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cover, ecmo, ecls, oxy

Pediatric Intensive Care Preparedness and ECMO Availability in Children With COVID-19: An International Survey

In conclusion, both the experience in managing patients and the availability of neonatal/pediatric ECMO in the centers the responders are working
seemed to increase physicians’ preparedness.

cover, ecmo, ecls

Successful Use of An Automated Proning System to Achieve Prone Positioning in A Patient with Severe ARDS Requiring Veno-Venous ECMO

To our knowledge, this is the first description in the literature of using an automated proning system with an ECMO circuit in place. This report describes the technique we used to safely perform axial rotations for two days with fewer providers required than manual proning.

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Anticoagulation Management in Severe Coronavirus Disease 2019 Patients on Extracorporeal Membrane Oxygenation

Hypercoagulability and secondary hyperfibrinolysis during ECMO support in COVID-19 patients are common and possibly increase the propensity for thrombotic events and failure of the oxygenator. Currently, there is not enough evidence to support a more aggressive anticoagulation strategy.

coronavirus covid19_1580x485

Use of Dialysis, Tracheostomy, and Extracorporeal Membrane Oxygenation Among 240,392 Patients Hospitalized With COVID-19 in the United States

Although less than one percent of patients undergo tracheostomy and ECMO, the absolute numbers of patients who have undergone these interventions is substantial and can be expected to continue grow given the continuing spread of the COVID-19.

cover, covid

Extracorporeal Membrane Oxygenation (ECMO) in Patients with COVID-19: A Rapid Systematic Review of Case Studies

ECMO plays an important role in the stabilization and survival critically ill patients with COVID-19, but the usefulness of ECMO in reducing the mortality of severe ARDS caused by COVID-19 was limited.

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A Case of Cytokine Hemofiltration and Extracorporeal Life Support as Treatment of Coronavirus Disease 2019 (COVID-19) Respiratory Failure

A hyperactive immune response has been implicated in COVID-19 respiratory failure. Hemofiltration with a membrane designed to remove cytokines offers a potential avenue for treatment.

cover, ecmo, ecls, oxy

Inter-hospital COVID ECMO Air Transportation

The detailed protocol is described alongside initial data of its use. To date, 14 patients have been placed on ECMO support at an outside facility and successfully transported via helicopter to our hub hospital using this protocol.

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Role of Extracorporeal Membrane Oxygenation in Critically Ill COVID-19 Patients and Predictors of Mortality

The present study suggests that ECMO is a potentially lifesaving treatment for selected critically ill COVID‐19 patients. Considering IL‐6 and NT‐per‐BNP, in addition to the RESP score, may enhance outcome predictions.

coronavirus covid19_1580x485

Hematologic Consequences of the Coronavirus Crisis—Focus on Relevant Clues and Complications for the Perioperative Cardiothoracic and Vascular Community

The purpose of this freestanding editorial is to highlight the hematologic consequences of the COVID-19 pandemic as they provide clues and challenges for the delivery of high-quality patient care.

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Preoperative COVID-19 Testing for Cardiovascular Procedures in Endemic Areas Should be Mandatory

It is extremely important for patients, healthcare providers, and the community at large to aggressively test for COVID-19 in the preprocedural period when the infection is endemic.

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COVID-19 and ECMO: An Unhappy Marriage of Endothelial Dysfunction and Hemostatic Derangements

It is the authors’ perspective that it is through the integration of diagnostic assessment of viscoelastic testing with dedicated management schemes, up to and including the titration of antifibrinolytic therapies, that unmasks the capacity of this technology to enhance clinical outcomes.

cover, covid

COVID-19 Testing, Surgical Prioritization, and Reactivation in a Congenital Cardiac Surgery Program

In summary, our institutional experience demonstrates that the implementation of universal COVID-19 screening, surgical prioritization, and eventual reactivation is feasible for congenital cardiac surgery programs.

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Sublingual Microcirculation in Patients With SARS-Cov-2 Undergoing Veno-Venous Extracorporeal Membrane Oxygenation

Our results showed an altered sublingual microcirculation in patients receiving VV-ECMO for severe SARS-CoV-2 and suggest a potential contribution of endothelia dysfunction to determine microvascular alteration.

cover, covid

Covid-19-Associated Coagulopathy: Biomarkers of Thrombin Generation and Fibrinolysis Leading the Outcome

Severe patterns of COVID-19 ARDS are characterized by a thrombin burst and the consequent coagulation activation. Mechanisms of fibrinolysis regulation appear unbalanced toward fibrinolysis inhibition. This pattern ameliorates in survivors, whereas it worsens in nonsurvivors.

coronavirus covid19_1580x485

Acute Type A Aortic Dissection During the COVID-19 Outbreak

We present a case of acute type A aortic dissection in a patient with COVID-19 to highlight the clinical implications of a true emergent procedure during the COVID-19 outbreak.

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Early Impact of the COVID-19 Pandemic on Congenital Heart Surgery Programs Across the World: Assessment by a Global Multi-Societal Consortium

We present the results of an international survey sent to pediatric and congenital heart surgeons characterizing the early impact of COVID-19 on the care of patients with CHD.

COVID-19

Severe Acute Proximal Pulmonary Embolism and COVID-19: A Word of Caution

Here we describe the case of a young woman presenting with severe pulmonary embolism, without any associated symptoms of infections.

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Acute Type A Aortic Dissection Complicated by COVID-19 Infection

This report shows the feasibility for surgical treatment of acute aortic disease in patients with COVID-19.

COVID-19 Image

Acute Pulmonary Embolism in SARS-CoV-2 Infection Treated With Surgical Embolectomy

We report a case of SARS-CoV-2 complicated by a massive pulmonary embolism in a patient who underwent successful surgical embolectomy.

coronavirus covid19_1580x485

Surgical Revascularization With Cardiopulmonary Bypass on a Patient With Severe COVID-19

In this article, we describe the case of a diabetic patient with COVID-19 and a concomitant 3-vessel disease with a formal indication for surgical revascularization, who unexpectedly presented with a high heparin resistance during cardiopulmonary bypass.

COVID-19 Image

Cardiothoracic Surgery During COVID-19: Our Experience with Different Strategies

All asymptomatic patients should be tested for COVID-19 using RT-PCR prior to cardio-thoracic surgeries not only to contain the disease but to avoid potential implications of COVID-19 on the perioperative course, without added financial implications.

cover, covid

COVID-19: Scientific Reasoning, Pragmatism and Emotional Bias

We are left with the same conclusion: to prove and disprove something is the basis of scientific progress. It is possible, then, that future data will disprove the non-existence of spontaneously induced lung injury or prove the tragic consequences of ignoring it.

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COVID-19 Safety: Aerosol-Generating Procedures and Cardiothoracic Surgery and Anaesthesia – Australian And New Zealand Consensus Statement

This statement reflects changes in management based on expert opinion, national guidelines and available evidence. Our knowledge with regard to COVID‐19 continues to evolve and with this, guidance may change and develop. Our colleagues are urged to follow national guidelines and institutional recommendations regarding best practices to protect their patients and themselves.

COVID-19

Minimally Invasive Cardiac Valve Surgery During The COVID-19 Pandemic: To Do or Not To Do, That Is The Question

During these unprecedented times, due to factors related to staff, experience, equipment and potential infection, we herein reflect if we should be doing MICS.