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Japanes Art

Cardiac Surgery During Pregnancy

The need for cardiac surgery during pregnancy is rare. Only 1% to 4% of pregnancies are complicated by maternal cardiac disease and most of these can be managed with medical therapy and lifestyle changes.

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Management of Challenging Cardiopulmonary Bypass Separation

the aim of the present review is to describe the most common scenarios associated with a complex CPB separation and to suggest strategies, pharmacologic agents, and para-corporeal mechanical devices that can be adopted to manage patients with complex separation from CPB.


Perfusion and EuroELSO: A Revolution In Evolution – Indeed an ongoing evolvement – Online adaptation

This is the Editorial to a special issue of Perfusion on ECLS in cooperation with EuroELSO.


Safety for All: Coronavirus Disease 2019 Pandemic and Cardiac Surgery: a Roadmap to ‘Phase’ 2

Health care communities need to develop a strategy to restart non-COVID medical and surgical care. To achieve this goal safely, they need to develop a ‘roadmap’.


COVID-19 and ECMO: the Interplay Between Coagulation and Inflammation—a Narrative Review

The present review summarizes the evidence on ECMO management of severe ARDS in light of recent COVID-19 pandemic, at the same time focusing on differences and similarities between SARS-CoV-2 and ECMO in terms of hematological and inflammatory interplay when these two settings merge.


Should COVID-19 Take Advice from Rheumatologists?

Although the degree and extent of systemic inflammation seen in patients with COVID-19 is typically less than in haemophagocytic lymphohistocytosis and macrophage activation syndrome, many observational studies have identified associations between inflammatory biomarkers


COVID-19 in Cardiac Surgery: A Proposed Prioritization Framework

A prioritization framework based on already published risks scores and guidelines for appropriate use are described as an added tool to supplement thorough patient assessment and sound clinical judgment.


Association of Treatment Dose Anticoagulation with In-Hospital Survival Among Hospitalized Patients with COVID-19

We assessed association between administration of in-hospital AC and survival in a large cohort of hospitalized patients with COVID-19.

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High Risk of Thrombosis in Patients with Severe SARS-CoV-2 Infection: a Multicenter Prospective Cohort Study

Despite anticoagulation, a high number of patients with ARDS secondary to COVID-19 developed life-threatening thrombotic complications. Higher anticoagulation targets than in usual critically ill patients should therefore probably be suggested.


Safe Reintroduction of Cardiovascular Services during the COVID-19 Pandemic: Guidance from North American Society Leadership

As regions move along the journey of managing the COVID-19 pandemic,
there is an opportunity to reintroduce regular cardiovascular care in a progressive manner with
appropriate safeguards.


Adult Cardiac Surgery and the COVID-19 Pandemic: Aggressive Infection Mitigation Strategies are Necessary in the Operating Room and Surgical Recovery

These are guidance recommendations during a pandemic surge to be utilized for ALL patients while local COVID-19 disease burden remains elevated.


Clinical and Laboratory Predictors of In-Hospital Mortality in Patients with COVID-19: a Cohort Study in Wuhan, China

We developed two predictive models for the in-hospital mortality of patients with COVID-19 in Wuhan and validated in patients from another center.


Anesthesia and COVID-19: What We Should Know and What We Should Do

Through a comprehensive review of existing studies on COVID-19, this article presents the epidemiological and clinical characteristics of COVID-19, reviews current medical management, and suggests ways to improve the safety of anesthetic procedures.


Mechanical Circulatory Support with the Impella® LP5.0 Pump and an Intra-Aortic Balloon Pump for Cardiogenic Shock in Acute Myocardial Infarction: The IMPELLA-STIC Randomized Study

In patients with CS-AMI stabilized by initial treatment with inotropes and an IABP, the Impella LP5.0 did not provide additional haemodynamic support or improvement in LVEF at 1 month; its use in this setting might be futile and possibly harmful.

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Multi-Modal Characterization of the Coagulopathy Associated With Extracorporeal Membrane Oxygenation

Therapy protocols for treating extracorporeal membrane oxygenation-associated coagulopathy should be further validated in large-scale prospective clinical investigations.


Hyperlactatemia: An Update on Postoperative Lactate

In patients with evidence of adequate perfusion, a type B component is often associated with a concomitant balanced (normal anion gap) metabolic acidosis and hyperglycemia. These patients will benefit from a more nuanced approach to their type B hyperlactatemia, as many will have a benign course and may be managed expectantly.


Factors Associated With Survival Following Extracorporeal Cardiopulmonary Resuscitation in Children

Efforts to improve systemic output before and after institution of ECPR might mitigate some of the significant risk factors for mortality.

Bill N Cover|Mission Checklist

Reduction in Coronary Artery Bypass Grafting Surgery Mortality and Morbidity during a 3-year Multicenter Quality Improvement Project

A significant and clinically meaningful 50% reduction in the observed/expected ratio for isolated coronary artery bypass grafting mortality was observed during a multifaceted quality improvement initiative across a large multicenter health care system.

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Multicenter Study on Postcardiotomy Venoarterial Extracorporeal Membrane Oxygenation

Center experience with postcardiotomy venoarterial extracorporeal membrane oxygenation may contribute to improved results.


Single-dose Cardioplegia Protects Myocardium as well as Traditional Repetitive Dosing: A Noninferiority Randomized Study

A single dose of Custodiol histidine-tryptophan-ketoglutarate cardioplegia is not inferior to repeated cold-blood cardioplegia during elective cardiac surgery.


Implementation of a Specific Safety Check is Associated with Lower Postoperative Mortality in Cardiac Surgery

Application of a short preincision safety checklist in a mixed population of adult cardiac surgery patients is associated with significantly reduced 120-day mortality.

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Results of the 2019 Survey on Perceptions of Vacancy and Turnover Among Perfusionists in the United States

This investigation explores differences in vacancy and turnover among different subgroups based on state, region, employer, practice size, and salary range.

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Pre-Intubation Veno-Venous Extracorporeal Membrane Oxygenation in Patients at Risk for Respiratory Decompensation

Initiation of awake VV-ECMO is feasible and is safe before intubation and induction of anesthesia in patients at high risk for respiratory decompensation.

Bill N Cover|Mission Checklist

Establishment of an Enhanced Recovery after Surgery Protocol in Minimally Invasive Heart Valve Surgery

Our ERAS protocol is feasible and safe in minimally-invasive cardiac surgery setting and has a clear potential to improve patients outcome.