Yearly Archives: 2024

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Age and associated outcomes among patients receiving venoarterial extracorporeal membrane oxygenation–analysis of the Extracorporeal Life Support Organization registry

Abstract Purpose: Venoarterial extracorporeal membrane oxygenation (V-A ECMO) can be used to support severely ill patients with cardiogenic shock. While age is commonly used in patient selection, little is known..

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Postoperative anemia in cardiac surgery patients: a narrative review

Abstract Purpose Anemia reduces the blood’s ability to carry and deliver oxygen. Following cardiac surgery, anemia is very common and affects up to 90% of patients. Nevertheless, there is a..

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Dose-dependent influence of red blood cell transfusion volume on adverse outcomes in cardiac surgery

Abstract Introduction Red blood cell (RBC) transfusion is associated with adverse outcomes, but there are few studies on the RBC volume. This study aimed to evaluate the relationship between intraoperative..

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Application of an autotransfusion pressure control system in blood salvage

Abstract Objective: This study was performed to evaluate the effect of a homemade autotransfusion pressure-control system on the regulation of negative pressure and to clarify the influence of different negative pressures..

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Crisis Scenarios for Simulation-Based Nontechnical Skills Training for Cardiac Surgery Teams

Abstract Background  Nontechnical skills in cardiac surgery are vital in ensuring patient safety in the operating room (OR). To train these skills in a simulation-based scenario, a collection of commonly..

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What are the minimal criteria of goal-directed perfusion (GDP) in adult cardiac surgery?

Abstract Introduction: Nowadays, many cardiac surgery teams are adopting the goal-directed perfusion (GDP) strategy in their practice to maintain optimal perfusion during cardiac surgeries and improve patient outcomes. Furthermore, it plays..

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Samurai Cannulation for Acute Stanford Type A Aortic Dissection

Abstract Direct true lumen  through aortic  for  during surgery for acute Stanford type A  was reported by Jacob, followed by Conzelmann who used a  tourniquet to snag the . Since 2013, Samurai cannulation, a modified version..

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Ambulatory Extracorporeal Membrane Oxygenation Use in Patients Listed for Lung Transplant

Abstract There has been an increase in the use of extracorporeal membrane oxygenation (ECMO) to bridge critically ill patients to lung transplant (LTX). This study evaluates how ambulatory status on..

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Maternal outcomes following postpartum autotransfusion of blood lost during vaginal obstetric hemorrhage

Abstract Background Autotransfusion following vaginal delivery has not been as widely adopted and existing data on this topic are limited to small case series. Methods This is a single-center retrospective..

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A Comparison of the Clinical Outcomes of Minimum and Maximum Hematocrit Levels During Cardiopulmonary Bypass (CPB) in Low-risk Patients Undergoing…

Abstract Background:  This study investigated the clinical outcomes at the minimum and maximum levels of hematocrit (HCT) during cardiopulmonary bypass (CPB) in low-risk patients undergoing coronary artery bypass graft (CABG)..

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Low-flow perfusion technique for shaggy aortic arch

Abstract Background The most common complication of thoracic aortic disease with shaggy aorta is cerebral infarction. We have performed “low-flow perfusion” as a method of extracorporeal circulation to prevent cerebral..

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Online interpretable dynamic prediction models for postoperative delirium after cardiac surgery under cardiopulmonary bypass developed based on machine learning algorithms:…

Abstract Objective: Postoperative delirium (POD) is strongly associated with poor early and long-term prognosis in cardiac surgery patients with cardiopulmonary bypass (CPB). This study aimed to develop dynamic prediction models for..

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Perioperative Care in Cardiac Surgery: A Joint Consensus Statement by the Enhanced Recovery After Surgery (ERAS) Cardiac Society, ERAS International…

Abstract Enhanced Recovery After Surgery (ERAS) programs have been shown to lessen surgical insult, promote recovery, and improve postoperative clinical outcomes across a number of specialty operations. A core tenet..

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ECPELLA: Beyond a Left Ventricular Venting Strategy When to Unload the Left Ventricle and How to Decide

Abstract Left ventricular (LV) unloading has been shown to improve survival for patients requiring veno-arterial extracorporeal membrane oxygenation (VA ECMO) support for cardiogenic shock. A mortality benefit has been shown..

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Preoperative anemia and anemia treatment in cardiac surgery: a systematic review and meta-analysis

Abstract Purpose: We aimed to conduct a systematic review and meta-analysis to assess the effects of anemia and anemia severity on patient outcomes in cardiac surgery and determine whether preoperative treatments..

