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Renal Function, AKI, and…

Renal Function, AKI, and Fluid Balance for the Perfusionist - 2.0  

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Renal Function, AKI, and…

Renal Function, AKI, and Fluid Balance for the perfusionist.  

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Allocating scarce intensive care…

Summary The COVID-19 pandemic strained health-care systems throughout the world. For some, available medical resources could not meet the increased demand and rationing was ultimately required. Hospitals and governments often..

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Should we ration extracorporeal…

The COVID-19 pandemic has raised challenging questions about the rationing of intensive care unit (ICU) beds, mechanical ventilators, and extracorporeal membrane oxygenation (ECMO).    Experts have recommended that ECMO be..

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Cardiopatías congénitas con y…

Caso clínico   Paciente mujer de 2 años diagnosticada con doble salida del ventrículo derecho.   En los monitoreos de control, la paciente presentó signos y síntomas de hipoxemia: agitación,..

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Patients Submitted to Myocardial…

Abstract Introduction: Use of bilateral internal thoracic artery (BITA) as graft in coronary artery bypass grafting (CABG) is controversial because it is related to higher in-hospital mortality, incidence of sternal..

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Prevention of Cerebral Lesion…

Abstract Carotid artery stenosis (CAS) and vertebral artery stenosis (VAS) are associated with cerebral infarction after cardiopulmonary bypass (CPB). We read with great interest the article “Cerebral Lesions in Patients..

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Risk Score Elaboration for…

Abstract Introduction: Stroke is a complication that causes considerable morbidity and mortality during the heart surgery postoperative period (incidence: 1.3 to 5%; mortality: 13 to 41%). Models for assessing the..

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Atrial Septal Aneurysm and…

Abstract Atrial septal aneurysm (ASA) is an uncommon but wellrecognized cardiac abnormality. This educational text reviews the case of a 54-year-old female presenting an ASA related to a small ostium..

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Palliative Care Referrals in…

Abstract OBJECTIVES:  With evidence of benefits of pediatric palliative care (PPC) integration, we sought to characterize subspecialty PPC referral patterns and end of life (EOL) care in pediatric advanced heart..

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Myhre Syndrome Misdiagnosed as…

Abstract A 32-month-old girl with patent ductus arteriosus, false tendon of left ventricle, mild pulmonary hypertension, and chronic cardiac insufficiency (cardiac function level I-II) was misdiagnosed with Marfan Syndrome and..

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Argatroban Anticoagulation for Adult…

Abstract Background: Heparin is the widely used anti-coagulation strategy for patients on extracorporeal membrane oxygenation (ECMO). Nevertheless, heparin-induced thrombocytopenia (HIT) and acquired anti-thrombin (AT) deficiency preclude the use of heparin..

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Lessons Learned From the…

Abstract Background: Early warning systems that utilize dense physiologic data and machine learning may aid prediction of decompensation after congenital heart surgery (CHS). The Compensatory Reserve Index (CRI) analyzes changing..

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Minimally Invasive Extracorporeal Technologies…

Abstract Minimally invasive extracorporeal technologies (MiECT) are in great expansion in the literature and have an impact in adult cardiac surgery, however, a future challenge will be to expand MiECT..

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Infective Endocarditis in Childhood:…

Abstract Introduction: We aimed to present the risk factors, clinical and laboratory findings, treatment management, and risk factors for morbidity and mortality of infective endocarditis (IE) as well as to relate..

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Single-Dose Del Nido Cardioplegia…

Abstract Introduction: In this study, we aimed to compare Del Nido cardioplegia (DNC) with blood cardioplegia (BC) in aortic valve replacement. Methods: A two-year single-institute retrospective cohort study was accomplished...

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Redo Coronary Artery Bypass…

Abstract Objective: To review the evidence behind the role and relevance of redo coronary artery bypass grafting (CABG) in the current practice of percutaneous coronary intervention (PCI). Methods: A comprehensive..

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2019 updated consensus statement…

Abstract This is an updated, comprehensive and practical guideline for healthcare providers providing care to children and young adults with pulmonary hypertension (PH) and pulmonary vascular disease (PVD). Methodology included..

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Intra-operative autologous blood donation…

Abstract Intra-operative autologous blood donation is a blood conservation technique with limited evidence. We evaluated the association between intra-operative autologous blood donation and decrease in peri-operative transfusion in cardiovascular surgery..

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Hydroxyethyl starch on kidney…

Abstract We read with great interest the paper by Duncan et al. on the effect of hydroxyethyl starch (HES) on kidney and haemostatic function in cardiac surgical patients []. In their..

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Changes in intraocular pressure…

Abstract Background In this study, the effects of pulsatile and non-pulsatile on-pump  surgery (CABG) and off-pump CABG techniques on the  were investigated. Methods Forty-five patients who planned to elective coronary artery bypass..

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Comparison of Normal Saline,…

Abstract Background Zero‐balance ultrafiltration (Z‐BUF) is considered a significant method during cardiopulmonary bypass (CPB), and has always received support regarding its key role in monitoring electrolyte abnormalities including potassium and..

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Blood transfusion trends by…

Abstract Background Better understanding of blood usage rates could identify trends in transfusion practices over time and inform more efficient management. Methods Inpatient admissions from the Healthcare Cost and Utilization..

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Thromboelastography During Rewarming for…

Abstract Background Thromboelastography (TEG) predicts bleeding in pediatric patients undergoing cardiac surgery. We hypothesize that TEG parameters at rewarming correlate with post-protamine values and that rewarming TEG is associated with..

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Unusual Complication of a…

Abstract A previously healthy, middle-aged patient presented with rapidly increasing shortness of breath despite empirical antibiotic treatment for presumed pneumonia. A computed tomographic image of the chest was notable for..

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Perioperative circulatory support for…

Abstract Objective Extracorporeal membrane oxygenation (ECMO) has recently replaced cardiopulmonary bypass (CPB) as the preferred option for providing circulatory support during lung transplantation. This review aimed to summarize the previous..

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Extracorporeal Membrane Oxygenation (ECMO)…

Joe Basha, CCP and Mike Brown, CCP describe and discuss common and complex complications of ECMO.   

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2020 Acute Coronary Syndromes…

Preamble Guidelines summarize and evaluate available evidence with the aim of assisting health professionals in proposing the best management strategies for an individual patient with a given condition. Guidelines and..

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2020 ESC Guidelines for…

  Since the previous version of the Guidelines on the management of grown-up congenital heart disease (CHD) was published in 2010, new evidence has accumulated for this patient group, particularly..

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Hydroxyethyl starch and acute…

Abstract Background  (HES) solutions increase the risk of  (AKI) in critically ill patients admitted to intensive care unit (ICU) for medical indications. We conducted a cohort study to evaluate the renal..

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