Right Ventricular Failure after Cardiac Surgery
Techniques for managing the pulmonary circulation and strategies for optimizing RV function in various clinical settings are presented.
The Optimal Flow Rate for Antegrade Cerebral Perfusion During Deep Hypothermic Circulatory Arrest
Cerebral protection effects of ACP at 25 and 50 mL/kg/min were superior to that of ACP at 80 mL/kg/min as determined by cerebral markers, immunology, and histology.
Low-Flow Antegrade Cerebral Perfusion Attenuates Early Renal and Intestinal Injury During Neonatal Aortic Arch Reconstruction
These results substantiate earlier suggestions that ACP provides more abdominal organ protection than DHCA in neonates undergoing aortic arch reconstruction.
Vasoreactivity Changes During Extracorporeal Circulation: Effects of Halogenated Agents
Absence of deleterious effects in SVR decrease when administering isoflurane during normothermic CPB was assumed but prospective comparative studies comparing effects of halogenated agents and other anesthetic agents are needed in order to confirm these findings.
Non-Invasive Estimation of Jugular Venous Oxygen Saturation: A Comparison Between Near Infrared Spectroscopy and Transcutaneous Venous Oximetry
Placement of cerebral oximetry patches directly over the internal jugular vein (as opposed to on the forehead) appeared to approximate internal jugular venous saturation better...
Percutaneous Mechanical Support for the Failing Right Heart
This article considers the available mechanical approaches to provide hemodynamic support to treat profound RV failure in the common clinical scenarios in which percutaneous mechanical RV support may be most beneficial.
Safety of Training and Assessment in Operating Theatres – A Systematic Review and Meta-Analysis
This article establishes a systematic evidence base for the safety of training in the operating theatre.
Is it Worth Packing the Head with Ice in Patients Undergoing Deep Hypothermic Circulatory Arrest?
We conclude that topical head cooling with ice is of use during DHCA but not during rewarming following DHCA and that it may be possible to advance topical head cooling techniques using circulating water rather than packed ice.
Central Venous Oxygen Saturation During Cardiopulmonary Bypass Predicts 3-Year Survival
The present report explores the connection between SvO2 during cardiopulmonary bypass (CPB) and survival after cardiac surgery.
Intraoperative High-Dose Dexamethasone for Cardiac Surgery: A Randomized Controlled Trial
In our trial of adults undergoing cardiac surgery, the use of intraoperative dexamethasone did not reduce the 30-day incidence of major adverse events compared with placebo.
Alloimmunosensitization in Left Ventricular Assist Device Recipients and Impact on Posttransplantation Outcome
Despite the clinical success of these devices, it has been reported that many patients bridged to transplantation with mechanical support develop circulating antibodies with potential donor reactivity.
Cerebral Oximetry : Clinical Importance for Cardiac Surgery Patients
This suggests that cerebral oximetry is not only useful for neurological but also for hemodynamic monitoring and preoperative risk stratification of cardiac surgery patients.