Perfusfind S.L.
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Alterations to Kidney Physiology during Cardiopulmonary Bypass—A Narrative Review of the Literature and Practical Remarks

Abstract Introduction: According to different authors, cardiac surgery-associated acute kidney injury (CSA-AKI) incidence can be as high as 20–50%. This complication increases postoperative morbidity and mortality and impairs long-term kidney..

Lee mas
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Nomenclature of Extracorporeal Blood Purification Therapies for Acute Indications: The Nomenclature Standardization Conference

Abstract The development of new extracorporeal blood purification (EBP) techniques has led to increased application in clinical practice but also inconsistencies in nomenclature and misunderstanding. In November 2022, an international..

Lee mas
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Effect of cardiopulmonary bypass on coagulation factors II, VII and X in a primate model: an exploratory pilot study

Abstract OBJECTIVES The use of cardiopulmonary bypass (CPB) in cardiac surgery is a major risk factor for postoperative bleeding. We hypothesized that consumptive coagulopathy and haemodilution influence the coagulation factors;..

Lee mas
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Effects of blood transfusion, cardiopulmonary bypass time, and bypassed vessels on mortality following isolated and combined coronary artery bypass grafting

Abstract Objective: This study aimed to investigate the correlation between the number of bypassed vessels, the duration of Cardiopulmonary bypass, blood transfusion requirements, revision rates, and mortality outcomes. The objective..

Lee mas
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Diffuse Optical Monitoring of Cerebral Hemodynamics and Oxygen Metabolism during and after Cardiopulmonary Bypass: Hematocrit Correction and Neurological Vulnerability

Abstract Cardiopulmonary bypass (CPB) provides cerebral oxygenation and blood flow (CBF) during neonatal congenital heart surgery, but the impacts of CPB on brain oxygen supply and metabolic demands are generally..

Lee mas
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Dilemmas of Adopting Goal-Directed Perfusion in Extracorporeal Circulation: A Narrative Review

Abstract Objective: Extracorporeal circulation (ECC) is generally based on standards established in the last decade. In recent years, a concept of perfusion management during ECC, goal-directed perfusion (GDP), has emerged..

Lee mas
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Catastrophic Mechanical Complications of Extracorporeal Membrane Oxygenation

Abstract Technical advances in extracorporeal membrane oxygenation (ECMO) have increased the number of cases that maintain longer duration. Long-term use of ECMO results in ECMO-related complications. Anticipation of the life-threatening..

Lee mas
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Modeling and estimating a threshold effect: An application to improving cardiac surgery practices

Abstract Estimating thresholds when a threshold effect exists has important applications in biomedical research. However, models/methods commonly used in the biomedical literature may lead to a biased estimate. For patients..

Lee mas
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Transesophageal Echocardiography Guided Veno-Pulmonary Extracorporeal Membrane Oxygenation Cannula Insertion Technique

Abstract For single-lumen veno-pulmonary extracorporeal membrane oxygenation (VP ECMO) cannulation in percutaneous technique, vascular ultrasound (U/S) and transesophageal echocardiography (TEE) guidance were used to insert a 7 Fr pulmonary artery..

Lee mas
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The microcirculation in perioperative medicine: a narrative review

Abstract The  describes the network of the smallest vessels in our cardiovascular system. On a microcirculatory level, oxygen delivery is determined by the flow of oxygen-carrying  in a given single capillary (capillary..

Lee mas
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Mechanical Ventilation During Extracorporeal Membrane Oxygenation—Getting the Oxygenation Right

Abstract I read with keen interest the article by van Minnen et al. on contemporary mechanical ventilation strategies during extracorporeal membrane oxygenation (ECMO). The article specifies details on ventilation practices employed in..

Lee mas
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ECMOve: A Mobilization Device for Extracorporeal Membrane Oxygenation Patients

Abstract Extracorporeal membrane oxygenation (ECMO) is a temporary lifesaving treatment for critically ill patients with severe respiratory or cardiac failure. Studies demonstrated the feasibility of in-hospital mobilizing during and after..

Lee mas
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Extracorporeal Membrane Oxygenation in Cardiogenic Shock: Execution Is Something; Timing Is Everything?

Abstract Cardiogenic shock (CS) is a complex and life‐threatening condition characterized by a sudden and profound reduction in cardiac output, leading to inadequate tissue perfusion and oxygen delivery and organ..

Lee mas
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Direct Apical Cannulation With Protek Duo Rapid Deployment Cannula via Mini Thoracotomy for Ambulatory Venoarterial-Extracorporeal Membrane Oxygenation

Abstract National trends show rapid increases in the use of mechanical circulatory support devices (MCSD) over the last 20 years. While current literature has not proven a mortality benefit in..

