Archives

thumbnail
0 comment

Higher Mean Arterial Pressure during Cardiopulmonary Bypass May Not Prevent Acute Kidney Injury in Elderly Patients Undergoing Cardiac Surgery

Abstract We aimed to evaluate the role of higher mean arterial pressure (MAP) during cardiopulmonary bypass (CPB) in preventing development of acute kidney injury (AKI).  Methods. We evaluated a population..

Read More
thumbnail
0 comment

Cardiopulmonary bypass weaning process, encountered challenges, and the management

Abstract Weaning from cardiopulmonary bypass (CPB) requires the heart to resume its function as the driving force of blood flow, taking over from the mechanical pump in the CPB circuit...

Read More
thumbnail
0 comment

Value of Hemodynamic Monitoring in Patients With Cardiogenic Shock Undergoing Mechanical Circulatory Support

Abstract The recent widespread availability and use of mechanical circulatory support is transforming the management and outcomes of cardiogenic shock (CS). Clinical decision-making regarding the optimization of therapies for patients with..

Read More
thumbnail
0 comment

Safety and Effectiveness of Veno-Venous Extracorporeal Membrane Oxygenation Combined with Continuous Renal Replacement Therapy

Abstract Patients receiving extracorporeal membrane oxygenation (ECMO) often suffer from acute kidney injury (AKI), requiring continuous renal replacement therapy (CRRT). In our clinical practice, we connected the inlet line of..

Read More
thumbnail
0 comment

Nitric Oxide on Extracorporeal Life Support-Circuit Modifications for a Safe Therapy

Abstract Nitric oxide (NO) incorporation into the sweep gas of the extracorporeal life support (ECLS) circuit has been proposed as a strategy to ameliorate the insults caused by the systemic..

Read More
thumbnail
0 comment

Managing a team in the operating room: The science of teamwork and non-technical skills for surgeons

Abstract At 3:15 AM on an otherwise unremarkable Thursday morning, a routine appendectomy was about to begin. Well, at least everyone thought it would be routine. Nothing about the 22-year-old..

Read More
thumbnail
0 comment

Prediction of Survival After Implantation of a Fully Magnetically Levitated Left Ventricular Assist Device

Abstract Background Clinical trials inform on average efficacy, but individualized risk assessments for outcome prediction are important in guiding treatment implementation. Objectives The authors developed and validated a patient-specific risk..

Read More
thumbnail
0 comment

Circadian effect of time of anaesthesia on postoperative outcomes in major elective and urgent intervention: a secondary analysis of the…

Abstract BACKGROUND  A recent prospective study reported a decrease in postoperative mortality when cardiac surgery was started in the afternoon instead of in the morning. In contrast, several large retrospective..

Read More
thumbnail
0 comment

A Novel Theory-Based Virtual Reality Training to Improve Patient Safety Culture in the Department of Surgery of a Large Academic…

Abstract Background: Preventable surgical errors of varying degrees of physical, emotional, and financial harm account for a significant number of adverse events. These errors are frequently tied to systemic problems..

Read More
thumbnail
0 comment

Machine Learning to Predict Outcomes and Cost by Phase of Care After Coronary Artery Bypass Grafting

Abstract Background Machine learning may enhance prediction of outcomes after  (CABG). We sought to develop and validate a dynamic machine learning model to predict CABG outcomes at clinically relevant pre- and..

Read More
thumbnail
0 comment

Immediate Higher-Dose Prothrombin Complex Concentrate Without Fresh Frozen Plasma or Fibrinogen Concentrate for Significant Coagulopathic Cardiac Surgical Field Bleeding

Abstract Background Treatment of significant coagulopathic cardiac surgical field bleeding with immediate higher-dose  (PCC) without  (FFP) or  is unexplored. Aims To study characteristics, , and clinical outcomes of patients with significant coagulopathic surgical field..

Read More
thumbnail
0 comment

Left ventricular vs. biventricular mechanical support: Decision making and strategies for avoidance of right heart failure after left ventricular assist…

Abstract Left ventricular assist devices (LVADs) are safer and provide better survival and better quality of life than biventricular assist devices (BVADs) but end-stage heart failure often involves both ventricles,..

Read More
thumbnail
0 comment

Clinician Perspectives on Cannulation for Extracorporeal Cardiopulmonary Resuscitation: A Mixed Methods Analysis

Abstract Out-of-hospital cardiac arrest is a leading cause of mortality with survival rates of less than 10%. In selected patients, survival may be improved via timely application of extracorporeal cardiopulmonary resuscitation (ECPR)...

Read More
thumbnail
0 comment

The impact of urine flow on urine oxygen partial pressure monitoring during cardiac surgery

Abstract Purpose Urine oxygen partial pressure (PuO2) may be useful for assessing acute kidney injury (AKI) risk. The primary purpose of this study was to quantify the ability of a..

Read More
thumbnail
0 comment

Interaction of hemoglobin, transfusion, and acute kidney injury in patients undergoing cardiopulmonary bypass: a group-based trajectory analysis

Abstract Anemia is a risk factor for acute kidney injury (AKI) following cardiopulmonary bypass (CPB). Whether red blood cell (RBC) transfusion-enhanced hemoglobin levels contribute to low AKI rates remains unclear...

