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Prothrombin complex concentrate in cardiac surgery for the treatment of coagulopathic bleeding

Abstract Background Coagulopathy following cardiac surgery is associated with considerable blood product transfusion and high morbidity and mortality. The treatment of coagulopathy following cardiac surgery is challenging, with the replacement of..

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Impact of fresh frozen plasma transfusion on mortality in extracorporeal membrane oxygenation

Abstract Background Patients who receive extracorporeal membrane oxygenation (ECMO) support require substantial transfusions. Red blood cell (RBC) and platelet (PLT) transfusions have been reported to be associated with adverse outcomes..

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Perioperative Management of a Patient With Left Ventricular Free Wall Rupture After Myocardial Infarction: A Rare Case Scenario

Abstract Myocardial infarction (MI) is typically followed by numerous lethal complications. One such complication is left ventricular free wall rupture (LVFWR). We present the case of a middle-aged hypertensive patient..

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Gender and the Outcome of Postcardiotomy Veno-arterial Extracorporeal Membrane Oxygenation

Abstract Objective There is a paucity of sex-specific data on patients’ postcardiotomy venoarterial extracorporeal membrane oxygenation (VA-ECMO). The present study sought to assess this issue in a multicenter study. Design..

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Optimal Settings at Initiation of Veno-Venous Extracorporeal Membrane Oxygenation: An Exploratory In-Silico Study

Abstract The Extracorporeal Life Support Organisation (ELSO) recommends initiating veno-venous extracorporeal membrane oxygenation (ECMO) with sweep gas flow rate (V˙sweep) of 2 L/min and extracorporeal circuit blood flow (Q˙ec) of 2 L/min...

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Ascending aortic dissection reoperation (Redo)

Patient with previous Aortic valve replacement and in second step ascending Aorta replacement for dissection came with sinus aneurysm undergone redo ascending replacement and arch replacement with triflex and finally..

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Arch reconstruction and Carotid bypass

Patient with aortic arch occlusion and CVA and altered level of consciousness undergone Arch reconstruction and Carotid bypass with early post op restoration of consciousness.   Dr.Sam Zeraatian Nejad Davani,..

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MVR and wedge resection

Patient with PHTN and MS and and right sided Pulmonary Web undergone MVR with mechanical valve and wedge resection and decreased in PASP just in one operation and short duration..

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Cone Repair for Ebstein's Anomaly in a Ten-Year-Old Girl

The patient was a ten-year-old, 43.3 kg girl who had a well-known diagnosis of Ebstein's anomaly and underwent a previous electrophysiologic study with catheter ablation of an accessory conduction pathway..

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The Sequential Use of Extracorporeal Cytokine Removal Devices in an Adolescent With COVID-19 Receiving Continuous Renal Replacement Therapy

This case reports on an a 14-year-boy (43 kg) without any respiratory symptoms, who was admitted to a regional hospital with a fever of one day associated with vomiting and..

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The Impact of Electronic Health Record Interoperability on Safety and Quality of Care in High-Income Countries: Systematic Review

Abstract Background:Electronic health records (EHRs) and poor system interoperability are well-known issues in the use of health information technologies in most high-income countries worldwide. Despite the abundance of literature exploring..

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Racial Disparities in Occult Hypoxemia and Clinically Based Mitigation Strategies to Apply in Advance of Technological Advancements

Abstract BACKGROUND: Pulse oximetry is the mainstay of patient oxygen monitoring. Measurement error from pulse oximetry is more common for those with darker skin pigmentation, yet this topic remains understudied, and..

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One-Year Mental and Physical Health Assessment in Survivors After ECMO for COVID-19-related ARDS

Abstract Rational. Long-term outcomes of patients with COVID-19-related acute respiratory distress syndrome (ARDS) treated with extracorporeal membrane oxygenation (ECMO) are unknown. Methods. Multicenter, prospective study in patients who received ECMO..

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The effect of Del Nido versus custodiol cardioplegia on clinical outcomes and troponin-I changes among pediatrics with tetralogy of fallot…

Abstract Background Myocardial protection during operations with cardiopulmonary bypass (CPB) and aortic cross clamping is vital. For this purpose, Del Nido (DN) and Custodiol cardioplegia (CC) solutions are used for..

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Crisis Preparedness: A Systems-Based Framework for Avoiding Harm in Surgery

Abstract BACKGROUND:  Highly performing healthcare organizations benefit from robust failure management systems. This involves the ability to respond and recover from critical events, as well avoiding harm in the first..

