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Uncovering Hot Topics in Healthcare Operations and Supply Chain Management

In March 2022, Imran Ali and Devika Kannan released a paper that sought to advance the body of knowledge surrounding healthcare operations and supply chain management through a literature review. The full manuscript by Ali et al. can be found in the Annals of Operations Research. The result of the literature review is detailed below.

The key to counteracting emergent diseases (such as the COVID-19 outbreak) and promoting the health and well-being of patients lies in the effective and efficient delivery of healthcare services. With the onset of the COVID-19 pandemic, the literature surrounding healthcare operations and supply chain management has seen immense growth. However, previous literature reviews possessed varying scopes and emphases focused on a specific topic.


Variations in Information Reported Amongst Studies Regarding Coagulation in Pediatric ECMO

A study published in March assessed how outcome definitions, study population, and ECMO-, transfusion-, and coagulation- related parameters were described in pediatric ECMO studies. The complete manuscript was written by Joppe Drop, Suelyn Van Den Helm, Paul Monagle, Enno Wildschut, Matthijs de Hoog, Sabrina T.G. Gunput, Fiona Newall, Heidi J. Dalton, Graeme MacLaren, Vera Ignjatovic, and C. Heleen van Ommen. It can be found in Research and Practice in Thrombosis and Haemostasis. The significant findings are detailed below.

Extracorporeal membrane oxygenation (ECMO) is often used in children with severe refractory cardiac or pulmonary failure and has dramatically increased use with pediatric patients. Despite this, cases with hemostatic complications such as thrombosis and bleeding remain high in children. The purpose of the reported systemic review was to form a foundation for a standardized ECMO framework by assessing how ECMO-related parameters and complications were described within existing studies.


Intra-Aortic Balloon Pump for Left Ventricular Unloading in VA-ECMO: Timing is Everything

An editorial published in April 2022 discusses the benefits and pitfalls of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) combined with intra-aortic balloon pumps (IABP) to manage CS. The complete manuscript, written by Agam Bansal, Dhiran Verghese, and Sarachandra Vallabhajosyula, can be found in the Journal of the American Heart Association. A summary of the editorial is detailed below.


Anesthetic Gases in Cardiac Surgery, A Systemic Review

Isoflurane, sevoflurane, and desflurane are volatile anesthetic agents used to induce and maintain general anesthesia. In cardiac surgery, inhaled anesthetics have an additional use case in providing strong cardioprotective properties during myocardial ischemia. The use of volatile agents at a minimum alveolar concentration (MAC) of 0.5 to 2.0 during cardiac surgery results in fewer individuals needing inotropic support, reduced incidence of myocardial injury, and lower mortality than intravenous anesthesia.