Yearly Archives: 2021

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John Ingram, CCP lectures and discusses how organs interact with each other with hormonal signals.  

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How ECMO contributes to maintaining kidney dysfunction and casually participates in the development of AKI (Acute Kidney Injury).      

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Super lecture and discussion around management of the Critical Care Unit patient.  Common problems if the ICU patient.  What is the role of the CRRT (Continuous Renal Replacement Therapy).   

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Joe Basha, CCP and Minh Tran, CCP review what Continuous Veno-Venous Hemofiltration (CVVH) is and the differences between CVVH and Intermittent Hemodialysis (IHD).  Also described are the differences in diffusive..

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Nathan Bedair, CCP and Joe Basha, CCP take a deeper look at Continuous Veno-Venous Hemofiltration and examine the advantages of CVVH over Intermittent Hemodialysis for the removal of pro-inflammatory mediators..

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Renal Function, AKI, and Fluid Balance for the Perfusionist - 2.0  

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Renal Function, AKI, and Fluid Balance for the perfusionist.  

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Summary The COVID-19 pandemic strained health-care systems throughout the world. For some, available medical resources could not meet the increased demand and rationing was ultimately required. Hospitals and governments often..

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The COVID-19 pandemic has raised challenging questions about the rationing of intensive care unit (ICU) beds, mechanical ventilators, and extracorporeal membrane oxygenation (ECMO).    Experts have recommended that ECMO be..

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Caso clínico   Paciente mujer de 2 años diagnosticada con doble salida del ventrículo derecho.   En los monitoreos de control, la paciente presentó signos y síntomas de hipoxemia: agitación,..

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Abstract Introduction: Use of bilateral internal thoracic artery (BITA) as graft in coronary artery bypass grafting (CABG) is controversial because it is related to higher in-hospital mortality, incidence of sternal..

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Abstract Carotid artery stenosis (CAS) and vertebral artery stenosis (VAS) are associated with cerebral infarction after cardiopulmonary bypass (CPB). We read with great interest the article “Cerebral Lesions in Patients..

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Abstract Introduction: Stroke is a complication that causes considerable morbidity and mortality during the heart surgery postoperative period (incidence: 1.3 to 5%; mortality: 13 to 41%). Models for assessing the..

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Abstract Atrial septal aneurysm (ASA) is an uncommon but wellrecognized cardiac abnormality. This educational text reviews the case of a 54-year-old female presenting an ASA related to a small ostium..

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Abstract OBJECTIVES:  With evidence of benefits of pediatric palliative care (PPC) integration, we sought to characterize subspecialty PPC referral patterns and end of life (EOL) care in pediatric advanced heart..

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Abstract A 32-month-old girl with patent ductus arteriosus, false tendon of left ventricle, mild pulmonary hypertension, and chronic cardiac insufficiency (cardiac function level I-II) was misdiagnosed with Marfan Syndrome and..

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Abstract Background: Heparin is the widely used anti-coagulation strategy for patients on extracorporeal membrane oxygenation (ECMO). Nevertheless, heparin-induced thrombocytopenia (HIT) and acquired anti-thrombin (AT) deficiency preclude the use of heparin..

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Abstract Background: Early warning systems that utilize dense physiologic data and machine learning may aid prediction of decompensation after congenital heart surgery (CHS). The Compensatory Reserve Index (CRI) analyzes changing..

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Abstract Minimally invasive extracorporeal technologies (MiECT) are in great expansion in the literature and have an impact in adult cardiac surgery, however, a future challenge will be to expand MiECT..

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Abstract Introduction: We aimed to present the risk factors, clinical and laboratory findings, treatment management, and risk factors for morbidity and mortality of infective endocarditis (IE) as well as to relate..

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Abstract Introduction: In this study, we aimed to compare Del Nido cardioplegia (DNC) with blood cardioplegia (BC) in aortic valve replacement. Methods: A two-year single-institute retrospective cohort study was accomplished...

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Abstract Objective: To review the evidence behind the role and relevance of redo coronary artery bypass grafting (CABG) in the current practice of percutaneous coronary intervention (PCI). Methods: A comprehensive..

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Abstract This is an updated, comprehensive and practical guideline for healthcare providers providing care to children and young adults with pulmonary hypertension (PH) and pulmonary vascular disease (PVD). Methodology included..

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Abstract Intra-operative autologous blood donation is a blood conservation technique with limited evidence. We evaluated the association between intra-operative autologous blood donation and decrease in peri-operative transfusion in cardiovascular surgery..

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Abstract We read with great interest the paper by Duncan et al. on the effect of hydroxyethyl starch (HES) on kidney and haemostatic function in cardiac surgical patients []. In their..

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Abstract Background In this study, the effects of pulsatile and non-pulsatile on-pump  surgery (CABG) and off-pump CABG techniques on the  were investigated. Methods Forty-five patients who planned to elective coronary artery bypass..

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Abstract Background Zero‐balance ultrafiltration (Z‐BUF) is considered a significant method during cardiopulmonary bypass (CPB), and has always received support regarding its key role in monitoring electrolyte abnormalities including potassium and..

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Abstract Background Better understanding of blood usage rates could identify trends in transfusion practices over time and inform more efficient management. Methods Inpatient admissions from the Healthcare Cost and Utilization..

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Abstract Background Thromboelastography (TEG) predicts bleeding in pediatric patients undergoing cardiac surgery. We hypothesize that TEG parameters at rewarming correlate with post-protamine values and that rewarming TEG is associated with..

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Abstract A previously healthy, middle-aged patient presented with rapidly increasing shortness of breath despite empirical antibiotic treatment for presumed pneumonia. A computed tomographic image of the chest was notable for..