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Climate responsibilities in intensive care medicine—let’s go green! An introduction to a new series in Intensive Care Medicine

Abstract Alongside species mass extinction and biodiversity loss, climate change signifies humanity’s burdened entry into the Anthropocene []. During the past two centuries, humanity has burned increasing amounts of fossil..

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AMIA’s code of professional and ethical conduct 2022

Abstract AMIA has a longstanding interest and a professional obligation to promote a strong ethical framework for its members and the field of biomedical and health informatics. This white paper..

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Feasibility of using the ProtekDuo cannula in V-P ECMO and PROpella configurations during ground and air transport

Abstract Introduction: Use of the ProtekDuo cannula has been described for right ventricular assist devices (RVADs) and extracorporeal membrane oxygenation (ECMO) systems. Case report: We describe remote cannulation and transport of two..

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Fractured Right Atrial-Pulmonary Artery Cannula (ProtekDuo) in a 164-Day Extracorporeal Membrane Oxygenation Bridge to Lung Transplant

Abstract Fractures of extracorporeal membrane oxygenation (ECMO) cannulas are exceedingly rare due to their woven metal reinforcement. There are only a few cases reported in the literature. We present a 27-year-old..

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An Intensivist-Led Extracorporeal Membrane Oxygenation Program: Design, Implementation, and Outcomes of the First Five Years

Abstract We describe the development, implementation, and outcomes of an intensivist-led adult extracorporeal life support (ECLS) program using intensivists both to perform venovenous (V-V), venoarterial (V-A), and extracorporeal cardiopulmonary resuscitation..

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Inferior vena cava thrombosis

Patient with ESRD and previous failure of SVC dialysis catheter and lower extremity dialysis catheter came with IVC thrombosis and lower exterimity edema and liver congestion undergone trans pericardial trans..

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Tricuspid Valve bacterial endocarditis undergone off pump beating

Patient with TV bacterial endocarditis undergone off pump beating TV valvectomy and vegectomy with Zeraatiannejaddavani technique of off pump RA enterance and valve excision.   Dr.Sam Zeraatian Nejad Davani, CEO..

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Retrospective Analysis of Arterial Carbon Dioxide Level and Arterial pH Level at the Time of Initiation of Respiratory ECMO and…

Abstract Introduction  Respiratory extracorporeal membrane oxygenation (ECMO) is well established and its popularity has increased during coronavirus disease 2019 (COVID-19) time. The efficacy of ECMO has been proved in refractory..

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Impact of Prone Position in COVID-19 Patients on Extracorporeal Membrane Oxygenation

Abstract OBJECTIVES:  Prone positioning and venovenous extracorporeal membrane oxygenation (ECMO) are both useful interventions in acute respiratory distress syndrome (ARDS). Combining the two therapies is feasible and safe, but the..

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Outcome of extracorporeal membrane oxygenation use in severe accidental hypothermia with cardiac arrest and circulatory instability: A multicentre, prospective, observational…

Abstract Aim To elucidate the effectiveness of extracorporeal membrane oxygenation (ECMO) in accidental hypothermia (AH) patients with and without cardiac arrest (CA), including details of complications. Methods This study was..

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Aortic valve endocarditis and root replacement

Patient with Aortic valve endocarditis and severe AI as well as AS undergone AVR with Resilia Inspiris and root replacement with Homograft.   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham..

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Redissection and pseudos aneurysm of ascending aorta

Patient with previous aortic dissection and ascending aorta replacement with tubular graft came with redissection and pseudos aneurysm of ascending aorta undergone redo operation and replacement of ascending aorta and..

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Use of hemadsorption in pediatric meningococcal sepsis, Waterhouse-Friderichsen-Syndrome, and multiple organ failure

This case reports on an 18-year-old male without relevant medical history, who presented at the emergency room of a peripheral primary care hospital with nausea and headaches. [pdf-embedder url="https://perfusfind.com/wp-content/uploads/2022/12/CoW_42_2022_E_web_compressed.pdf"]

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LT main and RCA ostia heavy calcification

Patient with both LT main and RCA ostia heavy calcification and no flow in CAG and LVEF 15 and CKD and 90 years old with ongoing chest pain undergone cabrol..

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Enabling the control of reperfusion parameters in out-of-hospital cardiac arrest: First applications of the CARL system

Abstract Introduction There is increasing evidence for extracorporeal cardiopulmonary resuscitation (ECPR) as a rescue therapy for selected patients in refractory cardiac arrest (CA). Besides patient selection, the control of reperfusion..

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