Length of Red Cell Unit Storage and Risk for Delirium After Cardiac Surgery
We hypothesized that the length of storage of transfused red cell units would be associated with delirium after cardiac surgery.
Heme Oxygenase-1 and Acute Kidney Injury following Cardiac Surgery
This study tested the hypothesis that plasma HO-1 concentrations are associated with intraoperative hemolysis and are increased in patients that develop AKI following cardiac surgery.
Myocardial Protection Using Del Nido Cardioplegia Solution in Adult Reoperative Aortic Valve Surgery
Our aim in this study is to determine if this solution can be used safely and effectively in an adult, reoperative population.
The Influence of Cardiopulmonary Bypass Priming without FFP on Postoperative Coagulation and Recovery in Pediatric Patients with Cyanotic Congenital Heart Disease
the inappropriate use of FFP is still a worldwide problem
Extracorporeal Carbon Dioxide Removal Through Ventilation of Acidified Dialysate: An Experimental Study
Extracorporeal (EC) carbon dioxide (CO(2)) removal (ECCO(2)R) may be a powerful alternative to ventilation, possibly avoiding the need for mechanical ventilation and endotracheal intubation. We previously reported how an infusion of lactic acid before a membrane lung (ML) effectively enhances ECCO(2)R. We evaluated an innovative ECCO(2)R technique based on ventilation of acidified dialysate.
Extracorporeal Membrane Oxygenation in the Adult: A Review of Anticoagulation Monitoring and Transfusion
In this review article, we discuss the evolution of the various modalities of ECMO, indications, contraindications, and complications. Furthermore, we review the different strategies for anticoagulation and treatment of coagulopathy while on ECMO. Finally, we discuss the cost of ECMO and associated blood product transfusion.
Extracorporeal Membrane Oxygenation in Pediatric Patients: Our Experience in the Last Ten Years
The use of extracorporeal membrane oxygenation (ECMO) in children after cardiac surgery is well established. ECMO support is becoming an integral tool for cardiopulmonary resuscitation in specified centers.
Variability in Anticoagulation Management of Patients on Extracorporeal Membrane Oxygenation: An International Survey
The objective of this study was to determine current practices of anticoagulation in patients on extracorporeal membrane oxygenation.
Bivalirudin and Post-Cardiotomy ECMO: A Word of Caution
Bivalirudin has been proposed as the sole anticoagulant in patients under extracorporeal membrane oxygenation (ECMO) or cardiopulmonary bypass.
The 2013 Canadian Cardiovascular Society Heart Failure Management Guidelines Update: Focus on Rehabilitation and Exercise and Surgical Coronary Revascularization
The 2013 Canadian Cardiovascular Society Heart Failure Management Guidelines Update provides focused discussions on the management recommendations on 2 topics: (1) exercise and rehabilitation; and (2) surgical coronary revascularization in patients with heart failure.
Techniques and Applications of Perioperative Therapeutic Plasma Exchange
Therapeutic plasma exchange (TPE) is a useful adjunct in the management of antibody-mediated disorders. The indications for TPE now include the perioperative setting. This review updates the anesthesiologist on the relevant clinical indications and precautions of plasma exchange.
Updated Treatment Algorithm of Pulmonary Arterial Hypertension
The current treatment algorithm may be divided into 3 main areas: 1) general measures, supportive therapy, referral strategy, acute vasoreactivity testing and chronic treatment with calcium channel blockers; 2) initial therapy with approved PAH drugs; and 3) clinical response to the initial therapy, combination therapy, balloon atrial septostomy, and lung transplantation. All three sections will be revisited highlighting information newly available in the past 5 years and proposing updates where appropriate.