Using Machine Learning to Predict Acute Kidney Injury After Aortic Arch Surgery
Machine learning methods were found to predict AKI after aortic arch surgery significantly better than traditional logistic regression.
Sterility and Performance of Open and Closed Extracorporeal Circuits After Long-Term Dry-Wet Setups
There was no observed compromise to the sterility of the circuits and no clinically significant gas exchange abnormalities observed over the duration of the study period.
Determinants of Hospital Variability in Perioperative Red Blood Cell Transfusions During Coronary Artery Bypass Graft Surgery
The results suggest that variation in center-level red blood cells transfusion cannot be explained by patient and procedural factors alone. Investigating organizational culture and programmatic infrastructure may be necessary to better understand variation in transfusion practices.
The Evolving Role of the Modern Perfusionist: Insights from Transesophageal Echocardiography
Transesophageal echocardiography may serve the clinical perfusionist by providing imaging guidance for identifying potential problems before cardiopulmonary bypass, guiding the proper placement of cannulas, monitoring cardiac performance on cardiopulmonary bypass, and providing useful feedback during weaning from cardiopulmonary bypass.
Impact of Different Cardiopulmonary Bypass Strategies on Renal Injury after Pediatric Heart Surgery
In this contemporary comparative study, higher flow rates and higher hematocrit during cardiopulmonary bypass were associated with better preservation of renal function.
Warm Blood Cardioplegia for Myocardial Protection: Concepts and Controversies
This review describes the physiologic basis for warm blood cardioplegia in adult cardiac surgery and outlines the current basic and clinical research that evaluates the usefulness of this technique when compared with cold blood and crystalloid cardioplegia.
Clinical and Operative Determinants of Acute Kidney Injury after Cardiac Surgery
Use of minimally invasive surgery and therapies mitigating PSPAP and intraoperative blood loss may offer protection against CSA-AKI.
Extracorporeal Life Support Organization Coronavirus Disease 2019 Interim Guidelines: A Consensus Document from an International Group of Interdisciplinary Extracorporeal Membrane Oxygenation Providers
These guidelines are not meant to replace sound clinical judgment or specialist consultation but rather to strengthen provision and clinical management of ECMO specifically, in the context of the COVID-19 pandemic.
Association Between Transfusion of Blood Products and Acute Kidney Injury Following Cardiac Surgery
Transfusion of all blood products in a dose‐dependent manner increased the risk for AKI. However, in multivariate analysis combining all blood products, only red blood cell transfusion remained significantly associated with AKI development.
A 0.6-Protamine/Heparin Ratio in Cardiac Surgery is Associated with Decreased Transfusion of Blood Products
A 0.6/1-protamine/heparin ratio after weaning from CPB is associated with a significantly reduced 12-h postoperative blood loss and blood components transfusion.
Is There a “Safe” Suction Pressure in the Venous Line of Extracorporeal Circulation System?
The gaseous cavitation in centrifugal pumps is a phenomenon that appears with decreasing inlet pump pressures.
Risk Factors for Agitation and Hyperactive Delirium in Adult Postcardiotomy Patients with Extracorporeal Membrane Oxygenation Support: an Observational Study
Our results suggest that the prevalence of agitation and hyperactive delirium in postcardiotomy patients with extracorporeal membrane oxygenation support is high. In addition, previous stroke and severe mean arterial pressure reduction before extracorporeal membrane oxygenation initiation is predictive of agitation and hyperactive delirium.