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Updated Guidelines : Episode 1

Join the Guidelines Roundtable – a unique webinar bringing together EACTS, EACTAIC, and EBCP to discuss the 2024 updated guidelines. Each society will share their perspective on the guidelines and reflect on what these updates have brought..

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A Simulation Curriculum for Ground and Air ECMO Transport

Abstract Introduction: The use of extracorporeal membrane oxygenation (ECMO) for cardiopulmonary failure is increasing. ECMO transport teams are needed to expand patient access. Our goal was to design and implement a..

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Impact of implementing a nurse-led intraoperative cell saver service in reducing allogeneic red blood cell transfusions in Singapore General Hospital

Abstract Introduction Major perioperative blood loss often necessitates allogeneic blood transfusions, leading to adverse outcomes and straining healthcare resources. Intraoperative cell salvage (ICS) offers benefits like reduced adverse reactions, optimised blood..

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Axillary Artery Versus Femoral or Central Arterial Cannulation in Minithoracotomy Mitral Surgery: Is There a Difference in Early Outcomes?

Abstract Objective: Axillary artery cannulation techniques continue to improve and find application throughout cardiac surgery. Yet, early outcomes are poorly documented versus femoral or central arterial cannulation in right minithoracotomy..

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Staying in Place: In Vitro Comparison of Extracorporeal Membrane Oxygenation Cannula Fixation for Dislodgment Prevention

Abstract Background/Objectives: Secure large-bore cannula insertion is critical for effective extracorporeal membrane oxygenation (ECMO), as inadequate fixation can lead to complications such as infection, dislodgment, and life-threatening events. With inconsistent..

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Volatile anaesthetics and PFAS forever chemicals: A critical gap in environmental impact assessments

Abstract The environmental impact of volatile anaesthetics has traditionally been evaluated primarily in terms of their greenhouse gas contributions. This review broadens the discourse by exploring the ecological ramifications of..

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Patent foramen ovale: A variant of normal or a true congenital heart disease?

Abstract Foramen ovale plays a key role in foetal circulation, however it may remain patent after birth throughout the life. Its patency is so frequent in healthy people (27-35 %),..

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Essential principles for blood centrifugation

Abstract Currently, autologous platelet concentrates (APCs) are frequently used for soft- and hard-tissue regeneration, not only within the oral cavity, but also extra-orally including chronic wounds, burns, joints, dermatological conditions,..

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Direct Reinfusion of Unwashed Shed Autologous Blood During Thoracoabdominal Aortic Aneurysm Repair: A Retrospective Analysis

Abstract BACKGROUND:  This study’s purpose was to assess whether larger volumes of reinfused unwashed shed autologous blood (SAB) were associated with adverse events within 30 days for patients undergoing open..

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Practical prognostic tools to predict the risk of postoperative delirium in older patients undergoing cardiac surgery: visual and dynamic nomograms

Abstract Purpose Postoperative Delirium (POD) has an incidence of up to 65% in older patients undergoing cardiac surgery. We aimed to develop two dynamic nomograms to predict the risk of..

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Artificial Intelligence in Perfusion: The Future of Data-Driven Decision-Making

Introduction Artificial Intelligence (AI) is rapidly transforming perfusion, particularly in cardiopulmonary bypass (CPB) and extracorporeal membrane oxygenation (ECMO). By leveraging machine learning (ML) and real-time data analysis, AI enhances decision-making,..

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Veno-Venous vs. Veno-Arterial ECMO: Understanding the Differences and Applications

Introduction Extracorporeal Membrane Oxygenation (ECMO) is a life-support technology used in patients with severe cardiac and/or respiratory failure. The two primary ECMO configurations are Veno-Venous (VV) ECMO and Veno-Arterial (VA)..

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ECMO in Cardiac Surgery: When and How to Implement It

Introduction Extracorporeal Membrane Oxygenation (ECMO) has become a vital intervention in cardiac surgery, offering temporary mechanical support for patients experiencing severe cardiac dysfunction. It stabilizes hemodynamics, allowing time for myocardial..

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Effects and trend of steroid dosage reduction during cardiac surgery: A three-year retrospective analysis at a tertiary medical center

Abstract Background Current adult cardiac surgery guidelines recommend against the routine use of prophylactic intravenous corticosteroids during cardiopulmonary bypass (CPB) due to concerns about myocardial injury, despite their potential to..

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A clinical comparison of the effects of six disposable cardiopulmonary bypass circuits on bleeding and coagulation: a quality assurance project

Abstract Purpose Cardiac surgery requiring cardiopulmonary bypass (CPB) is frequently complicated by excessive bleeding because of coagulopathy. Contact of blood with the CPB circuit is a major contributor. While several..

