keyword
https://read.qxmd.com/read/38518160/the-impact-of-prone-ventilation-on-hypoxemia-following-extracorporeal-cardiac-surgery-a-meta-analysis
#21
JOURNAL ARTICLE
Jing Li, Qingfang Yu, Zhao Jian, Tianpo Li, Xiaojiao Jiang, En Li
OBJECTIVE: To systematically assess the impact of prone position ventilation on hypoxemia in patients following extracorporeal cardiac surgery and to establish a reference for further clinical investigation into effective post-surgery mechanical ventilation positions. METHODS: A meta-analysis was conducted through extensive database searches, focusing on randomized controlled trials of cardiopulmonary bypass in hypoxic patients meeting specific inclusion and exclusion criteria...
March 22, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38517003/plasma-neutrophil-gelatinase-associated-lipocalin-2-0-index-a-precise-and-sensitive-predictor-of-acute-kidney-injury-in-children-undergoing-cardiopulmonary-bypass
#22
JOURNAL ARTICLE
Hanan El-Halaby, Mohammed A El-Bayoumi, Mohamed El-Assmy, Angi A Al-Wakeel, Ahmed ElHusseiny, Hala Elmarsafawy, Mohamed A Elgamal, Ahmed Noaman
OBJECTIVES: Children undergoing cardiopulmonary bypass (CPB) are at risk of acute kidney injury (AKI). Rise in serum creatinine occurs slowly and late, hence other markers are crucially needed to recognize AKI early. The aim of the study is to detect the efficacy of Neutrophil gelatinase-associated lipocalin (NGAL) in the early prediction of AKI. METHODS: A prospective observational study with enrollment of 174 patients, aged 6 months to 60 months, with congenital heart disease, undergoing CPB...
March 22, 2024: Indian Pediatrics
https://read.qxmd.com/read/38515271/cardiopulmonary-bypass-associated-acute-kidney-injury-better-understanding-and-better-prevention
#23
REVIEW
Xutao Yang, Li Zhu, Hong Pan, Yi Yang
Cardiopulmonary bypass (CPB) is a common technique in cardiac surgery but is associated with acute kidney injury (AKI), which carries considerable morbidity and mortality. In this review, we explore the range and definition of CPB-associated AKI and discuss the possible impact of different disease recognition methods on research outcomes. Furthermore, we introduce the specialized equipment and procedural intricacies associated with CPB surgeries. Based on recent research, we discuss the potential pathogenesis of AKI that may result from CPB, including compromised perfusion and oxygenation, inflammatory activation, oxidative stress, coagulopathy, hemolysis, and endothelial damage...
December 2024: Renal Failure
https://read.qxmd.com/read/38514401/impact-of-intraoperative-haemoadsorption-on-outcomes-of-patients-undergoing-aortic-surgery-a-single-centre-prospective-observational-study
#24
JOURNAL ARTICLE
Yatin Mehta, Ajmer Singh, Mandeep Singh, Anil Bhan, Naresh Trehan
TITLE: Impact of Intraoperative Haemoadsorption on Outcomes of Patients undergoing Aortic Surgery: A Single-Centre, Prospective, Observational Study. OBJECTIVES: To investigate the impact of a cytokine haemoadsorption device (CytoSorb®) on inflammatory markers and patients' outcome during aortic root surgery. METHODS: Prospective, observational study including all-comers with quasi-randomisation by strictly alternating inclusion (1:1 basis)...
March 21, 2024: Interdiscip Cardiovasc Thorac Surg
https://read.qxmd.com/read/38513707/probabilistic-prediction-of-bowel-ischemia-after-cardiothoracic-surgery
#25
JOURNAL ARTICLE
Francois Stephan, Mathilde Facque, Fares Ben Salem, Olivia Picq, Audrey Imbert, Thibaut Genty, Marc Zins
BACKGROUND: Gastro intestinal ischemia (GIisch) is challenging to diagnose in patients after cardiothoracic surgery. Computed tomography angiography (CTA) carries substantial false-negative and false-positive rates. The aim of the study was to evaluate if a combination of readily available variables improves the diagnosis of GIisch after cardiothoracic surgery. METHODS: This retrospective study included patients receiving intensive care after cardiothoracic surgery...
March 21, 2024: Thoracic and Cardiovascular Surgeon
https://read.qxmd.com/read/38513672/plasma-hyperosmolality-during-cardiopulmonary-bypass-is-a-risk-factor-for-postoperative-acute-kidney-injury-results-from-double-blind-randomised-controlled-trial
#26
JOURNAL ARTICLE
Staffan Svenmarker, Helena Claesson Lingehall, Gunnar Malmqvist, Micael Appelblad
INTRODUCTION: The study objective was to investigate whether a Ringer's acetate based priming solution with addition of Mannitol and sodium concentrate increases the risk of cardiac surgery associated kidney injury (CSA-AKI). METHODS: This is a double blind, prospective randomized controlled trial from a single tertiary teaching hospital in Sweden including patients aged ≥65 years ( n = 195) admitted for routine cardiac surgery with cardiopulmonary bypass...
