Archives mensuelles: mai2022

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The effect of Del Nido versus custodiol cardioplegia on clinical outcomes and troponin-I changes among pediatrics with tetralogy of fallot…

Abstract Background Myocardial protection during operations with cardiopulmonary bypass (CPB) and aortic cross clamping is vital. For this purpose, Del Nido (DN) and Custodiol cardioplegia (CC) solutions are used for..

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Crisis Preparedness: A Systems-Based Framework for Avoiding Harm in Surgery

Abstract BACKGROUND:  Highly performing healthcare organizations benefit from robust failure management systems. This involves the ability to respond and recover from critical events, as well avoiding harm in the first..

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Climate responsibilities in intensive care medicine—let’s go green! An introduction to a new series in Intensive Care Medicine

Abstract Alongside species mass extinction and biodiversity loss, climate change signifies humanity’s burdened entry into the Anthropocene []. During the past two centuries, humanity has burned increasing amounts of fossil..

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AMIA’s code of professional and ethical conduct 2022

Abstract AMIA has a longstanding interest and a professional obligation to promote a strong ethical framework for its members and the field of biomedical and health informatics. This white paper..

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Feasibility of using the ProtekDuo cannula in V-P ECMO and PROpella configurations during ground and air transport

Abstract Introduction: Use of the ProtekDuo cannula has been described for right ventricular assist devices (RVADs) and extracorporeal membrane oxygenation (ECMO) systems. Case report: We describe remote cannulation and transport of two..

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Fractured Right Atrial-Pulmonary Artery Cannula (ProtekDuo) in a 164-Day Extracorporeal Membrane Oxygenation Bridge to Lung Transplant

Abstract Fractures of extracorporeal membrane oxygenation (ECMO) cannulas are exceedingly rare due to their woven metal reinforcement. There are only a few cases reported in the literature. We present a 27-year-old..

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An Intensivist-Led Extracorporeal Membrane Oxygenation Program: Design, Implementation, and Outcomes of the First Five Years

Abstract We describe the development, implementation, and outcomes of an intensivist-led adult extracorporeal life support (ECLS) program using intensivists both to perform venovenous (V-V), venoarterial (V-A), and extracorporeal cardiopulmonary resuscitation..

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Inferior vena cava thrombosis

Patient with ESRD and previous failure of SVC dialysis catheter and lower extremity dialysis catheter came with IVC thrombosis and lower exterimity edema and liver congestion undergone trans pericardial trans..

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Tricuspid Valve bacterial endocarditis undergone off pump beating

Patient with TV bacterial endocarditis undergone off pump beating TV valvectomy and vegectomy with Zeraatiannejaddavani technique of off pump RA enterance and valve excision.   Dr.Sam Zeraatian Nejad Davani, CEO..

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Retrospective Analysis of Arterial Carbon Dioxide Level and Arterial pH Level at the Time of Initiation of Respiratory ECMO and…

Abstract Introduction  Respiratory extracorporeal membrane oxygenation (ECMO) is well established and its popularity has increased during coronavirus disease 2019 (COVID-19) time. The efficacy of ECMO has been proved in refractory..

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Impact of Prone Position in COVID-19 Patients on Extracorporeal Membrane Oxygenation

Abstract OBJECTIVES:  Prone positioning and venovenous extracorporeal membrane oxygenation (ECMO) are both useful interventions in acute respiratory distress syndrome (ARDS). Combining the two therapies is feasible and safe, but the..

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Outcome of extracorporeal membrane oxygenation use in severe accidental hypothermia with cardiac arrest and circulatory instability: A multicentre, prospective, observational…

Abstract Aim To elucidate the effectiveness of extracorporeal membrane oxygenation (ECMO) in accidental hypothermia (AH) patients with and without cardiac arrest (CA), including details of complications. Methods This study was..

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Aortic valve endocarditis and root replacement

Patient with Aortic valve endocarditis and severe AI as well as AS undergone AVR with Resilia Inspiris and root replacement with Homograft.   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham..

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Redissection and pseudos aneurysm of ascending aorta

Patient with previous aortic dissection and ascending aorta replacement with tubular graft came with redissection and pseudos aneurysm of ascending aorta undergone redo operation and replacement of ascending aorta and..

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Use of hemadsorption in pediatric meningococcal sepsis, Waterhouse-Friderichsen-Syndrome, and multiple organ failure

This case reports on an 18-year-old male without relevant medical history, who presented at the emergency room of a peripheral primary care hospital with nausea and headaches. [pdf-embedder url="https://perfusfind.com/wp-content/uploads/2022/12/CoW_42_2022_E_web_compressed.pdf"]

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LT main and RCA ostia heavy calcification

Patient with both LT main and RCA ostia heavy calcification and no flow in CAG and LVEF 15 and CKD and 90 years old with ongoing chest pain undergone cabrol..

