Tags Archives: cardiac surgery

thumbnail
0 comment

Clinical outcomes of cardiac surgery patients undergoing therapeutic plasma exchange for heparin-induced thrombocytopenia

Abstract Background and Objectives Heparin-induced thrombocytopenia (HIT) is an antibody-mediated condition that leads to thrombocytopenia and possible thrombosis. Patients with HIT who require cardiac surgery pose a challenge as high..

Read More
thumbnail
0 comment

Association of Plasma Fibrinogen and Thromboelastography With Blood Loss in Complex Cardiac Surgery

Abstract Postoperative coagulopathic bleeding is common in cardiac surgery and is associated with increased morbidity and mortality. Ideally, real-time information on in-vivo coagulation should be available. However, up to now..

Read More
thumbnail
0 comment

The hemodynamic effects of warm versus room-temperature crystalloid fluid bolus therapy in post-cardiac surgery patients

Abstract Introduction: The contribution of fluid temperature to the effect of crystalloid fluid bolus therapy (FBT) in post-cardiac surgery patients is unknown. We evaluated the hemodynamic effects of FBT with..

Read More
thumbnail
0 comment

Randomized Pilot Trial of Acute Normovolemic Hemodilution in Pediatric Cardiac Surgery Patients

Abstract Background: Due to the substantial improvement in survival among pediatric patients undergoing congenital heart surgery, reducing early and long-term morbidity is becoming the major focus of care. Blood transfusion is..

Read More
thumbnail
0 comment

The assessment of patients undergoing cardiac surgery for Covid-19: Complications occurring during cardiopulmonary bypass

Abstract The outbreak of the novel coronavirus pandemic (COVID-19) has resulted in dramatic changes to the conduct of surgery both from a patient management perspective and in protecting healthcare providers...

Read More
thumbnail
0 comment

Fluid Status After Cardiac Surgery Assessed by Bioelectrical Impedance Vector Analysis and the Effects of Extracorporeal Circulation

Abstract Objective  after cardiac surgery can be difficult to assess, often requiring invasive measurements. Bioelectrical impedance vector analysis (BIVA) is based on patterns of resistance (R) and reactance (Xc), corrected..

Read More
thumbnail
0 comment

A survey of patient blood management for patients undergoing cardiac surgery in nine European countries

Abstract Study objective To describe and compare patient blood management (PBM) practices in cardiac surgery in nine European countries and identify the main risk factors for bleeding or transfusion according..

Read More
thumbnail
0 comment

Microcirculatory effects of landiolol: a double-blind, randomised, controlled study after cardiac surgery

Abstract Microcirculatory disturbances are commonplace after cardiopulmonary bypass.  Postoperative atrial fibrillation (POAF) occurs in nearly 30% of patients undergoing conventional cardiac surgery.  Landiolol, a short-acting i.v. beta blocker, could reduce..

Read More
thumbnail
0 comment

Chronic kidney disease in congenital heart disease patients: a narrative review of evidence

Abstract Purpose of review Patients with congenital heart disease have a number of risk factors for the development of chronic kidney disease (CKD). It is well known that CKD has..

Read More
thumbnail
0 comment

Preoperative anemia and transfusion in cardiac surgery: a single-centre retrospective study

Abstract Background Preoperative anemia and transfusion are associated with worse outcomes. This study aims to identify the prevalence of preoperative anemia, transfusion rates on surgery day, and predictors of transfusion..

Read More
thumbnail
0 comment

Intranasal administration of 40 and 80 units of insulin does not cause hypoglycemia during cardiac surgery: a randomized controlled trial

Abstract Purpose Intranasal insulin administration may improve cognitive function in patients with dementia and may prevent cognitive problems after surgery. Although the metabolic effects of intranasal insulin in non-surgical patients have been studied, its influence on glucose..

Read More
thumbnail
0 comment

From less invasive to minimal invasive extracorporeal circulation

Abstract Development of minimally invasive cardiac surgery (MICS) served the purpose of performing surgery while avoiding the surgical stress triggered by a full median sternotomy. Minimizing surgical trauma is associated..

Read More
thumbnail
0 comment

Literature-based considerations regarding organizing and performing cardiac surgery against the backdrop of the coronavirus pandemic

Abstract Background The ongoing coronavirus disease 2019 (Covid-19) pandemic presents challenges for surgeons of all disciplines, including cardiologists. The volume of cardiac surgery cases has to comply with the mandatory..

Read More
thumbnail
0 comment

Development and Validation of a Risk Score for Respiratory Failure After Cardiac Surgery

Abstract Background Postoperative respiratory failure, defined as ventilator dependency for more than 48 hours or unplanned reintubation within 30 days, is a costly complication of cardiac surgery that increases mortality..

