Monthly Archives: febrero 2026

thumbnail
0 comment

Early Prediction of Postoperative Peritoneal Dialysis Using Lung Ultrasound Scoring in Neonates After Cardiopulmonary Bypass

Abstract Background: Neonates and young infants undergoing cardiac surgery with cardiopulmonary bypass (CPB) are highly vulnerable to pulmonary dysfunction, systemic inflammation, capillary leak, and fluid overload, which may lead to..

Read More
thumbnail
0 comment

Unexpected Cardiac Arrest After Cardiopulmonary Bypass Initiation, Likely Due to Cardioplegia Migration: A Case Report

Abstract This case report describes a pediatric cardiac surgery in which electrocardiographic (ECG) changes appeared immediately after the initiation of cardiopulmonary bypass (CPB), followed by severe bradycardia and ultimately flaccid..

Read More
thumbnail
0 comment

Subclavian or axillary artery cannulation for extracorporeal membrane oxygenation: A systematic review

Abstract Background Subclavian or axillary artery cannulation for venoarterial extracorporeal membrane oxygenation (VA-ECMO) provides a valuable alternative to femoral access; however, a comprehensive overview of such an approach in this..

Read More
thumbnail
0 comment

Normoxic versus hyperoxic reperfusion: A retrospective study of ischemia–reperfusion injury in patients undergoing on-pump coronary artery bypass grafting

Abstract Background Blood oxygen content and management during cardiopulmonary bypass (CPB), particularly during reperfusion phase after cross-clamping related ischemia, may influence systemic oxygen utilization, oxidative stress, and organ ischemia/reperfusion injury...

Read More
thumbnail
0 comment

Prevention and management of nosocomial infections in patients undergoing extracorporeal membrane oxygenation: a summary of best evidence

Abstract Purpose This study aimed to systematically search, evaluate, and synthesize the latest evidence on the prevention and management of nosocomial infections in patients supported by extracorporeal membrane oxygenation. Methods..

Read More
thumbnail
0 comment

Correlations between intraparenchymal cerebral temperature and peripheral temperature monitoring sites during rewarming after deep hypothermic circulatory arrest on cardiopulmonary bypass

Abstract Background Optimal anatomical sites for temperature monitoring that most closely correlates with cerebral temperature remain debated in cardiac surgery, particularly during cardiopulmonary bypass (CPB) with deep hypothermic circulatory arrest..

Read More
thumbnail
0 comment

Hartford Hospital Adult ECMO Training Course (ELSO 10.2026) - Oct 12/14

Date & Location Monday, October 12, 2026, 7:00 AM - Wednesday, October 14, 2026, 5:00 PM ET, Heart & Vascular Insititute, CESI @ Hartford Hospital, Hartford, CT Registration This course is limited..

Read More
thumbnail
0 comment

Left Ventricular Venting Using a Transaortic Pigtail Catheter in Pediatric Myocarditis Requiring Extracorporeal Membrane Oxygenation

Abstract Patients with fulminant myocarditis accompanied by severe hemodynamic deterioration, cardiogenic shock, or refractory arrhythmias often require venoarterial extracorporeal membrane oxygenation (VA-ECMO) treatment. When left ventricular (LV) dilation, elevated LV..

Read More
thumbnail
0 comment

Ventilator management on extracorporeal membrane oxygenation: considerations for open lung strategy

Abstract Purpose of review  The present review addresses the underlying biology of acute respiratory distress syndrome (ARDS) while recognizing that extracorporeal membrane oxygenation (ECMO) is an increasingly employed technology in..

Read More
thumbnail
0 comment

The invisible face of ECMO: anxiety levels and challenges among intensive care nurses

Abstract Background Extracorporeal membrane oxygenation (ECMO) is a technology that provides temporary life support to critically ill patients with heart and/or lung failure. However, the complexity of the care involved..

Read More
thumbnail
0 comment

Design and rationale of the Impella®-protected cardiac surgery trial (IMPACT): A multicenter, single-arm pilot study in high-risk cardiac surgery patients

Abstract Background Cardiac surgery patients with severe preoperative left ventricular (LV) dysfunction are at high risk for poor postoperative outcomes including prolonged ventilation, renal failure and post-cardiotomy cardiogenic shock (PCCS)...

Read More
thumbnail
0 comment

Impact of Priming Volume Reduction on Hematocrit Retention in Pediatric Cardiopulmonary Bypass: A Retrospective Analysis

Abstract Background Retrograde autologous priming and venous antegrade priming replace the cardiopulmonary bypass circuit crystalloid with patient blood to mitigate hemodilution. However, their effectiveness in pediatric patients, particularly when analyzed..

Read More
thumbnail
0 comment

Heterogeneity of Treatment Effect for Intra-Aortic Balloon Pump Use Across Lactate Trajectories in Cardiogenic Shock Patients Supported by VA-ECMO: An…

Abstract This study aimed to investigate the heterogeneity of treatment effect for intra-aortic balloon pump (IABP) across various lactate trajectories in patients with acute myocardial infarction-related cardiogenic shock (AMICS) supported..

Read More
thumbnail
0 comment

Ischemic and hemorrhagic stroke in pediatric patients after extracorporeal membrane oxygenation decannulation: a systematic review

Abstract OBJECTIVE Extracorporeal membrane oxygenation (ECMO) is a vital support for pediatric patients with severe cardiac or pulmonary failure. However, post-decannulation complications, particularly involving carotid artery ligation (CAL) or carotid..

