Multi-Modal Characterization of the Coagulopathy Associated With Extracorporeal Membrane Oxygenation
Therapy protocols for treating extracorporeal membrane oxygenation-associated coagulopathy should be further validated in large-scale prospective clinical investigations.
Hyperlactatemia: An Update on Postoperative Lactate
In patients with evidence of adequate perfusion, a type B component is often associated with a concomitant balanced (normal anion gap) metabolic acidosis and hyperglycemia. These patients will benefit from a more nuanced approach to their type B hyperlactatemia, as many will have a benign course and may be managed expectantly.
Factors Associated With Survival Following Extracorporeal Cardiopulmonary Resuscitation in Children
Efforts to improve systemic output before and after institution of ECPR might mitigate some of the significant risk factors for mortality.
Reduction in Coronary Artery Bypass Grafting Surgery Mortality and Morbidity during a 3-year Multicenter Quality Improvement Project
A significant and clinically meaningful 50% reduction in the observed/expected ratio for isolated coronary artery bypass grafting mortality was observed during a multifaceted quality improvement initiative across a large multicenter health care system.
Multicenter Study on Postcardiotomy Venoarterial Extracorporeal Membrane Oxygenation
Center experience with postcardiotomy venoarterial extracorporeal membrane oxygenation may contribute to improved results.
Single-dose Cardioplegia Protects Myocardium as well as Traditional Repetitive Dosing: A Noninferiority Randomized Study
A single dose of Custodiol histidine-tryptophan-ketoglutarate cardioplegia is not inferior to repeated cold-blood cardioplegia during elective cardiac surgery.
Implementation of a Specific Safety Check is Associated with Lower Postoperative Mortality in Cardiac Surgery
Application of a short preincision safety checklist in a mixed population of adult cardiac surgery patients is associated with significantly reduced 120-day mortality.
Results of the 2019 Survey on Perceptions of Vacancy and Turnover Among Perfusionists in the United States
This investigation explores differences in vacancy and turnover among different subgroups based on state, region, employer, practice size, and salary range.
Pre-Intubation Veno-Venous Extracorporeal Membrane Oxygenation in Patients at Risk for Respiratory Decompensation
Initiation of awake VV-ECMO is feasible and is safe before intubation and induction of anesthesia in patients at high risk for respiratory decompensation.
Establishment of an Enhanced Recovery after Surgery Protocol in Minimally Invasive Heart Valve Surgery
Our ERAS protocol is feasible and safe in minimally-invasive cardiac surgery setting and has a clear potential to improve patients outcome.
Clot Formation in Cardiopulmonary Bypass Circuit After Application of Factor XI Concentrate
This case highlights the challenges in the management of patients with FXI deficiency undergoing cardiac surgery and the need for a multidisciplinary approach. Caution is warranted when using FXI concentrate in this patient population.
PaO2 Greater than 300 mmHg Promotes an Inflammatory Response During Extracorporeal Circulation in a Rat Extracorporeal Membrane Oxygenation Model
These data demonstrate that it is better to avoid administration of too much oxygen during ECMO to attenuate lung injury linked to generation of superoxide and the systemic inflammatory response.