Hemodynamic Monitoring in Patients With Venoarterial Extracorporeal Membrane Oxygenation
This article provides an overview of VA-ECMO pathophysiology, and reviews current knowledge of hemodynamic monitoring assessments in patients with peripheral VA-ECMO.
Early Respiratory Outcomes Following Cardiac Surgery in Patients With COVID-19
Although early respiratory outcomes of asymptomatic COVID‐19 patients who underwent early cardiac surgery appeared to be satisfactory, compared to the propensity‐scored matched non‐COVID group, the postoperative outcomes were worse, especially in the ICU readmitted patients. We suggest postponing cardiac operations unless the patient requires emergency surgery.
Starch or Saline After Cardiac Surgery: A Double-Blinded Randomized Controlled Trial
This pragmatic double-blinded randomized controlled trial revealed a number of interesting hypothesis-generating trends and confirmed the feasibility of undertaking a logistically complex trial in a pragmatic fashion.
Risk Factors for Candidemia After Open Heart Surgery: Results From a Multicenter Case–Control Study
Previous broad-spectrum antibiotic therapy and high NYHA class were independent predictors of candidemia in cardiac surgery patients with prolonged postoperative intensive care unit stay.
Renal Outcome in Patients Undergoing Cardiac Surgery Using Cardiopulmonary Bypass
The main predictor of poor renal outcomes for cardiac surgery is preoperative creatinine. While other factors, such as age, gender, body mass index, cardiopulmonary bypass time, diabetes, hypertension, and dyslipidemia, did not show any risk to the postoperative renal outcome.
Alternative Technique of Long Acting Cardioplegia Delivery Results in Less Hemodilution
Besides the safe delivery of del-Nido cardioplegia, the National University Hospital Technique reduces hemodilution and provides other technical benefits including a steeper temperature gradient, modification of circuit configuration to deliver another cardioplegia while on bypass, as well as re-configuration of clamps to spike the base solution.
Regional Oxygen Saturation Change Rate for Detection of Leg Ischemia in Minimally Invasive Cardiac Surgery
ΔrSO2 measurement by near-infrared spectroscopy can facilitate distal leg perfusion monitoring and assist surgeons in preventing critical leg ischemia during minimally invasive cardiac surgery.
Preoperative Anemia Correction in Cardiac Surgery: A Propensity-Matched Study
Anemia correction before cardiac surgery is associated with a reduction in both the RBC transfusion rate and the amount of units transfused.
The Contact Activation System: Problems and Paradoxes for Cardiac Anesthesiologists
In searching for what might be a revolutionary way to manage CPB, understanding pathology of the contact activation system, such as HAE, represents a critically important point for cardiac anesthesiologists to consider.
Nitric Oxide Added to the Sweep Gas of the Oxygenator during Cardiopulmonary Bypass in Infants: A Pilot Randomized Controlled Trial
Nitric oxide added to the sweep gas of the oxygenator during CPB in infants did not have an appreciable effect on preservation of platelet count, platelet responsiveness to agonist, or clinical outcomes.
Toward Optimal Anticoagulation Monitoring During Cardiopulmonary Bypass: It Is Still A Tough “ACT”
A switch from ACT to anti-Xa monitoring cannot be recommended in cardiac surgery with CPB at the moment.
Machine Learning Models with Preoperative Risk Factors and Intraoperative Hypotension Parameters Predict Mortality After Cardiac Surgery
Machine learning models incorporating intraoperative adverse factors might offer better predictive ability for risk stratification and triaging of patients after cardiac surgery.