Fraction of Expired Oxygen: An Additional Safety Approach to Monitor Oxygen Delivery to The Heart Lung Machine Oxygenator
Monitoring the FEO2 is a more reliable way to verify O2 delivery to an oxygenator. An alarm can be set on the FEO2 monitor to alert the perfusionist if the FEO2 falls below a predetermined threshold so any issue with O2 delivery will always be recognized.
Neurological Complications During Veno-Venous Extracorporeal Membrane Oxygenation: Does the Configuration Matter? A Retrospective Analysis of The ELSO Database
In this large registry, the occurrence of neurological complications was not related to the type of cannulation in patients undergoing V-V ECMO.
Hypercoagulopathy, Acquired Coagulation Disorders and Anticoagulation Before, During and After Extracorporeal Membrane Oxygenation in COVID-19: A Case Series
Coronavirus-induced coagulopathy and bleeding disorders during vvECMO cannot be discriminated via ‘routine’ coagulation tests. Precise and specific analyses followed by the appropriate treatment of coagulation disorders may help us develop tailored therapeutic concepts to better manage the phases described above.
Hemoadsorption Eliminates Remdesivir from the Circulation: Implications for the Treatment Of COVID-19
Remdesivir and its main active metabolite GS‐441524 are rapidly eliminated from the perfusate by the CytoSorb® adsorber device in vitro. This should be considered in patients for whom both therapies are indicated, and simultaneous application should be avoided. In general, plasma levels of therapeutic drugs should be closely monitored under concurrent CytoSorb® therapy.
Determining Thresholds for Three Indices of Autoregulation to Identify the Lower Limit of Autoregulation During Cardiac Surgery
This study identified thresholds of intact and impaired cerebral autoregulation for three indices and showed that mean arterial blood pressure below lower limit of autoregulation is a risk factor for acute kidney injury after cardiac surgery.
Cannulation Strategies & Circulation Management in Type-A Aortic Dissection
Different strategies have been used to establish adequate true lumen perfusion with varying success rates, with the most common still being femoral cannulation. More recently axillary and central cannulation strategies have shown satisfactory results by allowing more reliable true lumen flow. Cannulation approach should, therefore, depend on individual patient characteristics, presentation, and true lumen anatomy.
Unusual Complication of a Right Ventricular Support–Extracorporeal Membrane Oxygenation Cannula
The RVS-ECMO cannula was repositioned at the time of catheterization. The patient remained hemodynamically stable without cardiac complaints. He subsequently underwent a successful lung transplant.
Effect of Hematocrit on the CO2 Removal Rate of Artificial Lungs
In conclusion, the hematocrit level significantly affects vCO2 and should be taken into account when interpreting changes in the vCO2 of an ECCO2R device.
Improving Hemocompatibility: How Can Smart Surfaces Direct Blood To Fight against Thrombi
Our work demonstrates the first report of a coating that self-regulates its fibrinolytic activity depending on the conditions of blood.
Intraoperative Cell Salvage
By reading this article you should be able to: •Discuss why it may be beneficial to avoid allogeneic (donor) transfusion. •List the benefits that intraoperative cell salvage (ICS) can provide. •Identify when ICS usage is both appropriate and safe. •Explain the complications of ICS. •Describe areas of controversy relating to the use of ICS.
Computer Vision in the Operating Room: Opportunities and Caveats
Leveraging computer vision approaches through interdisciplinary collaboration and advanced approaches to data acquisition, modeling, interpretation, and integration promises a powerful impact on patient safety, public health, and financial costs.
Viscoelastic Coagulation Monitor as a Novel Device to Assess Coagulation at the Bedside. A Single-Center Experience During the COVID-19 Pandemic
In conclusion, VCM provided reliable results in COVID-19 patients and was easy to perform with minimal training at the bedside.