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Methylene Blue for Postcardiopulmonary Bypass Vasoplegic Syndrome: A Cohort Study

Methylene Blue for Postcardiopulmonary Bypass Vasoplegic Syndrome: A Cohort Study

We sought to determine whether Methylene blue (MB) improved blood pressure in postcardiopulmonary bypass (CPB) vasoplegic syndrome (VS) in a complex cardiac surgery population. Furthermore, to determine variables that predicted response to MB.

Extracorporeal Ultrafiltration for Fluid Overload in Heart Failure

Extracorporeal Ultrafiltration for Fluid Overload in Heart Failure

More than 1 million heart failure hospitalizations occur annually, and congestion is the predominant cause. Rehospitalizations for recurrent congestion portend poor outcomes independently of age and renal function.

Point-of-Care Washing of Allogeneic Red Blood Cells for the Prevention of Transfusion-Related Respiratory Complications (WAR-PRC): A Protocol for a Multicenter Randomised Clinical Trial in Patients Undergoing Cardiac Surgery

Point-of-Care Washing of Allogeneic Red Blood Cells for the Prevention of Transfusion-Related Respiratory Complications (WAR-PRC): A Protocol for a Multicenter Randomised Clinical Trial in Patients Undergoing Cardiac Surgery

Point-of-care (POC) washing of allogeneic RBCs may remove biological response modifiers (BRMs), thereby mitigating their impact on post-transfusion respiratory complications.

Risk Factors of On-Pump Conversion during Off-Pump Coronary Artery Bypass Graft

Risk Factors of On-Pump Conversion during Off-Pump Coronary Artery Bypass Graft

Off-pump coronary artery bypass grafting (OPCABG) procedures can avoid the complications of an on-pump bypass. However, some cases unexpectedly require conversion to cardiopulmonary bypass during OPCABG.

Prediction of Postoperative Blood Loss Using Thromboelastometry in Adult Cardiac Surgery: Cohort Study and Systematic Review

Prediction of Postoperative Blood Loss Using Thromboelastometry in Adult Cardiac Surgery: Cohort Study and Systematic Review

The aim was to evaluate the predictive value of thromboelastometry for postoperative blood loss in adult cardiac surgery with cardiopulmonary bypass.

Sex Differences in the Utilization and Outcomes of Surgical Aortic Valve Replacement for Severe Aortic Stenosis

Sex Differences in the Utilization and Outcomes of Surgical Aortic Valve Replacement for Severe Aortic Stenosis

Studies assessing the differential impact of sex on outcomes of aortic valve replacement (AVR) yielded conflicting results. We sought to investigate sex-related differences in AVR utilization, patient risk profile, and in-hospital outcomes using the Nationwide Inpatient Sample.

Association Between Platelet Count and Postoperative Blood Loss in Patients Undergoing Cardiac Surgery With Cardiopulmonary Bypass and Fresh Frozen Plasma Administration Guided by Thromboelastometry

Association Between Platelet Count and Postoperative Blood Loss in Patients Undergoing Cardiac Surgery With Cardiopulmonary Bypass and Fresh Frozen Plasma Administration Guided by Thromboelastometry

Coagulopathy after cardiopulmonary bypass (CPB) is caused by multiple factors, including reduced coagulation factors and a low platelet count.

Diagnostic and Therapeutic Medical Devices for Safer Blood Management in Cardiac Surgery: Systematic Reviews, Observational Studies and Randomised Controlled Trials

Diagnostic and Therapeutic Medical Devices for Safer Blood Management in Cardiac Surgery: Systematic Reviews, Observational Studies and Randomised Controlled Trials

This study evaluated the clinical effectiveness and cost-effectiveness of medical devices used as diagnostic and therapeutic tools for the management of anaemia and bleeding in cardiac surgery.

Thromboelastography for Predicting Bleeding in Patients with Aortic Stenosis Treated with TAVI

Thromboelastography for Predicting Bleeding in Patients with Aortic Stenosis Treated with TAVI

Bleeding complications are frequent and independently impact mortality after TAVI. Thromboelastography (TEG) measures viscoelastic properties of clot formation and is currently best known for perioperative management to reduce blood transfusion in cardiac surgery.

Transcatheter or Surgical Aortic Valve Replacement in Patients with Advanced Kidney Disease: A Propensity Score-Matched Analysis

Transcatheter or Surgical Aortic Valve Replacement in Patients with Advanced Kidney Disease: A Propensity Score-Matched Analysis

Transcatheter aortic valve replacement (TAVR) is an alternative for surgically inoperable patients with severe aortic stenosis. Advanced kidney disease may significantly affect outcomes in patients treated with TAVR and surgical aortic valve replacement (SAVR).

Hospital Practice of Direct-Home Discharge and 30-Day Readmission After Transcatheter Aortic Valve Replacement in the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy (STS/ACC TVT) Registry

Hospital Practice of Direct-Home Discharge and 30-Day Readmission After Transcatheter Aortic Valve Replacement in the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy (STS/ACC TVT) Registry

Nearly 17% of patients are readmitted within 30 days of discharge after transcatheter aortic valve replacement. Selected patients are discharged to skilled nursing facilities, yet the association between a hospital’s practice to discharge home versus to skilled nursing facilities, and readmission remains unclear.

Are the Early Postoperative Outcomes of Coronary Artery Bypass Grafting Surgery in Elderly Women Worse Compared to Men’s

Are the Early Postoperative Outcomes of Coronary Artery Bypass Grafting Surgery in Elderly Women Worse Compared to Men’s

This study investigated the impact of gender difference in early postoperative outcomes in elderly patients (aged 70 or older) undergoing coronary artery bypass grafting surgery.

