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The Effect of CPB on Platelets. Preoperative C-reactive Protein. Blood Storage.

Vanderbilt University Medical Center; Department of CV Surgery: Faculty Forum. The effect of Cardiopulmonary Bypass (CPB) on Platelets. Program will discuss how the cardiopulmonary bypass circuit interacts with blood components..

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Left ventricular wall adjacent to obtuse marginal artery and left atrial auricle hydatid cyst

Patient with left ventricular wall adjacent to obtuse marginal artery and left atrial auricle hydatid cyst at risk of sudden perforation with each heart beat undergone full CPB and after..

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Left ventricular aneurysm

Left ventricular aneurysm as a result of extensive myocardial infarction undergone left ventricular resection of aneurysm as well as LV reconstruction with two parallel teflon felts for secure hemostasis and..

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Pulmonary embolectomy again for the patient with Covid 19 as well as massive PTE

Zeraatian RMRC line in pulmonary embolectomy again for the patient with Covid 19 as well as massive PTE with bicaval cannulation and just one incision on the pulmonary trunc.  ..

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Minimally Invasive Pulmonary Artery Banding or RMRC Zeraatian novel Technique in PA Banding in Patients with AVCSD

[playlist ids="16950"] Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well as Head of IUMS transplant and cardiovascular surgery department.            ..

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Patient with Covid 19 and pus filled pericardium as well as Pan Carditis

  [playlist ids="16943"]  Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well as Head of IUMS transplant and cardiovascular surgery department.[gallery ids="16795"]        ..

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Differential effects of prone position in COVID‑19‑related ARDS in low and high recruiters

Abstract Prone position quickly imposed as a cornerstone in the management of patients with acute respiratory distress syndrome (ARDS) induced by coronavirus disease 2019 (COVID-19) [1, 2]. The response to..

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Acute kidney injury in the critically ill: an updated review on pathophysiology and management

Abstract Acute kidney injury (AKI) is now recognized as a heterogeneous syndrome that not only affects acute morbidity and mortality, but also a patient’s long-term prognosis. In this narrative review,..

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Near-infrared spectroscopy device selection affects intervention management for cerebral desaturation during cardiopulmonary bypass surgery

Abstract Objective Currently, several near-infrared spectroscopy oximetry devices are used for detecting cerebral ischemia during cardiopulmonary bypass (CPB) surgery. We investigated whether two different models of near-infrared spectroscopy oximetry devices..

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Taskforce report on the diagnosis and clinical management of COVID‑19 associated pulmonary aspergillosis

Abstract Purpose: Invasive pulmonary aspergillosis (IPA) is increasingly reported in patients with severe coronavirus disease 2019 (COVID‑19) admitted to the intensive care unit (ICU). Diagnosis and management of COVID‑19 associated..

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Delirium in COVID‑19: can we make the unknowns knowns?

Abstract Delirium is an important public health problem. It is independently associated with worse clinical outcomes, including persistent cognitive impairment, increased mortality, and greater risk of institutionalization [1]. The prevalence..

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The Ethics of Extracorporeal Membrane Oxygenation: Revisiting the Principles of Clinical Bioethics

Abstract Background  has become accepted as a rescue therapy for cardiopulmonary shock, and there have been over 100,000  (ECMO) cases since 1987. Rapid growth has presented ethical challenges and concerns. Here, we discuss..

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Hyponatremia: An Overlooked Risk Factor Associated With Adverse Outcomes After Cardiac Surgery

Abstract Background  is an unrecognized risk factor for  after cardiac surgery. We sought to study the prevalence of preoperative hyponatremia and its impact on short-term and long-term outcomes after cardiac surgery...

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Critical care after the COVID‑19 outbreak in China: lessons and renaissance

Abstract Since the outbreak of the coronavirus disease 2019 (COVID-19) pandemic, more than 153 million cases have been confirmed, and more than 3.20 million individuals have died worldwide. The strategies..

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A prospective observational study of emboli exposure in open versus closed chamber cardiac surgery

Abstract Objective: Exposure to cerebral emboli is ubiquitous and may be harmful in cardiac surgery utilizing cardiopulmonary bypass. This was a prospective observational study aiming to compare emboli exposure in..

