Covid19 Acute Respiratory Distress Syndrome and Extra-Corporeal Membrane Oxygenation; A Mere Option or Ultimate Necessity
Herein, we chronicle a review encompassing the available evidence on ECMO and its potential role in COVID19 ARDS, as we aim for optimal patient care with appropriate resource utilization and conservation.
Pharmacokinetic Model for Cefuroxime Dosing During Cardiac Surgery Under Cardiopulmonary Bypass
Our model yielded an optimized CXM dosing regimen adapted to bodyweight and renal function, and sustaining therapeutic concentrations consistent with each desired threshold. The optimal target concentration and necessary duration of its maintenance in cardiac surgery still remain unclear.
Association Between Cardioplegia and Postoperative Atrial Fibrillation in Coronary Surgery
Warm cardioplegia may reduce the rate of POAF in CABG patients with respect to cold cardioplegia, either blood or crystalloid. This has a prognostic impact on postoperative stroke and neurological mortality.
Safety of Intravenous Heparin for Cardiac Surgery in Patients with Alpha-Gal Syndrome
Although alpha-gal is rare in patients undergoing cardiac surgery, there is up to a 50% risk of serious allergic reaction to heparin for cardiopulmonary bypass.
Routine Use of Del Nido Cardioplegia Compared With Blood Cardioplegia in All Types of Adult Cardiac Surgery Procedures
Routine use of DNC in all types of ACS procedures compared with BC was associated with significantly shorter CPB and clamp times, significantly lower postoperative troponin release, and shorter duration of inotropic support.
Serum Klotho as A Marker for Early Diagnosis of Acute Kidney Injury After Cardiac Surgery
Serum Klotho may be useful to discriminate between the patients at lower and the patients at higher risk of developing severe kidney injury after cardiac surgery using CPB already in the first hours after surgery.
A Nationwide Survey of Uk Cardiac Surgeons’ View on Clinical Decision Making During the Coronavirus Disease 2019 (Covid-19) Pandemic
In this unprecedented pandemic period, this survey provides information for generating interim recommendations until data from clinical observations become available.
Novel Choices of Cannula for Blood Delivery via Femoral Artery in Pediatric Patients
Therefore, we devised a combination of the JELCO IV catheter, an extension tube, and a three-way stopcock with a larger opening to obtain more flow rate keeping the CPB circuit pressure significantly lower than when using the Radifocus Introducer sheath successfully.
Development of an Electronic Medical Record for Extracorporeal Membrane Oxygenation and Its Role in a Multidisciplinary Team
We present a format for centers looking to implement a comprehensive EMR for ECMO patients. An expanding ECMO program required a change to our staffing model, and an EMR with electronic checklists and remote access facilitated the transition to a multidisciplinary team.
ECMO Membrane Lung Failure due to Hypertriglyceridemia: A Case Report and Review of the Literature
Hypertriglyceridemia should be suspected in patients with high transmembrane pressures and ML failure not attributable to thrombosis, and these patients may require frequent ML changes if a prolonged ECMO run is required.
Cognitive Impairment Prevalence and Impact on Quality of Life for Patients after Cardiac Surgery
Cognitive impairment is a common complication after cardiac surgery. It complicates not only the patient’s recovery and return to normal life, but also has a negative impact on quality of life.
Methemoglobinemia Unmasked by Use of Sodium Nitroprusside and Hypothermia in a Case of Chronic Thromboembolic Pulmonary Hypertension During Pulmonary Endarterectomy: A Case Report
In performing pulmonary endarterectomy (PEA) for a patient with chronic thromboembolic pulmonary hypertension (CTEPH), we encountered methemoglobinemia that was unmasked by hypothermia while on cardiopulmonary bypass.