March 21, 2024: Perfusion
https://read.qxmd.com/read/38511788/factors-associated-with-increased-lactate-levels-in-cardiac-surgeries-scoping-review
#27
REVIEW
Fernanda de Castro Teixeira, Thatiane Evelyn de Lima Fernandes, Karena Cristina da Silva Leal, Katia Regina Barros Ribeiro, Daniele Vieira Dantas, Rodrigo Assis Neves Dantas
OBJECTIVES: to map the factors associated with increased lactate levels in the postoperative period of cardiac surgery using extracorporeal circulation. METHODS: this is a scoping review carried out in December 2022, across ten data sources. It was prepared in accordance with the recommendations of the Joanna Briggs Institute and the Preferred Reporting Items for Systematic Reviews and Meta Analyses Extension for Scoping Reviews checklist. RESULTS: the most recurrent findings in studies regarding the factors responsible for the increase in lactate were: tissue hypoperfusion, cardiopulmonary bypass time and use of vasoactive drugs...
2024: Revista Brasileira de Enfermagem
https://read.qxmd.com/read/38506343/prophylactic-corticosteroids-for-cardiopulmonary-bypass-in-adult-cardiac-surgery
#28
REVIEW
Riccardo Giuseppe Abbasciano, Guido Maria Olivieri, Rachel Chubsey, Francesca Gatta, Nathan Tyson, Keertana Easwarakumar, Daniel P Fudulu, Roberto Marsico, Markus Kofler, Ghazi Elshafie, Florence Lai, Mahmoud Loubani, Simon Kendall, Mustafa Zakkar, Gavin J Murphy
BACKGROUND: Cardiac surgery triggers a strong inflammatory reaction, which carries significant clinical consequences. Corticosteroids have been suggested as a potential perioperative strategy to reduce inflammation and help prevent postoperative complications. However, the safety and effectiveness of perioperative corticosteroid use in adult cardiac surgery is uncertain. This is an update of the 2011 review with 18 studies added. OBJECTIVES: Primary objective: to estimate the effects of prophylactic corticosteroid use in adults undergoing cardiac surgery with cardiopulmonary bypass on the: - co-primary endpoints of mortality, myocardial complications, and pulmonary complications; and - secondary outcomes including atrial fibrillation, infection, organ injury, known complications of steroid therapy, prolonged mechanical ventilation, prolonged postoperative stay, and cost-effectiveness...
March 20, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38505078/transcatheter-valve-in-valve-implantation-treatment-with-the-j-valve-system-for-tricuspid-bioprosthesis-deterioration-a-report-of-two-cases
#29
Kaisheng Wu, Jinglun Shen, Xu Meng, Shengxun Wang, Christophe Dubois, Rodrigo Bagur, Shuai Zheng, Fei Meng, Haibo Zhang
BACKGROUND: Patients with tricuspid bioprosthetic structural valve degeneration (SVD) often present with right ventricular enlargement and severe dysfunction, which cause a higher risk for redo cardiac surgery. In 2019, our center innovated using the J-valve system for valve-in-valve (ViV) implantation to treat tricuspid bioprosthetic SVD. The purpose of this study was to summarize the clinical effect after 1-year follow-up. CASE DESCRIPTION: From April 2019 to October 2019, two cases of tricuspid bioprosthetic dysfunction were treated with the J-valve system...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38505075/cerebral-protection-in-acute-type-a-aortic-dissection-surgery-a-systematic-review-and-meta-analysis
#30
JOURNAL ARTICLE
Mehran Rahimi, Hadi Sahrai, Ali Norouzi, Mohammadreza Taban-Sadeghi, Ahmadali Khalili, Sina Hamzehzadeh, Reza Ali Akbari Khoei, Hossein Hosseinifard, Ralf Martz Sulague, Jacques Kpodonu
BACKGROUND: Acute type A aortic dissection (ATAAD) still challenges physicians and warrants emergent surgical management. Two main methods to reduce cerebrovascular events in ATAAD surgeries are antegrade cerebral perfusion (ACP) and retrograde cerebral perfusion (RCP). We conducted a systematic review and meta-analysis to compare the outcomes of ACP and RCP methods during the ATAAD surgery. METHODS: In this study, we searched the databases until March 29th , 2023...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38505028/early-postoperative-constrictive-pericarditis-in-china-a-single-center-retrospective-observational-study
#31
JOURNAL ARTICLE
Jianhui Peng, He Wang, Keng Zhong, Jie Lu, Chengliang Cai, Fan Yang, Shangyi Yu, Lin Han, Zhiyun Xu, Guanxin Zhang
