keyword
https://read.qxmd.com/read/38521630/comparison-of-outcomes-in-patients-requiring-mechanical-circulatory-support-who-received-cangrelor-in-addition-to-anticoagulation-versus-anticoagulation-alone
#21
JOURNAL ARTICLE
Trent C Martin, Brittney E Duewell, Janelle J Juul, Joseph R G Rinka, Lisa Rein, Joel T Feih
OBJECTIVES: To evaluate the safety of cangrelor administered concurrently with heparin or bivalirudin in patients on mechanical circulatory support. DESIGN: A single-center, retrospective cohort study of adult patients consecutively admitted between January 2016 and October 2020. SETTING: A tertiary medical center. PARTICIPANTS: Adult patients admitted to the cardiovascular intensive care unit put on mechanical circulatory support for acute myocardial infarction (AMI) or non-AMI indications...
March 2, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38521629/first-characterization-of-tissue-oxygen-saturation-recovery-patterns-in-pediatric-cardiac-surgery-patients-undergoing-remote-ischemic-preconditioning-and-the-association-with-clinical-outcomes
#22
JOURNAL ARTICLE
Maria A Vélez-Esquivia, Santiago Pedroza, Richard Rivera, Juan Camayo-Zorrilla, Gustavo A Cruz-Suárez
OBJECTIVE: This study aimed to delineate the recovery patterns of regional oxygen saturation (SrO2 ) in pediatric cardiac surgery patients subjected to remote ischemic preconditioning (RIPC), utilizing near-infrared spectroscopy (NIRS) for quantification. It also sought to establish the correlation between these perfusion patterns and postoperative clinical outcomes. DESIGN: A prospective longitudinal observational study. SETTING: The study was conducted at (BLINDED FOR REVIEW), a high-complexity service provider institution in (BLINDED FOR REVIEW)...
March 2, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38520468/intraoperative-takotsubo-cardiomyopathy-a-case-report
#23
JOURNAL ARTICLE
Fahri Cakan, Mehmet A Say, Adem Adar
Takotsubo cardiomyopathy (TTC) is a rare condition associated with transient akinesia of apical segments and hyperkinesia of basal segments of the heart. Although several mechanisms have been proposed to cause direct and indirect myocardial damage owing to catecholamine excess, the underlying pathophysiology remains unknown. An 18-year-old female was referred to our otorhinolaryngology outpatient clinic for a septorhinoplasty. Apart from the fear of surgery, the patient had no other health issues. After the administration of local anesthesia (lidocaine and epinephrine mix), tachycardia storms occurred and soon ended with cardiac collapse...
March 21, 2024: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/38519946/integrative-proteomics-and-metabolomics-data-analysis-exploring-the-mechanism-of-brain-injury-after-cardiac-surgery-in-chronic-stress-rats
#24
JOURNAL ARTICLE
Haoqi Yan, Hongbai Wang, Wenlin Chen, Yuan Jia, Fuxia Yan, Su Yuan
OBJECTIVE: Preoperative chronic stress (CS) is associated with postoperative brain injury in patients undergoing open heart cardiac surgery. This research is to explore the potential molecular biological mechanisms of brain damage following cardiac surgery in preoperative CS rats by the analyses combining proteomics and metabolomics. METHODS: We constructed the chronic unpredictable stress (CUS) and cardiac surgery models in adult rats. We proved the brain injury in CUS cardiac surgery rats by Hematoxylin-Eosin (H&E) staining, followed by separating the hippocampal tissue and investigating the potential mechanisms of brain injury by the methods of data-independent acquisition proteomics and untargeted metabolomics...
March 22, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38519337/con-the-harms-of-overfeeding-early-in-critical-illness
#25
JOURNAL ARTICLE
Andrew Gessouroun, Daniella DiNizo
Historically, several studies showed an association between malnutrition in critically ill patients and poor outcomes. As a result, the standard practice had been to provide patients with full nutrition as soon as possible to eliminate malnutrition, improve outcomes, and reduce mortality. However, several studies recently suggested that providing more calories and protein is not better in critical illness and may be harmful in certain disease states. This literature review and editorial describe the harms of maximal feeding early in critical illness...
