Archivos mensuales: mayo2022

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ECMO and the Advanced Therapies for Cardiovascular and Respiratory Failure - Feb 26/1 March

The conference will address the educational needs of health care workers involved in the care of neonatal, pediatric and adult patients in respiratory and/or cardiac failure. Topics will encompass innovative..

Lee mas
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Fluid Accumulation After Neonatal Congenital Cardiac Operation: Clinical Implications and Outcomes

Abstract Background This study was conducted to determine the association between fluid balance metrics and mortality and other postoperative outcomes after neonatal cardiac operation in a contemporary multicenter cohort. Methods..

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A review of European guidelines for patient blood management with a particular emphasis on antifibrinolytic drug administration for cardiac surgery

Abstract The concept of patient blood management (PBM) was introduced by the World Health Organization in 2011 and is defined as a “patient-focused, evidence-based and systematic approach for optimizing the..

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Effect of Intra-arrest Transport, Extracorporeal Cardiopulmonary Resuscitation, and Immediate Invasive Assessment and Treatment on Functional Neurologic Outcome in Refractory Out-of-Hospital…

Abstract Importance: Out-of-hospital cardiac arrest (OHCA) has poor outcome. Whether intra-arrest transport, extracorporeal cardiopulmonary resuscitation (ECPR), and immediate invasive assessment and treatment (invasive strategy) is beneficial in this setting remains uncertain...

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Decline in Functional Status While on the Waiting List Predicts Worse Survival After Lung Transplantation

Abstract Objectives To determine if decreases in the Karnofsky Performance Score (KPS) while on the waitlist predict decreased survival after lung transplantation (LTx). Design A retrospective evaluation of the United..

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Hemostatic Complications During Neonatal Extracorporeal Membrane Oxygenation: Roller Pump and Centrifugal Pump Driven Circuits

Abstract Recently three different neonatal extracorporeal membrane oxygenation (ECMO) circuits have been employed in our clinic. These circuits were compared for clotting and bleeding complications. Initially, we used an ECMO..

Lee mas
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Fatigue of red blood cells under periodic squeezes in ECMO

Abstract Hemolysis usually happens instantly when red blood cells (RBCs) rupture under a high shear stress. However, it is also found to happen gradually in the extracorporeal membrane oxygenation (ECMO)..

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Extracorporeal Membrane Oxygenation Cannulation Timing in the Pediatric Myocarditis Population: An Exploratory Analysis From the Extracorporeal Life Support Organization Registry

Abstract OBJECTIVES:  Children presenting with acute myocarditis may experience rapid clinical deterioration requiring extracorporeal membrane oxygenation (ECMO); however, our understanding of best practices and timing of ECMO initiation are lacking...

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Single-Center Experience Using the Cardiohelp System for Neonatal and Pediatric Extracorporeal Membrane Oxygenation

Abstract Objectives:  Extracorporeal membrane oxygenation (ECMO) systems have continued to evolve and improve with the development of smaller and portable systems. The Cardiohelp (Maquet Getinge Cardiopulmonary AG, Rastatt, Germany) portable..

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Organ Donation From Patients on Extracorporeal Membrane Oxygenation at the Time of Death

Abstract OBJECTIVES:  To describe the clinical characteristics and organ donation rate of patients supported by extracorporeal membrane oxygenation (ECMO) at the time of death. DESIGN:  Retrospective observational study. Pearson chi-square..

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Improving Quality in Cardiothoracic Surgery: Exploiting the Untapped Potential of Machine Learning

Abstract In its ongoing, multidecade quest to optimize patient outcomes in adult and congenital cardiothoracic surgery, The Society of Thoracic Surgeons (STS) has emphasized several key strategies, including quality measurement,..

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Very Low Driving-Pressure Ventilation in Patients With COVID-19 Acute Respiratory Distress Syndrome on Extracorporeal Membrane Oxygenation: A Physiologic Study

Abstract Objectives To determine in patients with acute respiratory distress syndrome (ARDS) on venovenous extracorporeal membrane oxygenation (VV ECMO) whether reducing driving pressure (ΔP) would decrease plasma biomarkers of inflammation..

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Improving access to extracorporeal membrane oxygenation for out of hospital cardiac arrest: pre‑hospital ECPR and alternate delivery strategies

Abstract Background: The use of extracorporeal membrane oxygenation (ECPR) in refractory out-of-hospital cardiac arrest (OHCA) patients is usually implemented in-hospital. As survival in ECPR patients is critically time-dependent, alternative models..

