Yearly Archives: 2021

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The Safe Addition of Nitric Oxide into the Sweep Gas of the Extracorporeal Circuit during Cardiopulmonary Bypass and Extracorporeal Life…

Abstract Low cardiac output syndrome and the systemic inflammatory response are consequences of the cardiac surgical perioperative course. The mechanisms responsible are multifactorial, but recent studies have shown that nitric..

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Fetal circulation

The blood that flows through the fetus is actually more complicated than after the baby is born (). This is because the mother (the placenta) is doing the work that..

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Angelprotec critical care team.

With 28 years experiance.working worldwide. Inc india,cambodia,nepal,kenya. We give eight weeks free service.you supply flights and visa costs.we give up salary. We are happy to stay in hospital or if..

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Efficacy and cost-effectiveness of cell saver usage in the repair of thoracic aortic aneurysms and dissections

Abstract Introduction: A substantial amount of blood loss occurs during the open repair of aortic aneurysms or dissections. The aim of the present study is to determine the efficacy and..

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Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study

Abstract Background  For over a decade, the preoperative timeout procedure has been implemented in most paediatric surgery units. However, the impact of this intervention has not been systematically studied. This..

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Perioperative Cryoprecipitate Waste Reduction

Abstract Improvement of operating room efficiency regarding perioperative blood product transfusion is fundamental for surgical patients. The aim of this study was to 1) assess the use of cryoprecipitate in..

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Extracellular Vesicles in Autologous Cell Salvaged Blood in Orthopedic Surgery

  Abstract Background: Cell salvage is highly recommended in orthopedic surgery to avoid allogeneic transfusions. Preparational steps during cell salvage may induce extracellular vesicle (EV) formation with potential thrombogenic activity...

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Safety and Efficacy of Vasopressin After Fontan Completion: A Randomized Pilot Study

Take Home Points:    Vasopressin infusion after Fontan completion was associated with reduced transpulmonary gradient and chest tube drainage in the early postoperative period. A larger multi-institutional study will be..

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Acute kidney injury post‐heart transplant: An analysis of peri‐operative risk factors

Abstract Acute kidney injury is a common complication following heart transplantation, and the factors contributing to acute kidney injury are not well understood. We conducted a retrospective cohort study evaluating..

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Hematologic evaluation of cardiopulmonary bypass circuits prepared with a novel block copolymer

Abstract Background. To decrease the complications associated with cardiopulmonary bypass, novel biomaterials have been introduced that may be less thrombogenic than standard synthetic surfaces.   Methods. Thirty-four patients undergoing coronary..

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mDixon ECG-gated 3-dimensional cardiovascular magnetic resonance angiography in patients with congenital cardiovascular disease

Take Home Points: modified Dixon (mDixon) 3D cardiovascular magnetic resonance angiography (CMRA) demonstrates reduced artefact burden and better delineation of head and neck vessels as well as pulmonary veins compared..

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Une première pour le CHU : un cœur qui bat, hors de tout corps

  De battre le cœur a continué. Le 26 mars 2021, les équipes de chirurgie cardiaque et d’anesthésie-réanimation du CHU de Rennes ont réalisé une transplantation cardiaque d’un genre nouveau..

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A cardiopulmonary bypass strategy to support a patient with vein of Galen malformation

Abstract We present a dissection of the patent ductus arteriosus and pulmonary artery for surgical repair utilising cardiopulmonary bypass in the setting of vein of Galen malformation. Several strategies were..

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The Effect of Priming Solutions and Storage Time on Plasticizer Migration in Different PVC Tubing Types—Implications for Wet Storage of…

Abstract The wet priming of extracorporeal membrane oxygenation systems and storage of these systems for rapid deployment is common practice in many clinical centers. This storage policy is, however, seen..

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Long‐term renal function after venoarterial extracorporeal membrane oxygenation

Abstract Background The utilization of venoarterial extracorporeal membrane oxygenation (VA‐ECMO) as a life‐supporting therapy has increased exponentially over the last decade. As more patients receive and survive ECMO, there are..

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Volatile and Intravenous Anesthetics for Brain Protection in Cardiac Surgery: Does the Choice of Anesthesia Matter?