Effects of Cerebral Near-Infrared Spectroscopy on the Outcome of Patients Undergoing Cardiac Surgery: A Systematic Review of Randomised Trials

Effects of Cerebral Near-Infrared Spectroscopy on the Outcome of Patients Undergoing Cardiac Surgery: A Systematic Review of Randomised Trials

Goal-directed optimisation of cerebral oxygenation using near-infrared spectroscopy (NIRS) during cardiopulmonary bypass is widely used. We tested the hypotheses that the use of NIRS cerebral oximetry results in reductions in cerebral injury (neurocognitive function, serum biomarkers), injury to other organs including the heart and brain, transfusion rates, mortality and resource use.

Use of a Flowable Haemostat Versus an Oxidised Regenerated Cellulose Agent in Primary Elective Cardiac Surgery: Economic Impact from a UK Healthcare Perspective

Use of a Flowable Haemostat Versus an Oxidised Regenerated Cellulose Agent in Primary Elective Cardiac Surgery: Economic Impact from a UK Healthcare Perspective

We investigated the economic impact of the use of a flowable haemostatic agent (Floseal) compared with non-flowable oxidised regenerated cellulose (ORC) agent in primary elective cardiac surgeryfrom the perspective of the UK National Health Service (NHS).

Del Nido Cardioplegia: A One Stop Shot for Adult Cardiac Surgery

Del Nido Cardioplegia: A One Stop Shot for Adult Cardiac Surgery

Although it was initially developed for congenital heart surgery, del Nido cardioplegia (DN) has recently gained widespread attention in adult cardiac surgery.

Single Dose Del Nido Cardioplegia in Minimally Invasive Aortic Valve Surgery

Single Dose Del Nido Cardioplegia in Minimally Invasive Aortic Valve Surgery

Del Nido cardioplegia (DC) offers prolonged cardiac protection with single dose administration and has been shown to be safe in adult CABG surgery. We set out to evaluate the efficacy of cardiac protection and clinical outcomes of del Nido cardioplegiaversus standard blood cardioplegia (BC) in minimally invasive aortic valve surgery.

Acute Biventricular Mechanical Circulatory Support for Cardiogenic Shock

Acute Biventricular Mechanical Circulatory Support for Cardiogenic Shock

The aim of this study was to explore the clinical utility of percutaneously delivered BiPella as a novel acute mechanical support strategy for patients with cardiogenic shock complicated by biventricular failure.

The Use of Intravenous Hydroxocobalamin as a Rescue in Methylene Blue-Resistant Vasoplegic Syndrome in Cardiac Surgery

The Use of Intravenous Hydroxocobalamin as a Rescue in Methylene Blue-Resistant Vasoplegic Syndrome in Cardiac Surgery

Vasoplegic syndrome is a well-recognized complication during cardiopulmonary bypass (CPB) and is associated with increased morbidity and mortality, especially when refractory to conventional vasoconstrictor therapy.

Perioperative Body Weight Change is Associated with In-Hospital Mortality in Cardiac Surgical Patients with Postoperative Acute Kidney Injury

Perioperative Body Weight Change is Associated with In-Hospital Mortality in Cardiac Surgical Patients with Postoperative Acute Kidney Injury

Postoperative acute kidney injury (AKI) is common following cardiac surgery (CS). Body weight (BW) may be an amenable variable by representing the summation of the nutritional and the fluid status.

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Results of the 2015 Perfusionist Salary Study

The objective of the 2015 Perfusionist Salary Study was to gather verifiable employee information to determine current compensation market rates (salary averages) of clinical perfusionists working in the United States.

Use of a Minimally Invasive Cardiac Output Monitor to Optimise Haemodynamics in a Patient with Mitral Valve Disease Undergoing Cerebrovascular Surgery

Use of a Minimally Invasive Cardiac Output Monitor to Optimise Haemodynamics in a Patient with Mitral Valve Disease Undergoing Cerebrovascular Surgery

Patients with mitral valve disease undergoing cerebrovascular surgery face increased inherent risks due to their associated cardiac co-morbidities.

Coronary Flow Reserve is Impaired in Patients with Obstructive Sleep Apnea

Coronary Flow Reserve is Impaired in Patients with Obstructive Sleep Apnea

Obstructive sleep apnea (OSA) is common in adult populations. Accumulating data indicate that it is independently associated with a variety of cardiovascular diseases and has prognostic importance in affected cases. In this study, we aimed to evaluate coronary flow reserve (CFR) in patients with OSA and controls.

Risk Factors of On-Pump Conversion during Off-Pump Coronary Artery Bypass Graft

Risk Factors of On-Pump Conversion during Off-Pump Coronary Artery Bypass Graft

Off-pump coronary artery bypass grafting (OPCABG) procedures can avoid the complications of an on-pump bypass. However, some cases unexpectedly require conversion to cardiopulmonary bypass during OPCABG. The risk factors associated with a sudden need for cardiopulmonary bypass were analyzed.

Effects of Cerebral Near-Infrared Spectroscopy on the Outcome of Patients Undergoing Cardiac Surgery: A Systematic Review of Randomised Trials

Effects of Cerebral Near-Infrared Spectroscopy on the Outcome of Patients Undergoing Cardiac Surgery: A Systematic Review of Randomised Trials

Goal-directed optimization of cerebral oxygenation using near-infrared spectroscopy (NIRS) during cardiopulmonary bypass is widely used. We tested the hypotheses that the use of NIRS cerebral oximetry results in reductions in cerebral injury (neurocognitive function, serum biomarkers), injury to other organs including the heart and brain, transfusion rates, mortality and resource use.