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PerfWeb 89

SARS-CoV-2 Versus Influenza - Associated Acute Respiratory Distress Syndrome  

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Prone Positioning for Acute Hypoxemic Respiratory Failure and ARDS: A Review

Abstract Prone positioning is an immediately accessible, readily implementable intervention that was proposed initially as a method for improvement in gas exchange > 50 years ago. Initially implemented clinically as..

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Extracorporeal Membrane Oxygenation for COVID-19: Comparison of Outcomes to Non-COVID-19–Related Viral Acute Respiratory Distress Syndrome From the Extracorporeal Life Support…

Abstract OBJECTIVES:  To compare complications and mortality between patients that required extracorporeal membrane oxygenation (ECMO) support for acute respiratory distress syndrome (ARDS) due to COVID-19 and non-COVID-19 viral pathogens. DESIGN: ..

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Morbid obesity’s impact on COVID-19 patients requiring venovenous extracorporeal membrane oxygenation: The covid-19 critical care consortium database review

Abstract Introduction: Obesity is associated with a worse prognosis in COVID-19 patients with acute respiratory distress syndrome (ARDS). Veno-venous (V-V) Extracorporeal Membrane Oxygenation (ECMO) can be a rescue option, however, the..

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Mixed venous oxygen saturation (SvO2) monitoring

Abstract USES measurement of oxygenation saturation from mixed venous blood (SvO2) in the pulmonary artery requires Pulmonary Artery Catheter insertion in most clinical settings DESCRIPTION measures the end result of..

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Hemodynamic monitoring in patients with venoarterial extracorporeal membrane oxygenation

Abstract Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is an effective mechanical circulatory support modality that rapidly restores systemic perfusion for circulatory failure in patients. Given the huge increase in VA-ECMO use,..

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Ascending aorta Dissection and IMH

Patient with extensive Ascending aorta Dissection and IMH undergone Supracoronary Aortic Tubular Graft replacement and LMT and RCA trunk reimplantation.   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research..

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About Pressure Drop

Abstract Membrane pressure drop, pressure gradient or simply pressure drop (dP or ΔP) is defined as the difference between pressure of the blood at the inlet of the membrane lung (ML), pre-membrane..

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Implementation of Extracorporeal Membrane Oxygenation Without On-Site Cardiac Surgery or Perfusion Support: A Tale of Two County Hospitals

Abstract Patients with refractory respiratory and cardiac failure may present to noncardiac surgery centers. Prior studies have demonstrated that acute care surgeons, intensivists, and emergency medicine physicians can safely cannulate..

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Extracorporeal membrane oxygenation for COVID-19-related acute respiratory distress syndrome: a narrative review

Abstract A growing body of evidence supports the use of extracorporeal membrane oxygenation (ECMO) for severe acute respiratory distress syndrome (ARDS) refractory to maximal medical therapy. ARDS may develop in..

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Superior Cavo pulmonary anastomoses off pump

Today's Superior Cavo pulmonary anastomoses performed off pump in patient with previous BT shunt and pulmonary atresia after adhesion release.   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research..

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The International Society for Heart and Lung Transplantation/Heart Failure Society of America Guideline on Acute Mechanical Circulatory Support

Abstract In spite of medical advances, cardiogenic and pulmonary shock are associated with high mortality and morbidity. The availability and use of acute or temporary mechanical support devices has grown..

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The History of Extracorporeal Membrane Oxygenation and the Development of Extracorporeal Membrane Oxygenation Anticoagulation

Abstract Extracorporeal membrane oxygenation (ECMO) was first started for humans in early 1970s by Robert Bartlett. Since its inception, there have been numerous challenges with extracorporeal circulation, such as coagulation..

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Aortic Valve Replacement & root reconstruction

Patient with ascending Aorta extensive infection and bacterial endocarditis undergone AVR root reconstruction as well as mitral valve repair and tricuspid valve inspection finally all of MUF blood reinjected to..

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Mitral Valve Replacement and CABG

Patient with 3VD and CP undergone MVR and CABG with single clamp single cardioplegia.   [playlist ids="38219"] Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well..

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Removal of antithrombotics in Cardiac Surgery

Removal of antithrombotics in Cardiac Surgery – Update of current knowledge Dr. Efthymios Deliargyris, Princeton/USA  

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Extracorporeal Membrane Oxygenation in Acute Respiratory Failure

Abstract Venovenous (VV) extracorporeal membrane oxygenation (ECMO) is a form of mechanical life support that provides full respiratory bypass in patients with severe respiratory failure as a bridge to recovery..

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CABG bests PCI for multivessel CAD, large new study confirms

Abstract Coronary artery bypass grafting (CABG) is associated with higher survival rate than percutaneous coronary intervention (PCI) among patients presenting with multivessel coronary artery disease, according to new findings to..

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Surgical Science and the Evolution of Critical Care Medicine

Abstract Surgical science has driven innovation and inquiry across adult and pediatric disciplines that provide critical care regardless of location. Surgically originated but broadly applicable knowledge has been globally shared..

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Systematic dissection, preservation, and multiomics in whole human and bovine hearts

Abstract Objectives We sought to develop a rigorous, systematic protocol for the dissection and preservation of human hearts for biobanking that expands previous success in postmortem transcriptomics to multiomics from..

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The Relationship between the Incidence of Postoperative Cognitive Dysfunction and Intraoperative Regional Cerebral Oxygen Saturation after Cardiovascular Surgery: A Systematic…

Abstract Background: To assess whether intraoperative monitoring and intervention of regional cerebral oxygen saturation levels can reduce the incidence of postoperative cognitive dysfunction in patients undergoing cardiovascular surgery and contribute..

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Direct Axillary Artery Cannulation for Aortic Surgery: Lessons From Contemporary Experiences

Abstract Background This study seeks to assess the outcomes of direct  (AX)  for . Methods From October 2009 to November 2021 direct AX  was planned in 515 patients for thoracic aortic pathology. An important..

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Preserving the Membrane Lung: An Ongoing ECMO Challenge

Abstract We read with interest the article by Mang et al. Indeed, oxygenator thrombosis remains a common reason for circuit exchange, the risk of which increases with the duration of extracorporeal membrane..

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Planned Extracorporeal Life Support Employment during Liver Transplantation: The Potential of ECMO and CRRT as Preventive Therapies—Case Reports and Literature…

Abstract Liver Transplantation (LT) has become the gold standard treatment for End-Stage Liver Disease (ESLD). One of the main strategies to manage life-threatening complications, such as cardio-respiratory failure, is Extracorporeal..

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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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Sharps and needlestick injuries within the operating room: Risk prone procedures and prevalence meta-analysis

Abstract Background: Sharps and needlestick injuries pose a serious risk to operating theatre personnel with considerable morbidity, mortality and healthcare implications. The cost of prophylaxis and post-exposure treatment is a..

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Minimally Invasive Central Cannulation for Extracorporeal Life Support: The Uniportal and Subxiphoid Approach

Abstract Objective: Extracorporeal life support (ECLS) for circulatory and/or respiratory failure is improving. Currently, invasive sternotomies or rib-spreading thoracotomies are used for central cannulation of the heart and great vessels...

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Intraoperative Technical Performance Score Predicts Outcomes After Congenital Cardiac Surgery

Abstract Background The utility of the intraoperative technical performance score (IO-TPS) in predicting outcomes after congenital cardiac surgery remains unknown. Methods Data from patients undergoing surgery for  from January 2011 to..

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