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Expression and Significance of KIM-1, NGAL, and HO-1 in Patients with Acute Kidney Injury After Cardiac Valve Replacement

Abstract Objective: To investigate the changes and significance of perioperative expression levels of kidney injury molecule-1 (KIM-1), neutrophil gelatinase-related lipocalin (NGAL), and heme oxygenase-1 (HO-1) in patients with acute kidney injury..

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Oxygen Delivery Thresholds During Cardiopulmonary Bypass and Risk for Acute Kidney Injury

Abstract Background Postoperative acute kidney injury (AKI) in cardiac surgery patients is multifactorial and associated with low oxygen delivery (DO2) during cardiopulmonary bypass. Methods Cardiac surgical patients undergoing full cardiopulmonary..

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The Society of Thoracic Surgeons/Society of Cardiovascular Anesthesiologists/American Society of Extracorporeal Technology Clinical Practice Guidelines for the Prevention of Adult…

Abstract This article has no abstract. The Society of Thoracic Surgeons requests that this article be cited as: Brown JR, Baker RA, Shore-Lesserson L, et al. The Society of Thoracic..

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Artificial intelligence-based early detection of acute kidney injury after cardiac surgery

Abstract OBJECTIVES This study aims to improve the early detection of cardiac surgery-associated acute kidney injury using artificial intelligence-based algorithms. METHODS Data from consecutive patients undergoing cardiac surgery between 2008..

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Exogenous nitric oxide delivery protects against cardiopulmonary bypass–associated acute kidney injury: Histologic and serologic evidence from an ovine model

Abstract Objective Several human studies have associated nitric oxide administration via the cardiopulmonary bypass circuit with decreased incidence of cardiopulmonary bypass–associated acute kidney injury, but histopathologic and serologic evidence of..

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PerfWeb 96 - Nov 8th

ECMO: Is It Just a Four Letter Word? (Extracorporeal Membrane Oxygenation) A review of ECMO (Extracorporeal Membrane Oxygenation) usage and outcome before, during and post COVID.  

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PerfWeb 95 - Oct 18th

Goal Directed Perfusion and The Inexorable Conflict of What The Goals Are   Discussions about the use of Goal Directed Perfusion and balancing the needs of the surgeon and the..

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PerfWeb 94

Damed If You Do, Damned If You Don't - RBC Transfusions Transfusions cary risks, anemia causes morbidities: Discussions surrounding the use of transfusions, transfusion management and when transfusions are just..

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PerfWeb 93 - August 16th

IABP for Perfusion. The Physics of Intra Aortic Balloon Pump Understanding the physics of Intra-Aortic Balloon Pumps. Learn the 8 phases of the cardiac cycle and how to accurately time..

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PerfWeb 92 - July 19

RAPP (Retrograde Autologous Pump Prime) Emily Foreman, CCP reviews her peer reviewed publication on RAPP as a transfusion management procedure.         

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A norepinephrine weaning strategy using dynamic arterial elastance is associated with reduction of acute kidney injury in patients with vasoplegia…

Abstract Study objective To evaluate the impact of a dynamic arterial elastance guided  weaning strategy on the occurrence of  (AKI) in  with  after cardiac surgery. Design A post-hoc analysis of a monocentric . Setting A..

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Implementation of the Kidney Disease Improving Global Outcomes guidelines for the prevention of acute kidney injury after cardiac surgery

Abstract BACKGROUND  Increasing evidence from randomised controlled trials supports the implementation of a six-measure care bundle proposed by the Kidney Disease Improving Global Outcomes (KDIGO) guidelines in patients at high..

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RAPP: Why I don’t like it. Risks associated with RAPP (Retrograde Autologous Pump Prime) - June 14th

Retrograde Autologous Pump Prime Joe Basha, CCP discusses RAPP: Why I don’t like it. RAPP is a technique utilized to minimize hemodilution associated anemia on cardiopulmonary bypass. Risks associated with..

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The comparison of three different acute kidney injury classification systems after congenital heart surgery

Abstract Background We aimed to compare the frequency of acute kidney injury (AKI) and its effects on mortality and morbidity with different classification systems in pediatric patients who had surgery..

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Epidemiology of Neonatal Acute Kidney Injury After Cardiac Surgery Without Cardiopulmonary Bypass

Abstract Background The purpose of this Neonatal and Pediatric Heart and Renal Outcomes Network study was to describe the  and outcomes of cardiac surgery–associated  (CS-AKI) after cardiac surgery without  (non-CPB). Methods We performed..

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Association of Preoperative Pulse Pressure and Oxygen Delivery Index During Cardiopulmonary Bypass With Postoperative Acute Kidney Injury

Abstract Objective To investigate if oxygen delivery index during  (DO2I) was more strongly associated with  (AKI), the higher the patient's preoperative pulse pressure (PP). Design Retrospective cohort of 1064 patients undergoing cardiac..

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Diagnosis, pathophysiology and preventive strategies for cardiac surgery-associated acute kidney injury: a narrative review

Abstract Acute kidney injury (AKI) is a common and serious complication of cardiac surgery and is associated with increased mortality and morbidity, accompanied by a substantial economic burden. The pathogenesis..

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PerfWeb 90 - May 24th

Pulsatile perfusion: What are the benefits, and do they outweigh the risks?  

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PerfWeb 89

SARS-CoV-2 Versus Influenza - Associated Acute Respiratory Distress Syndrome  

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Perioperative Management of the Patient at High-Risk for Cardiac Surgery-Associated Acute Kidney Injury

Abstract Acute kidney injury (AKI) is one of the most common major complications of cardiac surgery, and is associated with increased morbidity and mortality. Cardiac surgery-associated AKI has a complex,..

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The multifactorial dynamic perfusion index: A predictive tool of cardiac surgery associated acute kidney injury

Abstract Introduction Cardiac surgery associated acute kidney injury (CSA-AKI) has a number of preoperative and intraoperative risk factors. Cardiopulmonary bypass (CPB) factors have not yet been elucidated in a single..

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PerfWeb 87

A simplified approach to mini mitral surgery: No clamp, no fib, just a-rest  

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Acute Kidney Injury With a Miniaturized Extracorporeal Circuit for Neonatal Cardiopulmonary Bypass

Abstract Objectives The objectives of this study were to evaluate the incidence and to identify risk factors for acute kidney injury (AKI) in neonates undergoing cardiopulmonary bypass (CPB) with a..

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Acute kidney injury following cardiopulmonary bypass in Jamaica

Abstract Objectives The study objectives were to describe the incidence, risk factors, and outcomes of acute kidney injury after cardiopulmonary bypass in Jamaica. Method We performed a review of the..

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PerfWeb 86 (2 days event)

  Day 1 - An Exploration of New Technologies for Perfusion, and Returning to Perfusion Joe Basha, CCP and guest discusses the challenges and rewards of returning to clinical perfusion..

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The Kidney. Normal Renal Physiology. What is AKI/ARF?

Join us for a special program with guest faculty, Luis Navar, Ph.D and Supaporn Kulthinee, Ph.D. Our guest faculty have extensive experience in physiology with a focus on renal physiology...

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PerfWeb 85 (2 days event) - 13/14 Oct

  Day 1— Journal Club How to Do It: A Safe Bedside Protocol for Dual-Lumen ECMO catheter Joe Basha, CCP discusses an article describing a safe approach to insertion of..

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PerfWeb 84 (2 days event) - 29/30 Sept

  Day 1— Journal Club and COVID ECMO Outcomes Joe Basha, CCP reviews an article published from the Cleaveland Clinic. The article reviews the use of ex-vivo lung perfusion and..

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