Real-Time PCR, The Best Approaches for Rapid Testing for Mycobacterium Chimaera Detection in Heater Cooler Units and Extracorporeal Membrane Oxygenation.
In conclusion, this study introduces novel PMA-PCR designed to specifically detect M. chimaera in HCUs and ECMO devices; this method can replace the culture method for continuous microbiological surveillance.
The Effect of Levosimendan On Postoperative Bleeding and Blood Transfusion in Cardiac Surgical Patients: A PRISMA-Compliant Systematic Review and Meta-Analysis
This meta-analysis suggested that, peri-operative administration of LEVO was not associated with increased risks of post-operative bleeding and blood transfusion requirement in cardiac surgical patients.
Myocardial Protection in Cardiac Surgery: Del Nido Versus Blood Cardioplegia
DNC provides equivalent myocardial protection, efficacy, and surgical workflow and had comparable clinical outcomes to that of BC. This study shows that DNC is a safe alternate to BC in CABG and valve surgeries.
Cardiothoracic Surgery During COVID-19: Our Experience with Different Strategies
All asymptomatic patients should be tested for COVID-19 using RT-PCR prior to cardio-thoracic surgeries not only to contain the disease but to avoid potential implications of COVID-19 on the perioperative course, without added financial implications.
Daytime-Dependent Cardioprotection in Cardiac Surgery: A Large Propensity-matched Cohort Study
In this large cohort study of Danish patients, who underwent either aortic valve replacement and/or coronary artery bypass grafting, the study identified no clinically relevant biorhythm for myocardial ischemia-reperfusion tolerance.
The Adult Cardiac Anesthesiology Section of STS Adult Cardiac Surgery Database: 2020 Update on Quality and Outcomes
The goal of this landmark collaboration is to advance clinical care, quality, and knowledge, and to demonstrate the value of cardiac anesthesiology in the perioperative care of cardiac surgical patients.
Peripheral Versus Central Extracorporeal Membrane Oxygenation for Postcardiotomy Shock: Multicenter Registry, Systematic Review, And Meta-Analysis
In patients with postcardiotomy shock treated with VA-ECMO, central cannulation was associated with greater in-hospital mortality than peripheral cannulation.
COVID-19: Scientific Reasoning, Pragmatism and Emotional Bias
We are left with the same conclusion: to prove and disprove something is the basis of scientific progress. It is possible, then, that future data will disprove the non-existence of spontaneously induced lung injury or prove the tragic consequences of ignoring it.
Prophylactic Corticosteroids for Paediatric Heart Surgery with Cardiopulmonary Bypass
Corticosteroids probably do not change the risk of mortality for children having heart surgery using CPB at any time point. They probably reduce the duration of postoperative ventilation in this context, but have little or no effect on the total length of postoperative ICU stay or total postoperative hospital stay.
Microplegia In Cardiac Surgery: Systematic Review and Meta-Analysis
Microplegia has similar effects to other types of cardioplegia and is beneficial with regard to spontaneous return of heartbeat, inotropic support, ICU stay, and CK‐MB release.
Intraoperative Red Blood Cell Salvage in Posterior Spinal Fusions for Idiopathic Scoliosis: Identifying Potential Criteria for Selective Use
The use of ICS in IS patients undergoing PSF resulted in the return of > / = 250 cc of ICS blood (similar volume to one allogeneic unit) in only 6.5% of cases. Charges for ICS set-up and processing of one bowl of ICS is much higher than for one allogeneic unit ($1200 vs. $462 US), hence transfusing lower volumes of autologous ICS blood is not cost-effective for all PSF for IS.
COVID-19 Safety: Aerosol-Generating Procedures and Cardiothoracic Surgery and Anaesthesia – Australian And New Zealand Consensus Statement
This statement reflects changes in management based on expert opinion, national guidelines and available evidence. Our knowledge with regard to COVID‐19 continues to evolve and with this, guidance may change and develop. Our colleagues are urged to follow national guidelines and institutional recommendations regarding best practices to protect their patients and themselves.