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Heparin Rebound: An In-Depth Review

Abstract The common conception of “heparin rebound” invokes heparin returning to circulation in the  after apparently adequate intraoperative reversal with . This is believed to portend increased  and provides the rationale for administering..

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Severe Acute Blood Loss Anemia in Jehovah's Witnesses Undergoing Cardiac Surgery: Single Academic Center Experience

Abstract Objective To determine the effect of severe acute blood loss anemia (ABLA) on postoperative outcomes in Jehovah's Witness (JW) patients undergoing cardiac surgery. Design This was a  of adult JW..

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A comparison of the ClotPro system with rotational thromboelastometry in cardiac surgery: a prospective observational study

Abstract Viscoelastic coagulation tests have been increasingly used for hemostasis management in cardiac surgery. The ClotPro system is a novel viscoelastic device based on principles of rotational thromboelastometry. We aimed..

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Outcomes of early versus delayed initiation of extracorporeal life support in cardiac surgery

Abstract Background Extracorporeal membrane oxygenation offers temporary hemodynamic support for patients with refractory cardiogenic shock after cardiovascular surgery. However, the initiation time for such patients is controversial. Changing the initiation..

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Cryoprecipitate Transfusion After Cardiac Surgery

Abstract Objectives The association of cryoprecipitate transfusion with patient outcomes after cardiac surgery is unclear. We aimed to investigate the predictors of, and outcomes associated with, postoperative cryoprecipitate transfusion in..

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Visual Hallucinations following Coronary Artery Bypass Grafting: A Prospective Study

Abstract Background and Objectives: After major heart surgery, some patients report visual hallucinations that cannot be attributed to psychosis or delirium. This study aimed to investigate the hallucination incidence in..

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Association of Perioperative Cryoprecipitate Transfusion and Mortality After Cardiac Surgery

Abstract Background Cryoprecipitate is often transfused in patients undergoing cardiac surgery. However, its safety and effectiveness remain uncertain. Methods This study was a propensity score–matched analysis of data from the..

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Improvement of a Mathematical Model to Predict CO2 Removal in Hollow Fiber Membrane Oxygenators

Abstract The use of extracorporeal oxygenation and CO2 removal has gained clinical validity and popularity in recent years. These systems are composed of a pump to drive blood flow through the..

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In Vitro Treatment of Extracorporeal Membrane Oxygenation Coagulopathy with Recombinant von Willebrand Factor or Lyophilized Platelets

Abstract Objectives The objective was to compare primary  between adult ECMO patients and cardiac surgical patients before  and . Furthermore, the authors explored whether in vitro treatment of ECMO patient blood samples with  (vWF)..

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Effects of rapid fluid infusion on hemoglobin concentration: a systematic review and meta-analysis

Abstract Background Rapid fluid administration may decrease hemoglobin concentration (Hb) by a diluting effect, which could limit the increase in oxygen delivery (DO2) expected with a positive response to fluid..

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The Utility of Risk Scores in Postcardiotomy Extracorporeal Membrane Oxygenation

Abstract Background The use of a venoarterial extracorporeal membrane oxygenation (ECMO) in the postcardiotomy shock setting (PC-ECMO) can be life-saving. Risk stratification for patients under PC-ECMO is currently challenging. The..

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Intraoperative cell salvage using swab wash and serial thromboelastography in elective abdominal aortic aneurysm surgery involving massive blood loss

Abstract The loss of 50% blood volume is one accepted definition of massive haemorrhage, which ordinarily would trigger the massive transfusion protocol, involving the administration of high ratios of fresh..

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Percutaneous oxygenated right ventricular assist device for pulmonary embolism: A case series

Abstract Acute right ventricular (RV) failure following massive pulmonary embolism (PE) can have significant hemodynamic consequences and is the mode of death. Temporary mechanical circulatory support can provide tissue perfusion..

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A Portable Servoregulation Controller to Automate CO2 Removal in Artificial Lungs

Abstract Artificial lung (AL) systems provide respiratory support to patients with severe lung disease, but none can adapt to the changing respiratory needs of the patients. Precisely, none can automatically..

