Recommendations for Anticoagulation Management in New-Onset Post-Cardiac Surgery Atrial Fibrillation
Researchers from Saint Mary Mercy Hospital (Department of Internal Medicine), Detroit Medical Center (Department of Internal Medicine and Department of Cardiovascular Medicine), West Virginia University (Department of Cardiology), and Thomas Jefferson University (Department of Cardiology) evaluated professional society recommendation, studies, and expert thoughts on anticoagulation management in new-onset post-cardiac surgery atrial fibrillation (PCSAF). The complete…
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The Role of Regional Anesthesia in Pediatric Cardiac Surgery
An insightful article acknowledges the prevalent practice of prolonged postoperative ventilatory management with delayed extubation in pediatric cardiac surgery centers worldwide. It also highlights the increasing trend towards early extubation, emphasizing its benefits. The complete manuscript by Tomohiro Yamamotoa and Ehrenfried Schindlerb is available in Current Opinion in Anesthesiology. Below, we will discuss the findings of this study…
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Improving Heart Surgery Recovery – A New Technique for Perfusionists
Cardiac surgery is evolving to focus on survival rates and enhanced recovery through Enhanced Recovery After Cardiac Surgery (ERACS) programs. Perfusion strategies during cardiopulmonary bypass (CPB) are pivotal in achieving these goals. An insightful article was posted in the Journal of Extracorporeal Technology, exploring the effectiveness of Hematic Antegrade Repriming (HAR) in reducing hemodilution priming and…
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An Investigation into Reporting Practices for Coagulation in Pediatric Extracorporeal Membrane Oxygenation
In February 2022, researchers from Erasmus University Medical Center – Sophia Children’s Hospital (Pediatric Hematology and Pediatric Intensive Care), Murdoch Children’s Research Institute (Hematology), The University of Melbourne (Department of Pediatrics), The Royal Children’s Hospital (Department of Clinical Hematology and Department of Paediatric Intensive Care), Sydney Children’s Hospital (Kids Cancer Centre), University Medical Center (Medical…
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Weaning from Veno-Venous ECMO: Recent Advances and Remaining Challenges
In October 2022, professionals from the University of Toronto (Interdepartmental Division of Critical Care Medicine and the Institute of Health Policy Management and Evaluation), Fondazione IRCCS (Dipartimento di Anesthesia), and the University of Milan (Department of Pathophysiology and Transplantation) discussed the lessons learned through 60 years of weaning from mechanical ventilation. The complete manuscript by…
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Current Practices, Challenges, and Lessons in Neurological Monitoring For ECMO Patients
In April 2023, researchers from Emory University (Department of Neurology), Henry Ford Hospital (Department of Neurology, Division of Pulmonary and Critical Care Medicine, and the Department of Emergency Medicine) reviewed the current state of practice for neurological monitoring in ECMO patients. The complete manuscript by Hassan Aboul-Nour, Ammar Jumah, Hafsa Abdulla, Amreeta Sharma, Bradley Howell,…
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Is Cardiopulmonary Bypass (CPB) standby is still necessary to perform laser lead extractions.
Over the past two decades, there has been a substantial increase in the number of cardiac implantable electronic devices. As a result, there was a higher necessity to use lead extractions. Furthermore, fibrotic attachments develop between the lead and venous/cardiac structures, requiring a laser to remove the lead. Cardiothoracic surgeons (CTS) traditionally provided backup for…
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Recommendations for Anticoagulation Management in New-Onset Post-Cardiac Surgery Atrial Fibrillation
In June 2022, researchers from Saint Mary Mercy Hospital (Department of Internal Medicine), Detroit Medical Center (Department of Internal Medicine and Department of Cardiovascular Medicine), West Virginia University (Department of Cardiology), and Thomas Jefferson University (Department of Cardiology) evaluated professional society recommendation, studies, and expert thoughts on anticoagulation management in new-onset post-cardiac surgery atrial fibrillation…
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A Review of European Guidelines For PBM, Focusing on Antifibrinolytic Drug Administration for Cardiac Surgery
In June 2022, researchers from Royal Papworth Hospital, Manchester University NHA Foundation Trust, AP-HP Hospital European Georges Pompidou, Universite de PARIS, Universitat Dresden, Mater University Hospital and Mater Private Hospital, UCD Medical School, Medical Research Center of Oulu University (Anaesthesiology and Intensive Care Medicine), Kepler University Hospital GmbH (Department of Anesthesiology and Intensive Care Medicine),…
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Screening platelet function in blood donors
A recent single-center prospective study examined the prevalence of functional platelet abnormalities in blood donors with a history of bleeding diathesis or a record of hematoma exceeding 4 cm during blood donation. The study suggested that the transfusion of defective platelets might contribute to the ineffectiveness of platelet transfusion in stopping or preventing bleeding. The…
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Protecting Your Brain During Heart Surgery – Finding the Safest Way to Start the Heart-Lung Machine
A recent study conducted in 2022 proposed an optimal intervention time for cardiopulmonary bypass (CPB) to prevent critical phases of cerebral ischemia during heart procedures. The study compared two intervention times for starting the heart-lung machine (HLM) – A rapid initiation of 15 seconds and a slow initiation of 180 seconds. In addition, the cerebral…
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Predictive Models For Moderate To Severe Acute Kidney Injury Following Cardiac Surgery
In March 2022, researchers from the Cleveland Clinic, Departments of Nephrology and Hypertension, Intensive Care and Resuscitation, Quantitative Health Sciences, Cardiothoracic Anesthesiology, and Thoracic and Cardiovascular Surgery sought to determine the derivation and validation of AKI predictive models following cardiac surgery. The completed manuscript by Sevag Demirjian, Allen Bashour, Andrew Shaw, Jesse D. Schold, James…
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