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Correlating Oxygen Delivery on Cardiopulmonary Bypass with Society of Thoracic Surgeons Outcomes Following Cardiac Surgery
Low DO2 on bypass may be associated with morbidity/mortality following cardiac surgery, particularly in patients undergoing nonisolated CABG. These results underscore the importance of goal-directed perfusion strategies.
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Preoperative Evaluation and Anesthetic Management of Patients with Liver Cirrhosis Undergoing Cardiac Surgery
Accurately classifying the extent of liver disease, preoperative optimization, and surgical risk communication with the patient are crucial. In addition, all teams involved in the surgery should communicate openly and coordinate in order to ensure optimal care. To reduce perioperative complications, consider using off-pump cardiopulmonary bypass techniques and optimal perfusion modalities to mimic current physiologic conditions.
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Femoral Cannulation is Safe for Type A Dissection Repair
Straight femoral cannulation for all phases of type A dissection repair is appropriate and yields excellent clinical results. The anticipated malperfusion events are actually rare (2 of 79 with femoral artery cannulation, or 2.5%).
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