Archivos mensuales: mayo2021

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Impact of cardiopulmonary bypass and surgical complexity on plasma soluble urokinase-type plasminogen activator receptor levels after cardiac surgery

Abstract Background Circulating soluble urokinase plasminogen activator receptor (suPAR) is a marker of inflammation with prognostic value for elevated risk of morbidity and mortality. It has not yet been shown..

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Incidence of postoperative pulmonary complications in patients undergoing minimally invasive versus median sternotomy valve surgery: propensity score matching

Abstract Objective Postoperative pulmonary complications (PPCs) are common incidents associated with an increased hospital stay, readmissions into the intensive care unit (ICU), increased costs, and mortality after cardiac surgery. Our..

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Anesthetic Management of Successful Extracorporeal Resuscitation After Six Hours of Cardiac Arrest Due to Severe Accidental Hypothermia

Abstract Accidental hypothermia (AH) in Mediterranean countries often is underestimated. AH should be suspected in patients also in moderate climates throughout all seasons. Compared with other countries, the mortality rate..

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Antifibrinolytic Drugs for the Prevention of Bleeding in Pediatric Cardiac Surgery on Cardiopulmonary Bypass: A Systematic Review and Meta-analysis

Abstract BACKGROUND:  Bleeding is one of the commonest complications affecting children undergoing cardiac surgery on cardiopulmonary bypass. Antifibrinolytic drugs are part of a multifaceted approach aimed at reducing bleeding, though..

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Mechanisms of Blood pH Changes in Venovenous Extracorporeal Membrane Systems

Abstract An equilibrium model was developed to understand interrelated, physicochemical mechanisms leading to blood pH and electrolyte distribution changes in patients because of venovenous extracorporeal membrane oxygenation (ECMO) and carbon..

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Perfusion in Canada

The Michener Institute of Education at UHN The Ontario Ministry of Colleges and Universities has granted consent to The Michener Institute of Education at UHN to offer a Master of..

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Electrophysiological Manifestations of Cardiac Amyloidosis

Abstract Cardiac amyloidosis (CA) is an infiltrative cardiomyopathy caused by the extracellular deposition of amyloid fibrils in the myocardium. Although cardiac amyloidosis patients primarily present with heart failure symptoms, arrhythmias..

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REVISÃO DE FISIOLOGIA - Webinar18

Aula de revisão de fisiologia e dicas de estudos para quem for fazer processo seletivo para perfusão. Prof. Elio Carvalho é Biomédico, Microbiologista e Perfusionista pela Unicamp, CLAP e SBCEC...

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CABG off pump reoperation

A to Z step of redo sternotomy without femoral artery and vein cannulation for patient with previous CABG and occlusion of grafts who is not candidate for stent as you..

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Sternum opening in patient REOP, CABG off pump

In this video you can see how to release post table of sternum from adhesions in mediastinal areas impeding injury to great vessels.  Dr.Sam Zeraatian Nejad Davani, CEO of rockingham..

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Fast-Track Arterial Switch Operation

This is the case of a 3. 3 kg, male neonate who was born with a prenatal diagnosis of dextro-transposition of the great arteries (d-TGA) and an intact ventricular septum...

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Da Silva Cone Operation After Starnes Procedure for Ebstein's Anomaly

Severe neonatal Ebstein's Anomaly can present a surgical challenge, and the advent of the Starnes procedure has improved survival in these critically ill neonates. Importantly, however; this does not commit..

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Ischemic VSD Repair With Transapical Mitral Valve Replacement

The development of ischemic ventricular septal rupture is an uncommon but frequently fatal complication. Mortality with medical treatment only is extremely high. Septal rupture results in a left-to-right shunt, with..

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Transfusion strategies in bleeding critically ill adults: a clinical practice guideline from the European Society of Intensive Care Medicine

Abstract Purpose To develop evidence-based clinical practice recommendations regarding transfusion practices and transfusion in bleeding critically ill adults. Methods A taskforce involving 15 international experts and 2 methodologists used the..

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Commentary: Strategic surgery to type A dissection: A bird in the hand or 2 in the bush?

Abstract Congratulations to the authors. Uchida and colleagues show that in the setting of acute type A aortic dissection mortality for both a limited strategy of replacing the ascending aorta..

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Residual Lesion Diagnostics in Pediatric Postcardiotomy Extracorporeal Membrane Oxygenation and Its Outcomes

Abstract Background: To assess the impact of diagnostic procedures in identifying residual lesions during extracorporeal membrane oxygenation (ECMO) on survival after pediatric cardiac surgery. Methods: Between January 2012 and December..

