Home

thumbnail
0 comment

Non-invasive vs biological blood determination of haemoglobinemia for perioperative management: a systematic review with meta-analysis

Abstract Introduction Haemoglobin measurement is an essential parameter for quantifying anaemia and often used for guiding transfusion decisions. Conventional methods require blood sampling and are invasive. Results are intermittent, discontinuous..

Read More
thumbnail
0 comment

Crossing the line: blood transfusion thresholds in ECMO

Abstract In the high-stakes realm of extracorporeal membrane oxygenation (ECMO), every decision can have profound consequences—from initiation to termination. Management controversies persist throughout the entire course. Beyond patient selection, timing,..

Read More
thumbnail
0 comment

Impact of Ventilation Discontinuation During Cardiopulmonary Bypass: A Prospective Observational Study

Abstract Background: Discontinuing mechanical ventilation during cardiopulmonary bypass (CPB) is common but may adversely affect postoperative pulmonary function. This study aimed to evaluate the impact of stopping ventilation during CPB..

Read More
thumbnail
0 comment

Effects of Dexmedetomidine on Outcomes After Cardiac Surgery (DOCS): a randomised double-blind, placebo-controlled trial

Abstract Background Organ dysfunction after cardiac surgery may be reduced by dexmedetomidine. We evaluated whether perioperative dexmedetomidine reduces complications after cardiac surgery with cardiopulmonary bypass. Methods In this randomised, double-blind,..

Read More
thumbnail
0 comment

Ulinastatin mitigates protamine-induced hypotension during cardiac surgery: A retrospective observational study using propensity score matching

Abstract Although protamine induces cardiotoxicity, ulinastatin has been shown to attenuate protamine-induced cardiotoxicity in rats. However, whether ulinastatin alleviates protamine-induced cardiac depression during cardiac surgery remains unclear. This study aimed..

Read More
thumbnail
0 comment

From pollution to palpitations: the heart’s silent battle with microplastics

Abstract The pervasive presence of microplastics and nanoplastics (MNPs) in the environment has raised growing concerns regarding their potential health impacts. While research has progressively revealed the toxicological effects of..

Read More
thumbnail
0 comment

Percutaneous Femoral Arterial Closure Following Decannulation of Venoarterial Extracorporeal Membrane Oxygenation Using the MANTA Vascular Closure Device

Abstract Background Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is a life-saving therapy for patients with severe cardiac failure. If patients can be weaned, withdrawal and closure of the large-bore arterial access..

Read More
thumbnail
0 comment

Stabilizing the Unstable: An Analysis of The Society of Thoracic Surgeons Congenital Heart Surgery Database of Children Supported With Extracorporeal…

Abstract Background Children with heart disease and cardiopulmonary failure may be supported with extracorporeal membrane oxygenation (ECMO) for stabilization before cardiac surgery. This study describes their epidemiology and outcomes. Methods..

Read More
thumbnail
0 comment

Epidemiology, outcomes, and three-year quality of life in patients supported with VV-ECMO for critical COVID-19 infection

Abstract BACKGROUND: This single center study analyzed epidemiology, outcomes, and three-year quality of life (QoL) of critically ill COVID-19 patients requiring a possibly life-saving VV-ECMO. METHODS: Demographics, clinical and technical..

Read More
thumbnail
0 comment

Development and validation of a prediction model for acute kidney injury following cardiopulmonary bypass surgery

Abstract Background Acute renal impairment following cardiopulmonary bypass (CPB) is a serious perioperative complication with sustained occurrence. Proactive risk assessment and preventive strategies are crucial for enhancing surgical outcomes. Methods..

Read More
thumbnail
0 comment

Integrating a chatbot into simulation-based perfusion training: A pilot randomized controlled trial

Abstract Purpose Chatbots have enhanced student engagement and learning outcomes in education. Simulation-based training is critical in perfusion education, providing risk-free environments for skill mastery and clinical readiness. This research..

Read More
thumbnail
0 comment

Delta-P as an early indicator of oxygenator failure: the case for standardized manufacturer reference values

Abstract The evolution of extracorporeal membrane oxygenation (ECMO) has led to an increasing reliance on objective parameters to detect complications early and enhance patient safety. One such parameter is the..

Read More
thumbnail
0 comment

Prognosis of Immunocompromised Patients With Respiratory Failure Managed With Venovenous Extracorporeal Membrane Oxygenation

Abstract Despite the increasing number of critically ill immunocompromised patients in intensive care unit, the outcome of different types of immunocompromised patients with respiratory failure managed with venovenous extracorporeal membrane..

Read More
thumbnail
0 comment

Simulation-based activated clotting time targeting for cardiopulmonary bypass in patients with antiphospholipid syndrome: two case reports

Abstract Background Antiphospholipid syndrome (APS) is an autoimmune prothrombotic disorder that is frequently associated with systemic lupus erythematosus (SLE). Cardiac surgery in patients with APS presents unique challenges because activated..

Read More
thumbnail
0 comment

NeoHeart Europe 2026 - July 9/10

NeoHeart Europe 2026 Bridging Disciplines, Advancing Neonatal Cardiac Care Thursday 9-Friday 10 July 2026  With a pre-conference workshop day on Wednesday 8 July BMA House, London NeoHeart Europe 2026 marks..

