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Blood purification during valve surgery for infective endocarditis in an adolescent

This case reports on a 15-year old boy with history of bicuspid valve and mild aortic valve regurgitation, who had a recent history of abdominal pain, diarrhea, and vomiting. [pdf-embedder..

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Pilot Study of a Novel Gelatin-based Model for Venovenous Extracorporeal Membrane Oxygenation Cannula Insertion Simulation

Abstract Venovenous (VV) extracorporeal membrane oxygenation (ECMO) is a form of mechanical support used in respiratory failure refractory to conventional medical management. Because VV ECMO cannulation is an uncommonly performed,..

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Advances in extracorporeal membrane oxygenator design for artificial placenta technology

Abstract Extreme prematurity, defined as a gestational age of fewer than 28 weeks, is a significant health problem worldwide. It carries a high burden of mortality and morbidity, in large..

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Performance of Lactate and CO2-Derived Parameters in Predicting Major Postoperative Complications After Cardiac Surgery With Cardiopulmonary Bypass: Protocol of a…

Abstract Background: CO2-derived parameters are increasingly used to identify either low-flow status or anaerobic metabolism in shock resuscitation. However, the performance of CO2-derived parameters in cardiac surgical patients is poorly understood...

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A High-Fidelity Percutaneous Model Used to Demonstrate ECMO Cannulation

Abstract Medical simulation provides a realistic environment for practitioners to experience a planned clinical event in a controlled educational setting. We established a simulation model composed of synthetic ballistic gelatin..

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Clinical risk score for postoperative pneumonia following heart valve surgery

Abstract Background:  Postoperative pneumonia (POP) is one of the most common infections following heart valve surgery (HVS) and is associated with a significant increase in morbidity, mortality, and health care..

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Spectrum Medical Quantum or Terumo CDI 500: Which Device Measures Hemoglobin and Oxygen Saturation Most Accurately When Compared to a…

Abstract To examine the accuracy between analyzers, the Terumo CDI 500 and the Spectrum Medical Quantum were compared to each other and to the ABL90 FLEX benchtop blood analyzer. Patients..

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Current Application of NIRS and CPB Initiation Times in German Cardiac Surgery Centers: A Survey

Abstract Near-infrared spectroscopy (NIRS) has been widely used in cardiac surgery to monitor cerebral oxygen supply. The initiation and perioperative management of cardiopulmonary bypass (CPB) constitute critical events in modifying..

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The multivariable prognostic models for severe complications after heart valve surgery

Abstract Background To provide multivariable prognostic models for severe complications prediction after heart valve surgery, including low cardiac output syndrome (LCOS), acute kidney injury requiring hemodialysis (AKI-rH) and multiple organ..

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Extracorporeal Life Support and Cardio-Pulmonary Bypass for Central Airway Surgery: A Systematic Review

Abstract Background Major airway surgery can pose a complex problem to perioperative central airway management. Adjuncts to advanced ventilation strategies have included cardiopulmonary bypass (CPB), veno-arterial (VA-ECLS) or veno-venous extracorporeal..

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Fluid resuscitation after cardiac surgery in the intensive care unit: A bi-national survey of clinician practice. (The FRACS-ICU clinician survey)

Abstract Context and Aims: To describe current fluid and vasopressor practices after cardiac surgery in Australia and New Zealand cardiothoracic intensive care units (ICU).  Design and Setting: This web-based survey was conducted..

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Renal function and inflammatory response in neonates undergoing cardiac surgery with or without antegrade cerebral perfusion—a post hoc analysis

Abstract Background: Cardiopulmonary bypass (CPB) may lead to tissue hypoxia, inflammatory response, and risk for acute kidney injury (AKI). We evaluated the prevalence of AKI and inflammatory response in neonates undergoing..

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Non-ischemic Heart Preservation via Hypothermic Cardioplegic Perfusion Induces Immunodepletion of Donor Hearts Resulting in Diminished Graft Infiltration Following Transplantation

Abstract Introduction: Many donor organs contain significant leukocyte reservoirs which upon transplantation activate recipient leukocytes to initiate acute rejection. We aimed to assess whether non-ischemic heart preservation via ex vivo perfusion promotes immunodepletion..

