Perfusfind S.L.
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Argatroban Anticoagulation for Adult Extracorporeal Membrane Oxygenation: A Systematic Review

Abstract Background: Heparin is the widely used anti-coagulation strategy for patients on extracorporeal membrane oxygenation (ECMO). Nevertheless, heparin-induced thrombocytopenia (HIT) and acquired anti-thrombin (AT) deficiency preclude the use of heparin..

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Lessons Learned From the First Pilot Study of the Compensatory Reserve Index After Congenital Heart Surgery Requiring Cardiopulmonary Bypass

Abstract Background: Early warning systems that utilize dense physiologic data and machine learning may aid prediction of decompensation after congenital heart surgery (CHS). The Compensatory Reserve Index (CRI) analyzes changing..

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Minimally Invasive Extracorporeal Technologies Perspective in Pediatric Cardiac Surgery

Abstract Minimally invasive extracorporeal technologies (MiECT) are in great expansion in the literature and have an impact in adult cardiac surgery, however, a future challenge will be to expand MiECT..

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Infective Endocarditis in Childhood: a Single- Center Experience of 18 Years

Abstract Introduction: We aimed to present the risk factors, clinical and laboratory findings, treatment management, and risk factors for morbidity and mortality of infective endocarditis (IE) as well as to relate..

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Single-Dose Del Nido Cardioplegia vs. Blood Cardioplegia in Aortic Valve Replacement Surgery

Abstract Introduction: In this study, we aimed to compare Del Nido cardioplegia (DNC) with blood cardioplegia (BC) in aortic valve replacement. Methods: A two-year single-institute retrospective cohort study was accomplished...

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Redo Coronary Artery Bypass Grafting in the era of Advanced PCI

Abstract Objective: To review the evidence behind the role and relevance of redo coronary artery bypass grafting (CABG) in the current practice of percutaneous coronary intervention (PCI). Methods: A comprehensive..

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2019 updated consensus statement on the diagnosis and treatment of pediatric pulmonary hypertension: The European Pediatric Pulmonary Vascular Disease Network…

Abstract This is an updated, comprehensive and practical guideline for healthcare providers providing care to children and young adults with pulmonary hypertension (PH) and pulmonary vascular disease (PVD). Methodology included..

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Intra-operative autologous blood donation for cardiovascular surgeries in Japan: A retrospective cohort study

Abstract Intra-operative autologous blood donation is a blood conservation technique with limited evidence. We evaluated the association between intra-operative autologous blood donation and decrease in peri-operative transfusion in cardiovascular surgery..

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Hydroxyethyl starch on kidney and haemostatic function in cardiac surgical patients: is a non‐inferiority study design appropriate for this setting?

Abstract We read with great interest the paper by Duncan et al. on the effect of hydroxyethyl starch (HES) on kidney and haemostatic function in cardiac surgical patients []. In their..

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Changes in intraocular pressure during coronary artery bypass graft surgery: an observational study

Abstract Background In this study, the effects of pulsatile and non-pulsatile on-pump  surgery (CABG) and off-pump CABG techniques on the  were investigated. Methods Forty-five patients who planned to elective coronary artery bypass..

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Comparison of Normal Saline, Ringer’s and Ringer’s lactate as Z‐BUF fluids in management of perioperative serum Sodium and Potassium levels

Abstract Background Zero‐balance ultrafiltration (Z‐BUF) is considered a significant method during cardiopulmonary bypass (CPB), and has always received support regarding its key role in monitoring electrolyte abnormalities including potassium and..

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Blood transfusion trends by disease category in the United States, 2000 to 2014

Abstract Background Better understanding of blood usage rates could identify trends in transfusion practices over time and inform more efficient management. Methods Inpatient admissions from the Healthcare Cost and Utilization..

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Thromboelastography During Rewarming for Management of Pediatric Cardiac Surgery Patients

Abstract Background Thromboelastography (TEG) predicts bleeding in pediatric patients undergoing cardiac surgery. We hypothesize that TEG parameters at rewarming correlate with post-protamine values and that rewarming TEG is associated with..

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Unusual Complication of a Right Ventricular Support–Extracorporeal Membrane Oxygenation Cannula

Abstract A previously healthy, middle-aged patient presented with rapidly increasing shortness of breath despite empirical antibiotic treatment for presumed pneumonia. A computed tomographic image of the chest was notable for..

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Perioperative circulatory support for lung transplantation.

Abstract Objective Extracorporeal membrane oxygenation (ECMO) has recently replaced cardiopulmonary bypass (CPB) as the preferred option for providing circulatory support during lung transplantation. This review aimed to summarize the previous..

