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Organ donation after cardiac death

Complete organ donation after cardiac death in patient with cardiac arrest using HA380 and MUF technique for the first time across the world!  Dr.Sam Zeraatian Nejad Davani, CEO of rockingham..

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ECPR2: Expert Consensus on Percutaneous Cannulation for Extracorporeal CardioPulmonary Resuscitation

Abstract Aim Extracorporeal cardiopulmonary resuscitation (ECPR) has emerged as a promising resuscitation strategy for select patients suffering from refractory out-of-hospital cardiac arrest (OHCA), though limited data exist regarding the best..

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Erroneous Pressure Reading from an Unpowered Intra-aortic Balloon Pump: Case Report

Abstract Intra-aortic balloon pump (IABP) technology is an established treatment modality for patients with acute cardiac failure. Advances in IABP technology have simplified use and reliability such that electromechanical malfunctions..

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Utility of D-dimers in COVID-19 Patients Requiring Extracorporeal Membrane Oxygenation

Abstract A retrospective study was performed examining the trend of inflammatory markers, including D-dimers, in 29 COVID-19 patients requiring veno-venous (VV) extracorporeal membrane oxygenation (ECMO) support. We observed that COVID-19..

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Hematic Antegrade Repriming Reduces Emboli on Cardiopulmonary Bypass: A Randomized Controlled Trial

Abstract Particulate and gaseous microemboli (GME) are side effects of cardiac surgery that interfere with postoperative recovery by causing endothelial dysfunction and vascular blockages. GME sources during surgery are multiple,..

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Measuring What Matters at Morbidity and Mortality Conferences: A Scoping Review of Effectiveness Measures

Abstract Objective  Efforts to study morbidity and mortality conferences (M&MC) are hampered by the lack of rigorous instruments to assess the effectiveness of the conferences for the purpose of quality..

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Evolving outcomes of extracorporeal membrane oxygenation during the first 2 years of the COVID-19 pandemic: a systematic review and meta-analysis

Abstract Background Extracorporeal membrane oxygenation (ECMO) has been used extensively for coronavirus disease 2019 (COVID-19)-related acute respiratory distress syndrome (ARDS). Reports early in the pandemic suggested that mortality in patients..

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Origins and Evolution of Extracorporeal Circulation: JACC Historical Breakthroughs in Perspective

Abstract Midway through the 20th century, direct open-heart operations were not yet a reality, awaiting safe methods to support the  during cardiac surgery. The scientific advancements collectively leading to safe  are considered..

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Pathophysiology, mechanisms, and managements of tissue hypoxia

Abstract Oxygen is needed to generate aerobic adenosine triphosphate and energy that is required to support vital cellular functions. Oxygen delivery (DO2) to the tissues is determined by convective and..

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Cardiac Dysfunction Biomarkers are Associated with Potential for Successful Separation from Extracorporeal Membrane Oxygenation in Children

Abstract Biomarkers of cardiac dysfunction may aid in decision making about organ recovery and optimal timing of separation from extracorporeal membrane oxygenation (ECMO). We conducted a prospective observational study of..

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Effect of hospital case volume on clinical outcomes of patients requiring extracorporeal membrane oxygenation: a territory-wide longitudinal observational study

Abstract Background: The utilization of extracorporeal membrane oxygenation (ECMO) has increased rapidly around the world. Being an overall low-volume high-cost form of therapy, the effectiveness of having care delivered in segregated..

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Cardiac Surgery Associated AKI Prevention Strategies and Medical Treatment for CSA-AKI

Abstract Acute kidney injury (AKI) is common after cardiac surgery. To date, there are no specific pharmacological therapies. In this review, we summarise the existing evidence for prevention and management..

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Individualised or liberal red blood cell transfusion after cardiac surgery: a randomised controlled trial

Abstract Background Current practice guidelines for red blood cell (RBC) transfusion in ICUs are based on haemoglobin threshold, without consideration of oxygen delivery or consumption. We aimed to evaluate an..