Lee mas
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Age and associated outcomes among patients receiving venoarterial extracorporeal membrane oxygenation–analysis of the Extracorporeal Life Support Organization registry

Abstract Purpose: Venoarterial extracorporeal membrane oxygenation (V-A ECMO) can be used to support severely ill patients with cardiogenic shock. While age is commonly used in patient selection, little is known..

Lee mas
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Postoperative anemia in cardiac surgery patients: a narrative review

Abstract Purpose Anemia reduces the blood’s ability to carry and deliver oxygen. Following cardiac surgery, anemia is very common and affects up to 90% of patients. Nevertheless, there is a..

Lee mas
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Dose-dependent influence of red blood cell transfusion volume on adverse outcomes in cardiac surgery

Abstract Introduction Red blood cell (RBC) transfusion is associated with adverse outcomes, but there are few studies on the RBC volume. This study aimed to evaluate the relationship between intraoperative..

Lee mas
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Application of an autotransfusion pressure control system in blood salvage

Abstract Objective: This study was performed to evaluate the effect of a homemade autotransfusion pressure-control system on the regulation of negative pressure and to clarify the influence of different negative pressures..

Lee mas
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Crisis Scenarios for Simulation-Based Nontechnical Skills Training for Cardiac Surgery Teams

Abstract Background  Nontechnical skills in cardiac surgery are vital in ensuring patient safety in the operating room (OR). To train these skills in a simulation-based scenario, a collection of commonly..

Lee mas
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What are the minimal criteria of goal-directed perfusion (GDP) in adult cardiac surgery?

Abstract Introduction: Nowadays, many cardiac surgery teams are adopting the goal-directed perfusion (GDP) strategy in their practice to maintain optimal perfusion during cardiac surgeries and improve patient outcomes. Furthermore, it plays..

Lee mas
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Samurai Cannulation for Acute Stanford Type A Aortic Dissection

Abstract Direct true lumen  through aortic  for  during surgery for acute Stanford type A  was reported by Jacob, followed by Conzelmann who used a  tourniquet to snag the . Since 2013, Samurai cannulation, a modified version..

Lee mas
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Ambulatory Extracorporeal Membrane Oxygenation Use in Patients Listed for Lung Transplant

Abstract There has been an increase in the use of extracorporeal membrane oxygenation (ECMO) to bridge critically ill patients to lung transplant (LTX). This study evaluates how ambulatory status on..

Lee mas
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Maternal outcomes following postpartum autotransfusion of blood lost during vaginal obstetric hemorrhage

Abstract Background Autotransfusion following vaginal delivery has not been as widely adopted and existing data on this topic are limited to small case series. Methods This is a single-center retrospective..

Lee mas
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A Comparison of the Clinical Outcomes of Minimum and Maximum Hematocrit Levels During Cardiopulmonary Bypass (CPB) in Low-risk Patients Undergoing…

Abstract Background:  This study investigated the clinical outcomes at the minimum and maximum levels of hematocrit (HCT) during cardiopulmonary bypass (CPB) in low-risk patients undergoing coronary artery bypass graft (CABG)..

Lee mas
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Low-flow perfusion technique for shaggy aortic arch

Abstract Background The most common complication of thoracic aortic disease with shaggy aorta is cerebral infarction. We have performed “low-flow perfusion” as a method of extracorporeal circulation to prevent cerebral..

Lee mas
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Online interpretable dynamic prediction models for postoperative delirium after cardiac surgery under cardiopulmonary bypass developed based on machine learning algorithms:…

Abstract Objective: Postoperative delirium (POD) is strongly associated with poor early and long-term prognosis in cardiac surgery patients with cardiopulmonary bypass (CPB). This study aimed to develop dynamic prediction models for..

Lee mas
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Perioperative Care in Cardiac Surgery: A Joint Consensus Statement by the Enhanced Recovery After Surgery (ERAS) Cardiac Society, ERAS International…

Abstract Enhanced Recovery After Surgery (ERAS) programs have been shown to lessen surgical insult, promote recovery, and improve postoperative clinical outcomes across a number of specialty operations. A core tenet..

Lee mas
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ECPELLA: Beyond a Left Ventricular Venting Strategy When to Unload the Left Ventricle and How to Decide

Abstract Left ventricular (LV) unloading has been shown to improve survival for patients requiring veno-arterial extracorporeal membrane oxygenation (VA ECMO) support for cardiogenic shock. A mortality benefit has been shown..

Lee mas
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Preoperative anemia and anemia treatment in cardiac surgery: a systematic review and meta-analysis

Abstract Purpose: We aimed to conduct a systematic review and meta-analysis to assess the effects of anemia and anemia severity on patient outcomes in cardiac surgery and determine whether preoperative treatments..

Lee mas
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Health-related quality of life assessment instruments for extracorporeal membrane oxygenation survivors: A scoping review

Abstract Background and objective: Extracorporeal membrane oxygenation (ECMO) has been successfully and widely used in adult patients for the past 5 years. About 50% of these patients can survive and are..

Lee mas