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.
Primary Isolated CABG Restrictive Blood Transfusion Protocol Reduces Transfusions and Length of Stay
A restrictive transfusion protocol reduced blood transfusions and postoperative length of stay without adversely affecting outcomes following isolated primary CABG.
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.
Influenza Vaccination Blunts the Inflammatory Response in Patients Undergoing Cardiopulmonary Bypass
Influenza vaccination attenuates the inflammatory response to CPB as reflected by a reduction in the level of troponin and pro-inflammatory mediators and an increase in the anti-inflammatory cytokine interleukin-10.
Multicenter International Survey on Cardiopulmonary Bypass Perfusion Practices in Adult Cardiac Surgery
This international CPB survey revealed that techniques for optimization of pump flow and oxygenation during CPB usually were applied.
Aortic Cannula Tip Dislodgement: A Rare Complication
This is a rare complication which none of us were expecting. By prechecking the various components of the cardiopulmonary bypass circuit, this complication was expected to be avoided.