Intraoperative tight glucose control using hyperinsulinemic normoglycemia increases delirium after cardiac surgery
In this study the authors sought to determine the effect of tight intraoperative glucose control using a hyperinsulinemic-normoglycemic clamp approach on postoperative delirium in patients undergoing cardiac surgery.
Predicting the Risk of Death Following Coronary Artery Bypass Graft Made Simple: A Retrospective Study Using The American College of Surgeons National Surgical Quality Improvement Program Database
The objective of this study was to develop a 30-day postoperative mortality risk model for patients undergoing CABG using the American College of Surgeons National Surgical Quality Improvement Program database.
Predictors of Mortality in Cardiac Surgery: Brain Natriuretic Peptide Type B
We evaluated whether the preoperative serum concentration of brain natriuretic peptide (BNP) is a predictor of in-hospital mortality in patients that underwent cardiac surgery.
Allogeneic Blood Product Usage in Coronary Artery Bypass Grafting (CABG) with minimalized Extracorporeal Circulation System (MECC) Versus Standard On-Pump Coronary Artery Bypass Grafting
The objective of this study was to evaluate the allogeneic blood product transfusion's (ABPT's) in minimalized extracorporeal cardiopulmonary (MECC(TM)) compared with standard open system on-pump coronary revascularization.
Point-of-Care Platelet Function Testing Predicts Bleeding in Patients Exposed to Clopidogrel Undergoing Coronary Artery Bypass Grafting: Verify Pre-Op TIMI 45–A Pilot Study
Guidelines recommend delaying coronary artery bypass grafting (CABG) for 5 days after discontinuing clopidogrel. However, platelet function may recover quicker in certain individuals.
Pre-Operative Anaemia
In this article, we review the incidence and impact of anaemia on the pre-operative patient. We explain how anaemia may be caused by functional iron deficiency, and how iron deficiency anaemia may be diagnosed and treated.
How Can We Identify the High-Risk Patient
Accurate and early identification of high-risk surgical patients allows for targeted use of perioperative monitoring and interventions that may improve their outcomes. This review summarizes current evidence on how information from the preoperative, operative, and immediate postoperative periods can help identify such individuals.
A Retrospective Comparative Study of Minimally Invasive Extracorporeal Circulation Versus Conventional Extracorporeal Circulation in Emergency Coronary Artery Bypass Surgery Patients: A Single Surgeon Analysis
The purpose of this study was to compare the outcome of emergency coronary artery bypass grafting (CABG) operations using either minimally invasive extracorporeal circulation (MiECC) or conventional extracorporeal circulation (CECC) in patients requiring emergency CABG with regard to the perioperative course and the occurrence of major adverse cardiac and cerebral events (MACCE).
Heart valve surgery in patients with homozygous sickle cell disease: A management strategy
Patients with the homozygous sickle cell disease have increased perioperative mortality. Some indications like heart valve surgery, may justify an exchange blood transfusion to reduce the proportion of hemoglobin S (HbS) and complications.
Is Low Serum Albumin Associated with Postoperative Complications in Patients Undergoing Cardiac Surgery
A best evidence topic was written according to a structured protocol. The clinical question investigated was: is low serum albumin associated with postoperative complications in patients undergoing cardiac surgery?
Genome-Wide Association Study of Acute Kidney Injury after Coronary Bypass Graft Surgery Identifies Susceptibility Toci
Acute kidney injury (AKI) is a common, serious complication of cardiac surgery. Since prior studies have supported a genetic basis for postoperative AKI, we conducted a genome-wide association study (GWAS) for AKI following coronary bypass graft (CABG) surgery.
Diabetic Patients have Increased Perioperative Cardiac Risk in Heart-Type Fatty Acid-Binding Protein-Based Assessment
To test the potential role of heart-type fatty acid-binding protein (H-FABP) in detecting increased perioperative cardiac risk in comparison with cardiac troponin I (cTnI) in the early postoperative period.