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Comparison of coagulation monitoring using ROTEM and Sonoclot devices in cardiac surgery. A single-centre prospective observational study

Abstract BACKGROUND: Viscoelastic tests (VETs) are recommended during cardiac surgery to monitor coagulation status and guide transfusion. We compared the results of two VETs, the Sonoclot Analyzer and the ROTEM..

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Blood Product Utilization in Patients With COVID-19 on ECMO

Abstract Introduction Although extracorporeal membrane oxygenation (ECMO) has been associated with improved outcomes in COVID patients with respiratory failure, data regarding the need for blood product utilization in this population..

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The Use of Hemoglobin-Based Oxygen Carriers in Ex Vivo Machine Perfusion of Donor Organs for Transplantation

Abstract There has been significant progress in the development of ex vivo machine perfusion for the nonischemic preservation of donor organs. However, several complications remain, including the logistics of using human blood..

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Preparing Clinicians for a Clinical World Influenced by Artificial Intelligence

Abstract Artificial intelligence (AI) and machine learning (ML) are poised to transform the way health care is delivered. AI is the use of computers to simulate intelligent tasks typically performed..

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Use of Percutaneous Cannulation in Robotic Mitral Valve Surgery

Abstract Minimally invasive cardiac surgery (MICS) has evolved in its practice over the past several years. Percutaneous cannulation is a technique that can be used during MICS to facilitate cardiopulmonary..

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Sonoclot’s usefulness in prediction of cardiopulmonary arrest prognosis: A proof of concept study

Abstract The aim of the present study was to evaluate the usefulness of measuring whole blood coagulation with Sonoclot to predict return of spontaneous circulation (ROSC) in patients with out-of-hospital..

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Oxygen Delivery in Pediatric Cardiac Surgery and its Association with Acute Kidney Injury using Machine Learning

Abstract Objective Acute kidney injury (AKI) following pediatric cardiac surgery with cardiopulmonary bypass is a frequently reported complication. This study aims to determine the critical oxygen delivery (DO2i) threshold associated..

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Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study

Abstract Objectives Despite training and the recognition that speaking up can mitigate harm to patients and save lives, healthcare professionals do not consistently speak up when they have patient safety concerns...

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Pediatric aortic valve neocuspidization

Treatment of pediatric aortic valve disease is controversial. In this regard, interest is growing in the neocuspidization of the aortic valve according to Ozaki. In this video tutorial, we illustrate..

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Extracorporeal Life Support Organization Guidelines for the Provision and Assessment of Nutritional Support in the Neonatal and Pediatric ECMO Patient

Abstract This guideline discusses nutritional support for neonatal and pediatric patients requiring extracorporeal membrane oxygenation (ECMO) support. Data for nutrient delivery during ECMO support and its impact on outcomes are..

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Myxomatosis change in aortic valve position

Rare patient with myxomatosis change in aortic valve position undergone AVR with mechanical valve with good post operative course and TEE and TTE.  Dr.Sam Zeraatian Nejad Davani, CEO of rockingham..

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Reduced sevoflurane loss during cardiopulmonary bypass when using a polymethylpentane versus a polypropylene oxygenator

Abstract Purpose: The goal of this investigation was to examine the influence of two oxygenators with different membranes, made of either polypropylene (PPL) or polymethylpentane (PMP), on the plasma concentration of..

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Use of CytoSorb in a patient with hemorrhagic shock and multiple organ failure due to complicated secondary cesarean section

This case reports on a 31-year-old previously healthy female patient, who was admitted post-operatively to the intensive care unit (ICU) with hemorrhagic shock and dilutional/ disseminated intravascular coagulopathy following secondary..

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Pediatric Extracorporeal Membrane Oxygenation (ECMO) Transport in a Developing Nation: A Single Center Experience

Abstract Extracorporeal membrane oxygenation (ECMO) support requires skills that can only be found in specialized centers. The number of patients annually supported with ECMO is positively associated with the survival..

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Starting and Sustaining an Extracorporeal Membrane Oxygenation Program

Abstract The use of extracorporeal membrane oxygenation (ECMO) is growing rapidly in all patient populations, especially adults for both acute lung or heart failure. ECMO is a complex, high risk,..

