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Weaning from Cardiopulmonary Bypass, Decannulation, and Closure

Although thoracotomy or newer, less-invasive options such as peripheral cannulation are being used more frequently for minimally invasive cardiac surgery, surgical access through a median sternotomy and central cannulation remain the cornerstones of cardiac surgery and residency training. It is of utmost importance to wean the patient properly from cardiopulmonary bypass (CPB). This video tutorial discusses weaning the patient from CPB, decannulation, and closure of the sternotomy, and describes the safeguards and pitfalls of weaning from CPB.

cover, cpb, bypass, hlm, syringe, sampling

Intraoperative Urinary Biomarkers and Acute Kidney Injury After Cardiac Surgery

Intraoperative KIM1 but not IL-18 excretion was associated with postoperative development of AKI.


Essential role of Patient Blood Management in a Pandemic: A Call for Action

LivaNova is offering a live webcast on the topic of patient blood management during the COVID pandemic featuring Jonathan Waters, MD and Milan Milojevic, MD PhD.


A Locum’s ScrapBook: Unmasking COVID: Virtual Reality has BECOME our Economy.

Editor’s Note: – That is my family. Up there- I want to be able to say that a year from now… – We (or better stated) “I” have worn Masks for YEARS. – Today is a continuation of more than a years struggle in terms of trying to cope with an entirely innocuous yet devastatingly…


Neuroendocrine Predictors of Vasoplegia After Cardiopulmonary Bypass.

Preoperative impaired response to low-dose ACTH stimulation test is not a risk factor for post-cardiotomic vasoplegia; conversely, higher preoperative copeptin predicts the complication.

Machine for cardiopulmonary bypass

A Novel Roller Pump for Physiological Flow

The novel roller pump is suitable for benchtop testing of physiological flow.


A Tissue-Based Simulation Model for Cardiopulmonary Bypass Cannulation/Decannulation Training

Cardiac surgery residents can practice necessary cardiopulmonary bypass cannulation/decannulation techniques by this model.

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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.


2019 American Heart Association Focused Update on Advanced Cardiovascular Life Support: Use of Advanced Airways, Vasopressors, and Extracorporeal Cardiopulmonary Resuscitation During Cardiac Arrest: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

The fundamentals of cardiac resuscitation include the immediate provision of high-quality cardiopulmonary resuscitation combined with rapid defibrillation (as appropriate).


Intra-aortic Balloon Pump Does not Influence Cerebral Hemodynamics and Neurological Outcomes in High-risk Cardiac Patients Undergoing Cardiac Surgery: an Analysis of the IABCS Trial

The preoperative use of the IABP in high-risk patients undergoing cardiac surgery did not affect cerebral hemodynamics and was not associated with a higher incidence of neurological complications.


Effect of Fibrinogen Concentrate vs Cryoprecipitate on Blood Component Transfusion After Cardiac Surgery The FIBRES Randomized Clinical Trial

In patients undergoing cardiac surgery who develop clinically significant bleeding and hypofibrinogenemia after cardiopulmonary bypass, fibrinogen concentrate is noninferior to cryoprecipitate with regard to number of blood components transfused in a 24-hour period post bypass.

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Elusive Waste The Fermi Paradox in US Health Care

Health care in the United States has its own version of the Fermi paradox.

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Cardiac and Vascular Surgery–Associated Acute Kidney Injury: The 20th International Consensus Conference of the ADQI (Acute Disease Quality Initiative) Group

Acute kidney injury (AKI) occurs in 7% to 18% of hospitalized patients and complicates the course of 50% to 60% of those admitted to the intensive care unit, carrying both significant mortality and morbidity. Even though many cases of AKI are reversible within days to weeks of occurrence, data from multiple large observational and epidemiological…