Successful Use of ECMO in a Jehovah’s Witness After Complicated Re-Heart Transplant
We present a 29-year-old male Jehovah's Witness, who underwent a second orthotopic heart transplantation 20 years after his first transplant.
Lack of Effectiveness of Sodium Bicarbonate in Preventing Kidney Injury in Patients undergoing Cardiac Surgery: A Randomized Controlled Trial
A perioperative infusion of sodium bicarbonate did not reduce the rate of acute kidney injury or adverse outcomes in patients with chronic kidney disease who underwent cardiac surgery.
Acute Kidney Injury after Cardiac Surgery according to Risk/Injury/Failure/Loss/End-stage, Acute Kidney Injury Network, and Kidney Disease: Improving Global Outcomes Classifications
The AKIN classification correlated better with mortality than did the RIFLE criteria.
Direct Thrombolytic Therapy for Thrombosis of a Centrifugal Flow Left Ventricular Assist Device
In patients receiving left ventricular assistance for end-stage heart failure, pump-related thrombosis is a potentially fatal complication that may manifest as hemolysis and abnormally high pump power consumption.
Perioperative Dexmedetomidine Improves Outcomes of Cardiac Surgery
Perioperative dexmedetomidine use was associated with a decrease in postoperative mortality up to 1 year and decreased incidence of postoperative complications and delirium in patients undergoing cardiac surgery.
Thrombolysis for Suspected Intrapump Thrombosis in Patients with Continuous Flow Centrifugal Left Ventricular Assist Device
We report the risk factors and nonsurgical management and outcomes of five patients implanted with continuous flow centrifugal left ventricular assist devices who displayed clinical, hemodynamic, and laboratory features of intrapump thrombosis.
Optimal Endovascular Methods for Placement of Bicaval Dual-Lumen Cannulae for Venovenous Extracorporeal Membrane Oxygenation
We present our endovascular technique for Avalon bicaval cannula placement with fluoroscopic guidance to prevent inadvertent intracardiac placement.
Blood Conservation: What Is Current Blood Draw Practice?
Creating a culture of low-volume blood drawing may help to reduce blood transfusions.
Impella to Unload the Left Ventricle during Peripheral Extracorporeal Membrane Oxygenation
We present our experience of the Impella 2.5 as an adjunct for left ventricular unloading during peripheral VA ECMO support
Preoperative Statin Therapy is Associated with Lower Requirement of Renal Replacement Therapy in Patients undergoing Cardiac Surgery: A Meta-Analysis of Observational Studies
Patients undergoing CABG might derive benefit from preoperative statin therapy in terms of reducing the need for postoperative renal replacement therapy and mortality.
Thrombelastography (TEG®): Practical Considerations on Its Clinical Use in Trauma Resuscitation
Thrombelastography has characteristics of an ideal coagulation test for use in early trauma resuscitation.
Anti-Inflammatory Strategies to Reduce Acute Kidney Injury in Cardiac Surgery Patients: A Meta-Analysis of Randomized Controlled Trials
In adult patients, probably other factors are predominant on inflammation in determining AKI, and only leukocyte filters were effective.