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Early Extracorporeal CPR for Refractory Out-of-Hospital Cardiac Arrest

Abstract BACKGROUND Extracorporeal cardiopulmonary resuscitation (CPR) restores perfusion and oxygenation in a patient who does not have spontaneous circulation. The evidence with regard to the effect of extracorporeal CPR on..

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Risk Factors for Lower Extremity Vascular Complications in Adult Patients on Veno-Arterial Extracorporeal Membrane Oxygenation

Abstract Introduction Utilization of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has increased significantly over the last decade. Prior studies have reported worse mortality for patients with vascular complications on VA-ECMO; however,..

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Huge right illiac artery aneurysm and fistula

Patient with previous gunshot injury to abdominal area and exit site from medial of thigh came with complaint of high out put cardiac failure in sono and TTE as well..

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Aortic Valve Replacement with Resillia inspiris

Aortic Valve Replacement with Resillia inspiris in patient with CABG and AVR [playlist ids="37968"]   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well as Head..

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Redo Aortic Surgery 4th time

Redo Aortic Surgery 4th time   [playlist ids="37963"] Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well as Head of IUMS transplant and cardiovascular surgery department...

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Extracorporeal cardiopulmonary resuscitation: pre-hospital or in-hospital cannulation?

Abstract Extracorporeal cardiopulmonary resuscitation (E-CPR) is the establishment of veno-arterial extracorporeal membrane oxygenation (ECMO) during ongoing cardiopulmonary resuscitation (CPR). E-CPR is the last rescue therapy when, despite high-quality conventional CPR,..

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On the Rise, Candida auris Outwits Treatments and Travels Incognito in Health Care Settings

Abstract To quote medical mycologist Shawn Lockhart, PhD, Candida auris “is a very clever bug.” This hardy yeast species can remain viable for at least 2 weeks on plastic surfaces and for months..

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PerfWeb 87

A simplified approach to mini mitral surgery: No clamp, no fib, just a-rest  

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Executive Summary of the Second International Guidelines for the Diagnosis and Management of Pediatric Acute Respiratory Distress Syndrome (PALICC-2)

Abstract OBJECTIVES:  We sought to update our 2015 work in the Second Pediatric Acute Lung Injury Consensus Conference (PALICC-2) guidelines for the diagnosis and management of pediatric acute respiratory distress..

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Extracorporeal Membrane Oxygenation in Pediatric Acute Respiratory Distress Syndrome: From the Second Pediatric Acute Lung Injury Consensus Conference

Abstract OBJECTIVES:  To systematically review and assimilate literature on children receiving extracorporeal membrane oxygenation (ECMO) support in pediatric acute respiratory distress syndrome (PARDS) with the goal of developing an update to the..

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Variation in electroencephalography and neuroimaging for children receiving extracorporeal membrane oxygenation

Abstract Background Seizures, strokes, and intracranial hemorrhage are common and feared complications in children receiving extracorporeal membrane oxygenation (ECMO) support. Researchers and clinicians have proposed and deployed methods for monitoring..

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High versus low blood pressure targets for cardiac surgery while on cardiopulmonary bypass

Abstract Background Cardiac surgery is performed worldwide. Most types of cardiac surgery are performed using cardiopulmonary bypass (CPB). Cardiac surgery performed with CPB is associated with morbidities. CPB needs an..

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Intraoperative cell salvaging: ex vivo evaluation of two swab-washing methods

Abstract OBJECTIVE To compare erythrocyte recovery by a cell salvage device between swab-washing by manual agitation or filtration. SAMPLE 12 recently expired units of canine packed RBCs. PROCEDURE The packed..

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Outcomes of Venovenous Extracorporeal Membrane Oxygenation in Viral Acute Respiratory Distress Syndrome

Abstract Our study assessed the relationship between the duration of venovenous extracorporeal membrane oxygenation (V-V ECMO) and patient outcomes. We studied patients undergoing V-V ECMO support for acute respiratory distress..

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Mitochondrial respiration during normothermic liver machine perfusion predicts clinical outcome

Abstract Background Reliable biomarkers for organ quality assessment during normothermic machine perfusion (NMP) are desired. ATP (adenosine triphosphate) production by oxidative phosphorylation plays a crucial role in the bioenergetic homeostasis..

