Yearly Archives: 2023

thumbnail
0 comment

Clinical Guidelines for Routine Neuromonitoring in Neonatal and Pediatric Patients Supported on Extracorporeal Membrane Oxygenation

Abstract Disclaimer:  These guidelines for routine neuromonitoring in neonatal and pediatric patients supported on extracorporeal membrane oxygenation (ECMO) are intended for educational use to build the knowledge of physicians and other health..

Read More
thumbnail
0 comment

Organ Donation After Out-of-Hospital Cardiac Arrest: A Scientific Statement From the International Liaison Committee on Resuscitation

Abstract Aim of the Review: Improving rates of organ donation among patients with out-of-hospital cardiac arrest who do not survive is an opportunity to save countless lives. The objectives of..

Read More
thumbnail
0 comment

Interest Grows in LAVA-ECMO

Abstract LAVA-ECMO has recently gained attention in the medical community, specifically, as support for cardiogenic-shock patients. In particular, interest has picked up since it was highlighted at the 2023 Houston..

Read More
thumbnail
0 comment

Tricuspid Regurgitation Management for Heart Failure

Abstract There is growing evidence that severe tricuspid regurgitation (TR) impacts clinical outcomes in a variety of cardiovascular disease states. The late presentation of patients with advanced TR highlights the..

Read More
thumbnail
0 comment

Which Vasopressors and Inotropes to Use in the Intensive Care Unit

Abstract Introduction Cardiac output (CO) is a key determinant of oxygen delivery. Low cardiac output syndrome (LCOS) causes organ dysfunction, prolonged hospital stay, and reduces survival in perioperative settings and..

Read More
thumbnail
0 comment

Tissue perfusion pressure enables continuous hemodynamic evaluation and risk prediction in the intensive care unit

Abstract Treatment of circulatory shock in critically ill patients requires management of blood pressure using invasive monitoring, but uncertainty remains as to optimal individual blood pressure targets. Critical closing pressure,..

Read More
thumbnail
0 comment

Trends on Near-Infrared Spectroscopy Associated With Acute Brain Injury in Venoarterial Extracorporeal Membrane Oxygenation

Abstract We aimed to determine the association between cerebral regional oxygen saturation (rSO2) trends from cerebral near-infrared spectroscopy (cNIRS) and acute brain injury (ABI) in adult venoarterial extracorporeal membrane oxygenation (VA-ECMO) patients. ABI was defined as..

Read More
thumbnail
0 comment

Superiority of the Ross procedure over other valve substitutes in the paediatric population: this is only the beginning

Abstract The times are changing for the Ross procedure as it settles itself as the best alternative for valve replacement not only in young adults, but also, as the study..

Read More
thumbnail
0 comment

Defibrillation Strategies for Refractory Ventricular Fibrillation

Abstract BACKGROUND Despite advances in defibrillation technology, shock-refractory ventricular fibrillation remains common during out-of-hospital cardiac arrest. Double sequential external defibrillation (DSED; rapid sequential shocks from two defibrillators) and vector-change (VC)..

Read More
thumbnail
0 comment

The First Autoregulated Total Artificial Heart Implant in the United States

Abstract The Aeson total artificial heart provides right- and left-sided heart replacement for biventricular failure with notable improvements from prior generations. These include enhanced hemocompatibility and autoregulation enabling increased output in..

Read More
thumbnail
0 comment

The Burden of Survivorship After Venoarterial Extracorporeal Membrane Oxygenation: A Black Box

Abstract Due to advances in critical care medicine over the past several decades, the number of survivors of critical illness continues to grow despite increased severity of illness (). There..

Read More
thumbnail
0 comment

Effect of timing of enteral nutrition initiation on poor prognosis in patients after cardiopulmonary bypass: a prospective observational study

Abstract Background Current guidelines recommend enteral nutrition (EN) should be implemented as early as possible in patients after cardiopulmonary bypass (CPB), but the optimal time to initiate EN is still..

Read More
thumbnail
0 comment

Extracorporeal membrane oxygenation as a bridge to advanced heart failure therapies

Abstract Background Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is a key support modality for cardiogenic shock. The 2018 United Network for Organ Sharing (UNOS) heart transplant allocation algorithm prioritizes VA-ECMO patients...

Read More
thumbnail
0 comment

Actualización en Soporte Vital extracorpórea Pediátrico mediante sistemas de levitación magnética - 31 Ago

Actualización en Soporte Vital extracorpórea Pediátrico mediante sistemas de levitación magnética

Read More
thumbnail
0 comment

Acid-base imbalance: a review with proposed unified diagnostic algorithm

Abstract Introduction: Alterations in the acid-base balance are studied in all medical specialties. Although most cases derive from a preexisting pathology, they can also manifest themselves in a primary context...

