Stichworte Archiv: cardiac surgery

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Cardiac Surgery During and After the Pandemic: A Retrospective Analysis of UK Trends and Outcomes

Abstract Objectives The full extent of the COVID-19 pandemic’s impact during different phases of the pandemic and the recovery of cardiac surgical services in the United Kingdom have not been..

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Interhospital variability in 180-day infections following cardiac surgery

Abstract Objective To evaluate hospital-level variation in infections following cardiac surgery and develop and evaluate a 180-day infection quality metric. Methods This study evaluated Medicare claims that were merged with..

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Women in cardiac surgery: a global workforce analysis

Abstract OBJECTIVES Cardiac surgery remains one of the most gender-imbalanced surgical specialties. Women constitute 6–11% of the North American workforce, while other regional data are scarce. Despite the acknowledged under-representation..

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Interventions to prevent surgical site infection in adults undergoing cardiac surgery

Abstract Background Surgical site infection (SSI) is a common type of hospital‐acquired infection and affects up to a third of patients following surgical procedures. It is associated with significant mortality..

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Crossing borders to meet cardiac surgical needs: A scoping review on patients seeking cardiac surgery abroad

Abstract Background Over 100 countries do not have a local cardiac surgeon, whereas capacity, coverage, or cultural constrains may limit access to cardiac surgical care in-country. This scoping review aims..

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Neurological Complications Following Cardiac Surgery: Management and Future Directions

Abstract Neurological complications related to cardiac surgery present physicians with challenges. These complications severely impact patients’ outcomes, the quality of their lives, and affect the resources available at healthcare centers...

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The effectiveness of music in improving the recovery of cardiothoracic surgery: a systematic review with meta-analysis and trial sequential analysis

Abstract Aim This study aimed to compile data on the effectiveness of music therapy for patients undergoing cardiothoracic surgery. Background After cardiac and thoracic surgery, patients often experience physiological and..

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Outcomes of ECMO as a Bridge to Cardiac Surgery

Abstract Introduction: Although outcomes of post-cardiotomy extracorporeal membrane oxygenation (ECMO) are well studied1, the outcomes of patients bridged to cardiac surgery with ECMO are less well understood. We undertook this study..

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The Risk Of Waiting Up To One Year For Cardiac Surgery

Abstract Introduction: Cardiac disease is associated with a risk of death, both by the cardiac condition and by comorbidities. The waiting time for surgery begins with the onset of symptoms..

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A systematic review of cardiac surgery clinical prediction models that include intra-operative variables

Abstract Background Most cardiac surgery clinical prediction models (CPMs) are developed using pre-operative variables to predict post-operative outcomes. Some CPMs are developed with intra-operative variables, but none are widely used...

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Crisis Scenarios for Simulation-Based Nontechnical Skills Training for Cardiac Surgery Teams

Abstract Background  Nontechnical skills in cardiac surgery are vital in ensuring patient safety in the operating room (OR). To train these skills in a simulation-based scenario, a collection of commonly..

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Preoperative anemia and anemia treatment in cardiac surgery: a systematic review and meta-analysis

Abstract Purpose: We aimed to conduct a systematic review and meta-analysis to assess the effects of anemia and anemia severity on patient outcomes in cardiac surgery and determine whether preoperative treatments..

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Prevention of cardiac surgery-associated acute kidney injury: a systematic review and meta-analysis of non-pharmacological interventions

Abstract Background Cardiac surgery-associated acute kidney injury (CSA-AKI) is frequent. While two network meta-analyses assessed the impact of pharmacological interventions to prevent CSA-AKI, none focused on non-pharmacological interventions. We aim..

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Major Adverse Cardiac and Cerebrovascular Events in Patients Undergoing Simultaneous Heart Surgery and Carotid Endarterectomy

Abstract Background Patients with simultaneous relevant internal carotid artery stenosis and coronary artery heart or valve disease represent a high-risk collective with respect to cerebral or cardiovascular severe events when..

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Five years since defining global cardiac surgery: from afterthought to tipping point

Abstract BACKGROUND Six billion people lack access to safe, timely and affordable cardiac surgical care [1, 2]. In low- and middle-income countries (LMICs), access to cardiac surgery has been poor due..

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Outcomes of Prolonged ICU Stay for Patients Undergoing Cardiac Surgery in Australia and New Zealand

Abstract Objective To determine the effect of intensive care unit (ICU) length of stay (LOS) on hospital mortality and non-home discharge for patients undergoing cardiac surgery over a 16-year period..

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A formula for survival in surgery

Abstract Surgeons continuously work to ensure that their patients receive safe, timely and high-quality care, often in challenging circumstances. The strive for excellence may often manifest itself in the surgeons’..

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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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Albumin Use After Cardiac Surgery

Abstract Objectives: To investigate the effect of albumin exposure in ICU after cardiac surgery on hospital mortality, complications, and costs. Design: A retrospective, single-center cohort study with economic evaluation. Setting:..

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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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Regional analgesia for cardiac surgery

Abstract Purpose of review  Regional anesthesia is gaining attention as a valuable component of multimodal, opioid-sparing analgesia in cardiac surgery, where improving the patient's quality of recovery while minimizing the harms..

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Testing for coronarvirus disease 2019 before cardiac surgery—safe outcome of infected patients

Abstract Background The aim was to analyze routine preoperative testing for coronavirus disease 2019 (COVID-19) performed to avoid infected cardiac surgical patients transmitting virus during the pandemic. Methods Every patient..

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Neuromonitoring and Neurocognitive Outcomes in Cardiac Surgery: A Narrative Review

Abstract Neurocognitive dysfunction after cardiac surgery can present with diverse clinical phenotypes, which include , postoperative , and stroke, and it presents a significant healthcare burden for both patients and providers. Neurologic..

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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..

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Assessment of Perioperative Outcomes Among Surgeons Who Operated the Night Before

Abstract Importance  The association between physician fatigue and patient outcomes is important to understand but has been difficult to examine given methodological and data limitations. Surgeons frequently perform urgent procedures overnight..

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Perspectives in Training and Professional Practice of Cardiac Surgery in Latin America

Abstract Introduction: There is a lack of information about cardiac surgery training and professional practice in Latin American (LATAM) countries. This study is the first comparative analysis of cardiac surgical..

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Joint Recommendations From The Latin American Association of Cardiac and Endovascular Surgery (LACES) and The Cardiovascular Anesthesia Committee of The…

Abstract Introduction: Since the coronavirus disease 2019 (COVID-19) pandemic, cardiac surgeries in patients with previous infection by COVID-19 were suspended or postponed, which led to surgeries performed in patients with..

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Epidemiology of persistent postoperative opioid use after cardiac surgery: a systematic review and meta-analysis

Abstract Background The epidemiology of persistent postoperative opioid use at least 3 months after cardiac surgery is poorly characterised despite its potential public health importance. Methods We searched MEDLINE, Embase,..

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Incidence and outcome of anaphylaxis in cardiac surgical patients

Abstract Introduction:  Anaphylaxis is a rare but serious and potentially fatal complication of anesthesia. Little is known about the incidence and outcome of anaphylaxis in cardiac surgical patients, which we..

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Challenges in Patient Blood Management for Cardiac Surgery: A Narrative Review

Abstract About 15 years ago, Patient Blood Management (PBM) emerged as a new paradigm in perioperative medicine and rapidly found support of all major medical societies and government bodies. Blood..

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