Archivos mensuales: noviembre2022

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Clinical Trials Design, Scientific Rigor, and Higher-Level Evidence in Surgery

Abstract There is a perception held by others in the health sciences that surgeons are not adequately assessing surgical procedures. In an Editorial in the Lancet in 1996, entitled, “Surgical Research or..

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Ascending aorta aneurysm and BAV

Patient with ascending aorta aneurysm and BAV undergone AVR and Root reduction aortoplasty in a neat manner.   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as..

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Recurrent Candidemia Due to Extracorporeal Membrane Oxygenation Circuit Seeding in Acute Respiratory Distress Syndrome From COVID-19

Abstract Nosocomial infections are a leading complication of prolonged extracorporeal membrane oxygenation (ECMO) therapy, and invasive fungal infections are of particular concern. Candida bloodstream infection specifically is associated with poor outcomes in acute..

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Association of low mixed venous oxygen saturations during early ICU stay with increased 30-day and 1-year mortality after cardiac surgery:…

Abstract Background Low postoperative mixed venous oxygen saturation (SvO2) values have been linked to poor outcomes after cardiac surgery. The present study was designed to assess whether SvO2 values of < 60%..

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Molecules, Machines, and the Perfusate Milieu: Organ Preservation and Emerging Concepts for Heart Transplant

Abstract Heart transplant remains the most durable treatment for end-stage congestive heart failure. Since the first successful human heart transplant performed by Barnard in 1967, advances in organ procurement, understanding..

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The use and effectiveness of high-fidelity simulation in health professions education: current update

Abstract Over the past 10 years, there has been an increase in the use of high-fidelity simulation (HFS) as a tool to support and enhance learning in health profession programs. In..

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Extracorporeal cardiopulmonary resuscitation in adults and children: A review of literature, published guidelines and pediatric single-center program building experience

Abstract Extracorporeal cardiopulmonary resuscitation (ECPR) is an adjunct supportive therapy to conventional cardiopulmonary resuscitation (CCPR) employing veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in the setting of refractory cardiac arrest. Its use..

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Pig-to-human heart transplant possible within 2 years: Expert

While the first patient lost his life, the pig-to-human  would be successfully performed within two years, says Muhammed Mansur Muhiddin, the head of the team that performed the first operation..

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The effect of arterial cannula tip position on differential hypoxemia during venoarterial extracorporeal membrane oxygenation

Abstract Interaction between native ventricular output and venoarterial extracorporeal membrane oxygenation (VA ECMO) flow may hinder oxygenated blood flow to the aortic arch branches, resulting in differential hypoxemia. Typically, the..

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Parameters associated with successful weaning of veno‑arterial extracorporeal membrane oxygenation: a systematic review

Abstract Purpose: Veno‑arterial (VA) extracorporeal membrane oxygenation (ECMO) can be used to restore organ perfusionin patients with cardiogenic shock until native heart recovery occurs. It may be challenging, however, to..

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A Comparison of Separate Access versus In-Line Configuration for Continuous Renal Replacement Therapy in VV ECMO

Abstract Objective Continuous renal replacement therapy (CRRT) in patients receiving venovenous extracorporeal membrane oxygenation (VV ECMO) can be accessed via separate venous access (SVA) or directly “in-line” within the ECMO circuit...

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Hyperoxia and traumatic brain injury: time to stop cooking the books?

Abstract The excellent work by Rezoagli [1] on behalf of the CENTER-TBI and OxENTER-TBI consortia contributes further evidence of the potentially harmful effects of hyperoxia after traumatic brain injury (TBI)...

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Intraoperative Transesophageal Echocardiographic Detection of a Gerbode Defect in a Patient Referred for Aortic Valve Endocarditis: A Case Report

Abstract This clinical challenge discusses a case in which a patient was referred for aortic valve repair or replacement due to severe aortic regurgitation from infective endocarditis. In addition to..

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Hemadsorption: A New Therapeutic Option for Selected Cases of Bromazepam Intoxication

This case reports on an a 67-year-old woman with CHILD-C liver cirrhosis, who was admitted to the tertiary intensive care unit (ICU) after intoxication with bromazepam. [pdf-embedder url="https://perfusfind.com/wp-content/uploads/2022/12/CoW_41_2022_E_web_compressed.pdf"]  

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Massive Pulmonary Thromboembolism undergone beating on pump single incision embolectomy

80 years old patient with ESRD and chronic catheter in RA and RV came with massive PTE undergone beating on pump single incision embolectomy. Good post op course transfer to..

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Massive pulmonary thromboembolism

Patient with massive pulmonary thromboembolism undergone single incision technique line Zeraatian with beating on pump manner.   [playlist ids="37290"] Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center..

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Mobile LV mass & tumor excision and aortic reconstruction

Patient with mobile LV mass bilobulated undergone aortotomy and tumor excision and aortic reconstruction.   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well as Head..

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SVC endocarditis & Tricuspid V endocarditis & Pulmonary V endocarditis

Patient with chronic dialysis and SVC endocarditis and TV endocarditis and PV endocarditis undergone beating TVR and PVR and SVC reconstruction with bicaval cannulation and empty beating heart.   Dr.Sam..

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Long segment of coarctation of aorta

Important CT measurements in Adults with CoA ; 1-Ascending aorta. 2-2nd transverse arch segment. 3-LT SCA ostium. 4-PLZ (proximal landing zone). 5-CoA length & its distance to lower LT SCA..

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Subaortic membrane

  Mohamed Gibreel , FEBR (Fellowship of Egyptian Board of Radiology ) Cardiac imaging consultant at Aswan heart center -Magdi Yacoub Foundation , Egypt      

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TOF with absent PV

  Mohamed Gibreel , FEBR (Fellowship of Egyptian Board of Radiology ) Cardiac imaging consultant at Aswan heart center -Magdi Yacoub Foundation , Egypt      

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Implanting de Syncardia TAH-t

Similar to a heart transplant, the SynCardia temporary Total Artificial Heart (TAH-t) replaces both ventricles and the four heart valves.

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Cell Salvage at the ICU

Abstract Patient Blood Management (PBM) is a patient-centered, systemic and evidence-based approach. Its target is to manage and to preserve the patient’s own blood. The aim of PBM is to..

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Coagulation and Transfusion Updates From 2021

Abstract 2021 and the COVID 19 pandemic have brought unprecedented blood shortages worldwide. These deficits have propelled national efforts to reduce blood usage, including limiting elective services and accelerating Patient..

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Intraoperative blood collection without fluid replacement for cardiac surgery – A retrospective analysis

Abstract Background: Transfusion rates in cardiac surgery are high. Aim: To determine if intraoperative autologous blood removal without volume replacement is associated with fewer homologous blood transfusions without increasing acute kidney injury...

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Definition and Classification of Postoperative Complications After Cardiac Surgery: Pilot Delphi Study

Abstract Background: Postoperative complications following cardiac surgery are common and represent a serious burden to health services and society. However, there is a lack of consensus among experts on what..

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Perioperative Circulatory Support and Management for Lung Transplantation: A Case-Based Review

Abstract Lung transplantation (LTx) historically was performed with cardiopulmonary bypass (CPB) or Off-pump. Recent data suggest an increased interest in extracorporeal membrane oxygenation (ECMO) as perioperative circulatory support by many..

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The International Code of Medical Ethics of the World Medical Association

Abstract One of the central missions of the World Medical Association (WMA) in its role as the global organization of physicians is to ensure the highest possible standard of ethical..

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