Home

thumbnail
0 comment

Dilemmas of Adopting Goal-Directed Perfusion in Extracorporeal Circulation: A Narrative Review

Abstract Objective: Extracorporeal circulation (ECC) is generally based on standards established in the last decade. In recent years, a concept of perfusion management during ECC, goal-directed perfusion (GDP), has emerged..

Read More
thumbnail
0 comment

Catastrophic Mechanical Complications of Extracorporeal Membrane Oxygenation

Abstract Technical advances in extracorporeal membrane oxygenation (ECMO) have increased the number of cases that maintain longer duration. Long-term use of ECMO results in ECMO-related complications. Anticipation of the life-threatening..

Read More
thumbnail
0 comment

Modeling and estimating a threshold effect: An application to improving cardiac surgery practices

Abstract Estimating thresholds when a threshold effect exists has important applications in biomedical research. However, models/methods commonly used in the biomedical literature may lead to a biased estimate. For patients..

Read More
thumbnail
0 comment

Transesophageal Echocardiography Guided Veno-Pulmonary Extracorporeal Membrane Oxygenation Cannula Insertion Technique

Abstract For single-lumen veno-pulmonary extracorporeal membrane oxygenation (VP ECMO) cannulation in percutaneous technique, vascular ultrasound (U/S) and transesophageal echocardiography (TEE) guidance were used to insert a 7 Fr pulmonary artery..

Read More
thumbnail
0 comment

The microcirculation in perioperative medicine: a narrative review

Abstract The  describes the network of the smallest vessels in our cardiovascular system. On a microcirculatory level, oxygen delivery is determined by the flow of oxygen-carrying  in a given single capillary (capillary..

Read More
thumbnail
0 comment

Mechanical Ventilation During Extracorporeal Membrane Oxygenation—Getting the Oxygenation Right

Abstract I read with keen interest the article by van Minnen et al. on contemporary mechanical ventilation strategies during extracorporeal membrane oxygenation (ECMO). The article specifies details on ventilation practices employed in..

Read More
thumbnail
0 comment

ECMOve: A Mobilization Device for Extracorporeal Membrane Oxygenation Patients

Abstract Extracorporeal membrane oxygenation (ECMO) is a temporary lifesaving treatment for critically ill patients with severe respiratory or cardiac failure. Studies demonstrated the feasibility of in-hospital mobilizing during and after..

Read More
thumbnail
0 comment

Extracorporeal Membrane Oxygenation in Cardiogenic Shock: Execution Is Something; Timing Is Everything?

Abstract Cardiogenic shock (CS) is a complex and life‐threatening condition characterized by a sudden and profound reduction in cardiac output, leading to inadequate tissue perfusion and oxygen delivery and organ..

Read More
thumbnail
0 comment

Direct Apical Cannulation With Protek Duo Rapid Deployment Cannula via Mini Thoracotomy for Ambulatory Venoarterial-Extracorporeal Membrane Oxygenation

Abstract National trends show rapid increases in the use of mechanical circulatory support devices (MCSD) over the last 20 years. While current literature has not proven a mortality benefit in..

Read More
thumbnail
0 comment

Age and associated outcomes among patients receiving venoarterial extracorporeal membrane oxygenation–analysis of the Extracorporeal Life Support Organization registry

Abstract Purpose: Venoarterial extracorporeal membrane oxygenation (V-A ECMO) can be used to support severely ill patients with cardiogenic shock. While age is commonly used in patient selection, little is known..

Read More
thumbnail
0 comment

Postoperative anemia in cardiac surgery patients: a narrative review

Abstract Purpose Anemia reduces the blood’s ability to carry and deliver oxygen. Following cardiac surgery, anemia is very common and affects up to 90% of patients. Nevertheless, there is a..

Read More
thumbnail
0 comment

Dose-dependent influence of red blood cell transfusion volume on adverse outcomes in cardiac surgery

Abstract Introduction Red blood cell (RBC) transfusion is associated with adverse outcomes, but there are few studies on the RBC volume. This study aimed to evaluate the relationship between intraoperative..

Read More
thumbnail
0 comment

Application of an autotransfusion pressure control system in blood salvage

Abstract Objective: This study was performed to evaluate the effect of a homemade autotransfusion pressure-control system on the regulation of negative pressure and to clarify the influence of different negative pressures..

Read More
thumbnail
0 comment

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..

Read More
thumbnail
0 comment

What are the minimal criteria of goal-directed perfusion (GDP) in adult cardiac surgery?

Abstract Introduction: Nowadays, many cardiac surgery teams are adopting the goal-directed perfusion (GDP) strategy in their practice to maintain optimal perfusion during cardiac surgeries and improve patient outcomes. Furthermore, it plays..

