Abstract To evaluate the effectiveness of retrograde autologous priming (RAP) based on miniaturized cardiopulmonary bypass (CPB) circuit in children undergoing open heart surgery. We performed a retrospective analysis of all..
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Abstract OBJECTIVES Minimally invasive extracorporeal circuits have been introduced to cardiac surgery in an attempt to reduce the negative effects of cardiopulmonary bypass on patient outcome. On the other hand,..
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Abstract Introduction: Despite low mortality, cardiac surgery patients may experience serious life-threatening post-operative complications, often due to extracorporeal circulation and reperfusion. Miniaturised cardiopulmonary bypass (minimally invasive extracorporeal circulation) has been..
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Abstract Objective: To investigate whether the miniaturized cardiopulmonary bypass (CPB) system decreased the usage of ultrafiltration (UF), and to explore whether the non-UF with miniaturized CPB strategy could get..
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Abstract Introduction: Acute kidney injury following cardiac surgery is a frequent complication associated with increased mortality and morbidity. Minimal invasive extracorporeal circulation is suggested to preserve postoperative renal function. The..
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Abstract From the dawn of open-heart surgery in the early 1950s, a sequence of significant scientific achievements rendered cardiac surgery as a routine practice in the treatment of heart diseases...
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Resumen Introducción La cirugía cardiovascular, que se realiza desde mediados del siglo XX, es un procedimiento ampliamente difundido y utilizado en la medicina asistencial contemporánea. Sus complicaciones son múltiples y..
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Resumen La radicalidad de la afirmación que constituye el título de esta controversia obliga a hacer algunas matizaciones. En medicina hay muy pocos axiomas, y esta afirmación no puede defenderse..
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Resumen La asistencia circulatoria mecánica se emplea cuando han fracasado todos los tratamientos posibles. Por ello, antes de su aplicación bastantes pacientes presentan ya contraindicaciones, absolutas o relativas, que hay..
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RESUMEN La atención en cuidados intensivos del paciente sometido a cirugía cardiaca amerita una revisión especial, ya que la mayor complejidad y agresividad de la intervención quirúrgica y del soporte..
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Resumen La circulación extracorpórea (derivación cardiopulmonar) es uno de los métodos utilizados en la cirugía convencional de revascularización coronaria. Su uso puede asociarse con el desarrollo de eventos adversos que,..
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Resumen Introducción: La circulación extracorpórea en cirugía cardiovascular sustituye la función cardiaca y pulmonar, lo cual genera cambios funcionales y sistémicos que exponen al paciente a complicaciones. Objetivo: determinar las..
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Abstract Cardiac surgery with cardiopulmonary bypass is associated with systemic inflammatory response. In some cases this clinical condition is characterized by severe hypotension due to low systemic vascular resistance during..
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La cirugía cardiaca con circulación extracorpórea (CEC) se acompaña de una respuesta inflamatoria sistémica, caracterizada por vasodilatación y por disminución de la resistencia vascular sistémica (RVS). Esta condición patológica se..
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RESUMEN La vía final común de los efectos de la circulación extracorpórea es la hipoperfusión periférica, que se valora indirectamente a través de la utilización de O2 en la periferia. El Orthogonal..
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RESUMEN La incidencia de lesiones neurológicas graves tras la cirugía cardíaca se ha establecido en un 6,1%: un 3,1% de lesiones focales y un 3% de lesiones difusas. Parece que..
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¿Qué es una bomba de circulación extracorpórea? Gran parte de los procedimientos de Cirugía Cardiaca se realizan mediante “Circulación extracorpórea”, técnica que, aunque ya tiene unas cuantas décadas, es fundamental..
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RESUMEN La perfusión en la enfermedad patología sigue siendo un gran reto. Los constantes cambios que se han producido en la canulación, han producido como consecuencia la modificación del sentido..
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Abstract Background Blood transfusions though life‐saving are not entirely benign. They are the most overused procedure in the hospital and have been under scrutiny by the ‘Choosing Wisely campaign’. The..
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Abstract Inadequate venous drainage decreases the efficiency of extracorporeal membrane oxygenation (ECMO). Pump augmentation may even make it worse due to collapse of the venous system under negative pressures. Furthermore, recirculation is..
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Abstract Patients supported with venovenous extracorporeal membrane oxygenation are at risk for intra-abdominal hypertension and abdominal compartment syndrome. Flow through the return cannula may be compromised in these patients, resulting..
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Abstract Recirculation, a phenomenon in which reinfused oxygenated blood is withdrawn by the drainage cannula without passing through the systemic circulation, decreases the efficiency with which venovenous extracorporeal membrane oxygenation..
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Abstract To the Editor: Tay et al provide an excellent overview on the practical management of venovenous extracorporeal membrane oxygenation (VV-ECMO). The physiologic basis for the proposed algorithms should be discussed..
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Abstract The European Resuscitation Council (ERC) and the European Society of Intensive Care Medicine (ESICM) have collaborated to produce these post-resuscitation care guidelines for adults, which are based on the..
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Abstract Great Ormond Street Hospital (GOSH) and Royal Papworth Hospital (RPH) have collaborated to introduce a world-first paediatric heart transplant technique that has successfully expanded the donor pool and increased..
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Careum Hochschule Gesundheit Are you interested in a career as a Cardiovascular Perfusionist? We are pleased to welcome you on the Swiss Master in Cardiovascular Perfusion, EBCP accredited. Consult on..
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This case reports on a previously fit and well 45-year-old male patient who was transferred from an ex- ternal hospital to the University Hospital St. Pölten already intubated and ventilated...
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Abstract Background: Inflammation plays a significant role in the pathogenesis of many diseases as well as postoperative acute renal failure (ARF). Preoperative neutrophil to lymphocyte ratio (NLR) values have a..
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Abstract Cardiopulmonary bypass (CPB) results in short-term (3–5 h) exposure to flow with diminished pulsatility often referred to as “continuous flow”. It is unclear if short-term exposure to continuous flow..
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