Low Tidal Volumes Are Associated With Slightly Improved Oxygenation in Patients Having Cardiac Surgery
Lower time-weighted average intraoperative tidal volumes were associated with a very modest improvement in postoperative oxygenation in patients having cardiac surgery.
Comparison of Heat Monitoring-Based Myocardial Protection Strategy with Classic Myocardial Protection Method in Isolated Coronary Artery Bypass Surgery Patients
Our results show that there is no difference between temperature-based myocardial protection strategy with conventional intermittent cardioplegia delivery.
Efficacy of Unilateral Cerebral Perfusion for Brain Protection in Aortic Arch Surgery
Unilateral cerebral perfusion performed in the described conditions is highly effective for cerebral protection in aortic arch surgery.
Liraglutide for Perioperative Management of Hyperglycaemia in Cardiac Surgery Patients: a Multicentre Randomized Superiority Trial
Preoperative liraglutide, compared with placebo, reduces insulin requirements while improving perioperative glycaemic control during cardiac surgery.
Sustained High-dose Thiamine Supplementation in High-risk Cardiac Patients Undergoing Cardiopulmonary Bypass: A Pilot Feasibility Study (The APPLY trial)
A double-blind trial of sustained high-dose intravenous thiamine supplementation in higher-risk cardiac surgery patients was feasible and appeared to be safe. However, such treatment did not demonstrate evidence of biological or physiological effects.
Safety of Custodiol Cardioplegia: a Cohort Study in Patients Undergoing Cardiac Surgery with Elongated Aortic Cross-Clamp Time
Custodiol is a safe method of myocardial protection for patients who underwent mitral valve surgery with coronary artery bypass grafting in our hospital.
Are Serum Potassium and Magnesium Levels Associated with Atrial Fibrillation After Cardiac Surgery?
Maintaining a serum potassium concentration ≥4.5 mmol/L after cardiac surgery may reduce the incidence of postoperative AF. Magnesium supplementation was associated with an increased risk of postoperative AF.
Maximizing the Impact of Surgical Health Services Research The Methodology Toolbox
This series will help with research and eventually helps our profession and most of all, the patients we serve.
Strategies to Minimize Intraoperative Blood Loss During Major Surgery
Reducing perioperative blood loss requires a multimodal and multidisciplinary approach. Although high‐quality evidence exists in certain areas, the overall evidence base for reducing intraoperative blood loss remains limited.
Preoperative Intravenous Iron Before Cardiac Surgery: a Prospective Multicentre Feasibility Study
The development of an intravenous iron pathway is feasible but appears limited to selected high-risk cardiac patients in routine NHS practise. Although intravenous iron increased [Hb], there is a need for an appropriately powered clinical trial to assess the clinical effect of intravenous iron on patient-centred outcomes.
TEG Platelet Mapping and Impedance Aggregometry to Predict Platelet Transfusion During Cardiopulmonary Bypass in Pediatric Patients
TEG-PM ADP may provide more clinically relevant information regarding platelet function compared to the MEIA at the ADP receptor in children requiring cardiopulmonary bypass.
Effects of Milrinone on Renal Perfusion, Filtration and Oxygenation in Patients with Acute Heart Failure and Low Cardiac Output Early After Cardiac Surgery
In patients with acute heart failure after weaning from CPB, the milrinone-induced increase in cardiac output was accompanied by improved renal oxygenation.