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Extracorporeal membrane oxygenation during pregnancy and peripartal. An international retrospective multicenter study

Abstract Introduction Extracorporeal Membrane Oxygenation (ECMO) may be used in the setting of pregnancy or the peripartal period, however its utility has not been well-characterized. This study aims to give..

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Perfusion of brain and viscera using modified retrograde cerebral perfusion for aortic arch surgery

Abstract Anterograde or retrograde cerebral perfusion can protect the brain from ischemic injury during hypothermic circulatory arrest (HCA), but neither type of perfusion provides blood flow to the abdominal viscera...

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Clinical impact of del Nido cardioplegia in adult cardiac surgery: A prospective randomized trial

Abstract Objective The study objective was to assess the benefits of del Nido cardioplegia compared with cold blood cardioplegia solution in terms of myocardial protection during adult cardiac surgery. Methods..

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Endothelial Dysfunction in SARS-CoV-2 Infection

Abstract One of the hallmarks of the SARS-CoV-2 infection has been the inflammatory process that played a role in its pathogenesis, resulting in mortality within susceptible individuals. This uncontrolled inflammatory..

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The problem with making Safety-II work in healthcare

Abstract Patient safety is typically assessed by the frequency of adverse events or incidents, which means we seek to determine safety by its absence rather than its presence. The Safety-II perspective..

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Extracorporeal membrane oxygenation in children: An update of a single tertiary center 11-Year experience from Croatia

Abstract Introduction: Extracorporeal membrane oxygenation (ECMO) is an important treatment option for organ support in respiratory insufficiency, cardiac failure, or as an advanced tool for cardiopulmonary resuscitation. Reports on pediatric..

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Early Albumin Exposure After Cardiac Surgery

Abstract Objectives To determine whether the early use of  after cardiac surgery in the first 24 hours in the intensive care unit (ICU) is associated with reduced mortality. Design A single-center..

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Thoracoabdominal aneurysm

Patient with huge thoracoabdominal aneurysm undergone left heart bypass and MUF as well as distal arch replacement with antegrade cerebral perfusion during CPB aneurysm sac closure performed with autologous aortic..

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How to manage anticoagulation during extracorporeal membrane oxygenation

Abstract Extracorporeal membrane oxygenation (ECMO) use is increasing worldwide, driven by device simplification and increasing need during the coronavirus disease 2019 (COVID-19) pandemic, while bleeding and thrombotic events remain a..

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Hemoperfusion: technical aspects and state of the art

Abstract Background: Blood purifcation through the removal of plasma solutes by adsorption to beads of charcoal or resins contained in a cartridge (hemoperfusion) has a long and imperfect history. Developments..

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Urgent Coronary Artery Bypass Grafting Complication by Systemic Inflammatory Response from Fulminant Herpes Zoster Successfully managed with Adjunct Extracorporeal Hemoadsorption:…

Blood purification by hemoadsorption therapy seems to improve outcomes in selected patients undergoing cardiac surgery with cardiopulmonary bypass. Here, we report the successful application of hemoadsorption in the severe systemic..

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Gelatin and the risk of acute kidney injury after cardiac surgery

Abstract Background Gelatin has been used as a plasma volume expander because of its ability to preserve intravascular volume more effectively than crystalloids. However, gelatin may have detrimental effects on..

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Outcomes with Direct and Indirect Thrombin Inhibition during Extracorporeal Membrane Oxygenation for COVID-19

Abstract Anticoagulation during extracorporeal membrane oxygenation (ECMO) for Coronovirus Disease 2019 (COVID-19) can be performed by direct or indirect thrombin inhibitors but differences in outcomes with these agents are uncertain...

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Long-term outcomes of patients undergoing mechanical versus bioprosthetic aortic root replacement

Abstract Background We evaluated the impact of valve type (mechanical vs. bioprosthetic) on survival after aortic root replacement (ARR). Methods In a propensity-matched analysis, we evaluated consecutive operations from 2010..

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