Issues Regarding Anticoagulation Management in Cardiovascular Surgery (Video)
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Heart failure can be the result of a wide range of disorders, including coronary ischemic heart disease, myocardial diseases, and valvular heart disease. Specific treatments address the underlying pathophysiology of the disorder. By reviewing hemodynamic and pressure-volume relationships in disease, we can think about tailoring our therapy to the needs of the patient (46:14 minutes).
The uptake of isoflurane into blood via PMP oxygenators during CPB is severely limited. This should be taken into consideration in cases using such devices.
This study identified clinically significant hemodynamic variability between the different circulatory unloading techniques evaluated. However, the applicability of these techniques will vary with different patient disease etiology. Further studies on ECMO unloading will help to quantify hemodynamic benefits and establish treatment guidelines.