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Quality Analysis of Autologous Platelet-Rich Plasmapheresis

Abstract To summarized the technology of autologous platelet-rich plasmapheresis and analyzed the product quality, in order to provide safe and effective product guarantee service for clinical treatment. Technical parameters were..

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C–Reactive Protein Kinetics after Cardiac Surgery: A Retrospective Multicenter Study

Abstract Background: Recognition of postoperative infection after cardiac surgery is challenging. Biomarkers may be very useful to recognize infection at early stage, but the literature is controversial. Methods: We conducted..

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A Surgeon's Perspective on Blood Conservation Practice in Pediatric Cardiac Surgery

Abstract Blood conservation practice in pediatric cardiac surgery has not been consistently adopted as quality improvement in many centers despite known risks associated with allogeneic blood products, shortage of donors,..

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CONDUÇÃO ELÉTRICA DO CORAÇÃO - Aulao 59

  Prof. Elio Carvalho é Biomédico, Microbiologista e Perfusionista pela Unicamp, CLAP e SBCEC. É perfusionista do Hospital de Clínicas da Unicamp e Coordenador do Curso da Unicamp de Perfusionistas...

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SISTEMA CIRCULATORIO - Aulao 58

  Prof. Elio Carvalho é Biomédico, Microbiologista e Perfusionista pela Unicamp, CLAP e SBCEC. É perfusionista do Hospital de Clínicas da Unicamp e Coordenador do Curso da Unicamp de Perfusionistas...

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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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Big Data in cardiac surgery: real world and perspectives

Abstract Big Data, and the derived analysis techniques, such as artificial intelligence and machine learning, have been considered a revolution in the modern practice of medicine. Big Data comes from..

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Can we trust radial artery pressure monitoring for cardiac surgery?

Abstract In normal patients, we typically observe a greater systolic arterial pressure (SAP) in peripheral arteries than in the aorta, while the mean arterial pressure (MAP) is the same in..

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Can VA-ECMO Be Used as an Adequate Treatment in Massive Pulmonary Embolism?

Abstract Introduction: Massive acute pulmonary embolism (MAPE) with obstructive cardiogenic shock is associated with a mortality rate of more than 50%. Venoarterial extracorporeal membrane oxygenation (VA-ECMO) has been increasingly used..

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Platelet Transfusion After Cardiac Surgery

Abstract Objectives To investigate the independent association of  with hospital mortality and key relevant clinical outcomes in cardiac surgery. Design A single-center, propensity score-matched, retrospective, cohort study. Setting At an American..

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Mycobacterium chimaera lung infection and empyema in a patient without cardiopulmonary bypass

Abstract Mycobacterium chimaera is a nontuberculous mycobacterium that belongs to the Mycobacterium avium complex. Invasive infections are very rare and have been associated with contaminated heater-cooler water systems used during cardiopulmonary..

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Unloading the Left Ventricle in Venoarterial ECMO: In Whom, When, and How?

Abstract Venoarterial extracorporeal membrane oxygenation provides cardiorespiratory support to patients in cardiogenic shock. This comes at the cost of increased left ventricle (LV) afterload that can be partly ascribed to retrograde..

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Arterial line waveform dampening, during weaning from cardiopulmonary bypass

Abstract Dampening of the arterial line waveform during surgery is always a major concern for the operating team. During cardiovascular surgery the etiology may be very serious and require immediate..

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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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Fibrin Sheath(s) During and After an ECMO Run: Be Suspicious!

Abstract A 28 year old lady experienced acute asthma exacerbation precipitated by the inhalation of a recreational drug (“Kobret”). She presented with ultra-severe hypercapnia and associated acidosis due to refractory..

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Higher mean cerebral oxygen saturation shortly after extracorporeal cardiopulmonary resuscitation in patients who regain consciousness

Abstract Introduction In cardiac arrest, cerebral ischaemia and reperfusion injury mainly determine the neurological outcome. The aim of this study was to investigate the relation between the course of cerebral..

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