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Short-term mechanical circulatory support in elderly patients

Abstract Background Age over 70 years seems to confer poor prognosis for patients under mechanical circulatory support (MCS). Advanced age is usually a relative contraindication. Our objective was to assess the..

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CABG in patient with cancer Head of pancreas as well as Portal vein thrombosis

CABG in patient with cancer Head of pancreas as well as Portal vein thrombosis in these cases on important issue regarding CPB is the usage of bicaval instead of two..

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Modified Starnes procedure as a bridge to 2-ventricle repair in neonatal Ebstein’s anomaly: A paradigm shift

Severe tricuspid valve regurgitation secondary to Ebstein’s anomaly represents several challenges in neonates. It can result in significant respiratory and/or hemodynamic compromise that mandates urgent interventions. When conservative management fails,..

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Stroke patterns and cannulation strategy during veno‑arterial extracorporeal membrane support

Abstract Stroke has potentially devastating consequences for patients receiving veno-arterial extracorporeal membrane support (VA-ECMO). Arterial cannulation sites for VA-ECMO include the ascending aorta, axillary artery, and femoral artery. However, the..

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Hemodynamic evaluation of a new pulsatile blood pump during low flow cardiopulmonary bypass support

Abstract Background The VentriFlo® True Pulse Pump (VentriFlo, Inc, Pelham, NH, USA) is a new pulsatile blood pump intended for use during short-term circulatory support. The purpose of this study was..

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What Determines the Arterial Partial Pressure of Carbon Dioxide on Venovenous Extracorporeal Membrane Oxygenation?

Abstract Rapid reductions in PaCO2 during extracorporeal membrane oxygenation (ECMO) are associated with poor neurologic outcomes. Understanding what factors determine PaCO2 may allow a gradual reduction, potentially improving neurologic outcome. A simple..

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Refractory Impella Suction Alarms in the Setting of Extracorporeal Membrane Oxygenation

Abstract Cardiogenic shock is an uncommon but serious complication of acute myocardial infarction. Temporary mechanical circulatory support devices are being used more often in this setting, and physicians are required..

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Characterizing Sleep Disruption and Delirium in Children After Cardiac Surgery: A Feasibility Study

Abstract OBJECTIVES:  Patients in the pediatric cardiac ICU are frequently exposed to pharmacologic and environmental factors that predispose them to sleep disturbances and may increase the risk of delirium. In..

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The Cognitive Relevance of a Formal Pre-incision Time-out in Surgery

Abstract Surgical time-outs are designed to promote situation awareness, teamwork, and error prevention. The pre-incision time-out in particular aims to facilitate shared mental models prior to incision. Objective, unbiased measures..

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Extracorporeal Cardiopulmonary Resuscitation and Survival After Refractory Cardiac Arrest: Is ECPR Beneficial?

Abstract The level of evidence of expert recommendations for starting extracorporeal cardiopulmonary resuscitation (ECPR) in refractory out-of-hospital cardiac arrest (OHCA) and in-hospital cardiac arrest (IHCA) is low. Therefore, we reported..

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Use of Hemoadsorption in Patients With Severe Intoxication Requiring Extracorporeal Cardiopulmonary Support—A Case Series

Abstract Drugs intoxications often lead to severe vasoplegia and cardiogenic shock, and VA-ECMO represents a viable therapy option. However, as cardiopulmonary support is not contributing to the removal of the..

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Contributions of Systolic and Diastolic Blood Pressures to Cardiovascular Outcomes in the ALLHAT Study

Abstract Background SBP and DBP have important associations with cardiovascular events, but are seldom considered simultaneously. Objectives This study sought to simultaneously analyze systolic blood pressure (SBP) and diastolic blood..

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Automated and cost-efficient early detection of hemolysis in patients with extracorporeal life support: Use of the hemolysis-index of routine clinical…

Abstract Purpose Patients with  (ECLS) are at risk for hemolysis-related complications. Therefore, monitoring of free hemoglobin (fHb) levels is indicated. Conventional methods for fHb are laborious and not always available. Here..

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No extra COVID-19 risk for ECMO transport teams, reports ASAIO Journal

Abstract Newswise — November 22, 2021 –  – with no increased risk of transmitting COVID-19 transmission to ECMO transport team members following standard precautions, reports a study in the , official journal of..