Read More
thumbnail
0 comment

Prediction of acute kidney injury risk after cardiac surgery: using a hybrid machine learning algorithm

Abstract Background Acute kidney injury (AKI) is a serious complication after cardiac surgery. We derived and internally validated a Machine Learning preoperative model to predict cardiac surgery-associated AKI of any severity and..

Read More
thumbnail
0 comment

Predictors of health-related quality of life after cardiac surgery: a systematic review

Abstract Background Health-related quality of life (HRQoL) is important in determining surgical success, particularly from the patients’ perspective. Aims To identify predictors for HRQoL outcome after cardiac surgery in order..

Read More
thumbnail
0 comment

The outcomes of ultrafiltration in on-pump versus off-pump coronary artery bypass grafting in patients with renal impairment

Abstract Objective In chronic kidney disease (CKD), using cardiopulmonary bypass (CPB) may contribute to renal dysfunction. Off-pump coronary artery bypass grafting (OPCAB) is one technique that preserved renal function, but..

Read More
thumbnail
0 comment

Delivering optimal renal replacement therapy to critically ill patients with acute kidney injury

Abstract Critical illness is often complicated by acute kidney injury (AKI). In patients with severe AKI, renal replacement therapy (RRT) is deployed to address metabolic dysfunction and volume excess until..

Read More
thumbnail
0 comment

Getting the best from the Heart Team: guidance for cardiac multidisciplinary meetings

Abstract The purpose of this document is to update the existing joint British Societies recommendations on multidisciplinary meetings (MDMs) published in 2015 to reflect changes in practice. We aim to..

Read More
thumbnail
0 comment

Extracorporeal CO2 Removal During Renal Replacement Therapy to Allow Lung-Protective Ventilation in Patients with COVID-19–Associated Acute Respiratory Distress Syndrome

Abstract The aim of this retrospective multicenter observational study is to test the feasibility and safety of a combined extracorporeal CO2 removal (ECCO2R) plus renal replacement therapy (RRT) system to use..

Read More
thumbnail
0 comment

Venting during venoarterial extracorporeal membrane oxygenation

Abstract Cardiogenic shock and cardiac arrest contribute pre-dominantly to mortality in acute cardiovascular care. Here, veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has emerged as an established therapeutic option for patients suffering..

Read More
thumbnail
0 comment

Deliberate practices of speaking up and responding skills: the Speak-PREP e-learning module for healthcare professionals

Abstract Purpose Speaking up and responding to others’ concerns promotes patient safety. We describe health professionals’ utilisation of these important skills. Method We developed an interactive e-learning module, Speak-PREP, to train healthcare..

Read More
thumbnail
0 comment

Development of a Standardized Assessment of Simulation-based Extracorporeal Membrane Oxygenation Educational Courses

Abstract Background In 2020, the Extracorporeal Life Support Organization education task force identified seven extracorporeal membrane oxygenation (ECMO) educational domains that would benefit from international collaborative efforts. These included research..

Read More
thumbnail
0 comment

Metabolomic profiling demonstrates evidence for kidney and urine metabolic dysregulation in a piglet model of cardiac surgery-induced acute kidney injury

Abstract Acute kidney injury (AKI) is a common cause of morbidity after congenital heart disease surgery. Progress on diagnosis and therapy remains limited, however, in part due to poor mechanistic..

Read More
thumbnail
0 comment

A qualitative analysis of physician decision making in the use of extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest

Abstract Aim of Study To prepare for the design of future  of  cardioupulmonary resuscitation (ECPR), we sought to understand physician beliefs regarding the use of ECPR and subsequent management, among physicians who..

Read More
thumbnail
0 comment

Cannulation strategies in aortic surgery: techniques and decision making

Abstract Arterial cannulation for cardiopulmonary bypass (CPB) is an important determinant of outcome in aortic surgery. Unlike traditional cardiac operations, aortic pathology may preclude the cannulation of the distal ascending..

Read More
thumbnail
0 comment

Optic nerve ultrasound and cardiopulmonary bypass: A pilot study

Abstract Introduction: Despite advances in surgical, anesthetic, perfusion, and postoperative care, adverse neurological consequences may occur following cardiac surgery and cardiopulmonary bypass (CPB). Consequences of the physiologic effects of CPB may..

Read More
thumbnail
0 comment

Utility of plasma NGAL for the diagnosis of AKI following cardiac surgery requiring cardiopulmonary bypass: a systematic review and meta-analysis

Abstract The objective of this study was to assess the diagnostic value of plasma neutrophil gelatinase-associated lipocalin (pNGAL) for the early diagnosis of acute kidney injury (AKI) in adult patients..

Read More
thumbnail
0 comment

Comparison of different metrics of cerebral autoregulation in association with major morbidity and mortality after cardiac surgery

Abstract Background Cardiac surgery studies have established the clinical relevance of personalised arterial blood pressure management based on cerebral autoregulation. However, variabilities exist in autoregulation evaluation. We compared the association..

Read More