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Does Intraoperative Cell-Salvaged Autologous Blood Transfusion in Metastatic Spine Tumour Surgery Impact Clinical Outcomes: A Prospective Clinical Study With 4-year…

Abstract Study design Prospective Clinical Study. Objective Allogeneic blood transfusion (ABT) is the current standard of blood replenishment for metastatic spine tumour surgery (MSTS) despite known complications. Salvaged blood transfusion..

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Industry payments and implicit bias in cardiothoracic surgery: Difference in industry payments to cardiothoracic surgeons by gender

Abstract Objective Industry payments, as sources of revenue and prestige, may contribute to gender implicit bias. We examined industry payments to cardiothoracic surgeons to determine differences with respect to gender..

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How we would use Cardiac Enhanced Recovery After Surgery: What we would do for ourselves across the perioperative period during…

Abstract Enhanced Recovery After Cardiac Surgery (ERACS) programs have grown from their humble beginnings as a ‘Fast-track recovery’ pathway which was first described in 1994, and have now evolved into..

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Development and validation of a checklist for cardiopulmonary bypass

Abstract Introduction: Risk prevention protocols related to patient care have been developed to reduce the incidence of adverse events in health care services. Cardiopulmonary bypass (CPB) can trigger several complications,..

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Insights from autopsy-initiated pathological studies of the pathogenesis and clinical manifestations of atherosclerosis and ischemic heart disease: Part I. Atherosclerosis

Abstract Context Ischemic heart disease (IHD) due to coronary atherosclerosis constitutes the leading cause of morbidity and mortality worldwide. This review was undertaken to document the historical basis for our..

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Monitoring Hemostatic Function during Cardiac Surgery with Point-of-Care Viscoelastic Assays: A Narrative Review

Abstract Bleeding is a well-known and severe complication of cardiac surgery. Cardiopulmonary bypass, along with heparinization and hemodilution, is thought to affect all pathways of the hemostatic process, leading to..

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In Silico Analysis of Pulsatile Flow Veno-Arterial Extracorporeal Membrane Oxygenation on Human Aorta Model

Abstract Electrocardiogram (ECG)—synchronized pulsatile veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is a recent development in extracorporeal therapy for patients with severe cardiogenic shock. Although preclinical studies have shown benefits of..

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Scavenger endothelial cells alleviate tissue damage by engulfing toxic molecules derived from hemolysis

Abstract Hemolysis induces tissue damage by releasing cellular contents into the plasma. It is widely accepted that hemolysis-derived toxic molecules are cleared by macrophages or metabolized in hepatocytes. In zebrafish,..

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Perfusion Strategy and Mitral Repair by MICS

Minimally invasive mitral valve repair (MICS) with neochords combines a precise surgical technique with an advanced perfusion strategy to optimize outcomes. The minimally invasive approach can be performed routinely, delivering..

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Optimizing Oxygenation During Cardiopulmonary Bypass: Striking the Right Balance Between Normoxia and Hyperoxia.

Introduction Cardiopulmonary bypass (CPB) is a cornerstone of modern cardiac surgery, facilitating a bloodless and motionless field for surgeons. Traditionally, hyperoxia—elevated levels of arterial oxygen tension (PaO₂)—has been employed during..

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Advances in CPB Circuit Coatings: Impact on Biocompatibility and Inflammatory Response

Introduction Cardiopulmonary bypass (CPB) is a lifesaving technology in cardiac surgery, but it introduces blood-material interactions that trigger inflammatory and coagulative responses. To address these issues, advancements in biocompatible CPB..

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The Controversy of Normothermic vs. Hypothermic CPB: What Does the Evidence Say?

Introduction Cardiopulmonary bypass (CPB) has transformed cardiac surgery, allowing for safe and controlled procedures on the arrested heart. However, a long-standing debate in perfusion science is whether CPB should be..

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Hemodilution vs. Hemoconcentration in CPB: Striking the Right Balance

Introduction Cardiopulmonary bypass (CPB) introduces significant alterations in blood composition due to the priming solution, fluid shifts, and extracorporeal circulation. Hemodilution and hemoconcentration represent two opposing strategies, each with distinct..

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Trends in Cardiac Arrest Outcomes & Management in Children with Cardiac Illness Category Compared to Non-Cardiac Illness Category: An Analysis…

Abstract Introduction Contemporary rates of survival after pediatric in-hospital CPR events and trends in survival over the last 20 years have not been compared based on illness category. We hypothesized that..

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