Read More
thumbnail
0 comment

How would we treat our own heparin-induced thrombocytopenia during cardiac surgery?

Abstract The aim of this article is to provide a comprehensive review of the current state of knowledge on heparin-induced thrombocytopenia (HIT) in cardiac surgery. The management of HIT patients..

Read More
thumbnail
0 comment

Intraoperative Urinary Biomarkers and Acute Kidney Injury After Cardiac Surgery

Abstract Objectives To evaluate the association of intraoperative urinary biomarker excretion during cardiac surgery and the subsequent development of acute kidney injury (AKI). Design Prospective, nonrandomized, observational study. Setting Single..

Read More
thumbnail
0 comment

Oxygen delivery-guided perfusion for the prevention of acute kidney injury: A randomized controlled trial

Abstract Objectives The reduction of postoperative acute kidney injury in patients undergoing cardiopulmonary bypass surgery using an oxygen delivery-guided perfusion strategy (oxygen delivery strategy) for cardiopulmonary bypass management compared with..

Read More
thumbnail
0 comment

Identification of risk factors for renal failure after cardiac surgery by RFILE classification

Abstract Objective: Acute kidney injury (AKI) is a major complication after cardiovascular surgery. The unclear etiology of this highly complex event challenges definition, diagnosis and prediction of AKI, and hence..

Read More
thumbnail
0 comment

Investigation of air bubble properties: relevance to prevention of coronary air embolism during cardiac surgery

Abstract Although de‐airing procedures are commonly performed during cardiac surgery, use of these procedures is not necessarily based on evidence. Uncertainly remains around the size of bubbles that can be..

Read More
thumbnail
0 comment

Preoperative Intra-Aortic Balloon Pumps in Cardiac Surgery: A Propensity Score Analysis

Abstract Introduction The role of intra-aortic balloon pumps (IABP) in high-risk patients undergoing  (CABG) surgery remains controversial. We report the 5-year experience from a new Australian centre. Methods We retrospectively analysed..

Read More
thumbnail
0 comment

Is there a renoprotective value to leukodepletion during heart valve surgery? A randomized controlled trial (ROLO)

Abstract Background Acute Kidney Injury (AKI) adversely affects outcomes after cardiac surgery. A major mediator of AKI is the activation of leukocytes through exposure to the cardiopulmonary bypass circuit. We..

Read More
thumbnail
0 comment

Cardiac surgery outcome during the COVID-19 pandemic: a retrospective review of the early experience in nine UK centres.

Abstract Background Early studies conclude patients with Covid-19 have a high risk of death, but no studies specifically explore cardiac surgery outcome. We investigate UK cardiac surgery outcomes during the..

Read More
thumbnail
0 comment

Prognostic Utility of KDIGO Urine Output Criteria After Cardiac Surgery

Abstract Objectives Kidney Disease: Improving Global Outcomes (KDIGO) guidelines include assessment of creatinine and urine output to identify acute kidney injury (AKI). Whether urine output is an accurate indicator of..

Read More
thumbnail
0 comment

Predicting acute kidney injury following nonemergent cardiac surgery: A preoperative scorecard

Abstract Objective To determine the predictors of postoperative acute kidney injury (AKI) following nonemergent cardiac surgery among patients with variable preoperative estimated glomerular filtration rate (eGFR) levels. Methods A retrospective..

Read More
thumbnail
0 comment

2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American…

Preamble Since 1980, the American College of Cardiology (ACC) and American Heart Association (AHA) have translated scientific evidence into clinical practice guidelines with recommendations to improve cardiovascular health. These guidelines,..

Read More
thumbnail
0 comment

Vasoplegic syndrome following cardiothoracic surgery-review of pathophysiology and update of treatment options.

Abstract Vasoplegic syndrome is a common occurrence following cardiothoracic surgery and is characterized as a high-output shock state with poor systemic vascular resistance. The pathophysiology is complex and includes dysregulation..

Read More
thumbnail
0 comment

Stroke in cardiac surgery Cerebral Embolic Protection. Stroke prevention devices.

Very interesting presentation and discussion on the incidence of stroke in cardiac surgery and the development of Cerebral Embolic Protection devices.   

Read More
thumbnail
0 comment

Minimally Invasive Extracorporeal Technologies Perspective in Pediatric Cardiac Surgery

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..

Read More
thumbnail
0 comment

Intra-operative autologous blood donation for cardiovascular surgeries in Japan: A retrospective cohort study

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..

Read More
thumbnail
0 comment

Hydroxyethyl starch on kidney and haemostatic function in cardiac surgical patients: is a non‐inferiority study design appropriate for this setting?

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..

Read More