Unusual Complication of a Right Ventricular Support–Extracorporeal Membrane Oxygenation Cannula
The RVS-ECMO cannula was repositioned at the time of catheterization. The patient remained hemodynamically stable without cardiac complaints. He subsequently underwent a successful lung transplant.
Blood Transfusion Trends by Disease Category in The United States, 2000 to 2014
Blood transfusion rates decreased from 2011 to 2014 in the United States. This decline occurred in most disease categories, which points towards broad strategies like patient blood management systems and disease specific improvements like changes in surgical techniques being effective.
The International Society for Minimally Invasive Cardiothoracic Surgery Expert Consensus Statement on Transcatheter and Surgical Aortic Valve Replacement in Low- and Intermediate-Risk Patients: A Meta-Analysis of Randomized and Propensity-Matched Studies
In RCTs comparing TAVR and SAVR in low-risk patients, early mortality and stroke were lower in TAVR, but did not differ at 1 year. There was no difference in mortality and stroke in intermediate-risk patients. The Multidisciplinary Heart Team must consider individual patient characteristics and preferences when recommending TAVR or SAVR. The decision must consider the long-term management of each patient’s aortic valve disease.
Malaria and the Heart: JACC State-of-the-Art Review
Although there is a paucity of data regarding cardiac manifestations of malaria, an algorithm for appropriate use of diagnostic tools to assess cardiac involvement has been developed in this paper. Furthermore, it is important to note that typical antimalarial treatment regimens can have fatal cardiac side-effects.
Effect of Hematocrit on the CO2 Removal Rate of Artificial Lungs
In conclusion, the hematocrit level significantly affects vCO2 and should be taken into account when interpreting changes in the vCO2 of an ECCO2R device.
Improving Hemocompatibility: How Can Smart Surfaces Direct Blood To Fight against Thrombi
Our work demonstrates the first report of a coating that self-regulates its fibrinolytic activity depending on the conditions of blood.
Intraoperative Cell Salvage
By reading this article you should be able to: •Discuss why it may be beneficial to avoid allogeneic (donor) transfusion. •List the benefits that intraoperative cell salvage (ICS) can provide. •Identify when ICS usage is both appropriate and safe. •Explain the complications of ICS. •Describe areas of controversy relating to the use of ICS.
Computer Vision in the Operating Room: Opportunities and Caveats
Leveraging computer vision approaches through interdisciplinary collaboration and advanced approaches to data acquisition, modeling, interpretation, and integration promises a powerful impact on patient safety, public health, and financial costs.
Viscoelastic Coagulation Monitor as a Novel Device to Assess Coagulation at the Bedside. A Single-Center Experience During the COVID-19 Pandemic
In conclusion, VCM provided reliable results in COVID-19 patients and was easy to perform with minimal training at the bedside.
Impact of Single versus Double Clamp Technique on Blood Lactate Levels and Postoperative Complications in Coronary Artery Bypass Surgery
CPB time, cross-clamp time and numbers of proximal saphenous graft and distal anastomosis showed a significant positive correlation with the postoperative lactate level. In the regression analysis, CPB time emerged as the only independent predictor of PHL (OR 1.04, CI 95% 1.01-1.07, P=0.011). There was no difference in postoperative blood lactate levels between SCT and DCT groups.
Cardiopulmonary Bypass Preparation Is Mandatory in Cardiac Exploration for Blunt Cardiac Injury Patients
This report introduces how such decision was made based on what supporting evidence and the diagnostic process leading to the initiation of surgical intervention. This report may help with decision-making process when confronted by blunt cardiac injury patients who need cardiac exploration.
Feasibility of Healthcare Providers’ Autonomic Activation Recognition in Real-Life Cardiac Surgery Using Noninvasive Sensors
This work supports the possibility to detect real-time SNS activation, which could enable interventions to proactively mitigate errors. Additional studies on our large database of surgical cases are underway to confirm this observation.