BACKGROUND: The diagnosis, treatment, and prognosis of early postoperative constrictive pericarditis (EPCP) have not been discussed in depth. The objective of this study was to devise and propose a management strategy for EPCP. METHODS: In this study, constrictive pericarditis (CP) within 6 months after cardiac surgery was defined as EPCP, and patients were divided into two groups based on intraoperative findings: a parietal thickening group and a visceral thickening group...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38505015/myocardial-protection-comparing-histological-effects-of-single-dose-cardioplegic-solutions-study-protocol-for-a-secondary-analysis-of-the-cardioplegia-trial
#32
JOURNAL ARTICLE
Kathize Betti Lira, Renan Senandes Delvaux, Felipe Abatti Spadini, Luis Henrique Hauschild, Rafael Oliveira Ceron, Fernando Anschau, Luciane Kopittke, Juarez Rode, Rafael Antônio Widholzer Rey, Estefania Inez Wittke, Alfeu Roberto Rombaldi, Eduardo Cambruzzi, Eron Rodrigues Cunha Lopes, Adriana Silveira Almeida
BACKGROUND: Myocardial protection is crucial for successful cardiac surgery, as it prevents heart muscle damage that can occur during the procedure. Prolonged hypoxia without proper protection can lead to adenosine triphosphate consumption, microvilli loss, blister formation, and edema. Custodiol, del Nido, and modified del Nido are single-dose cardioplegic solutions with proven safety and significance in modern surgery. While each has been independently assessed for patient outcomes, limited research directly compares them...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38505007/analysis-of-the-hemostatic-effect-of-preset-wrapping-technique-for-type-a-aortic-dissection-with-abnormal-coagulation
#33
JOURNAL ARTICLE
Zhixiang Cai, Tao Yan, Ben Zhang, Weida Zhang, Chenjie Su, Hanwei Chen, Xianyue Wang
BACKGROUND: There are many techniques to reduce anastomotic bleeding for the total arch replacement, but hemostasis is sometimes difficult to achieve after surgery for acute dissection, especially in patients with abnormal coagulation (AC). This study aimed to investigate the hemostatic effect and early efficacy of a pre-set bovine pericardium wrapper in the right heart system shunt for total arch replacement in patients with type A aortic dissection (TAAD) and preoperative AC. METHODS: A retrospective analysis was conducted on 85 patients with TAAD and AC who underwent total arch replacement between January 2018 and December 2022...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38504912/postoperative-outcomes-after-total-sevoflurane-inhalation-sedation-using-a-disposable-delivery-system-sedaconda-acd-in-cardiac-surgery
#34
JOURNAL ARTICLE
François Labaste, Paul Cauquil, Magda Lestarquit, Pascale Sanchez-Verlaan, Abdulrahman Aljuayli, Bertrand Marcheix, Thomas Geeraerts, Fabrice Ferre, Fanny Vardon-Bounes, Vincent Minville
INTRODUCTION: The COVID-19 pandemic prompted our team to develop new solutions for performing cardiac surgery without intravenous anesthetics due to a shortage of these drugs. We utilized an anesthetic conserving device (Sedaconda-ACD) to administer total inhaled anesthesia because specific vaporizers were unavailable for administering inhaled agents during cardiopulmonary bypass (CPB) in our center. We documented our experience and postoperative cardiovascular outcomes. The primary outcome was the peak level of troponin, with secondary outcomes encompassing other cardiovascular complications...
2024: Frontiers in Medicine
https://read.qxmd.com/read/38504265/postoperative-hyper-inflammation-as-a-predictor-of-poor-outcomes-in-patients-with-acute-type-a-aortic-dissection-ataad-undergoing-surgical-repair
#35
JOURNAL ARTICLE
Yuan-Xi Luo, Yusanjan Matniyaz, Yu-Xian Tang, Yun-Xing Xue, Yi Jiang, Ke Pan, Zhi-Kang Lv, Zhi-Wei Fan, Kuo Wang, Hai-Tao Zhang, He Zhang, Wen-Zhe Wang, Tuo Pan, Dong-Jin Wang, Fu-Dong Fan
BACKGROUND: Postoperative hyper-inflammation is a frequent event in patients with acute Stanford type A aortic dissection (ATAAD) after surgical repair. This study's objective was to determine which inflammatory biomarkers could be used to make a better formula for identifying postoperative hyper-inflammation, and which risk factors were associated with hyper-inflammation. METHODS: A total of 405 patients were enrolled in this study from October 1, 2020 to April 1, 2023...