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Enabling the control of reperfusion parameters in out-of-hospital cardiac arrest: First applications of the CARL system

Abstract Introduction There is increasing evidence for extracorporeal cardiopulmonary resuscitation (ECPR) as a rescue therapy for selected patients in refractory cardiac arrest (CA). Besides patient selection, the control of reperfusion..

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Parallel circuits for refractory hypoxemia on venovenous extracorporeal membrane oxygenation

Abstract Refractory hypoxemia during support on venovenous (VV) extracorporeal membrane oxygenation (ECMO) is a challenging clinical problem. Manipulating ventilator settings, prone positioning, optimizing cannula position, and ECMO flows, and the..

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Hybrid and parallel extracorporeal membrane oxygenation circuits

Abstract Extracorporeal membrane oxygenation (ECMO) is one type of extracorporeal life support for patients with cardiopulmonary failure. ECMO may serve as a as bridge to recovery, long-term mechanical support, or..

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The ProtekDuo in ECMO configuration for ARDS secondary to COVID-19: A systematic review

Abstract Objective: Assessment of the results of the ProtekDuo cannula applied for dedicated right ventricular support with oxygenator in ARDS secondary to COVID-19. Methods: Systematic literature search in NHS library,..

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Ultra‑lung‑protective ventilation and biotrauma in severe ARDS patients on veno‑venous extracorporeal membrane oxygenation: a randomized controlled study

Abstract Background: Ultra‑lung‑protective ventilation may be useful during veno‑venous extracorporeal membraneoxygenation (vv‑ECMO) for severe acute respiratory distress syndrome (ARDS) to minimize ventilator‑induced lunginjury and to facilitate lung recovery. The objective..

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Blood flow but not cannula positioning influences the efficacy of Veno-Venous ECMO therapy

Abstract Despite being vital in treating intensive-care patients with lung failure, especially COVID-19 patients, Veno-Venous Extra-Corporeal Membrane Oxygenation does not exploit its full potential, leaving ample room for improvement. The..

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Medical Nutrition Therapy in ECMO Patients: Evidence-Based Guidance for Clinical Practice

Abstract Patients receiving extracorporeal membrane oxygenation (ECMO) inherit substantial disease-associated metabolic, endocrinologic, and immunologic modifications. Along with the technical components of ECMO, the aforementioned alterations may affect patients’ needs and..

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Surgical Experience With Crossed and Anomalous Origin of the Pulmonary Arteries From the Pulmonary Trunk: A Single Center Report of…

Abstract Anomalies of the pulmonary origin of the pulmonary arteries are uncommon; however, the true incidence is unknown and may be underestimated. We sought to review our experience with this..

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Off pump beating TV endocarditis surgery

Principe of off pump beating TV endocarditis surgery with half dose heparin administered and patrial clamp apply.   [audio ogg="https://perfusfind.com/wp-content/uploads/2022/12/Off-pump-beating-TV-endocarditis-surgery.ogg"][/audio] Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA..

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Concomitant Intra-Aortic Balloon Pumping Significantly Reduces Left Ventricular Pressure during Central Veno-Arterial Extracorporeal Membrane Oxygenation—Results from a Large Animal Model

Abstract Introduction: Simultaneous ECMO and IABP therapy is frequently used. Haemodynamic changes responsible for the success of the concomitant mechanical circulatory support system approach are rarely investigated. In a large-animal..

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Prophylactic Use of Antifibrinolytics During Pediatric Cardiac Surgery With Cardiopulmonary Bypass on Postoperative Bleeding and Transfusion: A Systematic Review and…

Abstract Objectives:  To determine the effect of intraoperative antifibrinolytics, including tranexamic acid (TXA), aminocaproic acid (EACA), or aprotinin, on bleeding in children undergoing cardiac surgery with cardiopulmonary bypass (CPB). Data..

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Colloid Film in Optimized Extracorporeal Circulation: “A Possible Road for the Extinction of Miniaturized Cardiopulmonary Bypass”.

Abstract The inflammatory response in cardiac surgery using extracorporeal circulation (ECC) has been widely discussed in the literature with analysis on cytokines released in humans. To mitigate this response mainly..

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Anti-thrombotic Therapy with Cangrelor and Bivalirudin in Venoarterial Extracorporeal Membrane Oxygenation Patients Undergoing Percutaneous Coronary Intervention: A Single-Center Experience

Abstract VA-ECMO is commonly used for patients in cardiogenic shock (CS) or refractory cardiac arrest (CA) undergoing PCI for ACS. In this setting at high risk of both thrombotic and..

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Hemocompatibility challenge of membrane oxygenator for artificial lung technology

Abstract The artificial lung (AL) technology is one of the membrane-based artificial organs that partly augments lung functions, i.e. blood  and CO2 removal. It is generally employed as an extracorporeal membrane  (ECMO) device to..

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