October 13, 2023: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38517762/metformin-use-in-type-2-diabetics-and-delirium-after-noncardiac-surgery-a-retrospective-cohort-analysis
#26
JOURNAL ARTICLE
Stephania Paredes, Ayoub Harb, Julian Rössler, Maede Zookaei Nikoo, Kurt Ruetzler, Alparslan Turan, Xuan Pu, Daniel I Sessler
INTRODUCTION: The cause of postoperative delirium is unknown, but it is thought to result at least in part from inflammation. Metformin, besides its hypoglycemic properties, demonstrates anti-inflammatory effects systemically and in the brain. We tested the primary hypothesis that chronic metformin use in adults with type 2 diabetes is associated with less delirium during the first 5 days after major noncardiac surgery. Secondary outcomes were a composite of serious complications (myocardial infarction, cardiac arrest, stage 2-3 acute kidney injury [AKI], and mortality) and time to discharge alive...
March 22, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38514291/if-a-tree-falls-in-the-forest-is-there-an-echo-lessons-learnt-from-the-sts-database-analysis
#27
EDITORIAL
Swapnil Khoche
No abstract text is available yet for this article.
March 15, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38504912/postoperative-outcomes-after-total-sevoflurane-inhalation-sedation-using-a-disposable-delivery-system-sedaconda-acd-in-cardiac-surgery
#28
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/38503628/impact-of-pressure-recovery-adjustment-on-aortic-valve-area-classification-of-disease-severity-in-transcatheter-aortic-valve-replacement-patients
#29
JOURNAL ARTICLE
Luis F Gonzalez-Ciccarelli, Renan A Ferrufino, Abdulaziz Alfadhel, Ethan Brovman, Jamel Ortoleva, Benjamin S Wessler, Michael Fettiplace, Frederick Cobey
OBJECTIVES: To determine the impact of pressure recovery (PR) adjustment on disease severity grading in patients with severe aortic stenosis. The authors hypothesized that accounting for PR would result in echocardiographic reclassification of aortic stenosis severity in a significant number of patients. DESIGN: A retrospective observational study between October 2013 and February 2021. SETTING: A single-center, quaternary-care academic center...
February 29, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38503627/methadone-should-not-be-used-in-cardiac-surgery-as-part-of-enhanced-recovery-after-cardiac-surgery-protocol
#30
JOURNAL ARTICLE
Stephanie O Ibekwe, Lauren Everett, Samhati Mondal
No abstract text is available yet for this article.
February 22, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38503626/the-minimum-requirements-for-a-pediatric-cardiac-surgical-site-what-is-needed
#31
EDITORIAL
Morgan L Brown, Viviane G Nasr
No abstract text is available yet for this article.
March 7, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38503625/initial-experience-of-using-first-person-wearable-video-recording-technology-during-central-venous-catheter-placement-in-the-cardiac-operating-room
#32
REVIEW
Enrique Vergara-Escudero, Alexander Gherciuc, David Buyck, Aya Eid, Susana Arango, Stephen Richardson, Tjörvi E Perry
OBJECTIVE: The aim of this study was to use wearable video-recording technology to measure precisely the timing of discrete events during perioperative central venous catheter (CVC) placements. DESIGN: A single-center, observational, exploratory study on the use of wearable video-recording technology during intraoperative CVC placement. SETTING: The study was conducted at a University Hospital. PARTICIPANTS: Clinical anesthesia residents, cardiothoracic anesthesia fellows, and attending anesthesiologists participated in this study...
March 1, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38500033/positive-effects-of-low-dose-s-ketamine-on-preventing-myocardial-injury-after-thoracoscopic-lobectomy-in-patients-aged-70-to-85
#33
JOURNAL ARTICLE
Ziqiang Bi, Lijuan Kong, Jiahui Zhao, Dongdong Song, Fengmei Duan
OBJECTIVE: To investigate the effects of low-dose S-ketamine on marker of myocardial injury (BNP, hs-cTnT and HFABP) after thoracoscopic lobectomy in patients aged 70 to 85. METHODS: One hundred patients (four cases excluded) aged 70-85 years, with body mass index 18-24 kg·m-2 and American Society of Anesthesiologists physical status II-III, scheduled for elective lobectomy from April 2022 to April 2023, were selected. The patients were divided into two groups by a random number table method, namely, the low-dose S-ketamine combined with GDFT group (group S) and the control group (group C), with 48 cases in each group...