Read More
thumbnail
0 comment

Aortic dissection in zone zero and one of ascending aorta - Zeraatian's Hybrid novel technique

Aortic arch hybrid surgery is a complex procedure that combines traditional open surgery with endovascular techniques. It's often used to treat aortic arch aneurysms or dissections. In this approach, the..

Read More
thumbnail
0 comment

Serum lactate in refractory out-of-hospital cardiac arrest: Post-hoc analysis of the Prague OHCA study

Abstract Background The severity of tissue hypoxia is routinely assessed by serum lactate. We aimed to determine whether early lactate levels predict outcomes in refractory out-of-hospital cardiac arrest (OHCA) treated..

Read More
thumbnail
0 comment

Planned improvement actions based on patient safety incident reports in Estonian hospitals: a document analysis

Abstract Aim Aim of this study was to describe and analyse associations of incidents and their improvement actions in hospital setting. Methods It was a retrospective document analysis of incident reporting systems’..

Read More
thumbnail
0 comment

A Multimodal Cardioprotection Strategy During Cardiac Surgery: The ProCCard Study

Abstract Objective The ProCCard study tested whether combining several cardioprotective interventions would reduce the myocardial and other biological and clinical damage in patients undergoing cardiac surgery. Design Prospective, randomized, controlled..

Read More
thumbnail
0 comment

Hemodynamic impact of prone position. Let’s protect the lung and its circulation to improve prognosis

Abstract Hemodynamics is a key factor in the management of acute respiratory distress syndrome (ARDS), as hemodynamic compromise is associated with mortality and its incidence is between 50 and 70%..

Read More
thumbnail
0 comment

Ambulation of Patients With In Situ Femoral Intraaortic Balloon Pump While Awaiting Heart Transplantation

Abstract With the implementation of the new allocation system in the United States on October 18, 2018, patients requiring temporary mechanical circulatory support (tMCS) have the highest priority, a shorter..

Read More
thumbnail
0 comment

Nontechnical Skills for Surgeons as a Framework to Evaluate Cardiopulmonary Bypass Management Skills of Resident Trainees

Abstract Background Nontechnical skills are critical in cardiac surgery but currently there is no formal paradigm to teach these in residency training. We investigated the use of the Nontechnical skills..

Read More
thumbnail
0 comment

THE USE OF AUTOLOGOUS BLOOD TRANSFUSION IN DIGESTIVE TRACT SURGERY: A LITERATURE REVIEW

Abstract Background: The use of autologous blood transfusion in digestive tract surgeries, whether after preoperative blood collection or intraoperative blood salvage, is an alternative to allogeneic blood, which brings with..

Read More
thumbnail
0 comment

Prevalence and Clinical Implications of Heightened Plastic Chemical Exposure in Pediatric Patients Undergoing Cardiopulmonary Bypass

Abstract Importance Phthalate chemicals are used to manufacture disposable plastic medical products, including blood storage bags and components of cardiopulmonary bypass (CPB) circuits. During cardiac surgery, patients can be inadvertently exposed..

Read More
thumbnail
0 comment

Measuring what matters: refining our approach to quality indicators

Abstract Quality indicators are ubiquitous in healthcare and serve a variety of purposes for many different stakeholders. Few would question the value of monitoring the quality of care, but the..

Read More
thumbnail
0 comment

Involving Health Care Professionals in the Development of Electronic Health Records: Scoping Review

Abstract Background: Electronic health records (EHRs) are a promising approach to document and map (complex) health information gathered in health care worldwide. However, possible unintended consequences during use, which can..

Read More
thumbnail
0 comment

Acute Intraoperative Bioprosthetic Valve Thrombosis Immediately After Protamine Administration

Abstract Acute bioprosthetic valve thrombosis (BPVT) is considered a rare complication and has seldom been described. Moreover, acute intraoperative BPVT is exceedingly rare, and its management remains a major clinical..

Read More
thumbnail
0 comment

Current and Future Engineering Strategies for ECMO Therapy

Abstract Extracorporeal membrane oxygenation (ECMO) is a last resort therapy for patients with respiratory failure where the gas exchange capacity of the lung is compromised. Venous blood is pumped through..

Read More
thumbnail
0 comment

The impact of a preoperative nurse-led orientation program on postoperative delirium after cardiovascular surgery: a retrospective single-center observational study

Abstract Background Postoperative delirium in intensive care is common and associated with mortality, cognitive impairment, prolonged hospital stays and high costs. We evaluate whether a nurse-led orientation program could reduce..

Read More
thumbnail
0 comment

Interpretation of the central aortic pressure waveform in elderly patients with aortic stenosis

Abstract The central aortic pressure waveform, while simple in form, is complex in its physiological interpretation. Although general agreement has been reached on the contour and mechanisms responsible for pressure..

Read More