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Effects of Milrinone on Renal Perfusion, Filtration and Oxygenation in Patients with Acute Heart Failure and Low Cardiac Output Early After Cardiac Surgery
In patients with acute heart failure after weaning from CPB, the milrinone-induced increase in cardiac output was accompanied by improved renal oxygenation.
Vasoplegia During Cardiopulmonary Bypass: Current Literature and Rescue Therapy Options
Understanding the evidence for, dosing, and side effects of these agents is crucial for cardiac anesthesiologists when treating vasoplegia during CPB bypass.
Use of Augmented Reality to Assist Teaching for Future Perfusionists in Extracorporeal Technology
Unlike other computing technologies, AR interfaces offer seamless interaction between the real and virtual worlds, a tangible interface metaphor, and a means for transitioning between real and virtual worlds. Here, we have shown our experiences of cost-effective AR technology for future perfusionists.
The Effect of Standardizing Autologous Prime Techniques in Patients Undergoing Cardiac Surgery with Cardiopulmonary Bypass
The application of an ST-AP protocol was effective in reducing hemodilution, which was associated within higher Hcts and lower postoperative transfusion rates.
Does Standardizing Extracorporeal Circuit Design for Cardiopulmonary Bypass Affect Outcomes? Results from a National Perfusion Registry
Although small changes in the net prime volume and transfusion rates were seen with the standardization of ECCs, the primary benefit of this initiative was the increased familiarity and continuity of circuit design across sites.
Net Prime Volume Is Associated with Increased Odds of Blood Transfusion
Our findings reinforce the importance of efforts to reduce the net CPB prime volume. Based on these findings and other supporting evidence, the net prime volume should be adopted as a national quality measure.
Cryoglobulinemia: Caution for Patients Undergoing Cardiac Surgery
Keywords: Cardiopulmonary bypass, cryoglobulinemia, heart valve prosthesis implantation, hepatitis C, thoracic surgery, vasculitis.
Real-Time Intraoperative Determination and Reporting of Cerebral Autoregulation State Using Near-Infrared Spectroscopy
We sought to determine the performance of the cotrending method by comparing its CA metrics to data derived from transcranial Doppler (TCD) methods.
Heparin Sensitivity and Postoperative Blood Loss in Patients Undergoing Cardiac Surgery with Cardiopulmonary Bypass
Postoperative blood loss is related to heparin sensitivity in patients undergoing cardiac surgery, and the moderately sensitive patients have the least postoperative bleeding.
Application of Piezo-Based Measuring System for Evaluation of Nucleic Acid-Based Drugs Influencing the Coagulation
The obtained results showed that the established PIEZ is capable to dynamically measure the hemostasis status in whole blood and can be applied to analyze nucleic acid-based drugs influencing the coagulation.
Percutaneous Coronary Angioplasty Versus Coronary Artery Bypass Grafting in the Treatment of Unprotected Left Main Stenosis: Updated 5-year Outcomes from the Randomised, Non-Inferiority NOBLE Trial
In revascularisation of left main coronary artery disease, PCI was associated with an inferior clinical outcome at 5 years compared with CABG.
Role of Central Venous – Arterial pCO2 Difference in Determining Microcirculatory Hypoperfusion in Off-Pump Coronary Artery Bypass Grafting Surgery
The present study demonstrates dCO2 as an easy to assess and routinely available tool to detect global and microcirculatory hypoperfusion in off-pump CABG patients
A Retrospective Comparison of Preoperative Estimated Glomerular Filtration Rate as a Predictor of Postoperative Cardiac Surgery Associated Acute Kidney Injury
The present study is aimed at assessing the relation of different ranges of preoperative eGFR with an incidence of CSA-AKI defined by the AKI network (AKIN) criteria.
Predictors of Neurologic Recovery in Patients Who Undergo Extracorporeal Membrane Oxygenation for Refractory Cardiac Arrest
Additional studies are indicated to further define the appropriate selection criteria for ECPR implementation.
Role of Urinary PO2 Analysis During Conventional Versus Conventional and modified Ultrafiltration Techniques in Adult Cardiac Surgery
Combined ultrafiltration technique had renoprotective effect in cardiac surgery analyzed by urinary PO2 levels.
Measuring Cerebral Carbon Dioxide Reactivity With Transcranial Doppler and Near-Infrared Spectroscopy in Children With Ventricular Septal Defect
NIRS may be used as a surrogate to investigate CO2R when the ultrasound window is poor.
Occupational Reproductive Hazards for Female Surgeons in the Operating Room A Review
Reproductive hazards exist in the operating room that may contribute to pregnancy complications and infertility in surgeons.
Intraoperative Optimization of Both Depth of Anesthesia and Cerebral Oxygenation in Elderly Patients Undergoing Coronary Artery Bypass Graft Surgery—A Randomized Controlled Pilot Trial
This pilot trial demonstrates that noninvasive target-controlled depth of anesthesia monitoring is feasible.
Outcomes of Cardiovascular Surgery Utilizing Heparin versus Direct Thrombin Inhibitors in Cardiopulmonary Bypass in Patients with Previously Diagnosed HIT
DTI appears to be safe in selected patients undergoing CPB after a diagnosis of HIT, and was not associated with higher rates of 30-day mortality, thrombosis, or hemorrhage.
The Prophylactic Use of Fibrinogen Concentrate in High‐Risk Cardiac Surgery
This randomized, controlled trial demonstrates that point‐of‐care guided and prophylactic treatment with fibrinogen concentrate does not reduce transfusion of blood products in a setting of unexpectedly low transfusion rate as tested in this cohort, but may improve coagulation parameters in the setting of high‐risk cardiac surgery.
Anti-Oxidative or Anti-Inflammatory Additives Reduce Ischemia/reperfusions Injury in an Animal Model of Cardiopulmonary Bypass
While epigallocatechin-3-gallate or minocycline did not improve cardiac hemodynamics, markers of myocardial damage were significantly lower in the CPB-groups with epigallocatechin-3-gallate or minocycline supplementation.
Usefulness of a New Device to Monitor Cerebral Blood Oxygenation Using NIRS During Cardiopulmonary Resuscitation in Patients with Cardiac Arrest: A Pilot Study
This study suggests that the NIRO-CCR1 can measure CBO during CPR in patients with cardiac arrest as effectively as the NIRO-200NX.
Effective Handling of Substantial Arterial Air Embolization During Extracorporeal Perfusion
This report highlights the need for a coordinated approach to substantial arterial air embolization, considering the high risk of neurologic injury.