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Improving implementation of Enhanced Recovery After Surgery (ERAS) to increase timeliness of recovery after cardiac surgery: a quality improvement project

Abstract Background The COVID-19 pandemic has exacerbated the backlog of elective surgeries across the National Health Service (NHS). This is particularly critical for patients awaiting cardiac surgery, where even short delays..

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Cost effectiveness of pre-hospital extracorporeal cardiopulmonary resuscitation for out-of-hospital cardiac arrest – An analysis of the PRECARE study

Abstract Background While the use of pre-hospital extracorporeal cardiopulmonary resuscitation for refractory out of hospital cardiac arrest is increasing, there is little data on whether it is cost-effective. This study..

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Outcomes and prediction of mortality in patientsrequiring prolonged veno-arterial extracorporealmembrane oxygenation support in the PRECISE-ECLS observational study

Abstract Background: Veno-arterial ExtraCorporeal Membrane Oxygenation (V-A ECMO) as a bridge to recovery or long-term assist devices in severe cardiocirculatory failure typically lasts 5-7 days. There is scarce guidance on..

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Engineering Development of a Bi-directional Arterial Cannula with Peripheral Access for Cardiopulmonary Bypass

Abstract Purpose Cardiopulmonary bypass (CPB) is a well-established procedure that uses cannulae during cardiac surgery to drain and return blood. In challenging cases (e.g. aortic dissection, reoperation), peripheral cannulation in..

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Undetected intracardiac thrombus and subsequent embolism following cardiopulmonary bypass: a case report

Abstract Background Heparin is commonly administered to prevent thrombosis during cardiopulmonary bypass (CPB). However, the development of intracardiac thrombi under CPB has still been reported. Case summary A 79-year-old man..

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Fast-Track Extubation After Cardiac Surgery: A Narrative Review

Abstract Fast-track extubation has emerged as a vital component of Enhanced Recovery After Surgery pathways, designed to optimize recovery and resource utilization after cardiac surgery, contrasting with traditional prolonged ventilation...

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Mechanical ventilation strategies and lung protection during cardiopulmonary bypass: A scoping review

Abstract Objective Cardiopulmonary bypass (CPB), which induces pulmonary injury, significantly impacts the quality of life in patients undergoing cardiac surgery. Preventing and treating pulmonary complications has become a critical clinical..

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Suspected Malignant Hyperthermia in a Patient Undergoing Cardiac Surgery: Perioperative Challenges and Management

Abstract Malignant hyperthermia (MH) is a rare but potentially fatal disorder characterized by a hypermetabolic state produced by exposure to triggering agents such as volatile anesthetics and succinylcholine., MH crises have..

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Alterations in retinal microcirculation following cardiac surgery: a prospective observational study using optical coherence tomography angiography

Abstract Background Cardiac surgery with cardiopulmonary bypass (CPB) is associated with microcirculatory changes. Little is known about the effect of CPB on the structural and vascular parameters of the retina...

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Argatroban in Patients with Extracorporeal Membrane Oxygenation—A Randomized Controlled Pilot Trial

Abstract INTRODUCTION Unfractionated heparin (UFH) is the most commonly used anticoagulant during extracorporeal membrane oxygenation (ECMO) (1). However, UFH also has several limitations: (i) it requires individualized dosing and close..

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AORTIC SURGERY IN BOLOGNA FROM NEONATES TO ADULTS - 15/16 June

Dear Colleagues and Friends, We are pleased to announce that, from 2026 onwards, the “BHSS – Bologna Heart Surgery Symposium” and the “STB – Summer Talks in Bologna on Pediatric and Congenital Cardiac Surgery” will be..

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ESICM 39th Annual Congress - 10/14 Oct

LIVES, October 10-14, 2026, Lisbon (CCL, Lisboa Congress Centre) In 2026, we invite you once again to join for 5 eventful days, between 10 and 14 October, for pre-congress educational courses,..

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Clinician Variability in a Case about ECMO Candidacy: A Qualitative Analysis

Abstract Introduction Veno-venous extracorporeal membrane oxygenation (VV ECMO) is a life-sustaining technology that supports patients with severe acute respiratory failure. Indications and contraindications to VV ECMO are evolving and professional..

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Cardioplegia modalities and systemic redox status in younger vs. older patients undergoing cardiac surgery

Abstract Background Patients undergoing cardiac surgery frequently suffer impaired myocardial redox protection during cardiopulmonary bypass (CPB), with elderly patients facing higher complication risks. We investigated the redox-protective effects of blood..

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Intraoperative Iatrogenic Aortic Dissection in Cardiovascular Surgery: Case Series and Literature Review

Abstract Background: Intraoperative iatrogenic aortic dissection (IAD) is an uncommon but serious complication of cardiac surgery, and available evidence remains limited, with most reports based on small series. This study..