Abstract Postoperative neurologic complications have a significant effect on morbidity, mortality, and long-term disability in patients undergoing cardiac surgery. The etiology of brain injury in patients undergoing cardiac surgery is..

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Simultaneous Mitral Valve Repair and Pectus Excavatum Correction

The authors present a case of mitral valve (MV) repair combined with pectus excavatum repair in a highly symptomatic 28-year-old woman. Her preoperative transesophageal (TEE) echo showed severe mitral insufficiency,..

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Minimally Invasive CABG Combined With Mitral Valve Repair and Left Ventricle Aneurysm Repair Through Left Anterior Thoracotomy

A 53-year-old man was admitted with a two-month history of anterior myocardial infarction, congestive heart failure, and a New York Heart Association III classification. Echocardiography showed severe mitral insufficiency (Carpentier..

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Subaortic Stenosis Resection Via Right Axillary Minithoracotomy

The patient was a 6-year-old boy with no symptoms and a finding of a systolic heart murmur on the left sternal border on a routine examination. Echocardiogram showed left ventricular..

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Minimally Invasive ToF Repair in Adult Patient

This video demonstrates a case report of a 33-year-old man diagnosed with Tetralogy of Fallot (ToF). He had progressive exertional dyspnea with oxygen saturation 91% and NYHA class II-III. The..

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Left Ventricle Pseudoaneurysm Repair and CABG Through the Left Anterior Minithoracotomy

We are presenting the case of minimally invasive repair of large left ventricle inferior pseudoaneurysm and concomitant CABG procedure. The patient was a 63-year-old man who presented with shortness of..

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TNOC 2019: The Physiology of Fluid Management Maintaining Colloid Oncotic Pressure (COP) on CPB

Keith Samolyk, CCP discusses the physiology of fluid management and the importance of maintaining Colloid Oncotic Pressure (COP).   

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TNOC 2019: Fluid, Volume, and Blood Management A multidisciplinary approach to autologous blood

Fluid, Volume, and Blood Management. A multidisciplinary approach to autologous blood.  

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Hemoadsorption eliminates remdesivir from the circulation: Implications for the treatment of COVID‐19

Abstract Both antiviral treatment with remdesivir and hemoadsorption using a CytoSorb® adsorption device are applied in the treatment of severe COVID‐19. The CytoSorb® adsorber consists of porous polymer beads that adsorb a..

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Hypercoagulopathy, acquired coagulation disorders and anticoagulation before, during and after extracorporeal membrane oxygenation in COVID-19: a case series.

Abstract Background: Thromboembolism and bleeding contribute to Coronavirus disease 2019 (COVID-19)’s morbidity and mortality and are also frequent complications of venovenous extracorporeal membrane oxygenation (vvECMO). As the interaction of the..

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Fraction of expired oxygen: an additional safety approach to monitor oxygen delivery to the heart lung machine oxygenator.

Abstract Background: Monitoring oxygen delivery to the oxygenator of a heart lung machine (HLM) is typically accomplished with an O2 analyzer connected to the gas inflow line. It is assumed when..

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Heparin-Free Lung Transplantation on Venovenous Extracorporeal Membrane Oxygenation Bridge.

Abstract Extracorporeal membrane oxygenation (ECMO) bridge to lung transplantation (LuTX) exposes the patients to a high risk of perioperative bleeding secondary to systemic anticoagulation and coagulation factors deficiency. With this..

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Cardiac surgery outcome during the COVID-19 pandemic: a retrospective review of the early experience in nine UK centres.

Abstract Background Early studies conclude patients with Covid-19 have a high risk of death, but no studies specifically explore cardiac surgery outcome. We investigate UK cardiac surgery outcomes during the..

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Modern practice and outcomes of reoperative cardiac surgery.

Abstract Objectives To evaluate recent practice and outcomes of reoperative cardiac surgery via re-sternotomy. Use of early versus late institution of cardiopulmonary bypass (CPB) before sternal re-entry was of particular..

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Different mechanisms of oxygenator failure and high plasma von Willebrand factor antigen influence success and survival of venovenous extracorporeal membrane…

Abstract Objective Failure of membrane oxygenator (MO) function of venovenous extracorporeal membrane oxygenators (VV ECMO) remains problematic. The development of device-induced coagulation disorder (COD) or worsened gas transfer (WGT) necessitates..

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