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AV Flow Cannula: A New Device for Antegrade Selective Cerebral Perfusion
The novelty of this device is the possibility of a guidewire introduction using the Seldinger technique.
Association Between Low pH and Unfavorable Neurological Outcome among Out-of-hospital Cardiac Arrest Patients Treated by Extracorporeal CPR: a Prospective Observational Cohort Study in Japan
This multi-institutional observational study showed that low pH value (< 7.03) before the implementation of ECPR was associated with 1 month unfavorable neurological outcome among OHCA patients treated with ECPR. It may be helpful to consider the candidate for ECPR.
Commercial Influences on Electronic Health Records and Adverse Effects on Clinical Decision Making
The direct access to physicians and the assumption that these tools are unbiased and evidence based make them a potentially powerful marketing device.
Cannula and Circuit Management in Peripheral Extracorporeal Membrane Oxygenation: An International Survey of 45 Countries
An evidence-based guideline would be beneficial to improve ECMO line management according to 78% of respondents. Evidence gaps were identified for antiseptic agents, dressing products and regimens, securement methods, and needleless valves. Future research addressing these areas may provide opportunities for consensus guideline development and practice improvement.
A Cardiovascular Model for Renal Perfusion during Cardiopulmonary Bypass Surgery
The cardiac-renal perfusion model developed in this study can be linked with other kidney models to simulate the changes in renal oxygenation during CPB.
Electroencephalogram Burst-suppression during Cardiopulmonary Bypass in Elderly Patients Mediates Postoperative Delirium
The inference from the present study is that CPB burst-suppression mediates the effects of physical function, lowest CPB temperature, and electroencephalogram alpha power on delirium.
Coagulation Ability when Separating from Cardiopulmonary Bypass With and Without Fresh Frozen Plasma: a Pilot Study
Coagulation function 90 min after separating from CPB was not significantly different between the groups. Prior FFP administration before separation did not provide significant improvement in coagulation function.
Extracorporeal Membrane Oxygenation Support for Pediatric Burn Patients: Is It Worth the Risk?
Extracorporeal membrane oxygenation could be considered as an additional level of support for the pediatric burn population, especially in the setting of respiratory failure.
Minimally Invasive Cardiac Surgical Procedures in Children
In this summary we will review the approaches that have been described and comment on the evidence that they achieve the desired goal of minimizing the trauma of the surgical procedure and enhancing recovery.
Does Intraoperative Cell Salvage Reduce Postoperative Infection Rates in Cardiac Surgery?
Cell salvage was directly associated with higher infection rates, but this direct effect was almost completely eliminated by its indirect protective effect through reduced allogeneic blood transfusion.
Extracorporeal Oxygenation and COVID-19 Epidemic is the Membrane Fail-Safe to Cross Contamination?
We concluded that it is possible for SARS-CoV-2 to cross the membrane and aerosolize through the gas-exit port of the membrane lung. This phenomenon might be dependent on the presence of viral traces in the bloodstream and on the occurrence of fibers damage, which are both considered rare scenarios.
Fibrinolysis Shutdown Correlates to Thromboembolic Events in Severe COVID-19 Infection
Fibrinolysis shutdown, as evidenced by elevated D-Dimer and complete failure of clot lysis at 30 minutes on thromboelastography, predicts thromboembolic events and need for hemodialysis in critically ill patients with COVID-19. Further clinical trials are required to ascertain the need for early therapeutic anticoagulation or fibrinolytic therapy to address this state of fibrinolysis shutdown.
Veno-venous Extracorporeal Membrane Oxygenation for Respiratory Failure in COVID-19 Patients
This is 1 the first case series describing VV ECMO outcomes in COVID-19 patients. Our initial data suggest that VV ECMO can be successfully utilized in appropriately selected COVID-19 patients with advanced respiratory failure.
The COVID-19 Outbreak and its Impact on Hospitals in Italy: the Model of Cardiac Surgery
Whatever the strategy adopted, it is still unknown how this will impact the future needs of elective cardiac surgical procedures as well as of other procedures (e.g. neurosurgery) which cannot be performed with an inadequate availability of ICU beds.
COVID-19 Outbreak in France: Setup and Activities of a Mobile Extracorporeal Membrane Oxygenation Team During the First 3 Weeks
The setup of a mobile ECMO team within an experienced ECMO center is feasible and may help in the treatment of COVID-19 patients.
Hemodynamic Monitoring Options in COVID-19
We reflect on the clinical utility of select popular hemodynamic monitoring devices and suggest that the pulmonary artery catheter (PAC) shows empirical promise as a validated tool that maximizes monitoring capabilities and minimizes expenditure of hospital resources.
Pulmonary Vascular Endothelialitis, Thrombosis, and Angiogenesis in Covid-19
In our small series, vascular angiogenesis distinguished the pulmonary pathobiology of Covid-19 from that of equally severe influenza virus infection. The universality and clinical implications of our observations require further research to define.
Thrombosis and coagulopathy in COVID-19 patients requiring extracorporeal membrane oxygenation
The purpose of this editorial is to briefly discuss COVID19-associated procoagulant and anticoagulant states in the context of ECMO support.
Assessing the Collateral Damage of the Novel Coronavirus: A Call to Action for the Post-COVID-19 Era
This paper explores the contemporary issues impacting healthcare resources during the pandemic and makes recommendations for identifying an appropriate balance of their use to optimize patient care.
Post-Discharge Cardiac Care in the Era of Coronavirus 2019: How Should We Prepare?
The objectives of this report are to describe the current status of post-acute cardiac care in Canada and to provide suggestions regarding the steps that policymakers and health care organizations can take to achieve preparedness in this area to reduce care fragmentation in the postCOVID-19 era.
Intraoperative Plasma Transfusion Volumes and Outcomes in Cardiac Surgery
In patients undergoing cardiac surgery who received intraoperative plasma transfusion, higher plasma transfusion volumes were associated with inferior clinical outcomes.
Turning Things Around: The Role of Prone Positioning in the Management of Acute Respiratory Failure After Cardiac Surgery
Prone positioning can be considered for the treatment of ARF after cardiac surgery to improve short-term respiratory conditions and possibly facilitate ECMO weaning.
Do Perioperative Protocols of Enhanced Recovery after Cardiac Surgery Improve Postoperative Outcome?
We conclude that FT or ERAS improve postoperative outcomes including length of stay and pain control, without increasing morbidity, mortality or readmission.