Posts Tagged ‘CPB’
Sanibel Symposium 2021
The 10th annual Sanibel Symposium will be held on April 14-17th, 2021. Please be advised that the Sanibel Symposium will be fully online and webcast again next year.
Read MoreMinimum Alveolar Concentration of Sevoflurane as a Single Hypnotic Agent to Maintain BIS Below 50 in Patients During Normothermic Cardiopulmonary Bypass
MACBIS50 of sevoflurane as a single hypnotic agent was 0.82% in patients undergoing CABG during normothermic CPB.
Read MoreIncreased Cerebral Mitochondrial Dysfunction and Reactive Oxygen Species with Cardiopulmonary Bypass
Exposure to 4 h of CPB resulted in a significant increase in cerebral mitochondrial ROS formation compared to shorter durations. Further study is needed to improve the understanding of cerebral mitochondrial health and its effects on the pathophysiology of neurological injury following exposure to CPB.
Read MorePostoperative Delirium is a Risk Factor of Poor Evolution Three Years After Cardiac Surgery: An Observational Cohort Study
After cardiac surgery, POD significantly altered patient evolution and increased risk of dependence and loss of QOL.
Read MoreManaging Massive Transfusion Protocol During Cardiopulmonary Bypass in the Setting of Penetrating Traumatic Injury
Ultimately, randomized multicenter trials are needed to further address optimal ratios of blood product transfusion during MTP in trauma patients on CPB.
Read MoreInvestigation of Myocardial Protection During Pediatric CPB: Practical Experience in 100 Chinese Hospitals
In conclusion, the essence of myocardial protection management during pediatric CPB was cardiac arrest induced by cardioplegia under systemic hypothermia. However, there is no uniform standard for the type of cardioplegia, or dosages. Therefore, well-designed multicenter randomized controlled trials are warranted to provide tangible evidence for myocardial protection of cardioplegia in pediatric CPB.
Read MoreExposure–Response Relationship of Tranexamic Acid in Cardiac Surgery: A Model-based Meta-analysis
In cardiopulmonary bypass surgery, low-dose tranexamic acid seems to be an appropriate regimen for reducing bleeding outcomes. This meta-analysis has to be interpreted with caution because the results are observational and dependent on the lack of bias of the predicted tranexamic acid exposures and the quality of the included studies.
Read MoreEffects of Remote Ischemic Preconditioning on Platelet Activation and Reactivity in Patients Undergoing Cardiac Surgery Using Cardiopulmonary Bypass: A Randomized Controlled Trial
RIPC did not alter platelet activation and reactivity during CPB in patients undergoing cardiac surgery.
Read MoreGoal-Directed Perfusion to Reduce Acute Kidney Injury after Paediatric Cardiac Surgery (GDP-Akip): Study Protocol for A Prospective Randomised Controlled Trial
In total, 166 paediatric patients undergoing cardiac surgery will be randomly allocated to the GDP group or control group. Patients in the GDP arm will be treated with a GDP strategy during CPB aimed to maintain DO2i at ≥360 mL/min/m2 .
Read MorePerfusion Cognitive Assessment Battery: Evaluating the Cognitive Performance to Improve the Practice
P-CAB represents a valuable multidisciplinary assessment tool that offers valuable information about the neurocognitive performance after the cardiac surgery.
Read MoreManaging the Coagulopathy Associated with Cardiopulmonary Bypass.
While challenging, the effective management of CPB‐associated coagulopathy can significantly improve patient outcomes.
Read MoreMechanisms of Perioperative Brain Damage in Children with Congenital Heart Disease.
This study analyses the forms of structural and functional brain damage in the early postoperative period, along with the recent evolution of research on its contributing factors.
Read MoreElevated Procalcitonin as a Risk Factor for Postoperative Delirium in the Elderly after Cardiac Surgery—A Prospective Observational Study
In a multivariable logistic regression model, preoperative procalcitonin (odds ratio (OR) = 3.05), depressive symptoms (OR = 5.02), age (OR = 1.14), impaired daily functioning (OR = 0.76) along with CPB time (OR = 1.04) were significant predictors of postoperative delirium.
Read MoreSmart Bracelet to Assess Physical Activity After Cardiac Surgery: A Prospective Study.
After cardiac surgery, wearing a smart bracelet recording daily steps is simple, well tolerated and suitable for measuring physical activity. Standard patients achieved around 6000 daily steps 2 months after discharge. 85% of this activity is reached in the first month.
Read MoreCardiopulmonary Bypass Increases Endothelial Dysfunction After Pulmonary Ischaemia-Reperfusion in An Animal Model.
CPB significantly increased the IR-mediated effects on pulmonary endothelial dysfunction. Therefore, the use of CPB during lung transplantation could be deleterious, by increasing endothelial dysfunction.
Read MoreNeuroendocrine 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.
Read MoreBlockage of Extracorporeal Circulation During Emergency Surgery for Fulminant Infective Endocarditis.
Extracorporeal circulation was turned on during direct heart massage. After opening of the aorta, the circulation was blocked by total clogging of the arterial line filter by fibrine deposits.
Read MoreCardiac Surgery: Beyond Conventional Sternotomy With Cardiopulmonary Bypass
This article increases nursing-related knowledge of minimally invasive cardiac procedures, providing an overview of current minimally invasive cardiac surgeries and their associated risks and benefits.
Read MoreHaematic Antegrade Repriming Procedure to Initiate A Safer Cardiopulmonary Bypass
HAR is proposed as a new approach to increase the safety of the CPB. Its overall benefits should be properly assessed and validated by current and further studies.
Read MoreSensors for Continuous Monitoring of Surgeon’s Cognitive Workload in the Cardiac Operating Room
The primary novelty and contribution of this work is in demonstrating the feasibility of collecting continuous sensor data from a surgical team member in a real-world setting.
Read MoreDescription of the Minimized Extracorporeal Circuit to Perform Haematic Antegrade Repriming in Cardiopulmonary Bypass
Detailing the MiECC circuit used during HAR is a differencing feature that increases the replicability of the procedure reducing errors and the impact of the cardiopulmonary bypass.
Read MoreDiabetic Control Agents and Their Impact on Cardiac Surgery Patients: A Clinical Overview
A literature review was performed to identify articles discussing the effects of anti-diabetic medications (ADMs) on cardiovascular outcomes and surgical mortality and morbidity rates.
Read MoreBrain Protection in Aortic Arch Surgery: An Evolving Field
The neurologic outcomes of brain protection in aortic arch surgery largely depend on the following three major components: cerebral temperature, circulatory arrest time, and cerebral perfusion during circulatory arrest.
Read MoreValidation of a Novel NeurOs Cerebral Oximetry Monitor Against the INVOS Monitor During Cardiac Surgery
In conclusion, the novel NeurOs system was found to correlate with INVOS cerebral oximetry measurements during cardiac surgery.
Read More