Yearly Archives: 2023

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Surgeons’ Leadership Style and Team Behavior in the Hybrid Operating Room

Abstract Objective:  This study aimed to assess the relationship between surgeons’ leadership style and team behavior in the hybrid operating room through video coding. Secondly, possible fluctuations possible fluctuations in leadership styles and team..

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Cardioprotection and its Translation: A Need for New Paradigms? Or for New Pragmatism? An Opinionated Retro- and Perspective

Abstract The dawn of cardioprotection by infarct size reduction originated from the idea to favourably alter the oxygen demand–supply balance of the ischaemic/infarcting myocardium by reducing the contractile determinants of..

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Prevalence and Risk Factors for Weaning Failure From Venovenous Extracorporeal Membrane Oxygenation in Patients With Severe Acute Respiratory Insufficiency

Abstract Objective:  Analysis of the prevalence and risk factors for weaning failure from venovenous extracorporeal membrane oxygenation (VV-ECMO) in patients with severe acute respiratory insufficiency. Design:  Single-center retrospective observational study. Setting:  Sixteen beds medical ICU at the University..

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Impact of Transfused Citrate on Pathophysiology in Massive Transfusion

Abstract OBJECTIVES:  This narrative review article seeks to highlight the effects of citrate on physiology during massive transfusion of the bleeding patient. DATA SOURCES:  A limited library of curated articles..

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Pulsatile Flow During Cardiopulmonary Bypass

Abstract Over a million cardiac operations are performed annually. Most surgeries use cardiopulmonary bypass (CPB) to operate on a non-beating heart in a bloodless environment while maintaining systemic perfusion and..

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Expert consensus on the use of human serum albumin in adult cardiac surgery

Abstract Albumin, which is a 65-kDa liver-synthesized protein, accounts for nearly 50% of total plasma protein and contributes to approximately 80% of intravascular oncotic pressure. Albumin helps maintain microvascular integrity,..

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Postoperative Outcomes in Elderly Patients Undergoing Cardiac Surgery With Preoperative Cognitive Impairment: A Systematic Review and Meta-Analysis

Abstract BACKGROUND:  Older patients with preoperative cognitive impairment are at risk for increased postoperative complications after noncardiac surgery. This systematic review and meta-analysis aimed to determine the association between preoperative..

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Real-Time Evaluation of Cerebral Autoregulation Based on Near-Infrared Spectroscopy to Predict Clinical Outcome after Bypass Surgery in Moyamoya Disease

Abstract Impaired cerebral autoregulation (CA) can cause negative outcomes in neurological conditions. Real-time CA monitoring can predict and thereby help prevent postoperative complications for neurosurgery patients, especially those suffering from..

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Aortic arch replacement with simultaneous antegrade cerebral and systemic perfusion using a single centrifugal pump driven ‘split arterial line’ extracorporeal…

Abstract The ability to provide antegrade cerebral and systemic perfusion simultaneously may negate the requirement for any prolonged period of circulatory arrest during complex aortic arch reconstruction procedures, depending on..

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Association Between Plasma Fibrinogen Concentration After Cardiopulmonary Bypass and Postoperative Blood Loss in Children Undergoing Cardiac Surgery: A Retrospective Cohort…

Abstract Background Intraoperative hypofibrinogenemia is a major factor associated with increased postoperative blood loss in adult cardiac surgery. However, previous pediatric studies on this topic did not sufficiently adjust for..

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Oxygen Delivery Thresholds During Cardiopulmonary Bypass and Risk for Acute Kidney Injury

Abstract Background Postoperative acute kidney injury (AKI) in cardiac surgery patients is multifactorial and associated with low oxygen delivery (DO2) during cardiopulmonary bypass. Methods Cardiac surgical patients undergoing full cardiopulmonary..

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Correlations between the Circulating Level of Cell-Derived Microparticles and Surgical Variables in Heart Valve Surgery with Cardiopulmonary Bypass

Abstract Background: Cell-derived microparticles (MPs) as membrane vesicles are procoagulant. They play a role in surgical hemostasis. In this study, the correlations between the circulating level of cell-derived MPs and..

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ABO Blood Group and Bleeding and Survival in VA-ECMO Patients

Abstract ABO blood group has been shown to be a major determinant of plasma von Willebrand factor (vWF) levels. O blood group is associated with the lowest vWF levels and..

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Effect of lactate levels on extubation time in coronary artery bypass grafting surgery

Abstract Aim: In current practice, fast-track protocols are gaining importance in patients undergoing cardiac surgery. For this purpose, besides different application techniques, biomarkers are frequently examined in the peri-operative period...