Read More
thumbnail
0 comment

DCD Heart and Lung Explantation With TransMedics OCS Heart Recovery and EVLP Lung Perfusion

I. PRE-PROCUREMENT PREPARATION (DCD CONTEXT)   1. Donor Selection and Planning •Confirm controlled DCD donor (Maastricht Category III). •Review: •Warm ischemic time (WIT) thresholds •Functional warm ischemia (fWIT) •Hemodynamics prior..

Read More
thumbnail
0 comment

Compliance with ESAIC guidelines for fibrinogen concentrate prescription in cardiac surgery: a multicentre French cohort study

Abstract Background Fibrinogen concentrate may reduce allogeneic blood product transfusion in cardiac surgery patients with bleeding associated with acquired hypofibrinogenemia. The European Society of Anaesthesiology and Intensive Care (ESAIC) has..

Read More
thumbnail
0 comment

Impeller Position in a Magnetically Levitated Rotodynamic Blood Pump and Its Impact on In-Silico Hemocompatibility

Abstract In magnetically levitated rotodynamic blood pumps (RPBs), the impeller position depends on a balance of electromagnetic and fluid dynamic forces. The aim of this study was to describe the..

Read More
thumbnail
0 comment

From Pandemic to Practice: How COVID-19 Has Reshaped Haemostasis in Cardiac Surgery: A Narrative Review

Abstract The utilisation of cardiopulmonary bypass (CPB) during cardiac surgery is often associated with complex haemostatic perturbations, frequently manifesting as a paradoxical risk of both bleeding and thrombosis. This is..

Read More
thumbnail
0 comment

Performance of Supervised Machine Learning Models for Cardiac Surgery-Associated Acute Kidney Injury in Children: Multicenter Retrospective Cohort Study, 2019–2022

Abstract Objectives:  To derive and externally validate supervised machine learning (ML) models predictive of cardiac surgery-associated acute kidney injury (CS-AKI). Design:  Retrospective cohort analysis. Setting:  Multicenter (4), cardiac surgical centers..

Read More
thumbnail
0 comment

Forged in conflict: how wars and crises shaped cardiovascular surgery

Abstract Wars and crises have historically acted as powerful catalysts for advances in cardiovascular surgery. Throughout the twentieth and twenty-first centuries, periods of armed conflict and global emergencies have driven..

Read More
thumbnail
0 comment

Is bedside empiricism the genuine gold standard of daily clinical practice? Rethinking evidence in extracorporeal care and perfusion

Abstract In extracorporeal life support and perfusion, progress has rarely followed the neat, linear hierarchy of evidence promoted by traditional evidence-based medicine. The randomized controlled trial (RCT) remains the proclaimed..

Read More
thumbnail
0 comment

Total Intravenous Versus Volatile Anesthesia in Pediatric Cardiac Surgery: Inflammatory Response and Early Recovery Profiles

Abstract Objectives To compare the effects of total intravenous anesthesia (TIVA) versus volatile anesthesia on systemic inflammation and early postoperative cognitive recovery in pediatric patients undergoing cardiac surgery with cardiopulmonary..

Read More
thumbnail
0 comment

Management of cardiopulmonary bypass in children with hypoplastic left heart syndrome undergoing multiple sternotomy procedures: a case report

Abstract Background: Hypoplastic left heart syndrome (HLHS) is a severe and complex congenital heart defect characterized by the underdevelopment of the left-sided cardiac structures. Management of HLHS typically involves multiple staged..

Read More
thumbnail
0 comment

Preservation of Platelet Function After Intraoperative Cell Salvage Using the i-SEP Same Device in Cardiac Surgery

Abstract Objectives To evaluate whether platelet function is preserved after intraoperative autotransfusion using the Same system, a device designed to retain both red blood cells and platelets in patients undergoing..

Read More
thumbnail
0 comment

Persistent Critical Illness After Cardiac Surgery: Prevalence, Characteristics, Trajectory, Outcomes, and Predictive Scores

Abstract Aim To determine the prevalence of persistent critical illness (PerCI) after cardiac surgery, describe the characteristics, trajectory, and outcomes of these patients, identify risk factors, and develop predictive risk..

Read More
thumbnail
0 comment

Weathering the Aorta: The Impact of Environmental Factors on Acute Aortic Dissection

Abstract Objectives Acute type A aortic dissection is a life-threatening condition with evidence suggesting a role for environmental triggers, particularly cold exposure. However, the impact of subjective, or derived thermal..

Read More
thumbnail
0 comment

Beyond Standard Parameters: Precision Hemodynamic Monitoring in Patients on Veno-Arterial ECMO

Abstract Background: Hemodynamic management in veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is inherently complex, as extracorporeal circulation profoundly alters preload, afterload, ventriculo-arterial coupling and tissue perfusion. This review summarizes current..

Read More
thumbnail
0 comment

Anticoagulation and hemostasis in the extracorporeal membrane oxygenation patient

Abstract Purpose of review  To provide an updated overview of hemostatic disturbances and anticoagulation management during extracorporeal membrane oxygenation (ECMO), emphasizing the mechanisms underlying the dual risk of bleeding and..

Read More
thumbnail
0 comment

Time from mechanical ventilation initiation to venovenous extracorporeal membrane oxygenation in COVID-19: A prospective, multicentre, observational study

Abstract Background The impact of the duration of invasive mechanical ventilation (IMV) before venovenous extracorporeal membrane oxygenation (VV ECMO) on patient outcomes in COVID-19 remains unclear. Methods and setting Data..

Read More