Archives

thumbnail
0 comment

Preoperative patient factors associated with blood product use in cardiac surgery, a retrospective cohort study

Abstract Background Cardiac surgery is associated with a high rate of blood use. The aim of this study is to identify preoperative patient factors associated with allogeneic Red Blood Cell..

Read More
thumbnail
0 comment

Bivalirudin Versus Unfractionated Heparin in Patients with Cardiogenic Shock Requiring Venoarterial Extracorporeal Membrane Oxygenation

Abstract This study evaluated differences in efficacy and safety outcomes with bivalirudin compared with unfractionated heparin (UFH) in patients with cardiogenic shock requiring venoarterial extracorporeal membrane oxygenation (VA ECMO). We..

Read More
thumbnail
0 comment

Impact of Extracorporeal Membrane Oxygenation Service on Burnout Development in Eight Intensive Care Units. A National Cross-Sectional Study

Abstract Objectives This study aimed at investigating the effects of an extracorporeal membrane oxygenation (ECMO) service on Burnout syndrome (BOS) development in the intensive care unit (ICU). Design The authors..

Read More
thumbnail
0 comment

The safty profile of blood salvage applied for collected blood with amniotic fluid during cesarean section

Abstract Background The guidelines of National Health Service(NHS, the United Kingdom) recommended for use in obstetrics at increased risk of bleeding, requiring two suction devices to reduce amniotic fluid contamination,..

Read More
thumbnail
0 comment

Hemodilution in high-risk cardiac surgery: Laboratory values, physiological parameters, and outcomes

Abstract Background Acute normovolemic hemodilution (ANH) is a blood conservation strategy in cardiac surgery, predominantly used in coronary artery bypass graft (CABG) and/or valve procedures. Although higher complexity cardiac procedures..

Read More
thumbnail
0 comment

Association Between Availability of ECMO and Mortality in COVID-19 Patients Eligible for ECMO: A Natural Experiment

Abstract For patients with severe acute respiratory distress syndrome (ARDS), receipt of ECMO(1) may improve survival. During the COVID-19 pandemic, the number of patients with COVID-19 referred for ECMO has..

Read More
thumbnail
0 comment

Differential hypoxemia and the clinical significance of venous drainage position during extracorporeal membrane oxygenation

Abstract Background: Differential hypoxemia (DH) has been recognized as a clinical problem during veno-arterial extracorporeal membrane oxygenation (VA ECMO) although its features and consequences have not been fully elucidated. Purpose:..

Read More
thumbnail
0 comment

The Case for the Anesthesiologist-Informaticist

Abstract Health care has been transformed by computerization, and the use of electronic health record systems has become widespread. Anesthesia information management systems are commonly used in the operating room..

Read More
thumbnail
0 comment

Proactive Evaluation of an Operating Room Prototype: A Simulation-Based Modeling Approach

Abstract Objectives  There is a pressing need to improve safety and efficiency in the operating room (OR). Postsurgical adverse events, such as surgical site infections and surgical flow disruption, occur..

Read More
thumbnail
0 comment

Five Topics Health Care Simulation Can Address to Improve Patient Safety

Abstract Objectives  There is little knowledge about which elements of health care simulation are most effective in improving patient safety. When empirical evidence is lacking, a consensus statement can help..

Read More
thumbnail
0 comment

Evaluation of the effects of three designs of oxygenators with integrated filters on clinical and haematological outcomes at an Australasian…

Abstract Introduction: Cardiopulmonary bypass (CPB) machines have oxygenators with integrated filters and unique biocompatible coatings to combat systemic inflammatory response syndrome (SIRS) and mitigate coagulopathy. Contemporary oxygenators have undergone comparative..

Read More
thumbnail
0 comment

Mycobacterium tuberculosis Surgical Site Infection after Cardiac Surgery in the COVID-19 Era: A Case Report

Abstract Infection of surgical wounds with acid-fast bacilli, including tubercle bacilli, is rare, and is poorly described in the literature. We present the case of a 74-year-old male who developed..

Read More
thumbnail
0 comment

Myocardial Protecting Role of Glutamine in Patients with Low Ejection Fraction Undergoing Elective On-Pump Coronary Artery Bypass Graft Surgery

Abstract Purpose: Myocardial injury due to on-pump coronary artery bypass grafting (CABG) in patients with low ejection fraction (EF) is associated with poor outcomes. This study determines whether intravenous glutamine could..

Read More
thumbnail
0 comment

Intracranial haemorrhage in adult patients on venoarterial extracorporeal membrane oxygenation Get access Arrow

Abstract Aims  Intracranial haemorrhage (ICH) is one of the most serious complications of adult patients treated with venoarterial extracorporeal membrane oxygenation (VA-ECMO) and is associated with increased morbidity and mortality...

Read More
thumbnail
0 comment

A Handoffs Software Led to Fewer Errors of Omission and Better Provider Satisfaction: A Randomized Control Trial

Abstract Background  Computer-assisted communication is shown to prevent critical omissions (“errors”) in the handoff process. Objective  The aim of the study was to study this effect and related provider satisfaction,..

