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Early Versus Late Initiation of Renal Replacement Therapy Impacts Mortality in Patients with Acute Kidney Injury Post Cardiac Surgery: A Meta-Analysis
Acute kidney injury (AKI) is a common clinical complication of cardiac surgery and increases mortality and hospitalization. We aimed to explore and perform an updated meta-analysis of qualitative and quantitative evaluations of the relationship between early renal replacement therapy (RRT) and mortality.
Weaning from Cardiopulmonary Bypass, Decannulation, and Closure
Although thoracotomy or newer, less-invasive options such as peripheral cannulation are being used more frequently for minimally invasive cardiac surgery, surgical access through a median sternotomy and central cannulation remain the cornerstones of cardiac surgery and residency training. It is of utmost importance to wean the patient properly from cardiopulmonary bypass (CPB). This video tutorial discusses weaning the patient from CPB, decannulation, and closure of the sternotomy, and describes the safeguards and pitfalls of weaning from CPB.
Is Extracorporeal Membrane Oxygenator a New Weapon to Improve Prognosis in Patients With Profound Cardiogenic Shock Undergoing Primary Percutaneous Coronary Intervention
In this review, we describe and interpret the potential role of circulatory mechanical support by extracorporeal membrane oxygenator (ECMO) in the setting of acute myocardial infarction (AMI) complicated by profound cardiogenic shock (CS) for improving clinical outcomes.