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Health-related quality of life assessment instruments for extracorporeal membrane oxygenation survivors: A scoping review

Abstract Background and objective: Extracorporeal membrane oxygenation (ECMO) has been successfully and widely used in adult patients for the past 5 years. About 50% of these patients can survive and are..

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A human cadaveric model for venous air embolism tool development

Abstract Purpose A human cadaveric model combining standard lung protective mechanical ventilation and modified cardiac bypass techniques was developed to allow investigation into automated modes of detection of venous air..

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Arterial Hyperoxemia During Cardiopulmonary Bypass Was Not Associated With Worse Postoperative Pulmonary Function: A Retrospective Cohort Study

Abstract BACKGROUND:  Arterial hyperoxemia may cause end-organ damage secondary to the increased formation of free oxygen radicals. The clinical evidence on postoperative lung toxicity from arterial hyperoxemia during cardiopulmonary bypass..

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Sepsis in cardiothoracic surgery

Abstract Sepsis is a life-changing condition that can occur  undergoing . It is characterized by a dysregulated inflammatory response to infection, often leading to higher rates of organ dysfunction and mortality. The..

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Development and evaluation of extracorporeal membrane oxygenation nursing education program for nursing students using virtual reality

Abstract Background This study aims to improve nursing students’ ability to care for critically ill patients through education in extracorporeal membrane oxygenation (ECMO) nursing. Methods This study developed a virtual..

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Recovery of extracorporeal lungs using cross-circulation with injured recipient swine

Abstract Objective Lung transplantation remains limited by the shortage of healthy organs. Cross-circulation with a healthy swine recipient provides a durable physiologic environment to recover injured donor lungs. In a..

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Individualized heparin monitoring and management reduces protamine requirements in cardiac surgery on minimal invasive extracorporeal circulation; A prospective randomized study

Abstract Introduction Individualized heparin and protamine management is increasingly used as a strategy to reduce coagulation activation and bleeding complications. While it is associated with increased heparin requirements during Cardiopulmonary..

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Phosphodiesterases in heart and vessels- From Physiology to Diseases

Abstract Phosphodiesterases (PDEs) are a superfamily of enzymes that hydrolyze cyclic nucleotides, including cyclic adenosine monophosphate (cAMP) and cyclic guanosine monophosphate (cGMP), critical secondary messengers in the neurohormonal regulation in..

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Determining sex-specific preoperative haemoglobin levels associated with intraoperative red blood cell transfusion in cardiac surgery: a retrospective cohort study

Abstract Background Anaemic cardiac surgery patients are at greater risk of intraoperative red blood cell transfusion. This study questions the application of the World Health Organization population-based anaemia thresholds (haemoglobin..

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Extracorporeal Circulation and Venous Hemodynamics: A Literature Review on Physiological Foundations to Clinical Applications

Abstract The venous system constitutes a vital component of the human circulatory system, facilitating the return of deoxygenated blood from tissues and organs back to the heart. During cardiac surgeries..

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Evaluating the Impact of Operative Team Familiarity on Cardiac Surgery Outcomes

Abstract Objective:  To associate surgeon-anesthesiologist team familiarity with cardiac surgery outcomes. Background:  Team Familiarity (TF), a measure of repeated team member collaborations, has been associated with improved operative efficiency; however,..

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Performance Evaluation of Geometrically Different Pediatric Arterial Cannulae in a Pediatric Cardiopulmonary Bypass Model

Abstract Objective: To define a reference chart comparing pressure drop vs. flow generated by a set of arterial cannulae currently utilized in cardiopulmonary bypass conditions in pediatric surgery. Methods: Cannulae from two..

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Preoperative Sildenafil in Pediatric Patients Undergoing Congenital Heart Surgeries: A Systematic Review and Meta-Analysis

Abstract Background.  Pulmonary hypertension (PH) is a common complication of congenital heart disease (CHD). With early surgical intervention, outcomes have improved over the last two decades. Persistent PH, however, may..

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Do we correctly calculate doses of cardioplegia during aortic valve replacement procedures? A preliminary report

Abstract Introduction Intraoperative myocardial protection during aortic valve replacement (AVR) for aortic stenosis (AS) is of paramount importance for outcomes. The dose of cardioplegia is usually calculated with reference to body mass. Aim..

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Safety and Efficacy of Extracorporeal Membrane Oxygenation Heating Units

Abstract Background Patient temperature during extracorporeal membrane oxygenation (ECMO) is commonly managed by dedicated heating units (HUs) that are integrated into ECMO circuitry. Currently, no HU has received approval for..

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