Read More
thumbnail
0 comment

Improving Extracorporeal Membrane Oxygenation Survival in COVID-19. Effect of a Bundle of Care

Abstract Veno-venous extracorporeal membrane oxygenation (ECMO) support surged during the COVID-19 pandemic. Our program changed the model of care pursuing to protect the multidisciplinary team from the risk of infection..

Read More
thumbnail
0 comment

Development of a Model for the Pediatric Survival After Veno-Arterial Extracorporeal Membrane Oxygenation Score

Abstract Pediatric cardiac extracorporeal membrane oxygenation (ECMO) patients have high mortality rates. The purpose of our study was to develop and validate the Pediatric Survival After Veno-arterial ECMO (Pedi-SAVE) score for predicting..

Read More
thumbnail
0 comment

Rescue venovenous extracorporeal membrane oxygenation for the deterioration of acute respiratory distress syndrome in pediatric liver transplantation

Abstract Background Twenty percent of pediatric patients with BA develop ACLF with increased mortality while awaiting LT. Respiratory complications are common in pediatric ACLF and are associated with increased morbidity..

Read More
thumbnail
0 comment

Non-invasive and invasive measurement of skeletal muscular oxygenation during isolated limb perfusion

Abstract Background Isolated limb perfusion (ILP) is a regional surgical treatment for localized metastatic disease. High doses of chemotherapeutic agents are administered within an extracorporeal circulated isolated extremity, treating the..

Read More
thumbnail
0 comment

Impaired Blood Flow? Tension Pneumothorax on Extracorporeal Support

Abstract A 55-year-old patient experiencing severe coronavirus disease 19 (COVID-19) related acute refractory respiratory failure requiring venovenous extracorporeal membrane oxygenation (VV-ECMO) support, with femoro-femoral approach, suddenly developed both signs of..

Read More
thumbnail
0 comment

Persistent Hypoxemia in COVID-19 Patients on ECMO: Keep Your Eyes on the Prize

Abstract Venovenous extracorporeal membrane oxygenation (VV-ECMO) has been used during the COVID-19 pandemic to support patients with the most severe cases of COVID-19 acute respiratory distress syndrome (ARDS). The earliest..

Read More
thumbnail
0 comment

Myocardial Protection With Different Cardioplegia in Adult Cardiac Surgery: A Network Meta-Analysis

Abstract Aim Cardioplegia is one of the most studied fields of myocardial protection during cardiac surgery. However, the most effective cardioplegia for protection in adult cardiac surgery remains unknown. Method PubMed and other..

Read More
thumbnail
0 comment

Our 10-Point ECMO Checklist

How do you know when it’s time to take your ECMO program to the next level? Though COVID-19 cases may be dropping for the time being, the need for ECMO..

Read More
thumbnail
0 comment

Temporary mechanical circulatory support for COVID-19 patients: A systematic review of literature

Abstract Objective Myocardial damage occurs in up to 25% of coronavirus disease 2019 (COVID-19) cases. While veno-venous extracorporeal life support (V-V ECLS) is used as respiratory support, mechanical circulatory support..

Read More
thumbnail
0 comment

Cardiac Surgery and Blood-Saving Techniques: An Update

Abstract Cardiac surgery is typically attributed with a significant risk of intraoperative blood loss and allogeneic blood transfusions. Intraoperative blood loss, allogenic blood transfusions, high dose anticoagulation requirement, and interactions..

Read More
thumbnail
0 comment

Venovenous extracorporeal membrane oxygenation in patients with acute covid-19 associated respiratory failure: comparative effectiveness study

Abstract Objective To estimate the effect of extracorporeal membrane oxygenation (ECMO) compared with conventional mechanical ventilation on outcomes of patients with covid-19 associated respiratory failure. Design Observational study. Setting 30 countries across five..

Read More
thumbnail
0 comment

Development of Survey Scales for Measuring Exposure and Behavioral Responses to Disruptive Intraoperative Behavior

Abstract Objectives  Disruptive intraoperative behavior has detrimental effects to clinicians, institutions, and patients. How clinicians respond to this behavior can either exacerbate or attenuate its effects. Previous investigations of disruptive..

Read More
thumbnail
0 comment

Intraoperative Hypotension and Acute Kidney Injury, Stroke, and Mortality during and outside Cardiopulmonary Bypass: A Retrospective Observational Cohort Study

Abstract Background In cardiac surgery, the association between hypotension during specific intraoperative phases or vasopressor-inotropes with adverse outcomes remains unclear. This study’s hypothesis was that intraoperative hypotension duration throughout the..

Read More
thumbnail
0 comment

Cytokine Hemoadsorption During Cardiac Surgery Versus Standard Surgical Care for Infective Endocarditis (REMOVE): Results From a Multicenter Randomized Controlled Trial

Abstract Background: Cardiac surgery often represents the only treatment option in patients with infective endocarditis (IE). However, IE surgery may lead to a sudden release of inflammatory mediators, which is..

Read More
thumbnail
0 comment

Risk Factors for Acute Kidney Injury Following Cardiac Surgery and Performance of Leicester Score in a Spanish Cohort

Abstract The incidence of acute kidney injury following cardiac surgery (CSA-AKI) is up to 30%, and it places patients at an increased risk of death. The Leicester score (LS) is..

Read More