Monthly Archives: abril 2026

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Myocardial Protection with Cardioplegia in Cardiac Surgery: Optimizing Where We Are Now and Setting Goals for Where We Could Go…

Abstract The administration of cardioplegia is a core component of the multimodal approach to myocardial protection during cardiac surgery with cardiopulmonary bypass., An ideal cardioplegia solution should facilitate rapid cardiac arrest,..

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The effect of cardiopulmonary bypass prime solution volume on blood transfusion: how do perfusionists manage fluid and what is the…

Abstract Introduction: During cardiopulmonary bypass (CPB), adequate prime solution allows pre-treatment of the tubing line, oxygenator and blood pump, evacuation of air from the arterial conduit, and appropriate blood dilution. However,..

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A Landmark Case in ECMO-Supported Bridge-to-Transplant Care

A Landmark Case in ECMO-Supported Bridge-to-Transplant Care  Extracorporeal membrane oxygenation (ECMO) has always been a therapy defined by its ability to buy time; time for a heart to recover, for lungs..

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Current Concepts in Extracorporeal Life Support: Medical Management and High-Fidelity Cannulation Simulations - 1/4 Dec

Current Concepts in Extracorporeal Life Support: Medical Management and High-Fidelity Cannulation Simulations - 2026 Jacksonville, FL US December 1, 2026 to December 4, 2026 Course Directors: , ., , and  December 1, 2026 - December..

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A Prospective Observational Study on Role of Intraoperative Renal A Prospective Observational Study on Role of Intraoperative Renal & Muscle…

Abstract Objective Near Infra-Red Spectroscopy (NIRS), can be used to monitor renal tissue oxygenation (SrO2), as well as thenar muscle oxygenation (SmO2). In this study, we have examined the ability of..

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Effect of ECMO Flow Variations on Pulmonary Capillary Wedge Pressure in Patients With Cardiogenic Shock

Abstract Background The hemodynamic effects of femoro-femoral venoarterial (VA) extracorporeal membrane oxygenation (ECMO) on pulmonary capillary wedge pressure (PCWP) remain poorly defined. High ECMO flow is believed to increase PCWP..

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Evaluation of bivalirudin-based anticoagulation for extracorporeal membrane oxygenation, including patients with COVID-19

Abstract Background: Although unfractionated heparin (UFH) has traditionally been used for anticoagulation during extracorporeal membrane oxygenation (ECMO), bivalirudin may be preferred due to fewer complications. A prior medication use evaluation..

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Wolf Creek XVIII Part 4: innovations in ECPR technology

Abstract The 50th Anniversary Wolf Creek XVIII Conference was hosted by the Max Harry Weil Institute for Critical Care Research and Innovation in Ann Arbor, Michigan, USA on June 19–21,..

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Every second counts: Association between activated clotting time and neurologic injury in neonatal ECMO

Abstract Background Extracorporeal membrane oxygenation (ECMO) is a critical support modality for patients with reversible cardiopulmonary failure. Despite its benefits, ECMO is associated with neurologic adverse events (NAE), including seizures..

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The effect of cardiopulmonary bypass on platelet distribution width, red cell distribution width – standard deviation, and platelet large cell…

Abstract Introduction: In patients undergoing cardiopulmonary bypass-guided cardiac surgery, knowledge of the preoperative effects of platelet distribution width (PDW), red cell distribution width - standard deviation (RDW-SD), and platelet large cell..

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Intraoperative sodium range affects white matter microstructure in neonatal congenital heart disease

Abstract Background Intraoperative sodium changes and new postoperative white matter injury are prevalent in neonates with congenital heart disease (CHD) who undergo cardiopulmonary bypass surgery. Rapid sodium correction in hyponatremia..

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Clinician Perspectives on the Extracorporeal Membrane Oxygenation Decision-Making Process

Abstract Importance  Venovenous extracorporeal membrane oxygenation (VV ECMO) is a resource-intensive, life-sustaining technology to support patients with severe refractory respiratory failure. Its precise indications and contraindications are not standardized, and expert..

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Sickle cell disease

Abstract Sickle cell disease is a genetic red blood cell disorder, affecting millions of people globally. This Seminar provides a comprehensive update on the disease, emphasising its complex pathophysiology involving..

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Management of the environment and patient care using extracorporeal membrane oxygenation: A scoping review

Abstract Introduction The use of strategies planned for the environment and care of adult patients undergoing Extracorporeal Membrane Oxygenation allows for better assistance from the multidisciplinary team to this individual..

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A comparative study of the effect of slow and rapid initiation of cardiopulmonary pump on tissue oxygenation index and ischemic…

Abstract Introduction: Although the use of the heart-lung machine (HLM) is routine in cardiac operating theaters, there is still a lack of evidence-based guidelines concerning the optimal speed to reach..