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Post operative bleeding in patient with CABG

Post operative bleeding in patient with CABG and AVR and IABPC due to pulsating impact of IABPC in the suture line of aortotomy.   Dr.Sam Zeraatian Nejad Davani, CEO of..

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Tronco arterial comum ou Truncus

Cardiopatia congênita que se caracteriza como o próprio nome diz pela formação de um tronco único saindo do coração.  O normal do coração é termos 2 grandes vasos saindo dele,..

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Doença de Kawasaki

Na doença de Kawasaki temos uma espécie de inflamação nos pequenos e médios vasos do corpo da criança. Foi descrita pela primeira vez no Japão, em 1962, pelo Dr. Tomisaku..

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Thoracoabdominal huge aneurysm and sacular multiple aneurysm

Thoracoabdominal huge aneurysm and sacular multiple aneurysm out pouch undergone novel reduction aortoplasty plus Florida operation. [gallery ids="29929"]   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center..

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Anticoagulation on Extracorporeal Support: An Alternative Strategy

Abstract This approach is based on subcutaneous administration of low-molecular-weight heparin (LMWH) 3 times a day, paired with antifactor Xa (anti-Xa) assay monitoring, 3 times a day, each sample equidistant..

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Mechanical circulatory support in the treatment of cardiogenic shock

Abstract Purpose of review  Cardiogenic shock is a condition that is characterized by end-organ hypoperfusion secondary to reduced cardiac output, and is associated with substantial mortality. The mainstay of therapy..

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III ENCUENTRO EN ESPAÑOL de la Congenital Heart Academy

III ENCUENTRO EN ESPAÑOL de la Congenital Heart Academy    Congenital Heart Academy    

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GUIDELINE NA CEC - WEBINAR 29

Guideline na CEC 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..

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Use of CytoSorb® hemoadsorption column during prolonged cardiopulmonary bypass in complex cardiac surgery patient. Case report

Abstract Background Complex cardiac surgery and prolonged cardiopulmonary bypass are associated with significant activation of the systemic inflammatory response system. Pro-inflammatory cytokines, oxygen free radicals and complement activation products contribute..

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Effect of Nitric Oxide via Cardiopulmonary Bypass on Ventilator-Free Days in Young Children Undergoing Congenital Heart Disease Surgery

Abstract Importance  In children undergoing heart surgery, nitric oxide administered into the gas flow of the cardiopulmonary bypass oxygenator may reduce postoperative low cardiac output syndrome, leading to improved recovery and..

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Intraoperative Diagnosis of Bronchovenous Fistula During Lung Transplantation Using Transesophageal Echocardiography

Abstract Bronchovenous  (BVF) is a rare complication and can cause arterial gas embolism in vital organs, including the heart and the brain, resulting in a high mortality rate. A 51-year-old man..

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Response to PEEP in COVID-19 ARDS patients with and without extracorporeal membrane oxygenation. A multicenter case–control computed tomography study

Abstract Background PEEP selection in severe COVID-19 patients under extracorporeal membrane oxygenation (ECMO) is challenging as no study has assessed the alveolar recruitability in this setting. The aim of the..

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Kyphoscoliosis repair

Kyphoscoliosis repair and descending thoracic aorta concomitant repair via post lat thoracotomy incision and plate fixation [gallery ids="29889,29893"] Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as..

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Severe Mitral Regurgitation

Patient with severe MR confirmed by TTE and TEE undergone MV repair with good post op course.  Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well..

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Use of CytoSorb hemoadsorption for the management of acute liver failure

This case reports on a 28-year-old female patient who was referred intubated and ventilated from an intensive care unit (ICU) of another tertiary care hospital to Sir Gangaram Hospital, Delhi,..

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Human albumin and 6% hydroxyethyl starches (130/0.4) in cardiac surgery: a meta-analysis revisited

Abstract Background A meta-analysis of randomized controlled trials was recently published in BMC Surgery that compared the use of human albumin with 6% hydroxyethyl starches 130/0.4 for cardiopulmonary bypass prime..

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