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Renal regional oxygenation during pediatric cardiac surgery predicts acute kidney injury: a prospective cohort study with model comparisons

Abstract Background Acute kidney injury (AKI) is a common complication after pediatric cardiac surgery using cardiopulmonary bypass (CPB). This study evaluated renal regional oxygen saturation (R-rSO₂), measured via near-infrared spectroscopy..

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Vasodilators for Pharmacologic Afterload Reduction in On-pump Cardiac Surgery

Abstract More than 1 million patients worldwide undergo cardiac surgery each year, amounting to approximately 123 per 100,000 population. Cardiopulmonary bypass has been central to this success, facilitating the possibility of..

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Influence of Pre-emptive Haptoglobin on Postoperative Acute Kidney Injury in Cardiac Surgical Patients: A Randomized Controlled Trial

Abstract BACKGROUND:  Haptoglobin may reduce hemolysis-induced kidney injury in patients undergoing cardiovascular surgery with cardiopulmonary bypass (CPB). Haptoglobin may be given empirically when hemolytic urine is observed, or pre-emptively when..

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Alternative Base Solutions for del Nido Cardioplegia: Composition, Rationale, and Clinical Evidence

Abstract Objectives Del Nido cardioplegia has gained increasing popularity, evolving from its original use in paediatric and congenital heart surgery to widespread adoption in adult cardiac procedures. This review aims..

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Mechanical tissue changes caused by liquid jet blasting of the aortic cannula

Abstract The aim of this study is to investigate the mechanical influence on the aortic tissue when exposed to the liquid jet blasting effect produced by the aortic cannula during..

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Effects of cardiopulmonary bypass on in vitro proliferation of human pancreatic cancer cells and plasma growth factor levels

Abstract Background Advances in medicine lead to an increase in the number of patients with concurrent heart disease and cancer. We investigated the effect of cardiac surgery under cardiopulmonary bypass..

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Continuous or intermittant retrograde cardioplegia during coronary bypass: A propensity score adjusted comparison

Abstract Introduction Continuous retrograde cardioplegia worsens surgeon’s vision while performing distal anastomosis in coronary artery bypass grafting operations. We investigated whether intermittent retrograde cardioplegia, which provides a bloodless surgical field..

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A Plan-Do-Study-Act Cycle to Enhance Operational Efficiency in a Newly Established Paediatric Cardiac Operating Room

Abstract Objectives This quality improvement project aimed to enhance operating room efficiency in a newly established paediatric cardiac operating room by focusing on key performance indicators (KPI), including (1) first..

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Perioperative Transfusion Requirements in Pediatric Patients Receiving Apixaban Prior to Cardiac Surgery With Cardiopulmonary Bypass

Abstract Design Apixaban is a direct oral anticoagulant that inhibits factor Xa. Our objective was to examine the effect of apixaban on perioperative transfusion requirements in pediatric patients undergoing cardiac..

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Hemodynamic monitoring strategies in cardiac surgery: an update systematic review

Abstract Hemodynamic monitoring is a cornerstone of perioperative care in cardiac surgery, where patients are at high risk of cardiovascular instability and organ hypoperfusion. In recent years, goal-directed therapy (GDT)..

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Is Cooler Safer and More Advantageous? A Feasibility Study in Rabbits

Abstract Objectives This study hypothesizes that induced hypothermia (IH) can safely extend aortic cross-clamp (ACC) time, significantly reducing metabolic burden and end-organ injury, thereby enabling more comprehensive aortic arch reconstructions..

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Increased Incidence of Thrombosis in Patients at Risk of Heparin-Induced Thrombocytopenia Receiving Epoprostenol for Cardiac Surgery

Abstract Objective Heparin-induced thrombocytopenia (HIT) is a serious concern in cardiac surgery, as heparin use in the at-risk patient can lead to devastating thrombosis. Management strategies for patients with confirmed..

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Safety and Efficacy of Stored Wet-Preprimed Extracorporeal Membrane Oxygenation Circuits: A Scoping Review

Abstract Extracorporeal membrane oxygenation (ECMO) may be a life-saving intervention for patients with respiratory or cardiac failure or cardiac arrest. Storing wet-preprimed ECMO circuits can reduce the time to initiate..

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The history of cardiopulmonary bypass and the evolution of pneuma in cardiopulmonary medicine

Abstract Cardiopulmonary bypass (CPB) is one of the most groundbreaking medical innovations in history, enabling safe and effective heart surgery by temporarily replacing the function of the heart and lungs...

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Polymeric micro and nanoparticle release from cardiopulmonary bypass and extracorporeal membrane oxygenation circuits

Abstract Objectives Cardiopulmonary bypass (CPB) and extracorporeal membrane oxygenation (ECMO) or life support (ECLS) circuits are built from polymers and might release polymeric micro- and nanoparticles (MNP) into the circulation...

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