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Effect of Cardiac Surgery on One-Year Patient-Reported Outcomes: A Prospective Cohort Study

Abstract Background Current cardiac surgery risk algorithms and quality measures focus on perioperative outcomes. However, delivering high-value, patient-centered cardiac care will require a better understanding of long-term patient-reported quality of..

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Direct Versus Side Graft Cannulation From the Right Axillary Artery in Thoracic Aortic Surgery

Abstract Background The  can be cannulated for antegrade  directly or by employing a prosthetic  anastomosed to the artery. Methods From 2008 until 2019, 688 patients underwent axillary artery . Of those, 287 underwent direct..

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Perioperative Coronavirus Vaccination—Timing and Implications: A Guidance Document

Abstract Executive Summary  surgical patients are at risk of increased  disease severity. Several important factors influence the administration of the coronavirus disease vaccine in the . This guidance statement outlines current information..

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SVC rupture and stenosis

Patient with SVC rupture and stenosis 9 years undergone SVC reconstruction and upper mini sternotomy as well as impinged Cath.  Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA..

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Education of Children With Cyanotic Congenital Heart Disease After Neonatal Cardiac Surgery

Abstract Background The aim of the study was to evaluate the educational achievement of patients diagnosed with  physiology (UVHP) or transposition of the  (TGA) after neonatal cardiac surgery. Methods An exploratory online..

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Human factors in ECLS – A keystone for safety and quality – A narrative review for ECLS providers

Abstract Introduction Although the technology used for extracorporeal life support (ECLS) has improved greatly in recent years, the application of these devices to the patient is quite complex and requires..

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Impact of Corticosteroids on Cardiopulmonary Bypass Induced Inflammation in Children: A Meta-Analysis

Abstract Background Corticosteroids suppress the inflammatory response to  in children undergoing cardiac surgery. What is less clear is the impact of corticosteroids on the postoperative course. Methods A systematic review and..

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TThe factors that influence DO2 during CPB: Why do you need a perfusionist?

This program explores the factors that influence oxygen delivery to the tissues. This program examines the "art" of perfusion and how the perfusionist uses available data and techniques to provide..

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2020 Review of VUMC. Neurologic Recovery After Ten Minutes No Blood Flow. Albumin: How Much?

Matt Warhoover and the Vanderbilt team will review the heart transplant program at Vanderbilt. Tammy Sparacino will discuss an unusual case of neurologic recovery after protracted cardiac arrest. John Ingram..

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Extracorporeal Membrane Oxygenation (ECMO): Who, How, and for How Long?

ECMO usage, the number of patients being considered for ECMO therapy and the number of ECMO platforms has exploded during the last two years. Joe will explore the number of..

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Simultaneous brain tumor and CABG

Simultaneous brain tumor and CABG and EVD external ventricular drainage and aortoplasty. [playlist ids="20851"]   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well as Head..

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Miniaturized Fontan Circulation Assist Device: Chronic In Vivo Evaluation

Abstract We have miniaturized and optimized our implantable rotary blood pump developed to provide long-term mechanical right heart support for patients who have failing Fontan circulation. The objective of this..

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CES-A™ Certification

Adult Certified ECMO Specialist™ (CES-A™) Exam The American Society of ExtraCorporeal Technology (AmSECT) and the International Board of Blood Management (IBBM) are pleased to announce the first Adult ECMO Specialist..

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Redo Bentall operation and Redo CABG in patient with previous AVR and CABG

Redo Bentall operation and Redo CABG in patient with previous AVR and CABG and patent LIMA to LAD as well as RCA grafts all of them again reimplanted into ascending..

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TCRAT proximal venous anastomosis

 Ascending aorta could be safely reached in every patient through the 4th ICS. Access to the ascending aorta is one of the cornerstones of TCRAT technique - Total Coronary Revascularization..

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Antithrombin Dose Optimization in Extracorporeal Membrane Oxygenation in Infants

Abstract Anticoagulation in extracorporeal membrane oxygenation (ECMO) is challenging, with significant morbidity and mortality associated with thrombotic complications. Unfractionated heparin (UFH) is commonly used, which depends on native antithrombin (AT)..

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