Read More
thumbnail
0 comment

Samurai Cannulation for Acute Stanford Type A Aortic Dissection

Abstract Direct true lumen  through aortic  for  during surgery for acute Stanford type A  was reported by Jacob, followed by Conzelmann who used a  tourniquet to snag the . Since 2013, Samurai cannulation, a modified version..

Read More
thumbnail
0 comment

Ambulatory Extracorporeal Membrane Oxygenation Use in Patients Listed for Lung Transplant

Abstract There has been an increase in the use of extracorporeal membrane oxygenation (ECMO) to bridge critically ill patients to lung transplant (LTX). This study evaluates how ambulatory status on..

Read More
thumbnail
0 comment

Maternal outcomes following postpartum autotransfusion of blood lost during vaginal obstetric hemorrhage

Abstract Background Autotransfusion following vaginal delivery has not been as widely adopted and existing data on this topic are limited to small case series. Methods This is a single-center retrospective..

Read More
thumbnail
0 comment

A Comparison of the Clinical Outcomes of Minimum and Maximum Hematocrit Levels During Cardiopulmonary Bypass (CPB) in Low-risk Patients Undergoing…

Abstract Background:  This study investigated the clinical outcomes at the minimum and maximum levels of hematocrit (HCT) during cardiopulmonary bypass (CPB) in low-risk patients undergoing coronary artery bypass graft (CABG)..

Read More
thumbnail
0 comment

Low-flow perfusion technique for shaggy aortic arch

Abstract Background The most common complication of thoracic aortic disease with shaggy aorta is cerebral infarction. We have performed “low-flow perfusion” as a method of extracorporeal circulation to prevent cerebral..

Read More
thumbnail
0 comment

Online interpretable dynamic prediction models for postoperative delirium after cardiac surgery under cardiopulmonary bypass developed based on machine learning algorithms:…

Abstract Objective: Postoperative delirium (POD) is strongly associated with poor early and long-term prognosis in cardiac surgery patients with cardiopulmonary bypass (CPB). This study aimed to develop dynamic prediction models for..

Read More
thumbnail
0 comment

Perioperative Care in Cardiac Surgery: A Joint Consensus Statement by the Enhanced Recovery After Surgery (ERAS) Cardiac Society, ERAS International…

Abstract Enhanced Recovery After Surgery (ERAS) programs have been shown to lessen surgical insult, promote recovery, and improve postoperative clinical outcomes across a number of specialty operations. A core tenet..

Read More
thumbnail
0 comment

ECPELLA: Beyond a Left Ventricular Venting Strategy When to Unload the Left Ventricle and How to Decide

Abstract Left ventricular (LV) unloading has been shown to improve survival for patients requiring veno-arterial extracorporeal membrane oxygenation (VA ECMO) support for cardiogenic shock. A mortality benefit has been shown..

Read More
thumbnail
0 comment

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..

Read More
thumbnail
0 comment

Health-related quality of life assessment instruments for extracorporeal membrane oxygenation survivors: A scoping review

Abstract Background and objective: Extracorporeal membrane oxygenation (ECMO) has been successfully and widely used in adult patients for the past 5 years. About 50% of these patients can survive and are..

Read More
thumbnail
0 comment

A human cadaveric model for venous air embolism tool development

Abstract Purpose A human cadaveric model combining standard lung protective mechanical ventilation and modified cardiac bypass techniques was developed to allow investigation into automated modes of detection of venous air..

Read More
thumbnail
0 comment

Arterial Hyperoxemia During Cardiopulmonary Bypass Was Not Associated With Worse Postoperative Pulmonary Function: A Retrospective Cohort Study

Abstract BACKGROUND:  Arterial hyperoxemia may cause end-organ damage secondary to the increased formation of free oxygen radicals. The clinical evidence on postoperative lung toxicity from arterial hyperoxemia during cardiopulmonary bypass..

Read More
thumbnail
0 comment

Sepsis in cardiothoracic surgery

Abstract Sepsis is a life-changing condition that can occur  undergoing . It is characterized by a dysregulated inflammatory response to infection, often leading to higher rates of organ dysfunction and mortality. The..

Read More
thumbnail
0 comment

Development and evaluation of extracorporeal membrane oxygenation nursing education program for nursing students using virtual reality

Abstract Background This study aims to improve nursing students’ ability to care for critically ill patients through education in extracorporeal membrane oxygenation (ECMO) nursing. Methods This study developed a virtual..

Read More
thumbnail
0 comment

Recovery of extracorporeal lungs using cross-circulation with injured recipient swine

Abstract Objective Lung transplantation remains limited by the shortage of healthy organs. Cross-circulation with a healthy swine recipient provides a durable physiologic environment to recover injured donor lungs. In a..

Read More