Archivos mensuales: marzo2024

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Real-Time Detection of Circulating Thrombi in an Extracorporeal Circuit Using Doppler Ultrasound: In-Vitro Proof of Concept Study

Abstract Background Thromboembolic stroke continues to be by far the most common severe adverse event in patients supported with mechanical circulatory assist devices. Feasibility of using Doppler ultrasound to detect..

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Current role of intraoperative cell salvage techniques in the management of renal tumors with level III and IV inferior vena…

Abstract Background: En bloc removal of the kidney with tumor thrombus excision in a multidisciplinary team remains the standard treatment for renal cell carcinoma (RCC) with tumor thrombus extension. In..

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Aortic arch isolation to reduce cerebral embolic risk during replacement of the atherosclerotic aortic arch

Abstract Objective To analyze the efficacy of isolating the upper body circulation from the lower body (isolation technique) in reducing the risk of  during   with severe  undergoing . Methods Between 2006 and 2019, 156..

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Simple and secure thrombectomy without circulatory arrest for acute pulmonary embolism

Abstract Background Surgical pulmonary artery thrombectomy is a well-established emergency treatment for massive pulmonary embolism (PE) in which fibrinolysis or thrombolysis are not effective. However, surgery for massive PE that..

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Effect of intraoperative haemoadsorption therapy on cardiac surgery for active infective endocarditis with confirmed Staphylococcus aureus bacteraemia

Abstract OBJECTIVES Sepsis caused by infective endocarditis (IE), due to Staphylococcus aureus, is associated with significant morbidity and mortality. Blood purification using haemoadsorption (HA) may attenuate the inflammatory response. We investigated..

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Use of cell salvage in obstetrics in Germany: analysis of national database of 305 610 cases with peripartum haemorrhage

Abstract Background One of the leading causes of maternal death worldwide is severe obstetric haemorrhage after childbirth. Use of intraoperative cell salvage is strongly recommended by international guidelines on patient..

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Efficacy of del Nido cardioplegia in adult cardiac procedures with prolonged aortic crossclamp time

Abstract Objective Equivalent  and clinical outcomes have been shown with the use of del Nido  (DC) compared with blood  (BC) in adult isolated  and valve patients. However, its safety and efficacy in cardiac procedures..

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Erythrocyte metabolism

Abstract Our aim is to present an updated overview of the erythrocyte metabolism highlighting its richness and complexity. We have manually collected and connected the available biochemical pathways and integrated..

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Association of Cerebral Oximetry With Brain Ischemic Lesions and Functional Outcomes in Arch Repair

Abstract Background This exploratory analysis of the randomized controlled  Cerebral Protection Evaluation CardioLink-3 trial sought to determine if cerebral   during elective proximal arch repair is associated with detrimental postoperative neuroradiologic and neurofunctional..

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Anatomical and hemodynamic characterization of totally artificial hearts

Abstract We characterize the anatomy and function of never before studied total artificial hearts (TAHs) using established methods for testing mechanical circulatory support (MCS) devices. A historical review of TAHs..

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Preoperative Anemia and Postoperative Outcomes in Cardiac Surgery: A Mediation Analysis Evaluating Intraoperative Transfusion Exposures

Abstract BACKGROUND:  Preoperative anemia is associated with adverse outcomes in cardiac surgery, yet it remains unclear what proportion of this association is mediated through red blood cell (RBC) transfusions. METHODS: ..

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Gender is Independently Associated With Red Blood Cell and Platelet Transfusion in Patients Undergoing Coronary Artery Bypass Grafting: Data From…

Abstract Objectives The aim of this study was to evaluate the incidence of transfusions, including red blood cells (RBC), platelets, and fresh frozen plasma (FFP) during and after coronary artery..

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Clinical relevance of transcranial Doppler in a cardiac surgery setting: embolic load predicts difficult separation from cardiopulmonary bypass

Abstract Background During cardiac surgery, transcranial Doppler (TCD) represents a non-invasive modality that allows measurement of red blood cell flow velocities in the cerebral arteries. TCD can also be used..

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Association between lactic acidosis and multiple organ dysfunction syndrome after cardiopulmonary bypass

Abstract Background The relationship between hyperlactatemia and prognosis after cardiopulmonary bypass (CPB) is controversial, and some studies ignore the presence of lactic acidosis in patients with severe hyperlactacemia. This study..