March 19, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38499247/psychometric-evaluation-of-the-modified-quality-of-recovery-score-for-the-postanaesthesia-care-unit-qor-pacu-2-a-prospective-validation-study
#34
JOURNAL ARTICLE
Ursula Kahl, Alena Boehm, Linda Krause, Regine Klinger, Kaloyan Stoimenov, Christian Zöllner, Lili Plümer, Marlene Fischer
BACKGROUND: To date, there is no instrument to adequately assess self-reported quality of recovery (QoR) in the post-anesthesia care unit (PACU). We previously developed the QoR-PACU, a 13-item questionnaire specifically applicable to the PACU. The feasibility, acceptance, and validity of the QoR-PACU were promising. However, measures of reliability were slightly lower than expected. METHODS: We modified the QoR-PACU and evaluated its psychometric properties in a cohort of adult patients scheduled for non-cardiac surgery with general anesthesia...
March 16, 2024: Anaesthesia, Critical Care & Pain Medicine
https://read.qxmd.com/read/38496133/effect-of-sevoflurane-isoflurane-and-desflurane-on-the-random-blood-glucose-levels-in-non-diabetic-patients-undergoing-general-anesthesia-a-randomized-single-blind-study
#35
JOURNAL ARTICLE
Chandini Kukanti, Nandkishore Agrawal, Habib Md R Karim, Mamta Sinha
BACKGROUND: Volatile anesthetic agents like sevoflurane, isoflurane, and desflurane are widely used for maintaining general anesthesia (GA). Their effect on the autonomic system is different and can impact the blood sugar homeostasis. This study compares the intraoperative blood glucose levels in non-diabetic patients undergoing non-cardiac surgery under GA with the three volatile agents. METHODS: A randomized, single-blind, parallel-arm study recruited 105 non-diabetic patients into three groups...
February 2024: Curēus
https://read.qxmd.com/read/38495748/anaesthesia-for-adult-cardiac-surgery-requiring-repeat-sternotomy
#36
REVIEW
S Minns, W Tosh, N Moorjani
No abstract text is available yet for this article.
January 2024: BJA Education
https://read.qxmd.com/read/38495734/anesthetic-management-of-bed-to-bed-surgery-for-epicardial-pacemaker-implantation-in-neonates-with-congenital-complete-heart-block-case-report
#37
Eva Komala Sari, Anas Alatas, Hendra Kusuma
Congenital complete heart block is a rare disease. Pacemaker implantation is indicated in neonates with a heart rate of less than 50 beats per minute. This case report aims to emphasize perioperative management of two cases of congenital complete heart block that underwent pacemaker implantation bed to bed after being delivered by cesarean section. Since these patients are prone to fatal cardiac decompensation and unresponsive to pharmacological therapies, it requires some measures in anesthetic management and good teamwork with other specialties...
2024: SAGE Open Medical Case Reports
https://read.qxmd.com/read/38493959/erector-spinae-blocks-for-opioid-sparing-multimodal-pain-management-after-pediatric-cardiac-surgery
#38
JOURNAL ARTICLE
Nathalie Roy, M Fernanda Parra, Morgan L Brown, Lynn A Sleeper, Joe Kossowsky, Andreas M Baumer, Sarah E Blitz, Jocelyn M Booth, Connor E Higgins, Viviane G Nasr, Pedro J Del Nido, Roland Brusseau
OBJECTIVE: Peripheral regional anesthesia is proposed to enhance recovery. We sought to evaluate: the efficacy of bilateral continuous erector spinae plane blocks (B-ESpB) for postoperative analgesia and the impact on recovery in children undergoing cardiac surgery. METHODS: Patients ages 2 through 17 years undergoing cardiac surgery in the enhanced recovery after cardiac surgery (ERAS) program were prospectively enrolled to receive B-ESpB at the end of the procedure, with continuous infusions via catheters postoperatively...
March 15, 2024: Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38490901/invasive-cardiac-therapies-in-older-people-can-we-raise-the-bar
#39
EDITORIAL
S Michael Roberts, Anita Malhotra, Theodore J Cios
No abstract text is available yet for this article.
February 22, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38490900/diagnosis-and-management-of-vasoplegia-in-temporary-mechanical-circulatory-support-a-narrative-review
#40
REVIEW
Jamel Ortoleva, Adam A Dalia, Dominic V Pisano, Alexander Shapeton
Refractory vasodilatory shock, or vasoplegia, is a pathophysiologic state observed in the intensive care unit and operating room in patients with a variety of primary diagnoses. Definitions of vasoplegia vary by source but are qualitatively defined clinically as a normal or high cardiac index and low systemic vascular resistance causing hypotension despite high-dose vasopressors in the setting of euvolemia. This definition can be difficult to apply to patients undergoing mechanical circulatory support (MCS)...
February 23, 2024: Journal of Cardiothoracic and Vascular Anesthesia
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