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Use of CytoSorb in infectious hemolytic uremic syndrome with acute renal failure due to urosepsis following urinary tract infection

This case reports on a 76-year-old male patient who was admitted to Emden Hospital by ambulance due to progressive deterioration in his general condition accompanied by loss of strength and..

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Rotary Blood Pump Control Strategy for Preventing Left Ventricular Suction

Abstract The risk for left ventricular (LV) suction while maintaining adequate perfusion over a range of physiologic conditions during continuous flow LV assist device (LVAD) support is a significant clinical..

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Nitrogen Oxide-Added Extracorporeal Membrane Oxygenation for Treating Critical Acute Heart Failure after Cardiac Surgery

Abstract The aim of the study was to test the use of gaseous nitric oxide added to the extracorporeal membrane oxygenation (ECMO) system for treating critical acute heart failure after..

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Strategies to Prevent Acute Kidney Injury after Pediatric Cardiac Surgery

Abstract Background and objectives AKI is a common complication after pediatric cardiac surgery and has been associated with higher morbidity and mortality. We aimed to compare the efficacy of available pharmacologic..

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Mechanical Blood-Immersed Bearings in Continuous-Flow Rotary Blood Pumps

Abstract Mechanical blood-immersed bearings have been used in many continuous-flow rotary blood pumps to reduce friction between relatively moving parts, but their use has been associated with a significant incidence..

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Validation of Numerically Predicted Shear Stress-dependent Dissipative Losses Within a Rotary Blood Pump

Abstract Computational fluid dynamics find widespread application in the development of rotary blood pumps (RBPs). Yet, corresponding simulations rely on shear stress computations that are afflicted with limited resolution while..

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Comparison of Microplegia Solution and Del Nido Cardioplegia Solution in Coronary Artery Bypass Grafting Surgery: Which One is More Effective?

Abstract Background: The aim of this study is to compare the efficacy of the microplegia solution and Del Nido cardioplegia solution in coronary artery bypass surgery with clinical, biochemical, and..

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The Effect of Low Dose Ketamine Infusion versus Low Dose Dexmedetomidine Infusion on Stress Responses in Coronary Artery Bypass Graft…

Abstract Background In cardiac surgery, the extent of systemic inflammatory response is closely Mobile associated with patient’s outcome. A systemic inflammatory response syndrome (SIRS) may develop after operations using cardiopulmonary..

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Predictors and Outcomes of Coronary Artery Bypass Grafting: A Systematic and Untargeted Analysis of More Than 120,000 Individuals and 1,300…

Abstract Objective To perform an untargeted data-driven analysis on the correlates and outcomes of  (CABG). Design FinnGen . Setting The authors collected information on up to 1,327 disease traits before and after..

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The impact of del Nido cardioplegia solution on blood morphology parameters

Abstract Background: Crystalloid cardioplegic solutions are believed to reduce hemoglobin significantly and increase the transfusion rate. However, recent reports indicate that the del Nido cardioplegia may preserve blood morphology parameters...

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Bi-Caval Dual Lumen Catheter for Pediatric Patients Undergoing Venovenous Extracorporeal Membrane Oxygenation

Abstract An 11-year-old female patient was admitted to a pediatric intensive care unit for the treatment of acute respiratory distress syndrome (ARDS). She had received peripheral blood stem cell transplantation..

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Interrelations of Intraoperative Changes in Cerebral Tissue Oxygen Saturation with Brain Volumes and Neurodevelopment Outcome After the Comprehensive Stage II…

Abstract Objectives The monitoring of cerebral tissue oxygen saturation by near-infrared spectroscopy (ScerebO2) is used widely in pediatric cardiac anesthesia. However, little information is available on the effects of changes..

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Management and Outcomes of Cardiogenic Shock in Cardiac ICUs With Versus Without Shock Teams

Abstract Background Single-center studies suggest that implementation of multidisciplinary  (CS) teams is associated with improved CS survival. Objectives The aim was to characterize practice patterns and outcomes in the management of..

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EuroELSO Webinar: Anticoagulation monitoring on ECMO in neonates and children: moving target

  EuroELSO Webinar on 30 March 2021 Topic: Anticoagulation monitoring on ECMO in neonates and children: moving target - anti Xa over ACT & APTT.   Introduction, moderation & closing..

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