haemoglobin level might be helpful to reduce the incidence of cardiac surgery-associated acute kidney injury after minimally invasive mitral valve surgery.
Prognosis when Using Extracorporeal Membrane Oxygenation (ECMO) for Critically Ill COVID-19 Patients in China: a Retrospective Case Series
As anticipated, COVID-19 is a pandemic; all healthcare resources are stretched so that ECMO is not a therapy to be rushed to the frontline. Therefore, interim treatment guidelines of recommending ECMO for critically ill COVID-19 patients should be taken cautiously.
Association between Cerebral Oxygen Saturation with Outcome in Cardiac Surgery: Brain as an Index Organ
In cardiac surgical patients who received interventions to correct decreases in rSO2, increased severity of intraoperative decrease in rSO2 as reflected by AUT below an absolute value of 50% was associated with a composite of adverse outcomes, implicating the importance of cerebral oximetry to monitor the brain as an index organ.
Impact of Intraoperative Cell Salvage on Blood Coagulation Factor Concentrations in Patients Undergoing Cardiac Surgery
Physicians need to consider adequate management of coagulation in patients with major blood loss and the need of large volumes of RBC transfusion.
Water Condensation and Gas Exchange Correlation in Different Models and Fibers of Blood Oxygenators: “How Can We Improve Performance?”
Results of this study show an inversely proportional correlation between gas exchange and condensation in statistically significant values during the use of normothermia and a reduction in oxygenation performance, in polypropylene and polymethylpentene fiber oxygenators.
High-Sensitivity Cardiac Troponin Can Be An Ally in the Fight Against COVID-19
Troponin should be considered an ally and a crucial diagnostic and prognostic aid in what will become even more challenging times for healthcare provision worldwide.
Effect of Intra-arterial Nimodipine on Cerebral Oxygen Saturation and Systemic Hemodynamic Indices in Patients With Cerebral Vasospasm: A Prospective Cohort Study
IaN for aSAH-related cerebral vasospasm did not improve rScO2 but was associated with significant systemic hemodynamic effects, including a decrease in MBP and TPRI. These hemodynamic changes might offset any potential effects of IaN to improve rScO2.
Update on Extracorporeal Carbon Dioxide Removal: a Comprehensive Review on Principles, Indications, Efficiency, and Complications
Extracorporeal carbon dioxide removal means the removal of carbon dioxide from the blood across a gas exchange membrane without substantially improving oxygenation.
Clotting Time Results Are Not Interchangeable Between EXTEM and FIBTEM on Rotational Thromboelastometry
CyD shortens the onset of TG and clot formation, resulting in shorter CTFIBTEM than CTEXTEM.
Safety and Efficacy of a Novel Pneumatic-Driven ECMO Device
The pneumatically-driven ECMO device provides excellent safety and physiologic efficacy in a 7-day sheep experiment without visible clotting, hemolysis, or sustained reductions in fibrinogen or platelets.
In Vitro Recovery of Sufentanil, Midazolam, Propofol, and Methylprednisolone in Pediatric Cardiopulmonary Bypass Systems
The present in vitro experiment with neonatal, infant, and pediatric CPB systems shows a variable recovery of routinely used drugs with significant differences between drugs, but not between system categories (with the exception of propofol).
Pulsatile Flow is not a Magic Bullet for Congenital Heart Surgery Patients during CPB Procedures
The objective of this editorial is to clarify common myths related to the effects of pulsatile flow on circuit optimization and vital organ recovery in congenital heart surgery patients undergoing CPB