Abstract The evolution of perioperative care in cardiac surgery is uniquely captured by the 2 paradigms that define its modern history: fast-track recovery and Enhanced Recovery After Surgery (ERAS) ()...
Read MoreAbstract Purpose Obesity is increasingly encountered among patients requiring extracorporeal membrane oxygenation (ECMO) for severe respiratory or cardiac failure. It alters respiratory and cardiovascular physiology and drug pharmacokinetics and introduces..
Read MoreAbstract Objectives Pulmonary dysfunction is a known complication of cardiac surgery. High fractions of inspired oxygen (FiO2) during the critical pulmonary reperfusion phase of cardiopulmonary bypass (CPB) weaning is a..
Read MoreThe 2027 ECMO Symposium: Advancing Excellence in Extracorporeal Life Support will convene multidisciplinary experts to address emerging evidence, evolving technologies, and systems-based strategies influencing contemporary VA and VV ECMO practice...
Read MoreAbstract Background Cardiac surgery is associated with significant mortality and complication risks. This study aims to develop an interpretable machine learning (ML) model to predict adverse outcomes (AOs) after cardiac..
Read MoreAbstract Background Fluid administration, priming solutions, and the use of cardiopulmonary bypass (CPB) during cardiac surgery are likely to promote hemodilution and inflammatory responses, leading to microcirculatory impairment. A new..
Read MoreAbstract Background Acute kidney injury (AKI) is a common complication following cardiac surgery. The RCR (ratio of RDW to total serum calcium (TSC)), which exhibits high predictive value for various..
Read MoreAbstract Objectives To identify risk factors associated with inadequate heparin response in pediatric congenital heart surgery requiring cardiopulmonary bypass and to develop age-specific predictive scoring systems. Design Retrospective cohort study...
Read MoreAbstract Background Heparin-induced thrombocytopenia rules out the possibility of adopting heparin for cardiopulmonary bypass. To overcome this problem two anticoagulants can be used: argatroban and bivalirudin. Case presentation We report..
Read MoreAbstract Background Despite the widespread use of retrograde cardioplegia in most institutions, some surgeons continue to encounter technical difficulties during insertion of the retrograde cardioplegia cannula. We introduce the 4-finger..
Read MoreAbstract Congenital heart disease (CHD) is the most common congenital anomaly worldwide and is associated with substantial infant morbidity and mortality. This narrative review synthesizes evidence linking CHD to alterations..
Read MoreAbstract Extracorporeal cardiopulmonary resuscitation (ECPR) is an emerging rescue strategy for select patients with refractory out-of-hospital cardiac arrest (OHCA). Mobile ECPR programs aim to reduce low-flow time by initiating extracorporeal..
Read MoreAbstract Background Tracheal intubation is a ubiquitous but high-risk procedure in critically ill patients, often required in the setting of severe hypoxemia, shock, or metabolic acidosis. Despite being a life-saving..
Read MoreAbstract Background Prehospital plasma transfusion for patients at risk of hemorrhagic shock reduces mortality, but cold-chain and logistical constraints limit product availability. This study reports the first-in-human clinical evaluation of..
Read MoreAbstract Background Cardiac surgery–associated acute kidney injury (CSA-AKI) is one of the most frequent complications after cardiopulmonary bypass (CPB), in which hemolysis plays an important pathophysiological role. Carboxyhemoglobin (COHb) plays..
Read MoreAbstract Background Cardiopulmonary bypass (CPB) oxygenators provide essential intra-operative gas exchange. Although rare, CPB oxygenator failures can cause catastrophic morbidity and mortality, and published analyses of CPB-specific oxygenator failures are..
Read MoreAbstract Background Occupational fatigue among healthcare professionals is a complex, multifaceted issue associated with increased likelihood of medical error, compromised patient safety and negative impacts on staff mental and physical..
Read MoreAbstract Hospital-acquired infection (HAI) is a major complication in pediatric patients on extracorporeal membrane oxygenation (ECMO) and continuous renal replacement therapy (CRRT). Infection detection is challenging, as traditional inflammatory markers..
Read MoreAbstract Objectives Patients admitted to ICUs are frequently exposed to disrupted light–dark cycles due to limited daylight exposure and inappropriate electrical lighting in terms of intensity, duration, timing, and spectral..
Read MoreManaging refractory 𝐡𝐲𝐩𝐨𝐱𝐞𝐦𝐢𝐚 𝐨𝐧 𝐕𝐕 𝐄𝐂𝐌𝐎 isn't just about protocols— it's about making the right decisions at the right time. Join this live interactive 𝐄𝐂𝐌𝐎 𝐬𝐢𝐦𝐮𝐥𝐚𝐭𝐢𝐨𝐧 𝐰𝐞𝐛𝐢𝐧𝐚𝐫 and gain practical..
Read MoreAbstract Objectives Cardiopulmonary bypass (CPB) impairs endothelial function, causing oedema and disturbed microcirculatory perfusion, that contribute to organ dysfunction following cardiac surgery. We hypothesised that the composition of CPB prime..
Read MoreAbstract Background Patient Blood Management (PBM) is a multidisciplinary strategy to optimise patient outcomes by preserving autologous blood and reducing unnecessary transfusion. Although PBM initiatives exist worldwide, the consistency of..
Read MoreAbstract Pediatric patients undergoing cardiac catheterization are at risk of major adverse events, including cardiac arrest and the need for extracorporeal membrane oxygenation support. The primary aim of this study..
Read MoreAbstract Background Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is used for refractory cardiogenic shock, yet optimal weaning strategies and the role of left ventricular (LV) venting remain unclear. The TWEET-1..
Read MoreAbstract This review explores the regulatory mechanism of anesthesia on the perioperative immune response and its impact on postoperative recovery and complications in patients. Surgical trauma can activate the body's..
Read MoreAbstract Coagulopathy, bleeding, and transfusion of allogeneic blood products remain major concerns in a relevant portion of patients undergoing cardiac surgery, and all of them have been associated with increased..
Read MoreAbstract Background Patients receiving extracorporeal membrane oxygenation (ECMO) are considered nutritionally vulnerable, with previous studies focussed on Intensive Care Unit (ICU) admission alone. We aimed to address this gap by..
Read MoreAbstract Objective To evaluate the feasibility and diagnostic yield of universal genome sequencing (GS) in infants receiving extracorporeal membrane oxygenation (ECMO). Study design Prospective multicenter study across eight Children’s Hospital..
Read MoreAbstract Anthropogenic climate change is evident, and its impacts are being felt around the globe. The World Health Organization (WHO) recently revealed that approximately one in four deaths can be..
Read MoreAbstract The integration of artificial intelligence (AI) into medical training is accelerating faster than the educational frameworks designed to govern it. This Perspective identifies a risk that has received insufficient..
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