Minimizing Systemic Inflammation during Cardiopulmonary Bypass in the Pediatric Population
Cardiopulmonary bypass (CPB) is known to cause a systemic inflammatory response.
Ten-Year Patterns in Blood Product Utilization during Cardiothoracic Surgery with Cardiopulmonary Bypass in a Tertiary Hospital
This institutional report shows a large reduction in blood loss
Impact of Perfusion Strategy on Outcome after Repair for Acute Type A Aortic Dissection
The impact of antegrade versus retrograde perfusion during cardiopulmonary bypass on short- and long-term outcome after repair for acute type A aortic dissection is controversial.
Transfusion Practice varies Widely in Cardiac Surgery: Results from a National Registry
Variation in transfusion of all components and large volume RBC was identified,
Systemic Effects of Carbon Dioxide Insufflation Technique for De-Airing in Left-Sided Cardiac Surgery
Insufflation of CO2 into the cardiothoracic wound cavity during left-sided cardiac surgery can induce hypercapnic acidosis and increased cerebral blood flow and local blood cell damage.
Miniaturized Cardiopulmonary Bypass: The Hammersmith Technique
The Hammersmith mCPB is a "next generation" system which uses standard commercially available components.
Blood Transfusion during versus after Cardiopulmonary Bypass is Associated with Postoperative Morbidity in Neonates undergoing Cardiac Surgery
multivariate analyses confirmed an independent association of transfusion On-CPB with an adverse clinical outcome.
Early Feasibility Testing and Engineering Development of the Transapical Approach for the HeartWare MVAD Ventricular Assist System
A new cannula configuration has been developed for transapical implantation, where the outflow cannula is positioned across the aortic valve
Association Between Value-Based Purchasing Score and Hospital Characteristics
Medicare hospital Value-based purchasing (VBP) program that links Medicare payments to quality of care will become effective from 2013. It is unclear whether specific hospital characteristics are associated with a hospital's VBP score, and consequently incentive payments.The objective of the study was to assess the association of hospital characteristics with (i) the mean VBP score, and (ii) specific percentiles of the VBP score distribution.
The Operating Surgeon Is an Independent Predictor of Chest Tube Drainage Following Cardiac Surgery
Bleeding into the chest is a major cause of blood transfusion and adverse outcomes following cardiac surgery. The authors investigated predictors of bleeding following cardiac surgery to identify potentially correctable factors.
Comparison of Two Tranexamic Acid Dose Regimens in Patients Undergoing Cardiac Valve Surgery
Tranexamic acid (TA), a synthetic antifibrinolytic drug, has been shown to reduce postoperative bleeding and the need for allogeneic blood transfusion in cardiac surgery. However, the optimal dose regimen of TA is still under debate. The aim of this study was to evaluate whether a lower-dose TA regimen produced equivalent efficacy to its higher-dose counterpart in reducing postoperative bleeding and transfusion needs.
Introspection into Institutional Database Allows for Focused Quality Improvement Plan in Cardiac Surgery: Example for a New Global Healthcare System
Reducing readmission rates is vital to improving quality of care and reducing healthcare costs. In accordance with the Patient Protection and Affordable Care Act, Medicare will cut payments to hospitals with high 30-day readmission rates. We retrospectively reviewed an institutional database to identify risk factors predisposing adult cardiac surgery patients to rehospitalization within 30 days of discharge.