Yearly Archives: 2025

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Clinical impact of changes in plasma osmolarity and pump time during cardiopulmonary bypass use

Abstract Aims To evaluate the roles of intraoperative changes in plasma osmolarity and pump time as predictor factors on postoperative hemodynamic instability and mid-term clinical outcomes, in adults undergoing cardiovascular..

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Evaluation of Integrated Arterial Filter Oxygenator vs. External Arterial Filters on Clinical Outcomes and Neurocognitive Function in Pediatric Cardiac Surgery:…

Abstract Background and Aims Innovative advancements in cardiopulmonary bypass (CPB) configurations, such as surface coating, blood filtration, and miniaturization, aim to reduce gaseous microemboli (GME) that contribute to embolic organ..

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Comparison of Short-Term Outcomes of Extubation in the Operating Room and Extubating in the Intensive Care Unit After Cardiac Surgery:…

Abstract Objectives: This study aimed to compare short-term outcomes in patients extubated in the operating room (ORE) vs those extubated in the intensive care unit (ICUE) following cardiac surgery.    Methods: A..

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High-risk pulmonary embolism: the significance and perspectives of pulmonary reperfusion

Abstract Rapid hemodynamic stabilization and restoration of pulmonary perfusion are the cornerstones of treatment for high-risk pulmonary embolism (PE). While all current guidelines recommend systemic thrombolysis (SYS) as the first-line..

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Routine Use of an On-Table Extubation Protocol in Pediatric Cardiac Surgery—Our Experience With Life in the Fast Lane

Abstract Background We undertook this study to evaluate the efficacy of an on-table extubation protocol and to assess the magnitude of benefits when implemented as a routine practice in a..

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Extracorporeal Membrane Oxygenation as a Bridge to Recovery in Children With Severe Necrotizing Pneumonia: Case Report

Abstract Necrotizing pneumonia is a severe complication of bacterial or viral pneumonia that can lead to refractory respiratory failure in children. Extracorporeal membrane oxygenation (ECMO) has emerged as a vital..

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Extracorporeal Membrane Oxygenation in Pulmonary Embolism: Current Evidence and Evolving Data

Abstract PULMONARY EMBOLISM (PE) remains a significant healthcare challenge, ranking as the third leading cause of mortality worldwide, following coronary artery disease and stroke. In the United States, mortality rates among..

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Outcomes after hospital discharge in children requiring post-cardiotomy extracorporeal membrane oxygenation: A binational retrospective cohort study

Abstract Objectives To describe longer-term survival and morbidity outcomes after hospital discharge in a binational cohort of children who required extracorporeal membrane oxygenation after cardiac surgery. Methods This was a..

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Clinical assessment of cannula performance during adult minimally invasive valve surgery using predictive mathematical models

Abstract OBJECTIVES Peripheral cannula selection in minimally invasive cardiac surgery (MICS) is crucial, as venous drainage limitations during cardiopulmonary bypass (CPB) can impair end-organ perfusion and overall outcomes. This study..

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Bloodless lung transplantation: Comparison between 2 central venoarterial extracorporeal membrane oxygenation anticoagulation strategies and their impact on lung transplant outcomes

Abstract Objective To report differences between 2 anticoagulation protocols during venoarterial extracorporeal membrane oxygenation (VA-ECMO) intraoperative support and their effects on outcomes after lung transplantation. Methods We performed a retrospective..

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Saline-based modified del Nido cardioplegia versus multidose St. Thomas cardioplegia in canine mitral valve repair: A randomized controlled trial

Abstract Objective To compare the utility of a saline-based modified del Nido (mDN) cardioplegia solution with a conventional institutional technique (multidose St. Thomas blood cardioplegia) for mitral valve repair (MVR)..

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Exploring the role of inflammation and proinflammatory proteins in coagulopathy during venovenous extracorporeal membrane oxygenation

Abstract Background Coagulopathy frequently complicates venovenous extracorporeal membrane oxygenation (VV ECMO) procedures, yet its underlying mechanism remains elusive. This retrospective study aimed to identify factors contributing to coagulopathy during VV..

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A heart full of nails: complex management of multiple nail gun cardiac injuries

Abstract A 54-year-old male presented after a suicide attempt, suffering severe cardiac and extracardiac injuries from firing a nail gun into both temples () and his chest. Imaging showed six..