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Extracorporeal Membrane Oxygenation (ECMO) complications.

Joe Basha, CCP and Mike Brown, CCP describe and discuss common and complex complications of ECMO.   

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2020 Acute Coronary Syndromes (ACS) in Patients Presenting without Persistent ST-Segment Elevation (Management of).Guidelines

Preamble Guidelines summarize and evaluate available evidence with the aim of assisting health professionals in proposing the best management strategies for an individual patient with a given condition. Guidelines and..

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2020 ESC Guidelines for the management of Adult Congenital Heart Disease

  Since the previous version of the Guidelines on the management of grown-up congenital heart disease (CHD) was published in 2010, new evidence has accumulated for this patient group, particularly..

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Hydroxyethyl starch and acute kidney injury in high-risk patients undergoing cardiac surgery: A prospective multicenter study

Abstract Background  (HES) solutions increase the risk of  (AKI) in critically ill patients admitted to intensive care unit (ICU) for medical indications. We conducted a cohort study to evaluate the renal..

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Use of CytoSorb in septic multiple organ failure following intestinal ischemia due to volvulus with concomitant liver failure after COVID-19…

This case reports on a 45-year-old male patient who was hospitalized for emergency intervention due to recurrent abdominal discomfort following CT-confirmed occlusion of the superior mesenteric artery. [pdf-embedder url="https://perfusfind.com/wp-content/uploads/2021/04/cyto2_compressed.pdf"]

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Use of CytoSorb in a patient with capillary leakage syndrome, pulmonary failure, and acute renal failure after mitral valve repair…

This case reports on a 39-year-old patient who presented to hospital for elective surgery due to high-grade mitral valve regurgitation. [pdf-embedder url="https://perfusfind.com/wp-content/uploads/2021/04/cyto1_compressed.pdf"]

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Guía Para Realización, Interpretación y Aplicación de la Ecocardiografía de Estrés en Cardiopatía Isquémica: De la American Society of Echocardiography

Abstract Desde la publicación de la guía para ecocardiografía de estrés por la American Society of Echocardiography (ASE) en el 2007,1 nueva información ha estado disponible sobre esta metodología, incluyendo..

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Management of Neonates With Tetralogy of Fallot

  Study Questions: What are the differences in outcomes between a strategy of staged repair (SR) (initial palliation [IP] and subsequent complete repair [CR]) as compared with primary repair (PR)..

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Prone position in intubated, mechanically ventilated patients with COVID‑19: a multi‑centric study of more than 1000 patients

Abstract Background: Limited data are available on the use of prone position in intubated, invasively ventilated patients with Coronavirus disease-19 (COVID-19). Aim of this study is to investigate the use..

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Feasibility of Healthcare Providers’ Autonomic Activation Recognition in Real-Life Cardiac Surgery Using Noninvasive Sensors

Abstract Cardiac surgery is one of the most complex specialties in medicine, akin to a complex sociotechnical system. Patient outcomes are vulnerable to surgical flow disruptions (SFDs), a source of..

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Cardiopulmonary bypass preparation is mandatory in cardiac exploration for blunt cardiac injury patients

Abstract Treating cardiac injuries following blunt trauma to the chest requires thorough examination, accurate diagnosis, and therapeutic plan. We present two cases; pulmonary vein rupture and left atrial appendage laceration,..

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Impact of Single versus Double Clamp Technique on Blood Lactate Levels and Postoperative Complications in Coronary Artery Bypass Surgery

Abstract Introduction: Cardiopulmonary bypass (CPB) is associated with hyperlactatemia, which leads to adverse clinical outcomes. No study has examined the effect of different clamping techniques on postoperative hyperlactatemia (PHL). Thus,..

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Viscoelastic Coagulation Monitor as a Novel Device to Assess Coagulation at the Bedside. A Single-Center Experience During the COVID-19 Pandemic

Abstract Viscoelastic coagulation monitor (VCM) is a portable device developed to evaluate the viscoelastic properties of whole blood activated by contact with glass. In this study, VCM was employed to analyze..

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Perioperative cell salvage

Abstract The National Blood Service for England collects, tests, processes, stores, and issues ∼2.1 million blood donations each year, and the optimal use of this scarce resource is of paramount..

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Improving Hemocompatibility: How Can Smart Surfaces Direct Blood To Fight against Thrombi

Abstract Nature utilizes endothelium as a blood interface that perfectly controls hemostasis, preventing the uncontrolled formation of thrombi. The management of positive and negative feedback that finely tunes thrombosis and..

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