Perioperative Outcomes of Coronary Artery Bypass Graft Surgery in Johannesburg, South Africa
In our study, the crude perioperative mortality rate was 11.2%. Our mortality rate was significantly higher than the mortality rates reported in other developed and developing countries. To better understand the factors driving this high mortality rate, a prospective outcomes registry has been initiated, and this promises to inform on our contemporary mortality and morbidity outcomes.
Percutaneous Femoral Cannulation and Decannulation Using A Plug-Based Vascular Closure Device in Minimally Invasive Cardiac Surgery
These findings indicate that the technique of percutaneous cannulation presented in this tutorial decreases complications frequently seen with surgical cutdown. The risk of conversion to surgical cutdown iswas low. The risk of stenosis of the femoral artery seems to be reduced if distal perfusion is confirmed by ultrasound at the end of the procedure.
Hemolysis at Low Blood Flow Rates: In-Vitro and In-Silico Evaluation of A Centrifugal Blood Pump
These findings underline the urgent need for a specific pump optimized for low-flow treatment. Due to the inherent problems of available centrifugal pumps in the low-flow range, clinicians should use the current centrifugal pumps with caution, alternatively other pumping principles such as positive displacement pumps may be discussed in the future.
Risk Assessment of Acute Kidney Injury Following Cardiopulmonary Bypass
Evaluation of patients by the RIFLE versus SOP criteria yielded different results with more AKI patients detected by SOP. Based on the present data, it is concluded that patients may not prone to AKI when surgery and ischemia time will be kept short, when blood loss is mitigated to a minimum and when surgery is performed under non-hypothermic conditions.
Preoperative Endothelial Dysfunction in Cutaneous Microcirculation Is Associated with Postoperative Organ Injury After Cardiac Surgery Using Extracorporeal Circulation: A Prospective Cohort Study
Patients who postoperatively developed organ injury (SOFA score > 3 at 48 h) had preoperatively a longer time to reach the peak of endothelium-dependent vasodilation.
Veno-Venous Extracorporeal Membrane Oxygenation Allocation in the COVID-19 Pandemic
In discussing how to best manage these issues in the COVID-19 pandemic at present, we identify gaps in the literature and policy important to clinicians as this crisis continues.
Improving Perioperative Brain Health: An Expert Consensus Review of Key Actions for The Perioperative Care Team
Six statements were selected based not only on the strength of the evidence, but also on the potential for impact and the feasibility of widespread implementation. The actions focus on education, cognitive and delirium screening, non-pharmacologic interventions, pain control, and avoidance of antipsychotics. Strategies for effective implementation are discussed.
SARS-CoV-2 Does Not Spread Through Extracorporeal Membrane Oxygenation or Dialysis Membranes
Though our findings may not alter practices, they may contribute to address legitimate interrogations raised by caregivers and reinforce adhesion and trust into infection control measure policies, which is likely to play a major role against the outbreak spreading.
Polypropylene Oxygenators: Risk Of SARS-Cov-2 Contamination in The Operation Theatre?
In summary, although there is no evidence-based research to support that membrane oxygenators used during CPB could be another source of SARS-CoV-2 transmission, simple precautions like the vacuum suction or filtration should be recommended, until we assure it is not necessary.
A Comparison of Prothrombin Complex Concentrate and Recombinant Activated Factor VII for the Management of Bleeding With Cardiac Surgery
The results demonstrate feasibility of utilizing the minimum amount of drug in order to achieve a desired effect. Both 4-factor PCC and rFVIIa appear to be safe and effective options for the management of bleeding associated with cardiac surgery.
Universal Definition of Perioperative Bleeding in Cardiac Surgery Adults and Association with Mortality in A Mexican Cardiovascular Critical Care Unit
We found that the higher the degree in UDPB was associated with higher mortality independently to EuroScore II and CPB duration for adult patients undergoing cardiac surgery.
The Correlation Between Bowel Complications and Cardiac Surgery
The intention of this review is to identify which risk factors play important roles in predisposing patients to such complications and to gain better insight into the pathogenesis of the sequelae. Furthermore, strategies for prevention have been discussed to educate and increase awareness of how adverse cardiac surgical outcomes can be minimized.