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Vacuum assisted and gravitational venous drainage in aortic valve surgery: A propensity-match study

Abstract Introduction Vacuum assisted venous drainage (VAVD) is widely adopted in minimally invasive cardiac surgery. VAVD enables the advantage of using smaller cannulae in a reduced surgical field while allowing..

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Use of intraoperative haemoadsorption in patients undergoing heart transplantation: a proof-of-concept randomized trial

Abstract Aims The aim of this trial was to compare the clinical effects of intraoperative haemoadsorption versus standard care in patients undergoing orthotopic heart transplantation (OHT). Methods and results In..

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Protamine dosing and its impact in cardiac surgery transfusion practice—A retrospective bi-institutional analysis

Abstract Background Bleeding after cardiac surgery is common and continues to require 10–20% of the national blood supply. Transfusion of allogeneic blood is associated with increased morbidity and mortality. Excessive..

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Serum neurofilament light and postoperative delirium in cardiac surgery: a preplanned secondary analysis of a prospective observational study

Abstract Background Impaired cognition is a major predisposing factor for postoperative delirium but it is not systematically assessed. Anesthesia and surgery may cause postoperative delirium by affecting brain integrity. Neurofilament..

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Impact of intraoperative haemoadsorption on outcomes of patients undergoing aortic surgery: a single-centre, prospective, observational study

Abstract Objectives: To investigate the impact of a cytokine haemoadsorption (HA) device (CytoSorb®) on inflammatory markers and patients' outcome during aortic root surgery. Methods: Prospective, observational study including all-comers with quasi-randomization by..

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Perf Web 99

Exploring CPB Physiology & IABP Applications: Essential Insights for Perfusionists   Mastering Z-BUF in Hyperkalemia. My Near Misses.   Integration of the PrismaFlex CRRT machine into your CMO circuit  ..

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Successful Management With Continuous Negative Abdominal Pressure Therapy in a Severely Obese Patient With Inhalation Burn-Induced Severe Respiratory Failure Requiring…

Abstract Continuous negative abdominal pressure (CNAP) therapy effectively provides respiratory support in patients with respiratory failure and severe obesity; however, its use in clinical practice remains limited. In this case,..

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Building an Extracorporeal Cardiopulmonary Resuscitation Program at a High-volume Extracorporeal Membrane Oxygenation Center

Abstract Extracorporeal Cardiopulmonary Resuscitation (ECPR) is an emerging approach to cardiac arrest. We present two contrasting cases from a high-volume extracorporeal membrane oxygenation (ECMO) center (defined as greater than 30..

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Adult ECMO Specialist Training Course - 27/28 June - 1/2 July

The Adult ECMO Specialist course is designed to teach the provider wishing to learn Adult V-A and V-V ECMO. The course has two options. Option one is the Full Course..

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Brain development in newborns and infants after ECMO

Abstract Background Extracorporeal membrane oxygenation (ECMO) not only significantly improves survival rates in severely ill neonates but also is associated with long-term neurodevelopmental issues. To systematically review the available literature..

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Prolonged Systemic Inflammatory Response Syndrome After Cardiac Surgery

Abstract Objectives Cardiac surgery induces systemic inflammatory response syndrome (SIRS), leading to higher morbidity and mortality. There are no individualized predictors for worse outcomes or biomarkers for the multifactorial, excessive..

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Hypothermic oxygenated perfusion (HOPE) safely and effectively extends acceptable donor heart preservation times: Results of the Australian and New Zealand…

Abstract Background Cold static storage preservation of donor hearts for periods longer than 4 hours increases the risk of primary graft dysfunction (PGD). The aim of the study was to determine..

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Short-Term Outcomes, Functional Status, and Risk Factors for Requiring Extracorporeal Life Support After Norwood Operation: A Single-Center Retrospective Study

Abstract Patients requiring extracorporeal life support (ECLS) post-Norwood operation constitute an extremely high-risk group. We retrospectively described short-term outcomes, functional status, and assessed risk factors for requiring ECLS post-Norwood operation..

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The checklist checkup & checklist fatigue – Say what? How does it impact clinical perfusion practice

Abstract Checklists comprise an important part of the perfusionist’s clinical practice. How many times have we forgotten important steps before setting up or priming, especially when we are in a..

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A Cost and Waste-Savings Comparison Between Single-Use and Reusable Pulse Oximetry Sensors Across US Operating Rooms

Abstract BACKGROUND:  Operating room (OR) expenditures and waste generation are a priority, with several professional societies recommending the use of reprocessed or reusable equipment where feasible. The aim of this..

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