GTH 2021 State of the Art—Cardiac Surgery: The Perioperative Management of Heparin-Induced Thrombocytopenia in Cardiac Surgery
The management of HIT can be highly challenging, and requires a multidisciplinary approach. In this short review, the different perioperative strategies to run cardiopulmonary bypass will be summarized.
Total Circulatory Arrest as A Support Modality in Congenital Heart Surgery: Review and Current Evidence
This review analyzes the history, physiology, techniques of DHCA, as well as other alternative strategies like selective cerebral perfusion and presents the current available evidence.
Avoiding Use of Total Circulatory Arrest in The Practice of Congenital Heart Surgery
In this review we have discussed the various physiological and technical factors involved in conduct of SACP in paediatric cardiac surgery and outcomes with SACP.
Platelet, Red Cell, and Endothelial Activation and Injury During Extracorporeal Membrane Oxygenation
ECMO is associated with a highly variable, sustained increase in platelet, red-cell, and endothelial activation and injury that is a combination of circuit and transfusion related events, the patients underlying condition and possibly genetic influences on blood cell activation and injury. Extracellular vesicle measurements may improve our understanding of cellular activation and injury during ECMO as we work to improve the biocompatibility of these systems.
Recirculation in Extracorporeal Membrane Oxygenation: The Warning Comes From the Cannula
In conclusion, poor oxygenation under ECMO with alternation of bright red and dark red blood in the drainage cannula must refer to recirculation by cannula misplacement. Transesophageal echocardiography must be performed first when there is a lack of oxygenation during venovenous ECMO.
Preoperative Neutrophil and Lymphocyte Ratio as a Predictor of Mortality and Morbidity After Cardiac Surgery
The interpretation and utilisation of readily available haematological markers can provide further risk stratification data to the surgeon when considering the postoperative cardiac surgery risks.
The “TIDE”-Algorithm for the Weaning of Patients With Cardiogenic Shock and Temporarily Mechanical Left Ventricular Support With Impella Devices
Mechanical circulatory support (MCS) is often required to stabilize therapy-refractory cardiogenic shock patients. We here propose a novel cardiovascular physiology-based weaning algorithm for MVS.
A Better Predictor of Acute Kidney Injury After Cardiac Surgery: The Largest Area Under the Curve Below the Oxygen Delivery Threshold During Cardiopulmonary Bypass
The aim of this study was to compare the predictive accuracy of acute kidney injury (AKI) after cardiac surgery using cardiopulmonary bypass for the largest area under the curve (AUC) below the oxygen delivery (DO2) threshold and the cumulative AUC below the DO2 threshold.
ABCP Annual Report 2020
Even in normal times, working as a Certified Clinical Perfusionist (CCP) has its challenges. With a changing patient population, evolving technologies, advancing techniques, and shifting practice dynamics, CCPs are asked to do more and readily adapt to practice changes whenever they present themselves.
Bilirubine and Lactate: Easy to Determine and Valuable to Predict Outcome in Cardiac Surgery
Three easily assessable and cheap laboratory parameters (bilirubin, lactate, and creatinine) are useful to predict 90-day mortality and length of stay in ICU. These findings might be helpful to give patients a reliable prediction about short and mid-term-survival and to improve the management of an ICU.
Quantitative and Qualitative Platelet Derangements in Cardiac Surgery and Extracorporeal Life Support
Though many hypotheses have been suggested, the mechanism underlying thrombocytopenia and platelet disorders is still to be cleared. This narrative review aims to offer clinicians a summary of their major causes in the cardiac surgery setting.
Contrast Media Exposure in The Perioperative Period Confers No Additional Risk of Acute Kidney Injury in Infants and Young Children Undergoing Cardiac Surgery with Cardiopulmonary Bypass
For pediatric patients who are soon to undergo on-pump cardiac procedures, there appears to be no need to hesitate in performing the diagnostic imaging investigations requiring CM, or delay CPB after CM exposure. These patients may benefit from increased diagnostic utility without increasing their risk of postoperative AKI.