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Successful treatment of severe lamotrigine intoxication with CytoSorb hemoadsorption

A 60-year-old female was admitted to the Emergency Department after she was found unconscious by her husband. [pdf-embedder url="https://perfusfind.com/wp-content/uploads/2021/10/CoW_47_2021_E_web_compressed.pdf"]  

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Glycemic control is not associated with neurocognitive decline after cardiac surgery

Abstract Background Whether perioperative glycemic control is associated with neurocognitive decline (NCD) after cardiac surgery was examined. Methods Thirty patients undergoing cardiac surgery utilizing cardiopulmonary bypass (CPB) were screened for..

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Nonfinancial conflict of interest in peer-review: Some notes for discussion

Abstract Strong beliefs can influence the way we deal with emotionally charged topics. Researchers, editors, and reviewers are not an exception. Declaring such nonfinancial conflict of interest when handling or..

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Extracorporeal Membrane Oxygenation and Continuous Kidney Replacement Therapy: Technology and Outcomes – A Narrative Review

Abstract The number of patients using critical care is increasing as our populations live longer thanks to advances in medical therapies. This is reflected by an increase in both usage..

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Prognostic value of SARS-CoV-2 on patients undergoing cardiac surgery

Abstract Objective To analyze Italian Cardiac Surgery experience during the pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) identifying risk factors for overall mortality according to coronavirus disease 2019..

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Kidney Replacement Therapy for Patients Requiring Cardiopulmonary Bypass Support during Cardiac Surgery

This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article..

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Sonoclot Signature Analysis: A New Point-of-Care Testing Method for Defining Heat Stroke-Induced Coagulopathy

Abstract Purpose: Data regarding the incidence of a coagulable state following heat stroke as assessed by Sonoclot signature analysis are limited. Our purpose was to appraise coagulopathy using a dynamic test..

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Early mobilisation algorithm for the critical patient. Expert recommendations

Abstract Introduction  (ICU)-acquired weakness is developed by 40%–46% of patients admitted to ICU. Different studies have shown that Early Mobilisation (EM) is safe, feasible, cost-effective and improves patient outcomes in..

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Evaluation of the Oxiris Membrane in Cardiogenic Shock Requiring Extracorporeal Membrane Oxygenation Support: Study Protocol for a Single Center, Single-Blind,…

Abstract Background: Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is the rescue treatment proposed to patients with refractory cardiogenic shock. The VA-ECMO implantation promotes inflammation and ischemia-reperfusion injuries through the VA-ECMO flow, causing..

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Flow Monitoring of ECMO circuit for detecting Oxygenator Obstructions

Abstract Oxygenator thrombosis during extracorporeal membrane oxygenation (ECMO), is a complication that necessitates component replacement. ECMO centers monitor clot burden by intermittent measurement of pressure drop across the oxygenator. An..

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Adenosine Triphosphate - Sensitive Potassium Channel Opener Diazoxide Reduces Myocardial Stunning in a Porcine Lad Occlusion Model

Abstract Introduction: Adenosine triphosphate - sensitive potassium (KATP) channels provide endogenous myocardial protection by coupling cell membrane potential to metabolism, as they are inhibited by ATP and open during times of..

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Aortic annulus abcess extension from LV cavity

Patient with Aortic annulus abcess extension from LV cavity with pus drainage orifice that you can see within video undergone complete abcess drainage and AVR as well as MVR and..

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Aortic Valve Replacement versus Conservative Treatment in Asymptomatic Severe Aortic Stenosis: The AVATAR Trial

Abstract Background: Surgical aortic valve replacement (SAVR) represents a class I indication in symptomatic patients with severe aortic stenosis (AS). However, indications for early SAVR in asymptomatic patients with severe AS..

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CABG Off Pump with severe ischemic mitral valve regurgitation

Patient with severe ischemic mitral valve regurgitation as well as low LVEF 20 and dialysis dependent undergone Off Pump CABG with SVG to right territory and SVG to both Diag..

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Flow displacement and decreased wall shear stress might be associated with the growth rate of an ascending aortic dilatation

Abstract     OBJECTIVES Our goal was to evaluate whether four-dimensional (4D) flow magnetic resonance imaging (MRI) can predict the growth rate of dilatation of the ascending aorta (AA) in..

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Reinterventions and new aortic events after aortic surgery in Marfan syndrome

Abstract     OBJECTIVES Pre-emptive strategies to manage the aortic complications of Marfan syndrome have resulted in improved life expectancy yet, secondary to the variation of phenotypic expression, anticipating the..

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