March 19, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38503431/normalizing-anti-thrombin-iii-for-heparin-management-during-routine-cardiopulmonary-bypass-for-congenital-cardiothoracic-surgery-a-single-institution-practice-review
#36
JOURNAL ARTICLE
Joseph Deptula, Vincent Olshove, Molly Oldeen, Deborah Kozik, Bahaaldin Alsoufi
INTRODUCTION: Over the past decade, there has been an increase in the use of recombinant Anti-Thrombin III (AT-III) administration during neonatal and pediatric short- and long-term mechanical support for the replacement of acquired deficiencies. Recombinant AT-III (Thrombate) administration is an FDA licensed drug indicated primarily for patients with hereditary deficiency to treat and prevent thromboembolism and secondarily to prevent peri-operative and peri-partum thromboembolism. Herein we propose further use of Thrombate for primary AT-III deficiency of the newborn as well as for acquired dilution and consumption secondary to cardiopulmonary bypass (CPB)...
March 19, 2024: Perfusion
https://read.qxmd.com/read/38502090/nurse-led-cardiac-rehabilitation-care-coordination-program-improving-functional-outcomes-for-patients-through-automatic-referral-and-effective-care-coordination
#37
JOURNAL ARTICLE
Kristi Boggess, Emily Hayes, Mary Lizzie Duffy, Chayawat Indranoi, Andrew B Sorey, Leslie McKeon
PURPOSE: The aim of this investigation was to evaluate the impact of automated cardiac rehabilitation (CR) referral and nurse care coordination on patient and program outcomes. Specifically, the aim was to identify whether differences exist in physical and psychological function at CR Phase 2 enrollment and completion and CR Phase 2 participation and completion for hospitalized patients who receive in-person CR nurse visits versus phone consultation. Using a retrospective pre-/post-intervention descriptive design, a purposive sampling technique was used to select groups with matching clinical attributes...
March 20, 2024: Journal of Cardiopulmonary Rehabilitation and Prevention
https://read.qxmd.com/read/38500035/availability-and-threshold-of-the-vasoactive-inotropic-score-for-predicting-early-extubation-in-adults-after-rheumatic-heart-valve-surgery-a-single-center-retrospective-cohort-study
#38
JOURNAL ARTICLE
Yang Zhao, Hanlei Zhao, Jiao Huang, Bo Mei, Jun Xiang, Yizheng Wang, Jingyan Lin, San Huang
BACKGROUND: Early extubation (EEx) is defined as the removal of the endotracheal tube within 8 h postoperatively. The present study involved determining the availability and threshold of the vasoactive-inotropic score (VIS) for predicting EEx in adults after elective rheumatic heart valve surgery. METHODS: The present study was designed as a single-center retrospective cohort study which was conducted with adults who underwent elective rheumatic heart valve surgery with CPB...
March 18, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38498943/a-novel-approach-to-retrograde-autologous-priming-for-infant-pediatric-and-adult-populations-undergoing-congenital-heart-surgery
#39
JOURNAL ARTICLE
Joseph Deptula, Vincent Olshove, Molly Oldeen, Deborah Kozik, Bahaaldin Alsoufi
INTRODUCTION: Retrograde Autologous Priming (RAP) of cardiopulmonary bypass (CPB) circuits is an effective way to reduce prime volume, commonly through the transfer of prime into separate reservoirs or circuit manipulation. We describe a simple and safe technique for RAP without the need for any circuit modifications or manipulations. METHODS: For this technique, a separate roller pump for ultrafiltration (UF) is used. After adequate heparinization and arterial cannulation, the UF pump is initiated slowly, removing prime through the effluent of the UF, replacing with the patient's blood from the aortic cannula...
March 18, 2024: Perfusion
https://read.qxmd.com/read/38498618/exploring-the-possible-role-of-cannabinoids-in-managing-post-cardiac-surgery-complications-a-narrative-review-of-preclinical-evidence-and-a-call-for-future-research-directions
#40
JOURNAL ARTICLE
Uri Pollak, Adi Avniel-Aran, Alexander M Binshtok, Omer Bar-Yosef, Ronald A Bronicki, Paul A Checchia, Yaron Finkelstein
Open-heart surgery with cardiopulmonary bypass (CPB) often leads to complications including pain, systemic inflammation, and organ damage. Traditionally managed with opioids, these pain relief methods bring potential long-term risks, prompting the exploration of alternative treatments. The legalization of cannabis in various regions has reignited interest in cannabinoids, such as CBD, known for their anti-inflammatory, analgesic, and neuroprotective properties. Historical and ongoing research acknowledges the endocannabinoid system's crucial role in managing physiological processes, suggesting cannabinoids could offer therapeutic benefits in post-surgical recovery...
March 14, 2024: Journal of Cardiovascular Pharmacology
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