Platelet Transfusion in Cardiac Surgery: A Systematic Review and Meta-Analysis
After accounting for baseline differences, platelet transfusion was not linked with perioperative complications in cardiac surgery patients. Given the small number of observational studies, these findings should be considered hypothesis generating.
The Role of Frailty in Failure to Rescue After Cardiovascular Surgery
Frailty contributes significantly to FTR after cardiovascular surgery. Frail patients can expect better outcomes with lower costs at cardiac surgical centers of excellence that can adequately manage postoperative outcomes. Preoperative assessment of frailty may better guide risk estimation and identification of patients who would benefit from appropriate prehabilitative interventions to optimize outcomes.
Writing’s on the Wall: Improving the Who Surgical Safety Checklist
The aim of the project was met and exceeded. Since April 2019, the new checklist is being used across all theatres in the Trust.
Comparison of Ringer’s Lactate and Plasmalyte-A as Cardiopulmonary Bypass Prime for Bypass Associated Acidosis in Valve Replacement Surgeries
Patients who received Plasmalyte-A as cardiopulmonary bypass prime developed less metabolic acidosis. Hence we conclude that Plasmalyte-A is the preferred cardiopulmonary bypass prime in adult patients undergoing valve replacement surgerie
Comparison of Cell Salvage with One and Two Suction Devices During Cesarean Section in Patients With Placenta Previa and/or Accrete: A Randomized Controlled Trial
Cell salvage performed by one suction device could result in higher volume of salvaged RBCs and can be used safely for CS in patients with placenta previa and/or accrete when massive hemorrhage occurs.
Effects of Transfusion Load and Suction Pressure on Renal Function in Intraoperative Salvage Autotransfusion
After an exhaustive investigation, less than 4 units transfusion and less than 0.03 MPa suction pressure are recommended for intraoperative salvage autotransfusion.
Hematologic Evaluation of Intraoperative Autologous Blood Collection and Allogeneic Transfusion in Cardiac Surgery
Large‐volume AWB collection and reinfusion are feasible in selected cardiac surgical patients, and may be associated with prohemostatic effects according to thromboelastometry, warranting further investigation with a prospective randomized study.
Practical Clinical Application of an Extracorporeal Carbon Dioxide Removal System in Acute Respiratory Distress Syndrome and Acute on Chronic Respiratory Failure
A low-flow ECCO2R device with a large surface ML removes a relevant amount of CO2 resulting in a decreased arterial PCO2, an increased arterial pH, and in a reduced ventilatory load.
The Minnesota Mobile Extracorporeal Cardiopulmonary Resuscitation Consortium for Treatment of Out-Of-Hospital Refractory Ventricular Fibrillation: Program Description, Performance, and Outcomes
This first, community-wide ECMO-facilitated resuscitation program in the US demonstrated 100% successful cannulation, 43% functionally favorable survival rates at hospital discharge and 3 months, as well as safety. The program provides a potential model of this approach for other communities.
Mycobacterium Chimaera in Heater-Cooler Devices: An Experience in A Tertiary Hospital in Spain
Mycobacterium chimaera contamination is not always eradicated by disinfection processes. We believe that placing 3T heater–cooler devices outside the operating room is the best option in preventing M. chimaera infection during cardiac surgery.
Endothelial Function in Patients With von Willebrand Disease
In this study, the endothelial function measurements of patients with von Willebrand disease were not significantly different compared to healthy controls.
Most Deaths in Low-Risk Cardiac Surgery Could Be Avoidable
Logistic regression model identified age, previous coronary stent implantation, coronary artery bypass grafting + heart valve surgery, ≥ 2 combined heart valve surgery and hospital-acquired infection as independent predictors of AD.