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A novel less invasive single port pulsatile ventricular assist device

Abstract A less invasive paracorporeal single port pulsatile ventricular assist device (sppVAD) was developed for cardiogenic shock. This compact sppVAD includes a valved single lumen cannula (VSLC), valveless single port..

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Nanoconjugated anticoagulant coating with blood repellency for extracorporeal circulation in cardiothoracic surgery

Abstract Coating strategies play a pivotal role in anticoagulation management during extracorporeal circulation. While heparin-based coatings remain the most widely used, their limited anticoagulant efficacy may lead to adverse events..

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Incidence of phosphate abnormalities after cardiac surgery and their association with lactic acidosis: A cohort study from the Multicenter Perioperative…

Abstract Background Data describing the incidence of phosphate abnormalities in cardiac surgery patients and associated lactic acidosis are limited to single-center studies. This study aimed to determine the incidence of..

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Ultrafast Track Pathway After Low-Risk Cardiac Surgery Enables Intensive Care Unit Stepdown Within 6 Hours: A Feasible Model for Anesthesia-Led…

Abstract Objective The aim of this study was to assess the feasibility and safety of the ultrafast track (UFT) integrated care pathway in cardiac surgery patients defined as intensive care..

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The Role of Extracorporeal Membrane Oxygenation in Airway Surgery: Experience From a French Referral Centre for Tracheobronchial Diseases Get access…

Abstract Objectives In complex airway surgery and high-risk rigid bronchoscopy, conventional ventilation may be unsafe or impossible. We report our experience using veno-venous extracorporeal membrane oxygenation (VV-ECMO) as respiratory support...

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Simple and reliable method for predicting extracorporeal membrane oxygenation flow rates and circuit pressures

Abstract Background Venovenous extracorporeal membrane oxygenation (ECMO) is essential for patients with severe respiratory failure who do not respond to conventional mechanical ventilation. Adequate ECMO flow and safe circuit pressure..

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Noninvasive Predictive Model for Rapid Hemodynamic Optimization During Mechanical Circulatory Support

Abstract Mechanical circulatory support (MCS) devices are standard therapy for advanced heart failure, but modern systems lack standardized methods for setting critical parameters such as rotational speed and flow rate...

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Initiating Cardiopulmonary Bypass Using a Dry Venous Line: Implications and Analysis

Abstract Cardiopulmonary bypass (CPB) is an essential component of modern cardiac surgery, allowing surgeons to temporarily replace heart and lung function during complex procedures. One important technical aspect of CPB..

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Integration Health Guides Hospitals in Advanced Circulatory Support Through ECMO and Perfusion Educational Resources

Abstract Hospitals seeking to implement complex technologies like extracorporeal membrane oxygenation (ECMO) now have practical roadmaps thanks to Integration Health’s effort to provide guidance drawn from decades of clinical and..

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Prolonged Extracorporeal Membrane Oxygenation Without Systemic Anticoagulation in Sheep

Abstract Clinically significant bleeding is a common complication of extracorporeal membrane oxygenation (ECMO), with bleeding observed in upwards of 40% of patients. Bleeding is strongly associated with systemic anticoagulation, which..

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Acellular Hemoglobin Impairs Cardiomyocyte Excitation-Contraction Coupling

Abstract Heart failure is a significant complication of chronic intravascular hemolysis, a condition characterized by red blood cells (RBCs) breakdown, leading to the release of acellular hemoglobin (Hb) and its..

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Balancing flow and filtration: AKI during ECMO

Abstract Acute Kidney Injury (AKI) cannot be viewed as a mere complication in critically ill patients who require extracorporeal membrane oxygenation (ECMO). Rather, it is being increasingly recognized as an..

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Venoarterial Extracorporeal Membrane Oxygenation Drainage Cannula Choice Impacts Flow Dynamics and Thrombosis Risk: A Computational Analysis

Abstract The drainage cannula in a venoarterial extracorporeal membrane oxygenation (VA ECMO) circuit transfers venous blood from the patient to a pump. However, drainage cannulas are prone to thrombosis, leading..

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Net Prolongation of Life in Advanced Heart Failure: An Intentional Strategy of Durable LVAD Therapy Followed by Heart Transplantation

Abstract Heart transplantation (HT) and durable left ventricular assist device (LVAD) support are established surgical treatment options for patients with end-stage systolic heart failure (HF) and/or nonrecoverable cardiogenic shock. HT..

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Effects of mild and moderate hypothermia on renal injury evaluated with neutrophil gelatinase associated lipocalin cystatin C and near infrared…

Abstract Background: The degree of hypothermia during coronary artery bypass grafting (CABG) surgery may affect kidney injury. In this study we compared the effects of mild (MLD) and moderate (MOD) hypothermia..

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