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Clinical approach to acute cellular rejection from the pediatric heart transplant society

Abstract Background Early detection of cardiac allograft rejection is crucial for post-transplant graft survival. Despite the progress made in immunosuppression strategies, acute cellular rejection remains a serious complication during and..

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Vitamin C supplementation attenuates oxidative stress and improves erythrocyte deformability in cardiac surgery with cardiopulmonary bypass

Abstract Cardiopulmonary bypass (CPB) depletes endogenous Vitamin C and generates oxidative stress in cardiac surgery. This study aimed to clarify whether Vitamin C supplementation reduces oxidant production and improves erythrocyte..

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A novel strategy to reduce the recirculation of venovenous extracorporeal membrane oxygenation: Inferior vena cava closure technology

Abstract The recirculation of venovenous extracorporeal membrane oxygenation (VV-ECMO) will decrease the efficiency of respiratory support. We report a patient with refractory severe acute respiratory distress syndrome (ARDS). Even with..

Lee mas
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Design and In Vitro Evaluation of an Artificial Placenta made from Hollow Fiber Membranes

Abstract For infants born at the border of viability, care practices and morbimortality rates vary widely between centers. Trends show significant improvement, however, with increasing gestational age and weight. For..

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Short and long-term outcomes after cardiac surgery in Jehovah’s Witnesses patients: a case–control study

Abstract Cardiac surgery in Jehovah’s Witnesses (JW) patients who refuse blood transfusion is challenging requiring dedicated strategies. We aimed to analyze non-selected JW patients undergoing cardiac surgery and to compare..

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Prothrombin complex concentrate in cardiac surgery for the treatment of coagulopathic bleeding

Abstract Background Coagulopathy following cardiac surgery is associated with considerable blood product transfusion and high morbidity and mortality. The treatment of coagulopathy following cardiac surgery is challenging, with the replacement of..

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Impact of fresh frozen plasma transfusion on mortality in extracorporeal membrane oxygenation

Abstract Background Patients who receive extracorporeal membrane oxygenation (ECMO) support require substantial transfusions. Red blood cell (RBC) and platelet (PLT) transfusions have been reported to be associated with adverse outcomes..

Lee mas
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Perioperative Management of a Patient With Left Ventricular Free Wall Rupture After Myocardial Infarction: A Rare Case Scenario

Abstract Myocardial infarction (MI) is typically followed by numerous lethal complications. One such complication is left ventricular free wall rupture (LVFWR). We present the case of a middle-aged hypertensive patient..

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Gender and the Outcome of Postcardiotomy Veno-arterial Extracorporeal Membrane Oxygenation

Abstract Objective There is a paucity of sex-specific data on patients’ postcardiotomy venoarterial extracorporeal membrane oxygenation (VA-ECMO). The present study sought to assess this issue in a multicenter study. Design..

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Optimal Settings at Initiation of Veno-Venous Extracorporeal Membrane Oxygenation: An Exploratory In-Silico Study

Abstract The Extracorporeal Life Support Organisation (ELSO) recommends initiating veno-venous extracorporeal membrane oxygenation (ECMO) with sweep gas flow rate (V˙sweep) of 2 L/min and extracorporeal circuit blood flow (Q˙ec) of 2 L/min...

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Ascending aortic dissection reoperation (Redo)

Patient with previous Aortic valve replacement and in second step ascending Aorta replacement for dissection came with sinus aneurysm undergone redo ascending replacement and arch replacement with triflex and finally..

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Arch reconstruction and Carotid bypass

Patient with aortic arch occlusion and CVA and altered level of consciousness undergone Arch reconstruction and Carotid bypass with early post op restoration of consciousness.   Dr.Sam Zeraatian Nejad Davani,..

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MVR and wedge resection

Patient with PHTN and MS and and right sided Pulmonary Web undergone MVR with mechanical valve and wedge resection and decreased in PASP just in one operation and short duration..

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The ECMO Lab - 12/13 June

We invite you to The ECMO Lab, a hands-on interactive extracorporeal experience where nurses, doctors, respiratory therapists, perfusionists, APP's and ECMO Specialists will gather to connect, learn and grow. Join..

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Cone Repair for Ebstein's Anomaly in a Ten-Year-Old Girl

The patient was a ten-year-old, 43.3 kg girl who had a well-known diagnosis of Ebstein's anomaly and underwent a previous electrophysiologic study with catheter ablation of an accessory conduction pathway..

Lee mas
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The Sequential Use of Extracorporeal Cytokine Removal Devices in an Adolescent With COVID-19 Receiving Continuous Renal Replacement Therapy

This case reports on an a 14-year-boy (43 kg) without any respiratory symptoms, who was admitted to a regional hospital with a fever of one day associated with vomiting and..

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