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Project S.T.O.P (Stop the Over-ordering of Platelets): An initiative to reduce platelet wastages for pediatric open-heart surgeries

Abstract Introduction Due to a national policy change in the management of unused platelet units from September 2018, there was a drastic increase in the number of platelet units wasted..

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Circuit change during extracorporeal membrane oxygenation: single-center retrospective study of 48 changes

Abstract Background Bleeding and thrombosis induce major morbidity and mortality in patients under extracorporeal membrane oxygenator (ECMO). Circuit changes can be performed for oxygenation membrane thrombosis but are not recommended..

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Validation of a new model of selective antegrade cerebral perfusion with circulatory arrest in rats

Abstract Background Selective antegrade cerebral perfusion (SACP) is adopted as an alternative to deep hypothermic circulatory arrest (DHCA) during aortic arch surgery. However, there is still no preclinical evidence to..

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Outcomes of patients with respiratory failure declined for extracorporeal membrane oxygenation: a prospective observational study

Abstract Purpose Descriptive information on referral patterns and short-term outcomes of patients with respiratory failure declined for extracorporeal membrane oxygenation (ECMO) is lacking. Methods We conducted a prospective single-centre observational..

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Programa de Especialidad en Perfusión y Circulación Extracorpórea Chile

Se abre el llamado a Concurso ingreso 2024, para el Programa de Especialidad en Perfusión y Circulación Extracorpórea, ingreso marzo y agosto 2024. Cronograma del proceso: 01 hasta el 22..

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Factors contributing to preventing operating room “never events”: a machine learning analysis

Abstract Background A surgical “Never Event” is a preventable error occurring immediately before, during or immediately following surgery. Various factors contribute to the occurrence of major Never Events, but little..

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Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review

Abstract Purpose To identify requirements for implementing a ‘just culture’ within healthcare organisations. Methods Using Whittemore and Knafl’s methodology for integrative reviews, we searched PubMed, PsychInfo, Cumulative Index of Nursing and Allied..

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Congenital cardiac surgery in a patient with cold agglutinins

Abstract Cold agglutinin disease is a type of autoimmune haemolytic anaemia caused by autoantibodies that bind to red blood cell antigens at a cold temperature and causes extravascular haemolysis and..

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Development and Validation of a Nomogram for Predicting Heparin Resistance in Neonates and Young Infants Undergoing Cardiac Surgery: A Retrospective…

Abstract BACKGROUND:  Heparin resistance (HR) is a common finding in pediatric cardiac surgery and generally refers to decreased sensitivity to heparin. Antithrombin (AT) deficiency is considered the primary mechanism of..

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The interaction of thrombocytopenia, hemorrhage, and platelet transfusion in venoarterial extracorporeal membrane oxygenation: a multicenter observational study

Abstract Background Thrombocytopenia, hemorrhage and platelet transfusion are common in patients supportedwith venoarterial extracorporeal membrane oxygenation (VA ECMO). However, current literature is limited to smallsingle‑center experiences with high degrees of..

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Circuitos e canulações - Aulao 65

  Prof. Elio Carvalho é Biomédico, Microbiologista e Perfusionista pela Unicamp, CLAP e SBCEC. É perfusionista do Hospital de Clínicas da Unicamp e Coordenador do Curso da Unicamp de Perfusionistas...

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Mechanical Ventilation during ECMO: Best Practices

Abstract Adults and children who require extracorporeal membrane oxygenation for respiratory failure remain at risk for ongoing lung injury if ventilator management is not optimized. This review serves as a..

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Impact of prophylactic intra-aortic balloon pump on early outcomes in patients with severe left ventricular dysfunction undergoing elective coronary artery…

Abstract Objective Our aim was to analyse whether prophylactic preoperative intraaortic balloon pump (IABP) improves outcomes in hemodynamically stable patients with low  (LVEF ≤30%) undergoing elective  (CABG) using  (CPB). Secondary aim was to..

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Comparison of complement consumption and platelet accumulation between membrane oxygenators coated with a polymer or heparin

Abstract Introduction The membrane oxygenator in extracorporeal circulation circuits is coated with acrylate-copolymer (ACP) or immobilized heparin (IHP) to enhance hemocompatibility. To evaluate the relative features of both coatings, we..

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Pro: Can We Use Artificial Intelligence-Derived Algorithms to Guide Patient Blood Management Decision-Making?

Abstract What are AI, Machine Learning, and Artificial Neural Networks? Medical publishing in AI has increased exponentially over the last few years.7 Artificial intelligence is a broad term that represents the..

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Con: Artificial Intelligence–Derived Algorithms to Guide Perioperative Blood Management Decision Making

Abstract Artificial intelligence has the potential to improve the care that is given to patients; however, the predictive models created are only as good as the base data used in..

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