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The use of checklists in the intensive care unit: a scoping review

Abstract Background Despite the extensive volume of research published on checklists in the intensive care unit (ICU), no review has been published on the broader role of checklists within the..

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Vasoplegic syndrome in cardiac surgery: bridging therapeutic gaps with best practices and future research

Abstract Vasoplegic syndrome (VS) is a common and potentially life-threatening complication of cardiac surgery with cardiopulmonary bypass (CPB). It presents a significant haemodynamic challenge that is often difficult to manage..

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Analysis of the feasibility of a low-anticoagulation strategy in patients undergoing post-cardiotomy extracorporeal membrane oxygenation: a retrospective cohort study

Abstract Background Extracorporeal membrane oxygenation (ECMO) is increasingly used in patients after cardiac surgery; however, anticoagulation management has consistently been challenging. This study aimed to explore the feasibility of a..

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Impact of routine extracorporeal cardiopulmonary resuscitation service on the availability of donor organs

Abstract Background In refractory cardiac arrest, extracorporeal cardiopulmonary resuscitation may increase the survival chance. However, in cases of unsuccessful treatment, extracorporeal cardiopulmonary resuscitation may additionally provide an important source of organ donors...

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Mechanical Circulatory Support for Acute Myocardial Infarction Cardiogenic Shock: Review and Recent Updates

Abstract Cardiogenic shock (CS) in acute myocardial infarction (AMI) is a life-threatening syndrome characterized by systemic hypoperfusion that can quickly progress to multiorgan failure and death. Various devices and configurations..

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Multistage Jugular Cannulation: A Case Series of Leaving the Femoral Vein Behind in Venoarterial Extracorporeal Membrane Oxygenation

Abstract Superior vena cava drainage during venoarterial extracorporeal membrane oxygenation (ECMO) may reduce access insufficiency and differential oxygenation and is typically achieved via the femoral approach. Direct multistage jugular cannulation may be..

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Long-term risk for incident cancer in patients undergoing coronary artery bypass grafting with or without cardiopulmonary bypass: a nationwide population-based…

Abstract OBJECTIVES It has been suggested that long-term risk for incident cancer is increased in patients operated with cardiopulmonary bypass. We compared the risk for incident cancer and cancer-specific death..

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Cardiac assist device (IABP)

  Faten Farid Awdallah:   [gallery ids="49616"] Critical care consultants at king Abdullah medical city, holly capital. Critical care ass professor at national heart institute, Egypt

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ECMO circuit

  Faten Farid Awdallah:   [gallery ids="49616"] Critical care consultants at king Abdullah medical city, holly capital. Critical care ass professor at national heart institute, Egypt

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Venoarterial (VA) ECMO

  Faten Farid Awdallah:  [gallery ids="49616"]     Critical care consultants at king Abdullah medical city, holly capital. Critical care ass professor at national heart institute, Egypt

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VV ECMO

  Faten Farid Awdallah:   [gallery ids="49616"]   Critical care consultants at king Abdullah medical city, holly capital. Critical care ass professor at national heart institute, Egypt

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ECMO troubleshooting

  Faten Farid Awdallah:   [gallery ids="49616"]   Critical care consultants at king Abdullah medical city, holly capital. Critical care ass professor at national heart institute, Egypt

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Perfusión regional normotérmica (PRN) para la obtención de órganos.

Perfusión regional normotérmica (PRN) para la obtención de órganos en donación en asistolia controlada.   Ponente: Dr. Juan Blanco (España) Enfermero. Máster y Posgrado en Técnicas de perfusión y oxigenación..

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Retrograde Cerebral Perfusion in Aortic Arch Surgery: Principles, Practice, and Clinical Perspectives.

1. Introduction Cerebral protection is a cornerstone of successful aortic arch surgery, where the brain is highly vulnerable during periods of circulatory arrest. While deep hypothermic circulatory arrest (DHCA) alone..

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Antegrade Cerebral Perfusion in Aortic Surgery: Techniques, Evidence, and Future Perspectives.

1. Introduction Aortic arch surgery presents significant neurologic risks due to the potential for cerebral ischemia during circulatory arrest. Traditional methods such as deep hypothermic circulatory arrest (DHCA) provided limited..

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The Hidden Engineering Behind Cannula Design: How Tip Geometry and Connectors Shape CPB Flow Dynamics.

Introduction: More Than Just a Tube In the world of cardiopulmonary bypass (CPB), the arterial cannula is far more than a simple conduit for blood flow. Every feature—from the shape..

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