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Average mean arterial pressure in the first 6 hours of extracorporeal cardiopulmonary resuscitation in the prediction of the prognosis of neurological…

Abstract Objective: To study the correlation between the mean arterial pressure (MAP) level in the first 6 hours of extracorporeal cardiopulmonary resuscitation (ECPR) and patients’ neurological outcomes. Methods: Sex, age, basic..

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Implementation of new ECMO centers during the COVID‑19 pandemic: experience and results from the Middle East and India

Abstract Purpose: Extracorporeal membrane oxygenation (ECMO) use for severe coronavirus disease 2019 (COVID‑19) patients has increased during the course of the pandemic. As uncertainty existed regarding patient’s outcomes, early guidelines..

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The effect of using the minimized cardio-pulmonary bypass Systems for Coronary Artery Bypass Grafting in diabetic patients

Abstract Introduction Multiple studies have shown a decrease in the inflammatory response with minimized bypass circuits leading to less complications and mortality rate. On the other hand, some other studies..

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Extended neuromonitoring in aortic arch surgery

Abstract Background Aortic arch repair for aortic dissection is still associated with a high mortality rate. Providing adequate means of neuromonitoring to guide cerebral hemodynamics is advantageous, especially during selective anterior..

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A Standardized Approach Improves Outcomes of Extracorporeal Membrane Oxygenation for Postcardiotomy Shock

Abstract Postcardiotomy shock (PCS) has historically been associated with substantial morbidity and mortality. Mortality at discharge is reportedly more than 60%. We investigated the outcomes of our standardized approach to..

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Variability of three activated clotting time point-of-care systems in cardiac surgery: reinforcing available evidence

Abstract Background: Cardiac surgery with extracorporeal circulation (ECC) requires the administration of anticoagulant drugs to maintain ACT ranges 400–600 seconds, which requires exhaustive coagulation monitoring for which various point-of-care devices..

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Optimal protamine dosing after cardiopulmonary bypass: The PRODOSE adaptive randomised controlled trial

Abstract Background The dose of protamine required following cardiopulmonary bypass (CPB) is often determined by the dose of heparin required pre-CPB, expressed as a fixed ratio. Dosing based on mathematical..

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The impact of acute kidney injury by serum creatinine or urine output criteria on major adverse kidney events in cardiac…

Abstract Objectives  after cardiac surgery remains of uncertain clinical significance. Therefore, we investigated the relationship of  severity across urine output and creatinine domains with the risk for major adverse kidney events..

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In search of optimal cardioplegia for minimally invasive valve surgery

Abstract Cardioplegic solutions are used in cardiac surgery to achieve controlled cardiac arrest during operations, making surgery safer. Cardioplegia can either be blood or crystalloid based, with perceived pros and..

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Constrictive Pericarditis in Patient with Lung malignancy

[playlist ids="16864"] Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well as Head of IUMS transplant and cardiovascular surgery department.            ..

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Understanding Alpha Stat/pH Stat. Cardiopulmonary Bypass Management. Protamine - Neutralize Heparin

Vanderbilt University Medical Center; Department of CV Surgery: Faculty Forum: Understanding alpha stat and pH stat Faculty: Katie Faella CCP, LCP, FPP, J. Hoffman, MD, Matt Warhoover, CCP, A. Lepore,..

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Efficacy of CytoSorb in a Pediatric Case of Severe Multisystem Inflammatory Syndrome (MIS-C): A Clinical Case Report

This case reports on a 14-year-old previously healthy girl who was referred to the Pediatric Intensive Care Unit (PICU) with a suspicion of multisystem inflammatory syndrome in children (MIS-C) and..

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Use of extracorporeal hemoadsorption in septic shock due to liver abscesses in the context of PSC recurrence post liver transplantation

This case reports on a 54-year-old male patient who was treated in the medical intensive care unit at Aachen University Hospital following a generalized tonic-clonic seizure with subsequent postictal vigilance..

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