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Complications Associated With Venovenous Extracorporeal Membrane Oxygenation—What Can Go Wrong?

Abstract OBJECTIVES:  Despite increasing use and promising outcomes, venovenous extracorporeal membrane oxygenation (V-V ECMO) introduces the risk of a number of complications across the spectrum of ECMO care. This narrative review describes..

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Cardiac surgery, ICU sedation, and delirium: is dexmedetomidine the silver bullet?

Abstract Purpose of review  Delirium is a marker of acute brain insufficiency and a harbinger of poor outcomes and increased healthcare costs. Despite success preventing delirium by nonpharmacologic measures, the..

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Pre-operative kidney biomarkers and risks for death, cardiovascular and chronic kidney disease events after cardiac surgery: the TRIBE-AKI study

Abstract Background Soluble tumor necrosis factor receptor (sTNFR)1, sTNFR2, and plasma kidney injury molecule-1 (KIM-1) are associated with kidney events in patients with and without diabetes. However, their associations with..

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Assessment of fluid balance after neonatal cardiac surgery: a description of intake/output vs. weight-based methods

Abstract Background Fluid overload associates with poor outcomes after neonatal cardiac surgery, but consensus does not exist for the most clinically relevant method of measuring fluid balance (FB). While weight..

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H1 and H2 antihistamines pretreatment for attenuation of protamine reactions after cardiopulmonary bypass: a randomized-controlled study

Abstract Background: Protamine administration post-cardiopulmonary bypass (CPB) can potentially cause hemodynamic instability. Histamine released from mast cells is believed to be responsible for hypotension after protamine administration. The aim of this..

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Implementing change in the care of the complex cardiac patient

Abstract Purpose of review  Development of advanced and minimally invasive surgical procedures is providing treatment opportunities to older and higher risk patients. This has also led to highly specialized physicians..

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The characteristics of blood transfusion and analysis of preoperative factors associated with intraoperative blood transfusion in congenital heart surgery: a…

Abstract Purpose Blood transfusion is a common and life-saving procedure in congenital heart surgery (CHS), and it is critical for patients to identify risk factors prior to surgery. Our objective..

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Cardiovascular disease, surgery and outcomes in women: are they any different

Abstract Purpose of review  Cardiovascular disease is a leading cause of death for women worldwide and continues to be a major determinant of significant morbidity. Several studies have investigated the..

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LV clot mobile

Patient with very very low LVEF and DCMP and LV clot mobile vulnerable to embolism undergone CPB transaortic clot evacuation and weaning from CPB. [gallery ids="37859"]   Dr.Sam Zeraatian Nejad..

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PRINCIPIOS DA DISFUNÇÃO CARDIACA - Aulao 39

  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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VV-ECMO in severe COVID-19: multidimensional perspectives on the use of a complex treatment

Abstract Accurately selecting patients who are likely to benefit from venovenous extracorporeal membrane oxygenation (VV-ECMO) for severe respiratory failure is crucial given its low availability, substantial invasiveness, associated complications, and..

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First Successful Human Coronary Artery Bypass Surgery Postoperative Heart Transplant: A Case Report

Abstract Heart transplant is now the treatment of choice for patients with advanced heart failure who are refractory to medical treatment. With a small number of candidates who meet the..

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After the storm: Extracorporeal membrane oxygenation after hemicraniectomy in a child

Abstract Ventricular arrhythmias following neurological injury have been attributed to sympathetic surge in subarachnoid hemorrhage and traumatic brain injury. Despite associated risks of bleeding and thrombosis, veno-arterial extracorporeal membrane oxygenation..

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Off pump CABG & RCA graft with thoracotomy

A to Z steps of performing complete off pump CABG with full five grafts revascularisation and technique of just RCA graft with thoracotomy.   Dr.Sam Zeraatian Nejad Davani, CEO of..

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Temperature analysis of aortic repair with hypothermic circulatory arrest to quantify the injury by cooling

Abstract   OBJECTIVES We analyzed the temperature in proximal aortic repair with moderate hypothermic circulatory arrest (HCA) and evaluated the effect of the cooling status on postoperative outcomes. METHODS A..

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