Read More
thumbnail
0 comment

The Association Between Early Postoperative Temperature Trajectories and Severe Acute Kidney Injury After Valvular Heart Surgery: A Retrospective Cohort Study

Abstract Background/Objectives: Postoperative body temperature abnormalities are common yet underrecognized, and their association with acute kidney injury (AKI) remains unclear. In this study, we aimed to identify early postoperative temperature..

Read More
thumbnail
0 comment

Radical Pericardiectomy and Use of Cardiopulmonary Bypass for Constrictive Pericarditis

Abstract Background Pericardiectomy is a definitive treatment for constrictive pericarditis. However, the extent of resection and cardiopulmonary bypass (CPB) use remain debated. We therefore compared hemodynamic changes, complications, long-term survival,..

Read More
thumbnail
0 comment

Distal Limb Perfusion in Extracorporeal Membrane Oxygenation

Abstract Limb ischemia is the most common vascular complication in patients receiving femoral venoarterial extracorporeal membrane oxygenation (VA-ECMO) and is associated with an increased risk of mortality., To improve blood flow..

Read More
thumbnail
0 comment

Determining an optimal central cannulation strategy for ambulatory veno-venous extracorporeal life support

Abstract Background Chronic obstructive pulmonary disease (COPD) is the most prevalent chronic end stage lung disease. There are few long-term treatment options for end stage COPD due to donor lung..

Read More
thumbnail
0 comment

Nutrition support practices in cardiothoracic surgery patients with gastrointestinal complications: An observational study

Abstract Introduction Gastrointestinal (GI) complications following cardiac surgery involving cardiopulmonary bypass are rare but life threatening. Despite GI complications having implications for nutrition delivery, nutrition support practices in this population..

Read More
thumbnail
0 comment

Temporal evolution of arterial pulse pressure trajectories as early predictor of weaning success in venoarterial extracorporeal membrane oxygenation

Abstract Introduction: Weaning from venoarterial extracorporeal membrane oxygenation (VA ECMO) remains a major challenge because reliable indicators of cardiac recovery are lacking. Arterial pulse pressure (PP), a simple and continuously measured..

Read More
thumbnail
0 comment

Weaning From Mechanical Ventilation in Cardiac Surgery Patients: Current Strategies, Monitoring Innovations, and Future Perspectives

Abstract Weaning from mechanical ventilation after cardiac surgery is a dynamic, multifaceted process that extends beyond respiratory function alone. While most patients experience timely extubation, others face delayed or failed..

Read More
thumbnail
0 comment

Nursing management in extracorporeal membrane oxygenation (ECMO): A scoping review

Abstract Objectives To synthesise the existing literature on nursing management in the care of ECMO-supported patients, with a focus on: (1) the competencies required for ECMO nursing care, (2) the..

Read More
thumbnail
0 comment

Addressing metabolic demands during veno-venous extracorporeal life support: A narrative review

Abstract When critical illness is further complicated by severe respiratory failure, such as in cases of acute respiratory distress syndrome (ARDS) requiring veno-venous extracorporeal membrane oxygenation (VV-ECMO), patients may be..

Read More
thumbnail
0 comment

Prolonged Systemic Inflammatory Response Syndrome Predicts Atrial Fibrillation After Cardiac Surgery

Abstract Objectives Cardiac surgery and the use of cardiopulmonary bypass (CPB) lead to short-lasting postoperative inflammatory response and some patients fail to adapt to the stress leading to a prolonged..

Read More
thumbnail
0 comment

Standardization of in-vitro evaluation of extracorporeal life support (ECLS) devices for research and development

Abstract Extracorporeal life support (ECLS) technology has witnessed remarkable advancements during the last decades. However, further research and development of devices are required to increase, for example, performance-efficiency, hemocompatibility, and..

Read More
thumbnail
0 comment

Post-Decannulation Mortality in Patients on Veno-Arterial Extracorporeal Membrane Oxygenation for Cardiogenic Shock

Abstract This retrospective single-center study evaluated adults with cardiogenic shock supported with veno-arterial extracorporeal membrane oxygenation (VA ECMO) from 2011 to 2023 to identify predictors of in-hospital mortality among those..

Read More
thumbnail
0 comment

The role of the perfusionist in the extracorporeal life support management: An international survey

Abstract Background Extracorporeal Life Support (ECLS) services are characterised by variability in resource availability, specific expertise, device management and team organisation, especially regarding the role of perfusionists. This international survey..

Read More
thumbnail
0 comment

Exploring the Role of Central Venous Pressure in Cardiac Surgery-Associated Acute Kidney Injury: A Comprehensive Scoping Review

Abstract Background: Acute kidney injury (AKI) is a critical complication, affecting up to 30% of coronary artery bypass grafting (CABG) patients, and contributing to significant morbidity and mortality. Recent studies indicate..

Read More
thumbnail
0 comment

Dose-response relationship between cell salvage volume, perioperative transfusion requirements, and postoperative clinical outcomes in cardiac surgery: A retrospective cohort study

Abstract Background Intraoperative cell salvage (CS) reduces allogeneic transfusion in cardiac surgery but depletes coagulation factors, potentially causing dose-dependent coagulopathy. Although mechanistic studies suggest hemostatic impairment at higher volumes, nearly..

Read More
thumbnail
0 comment

Novel insights into microcirculatory dysfunction in cardiogenic shock

Abstract While cardiogenic shock (CS) is classically defined by primary cardiac dysfunction leading to impaired macrocirculatory variables—such as hypotension, reduced cardiac output (CO), and diminished left ventricular ejection fraction—growing evidence..

Read More