Evolving Surgical Techniques and Improving Outcomes for Aortic Arch Surgery in Canada
This study aimed to look at how patient characteristics, surgical procedures, and in-hospital outcomes for aortic arch surgery in Canada changed between 2008 and 2018. Over time, the outcomes have improved. Moderate hypothermia and antegrade cerebral perfusion are frequently used. To improve stroke rates and outcomes in the emergency room, more research is needed. Aortic…
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Intraoperative cell salvage for musculoskeletal sarcoma surgery
Complex and wide excision surgeries like musculoskeletal sarcoma are linked to significant intraoperative blood loss with an average blood loss of around 4500 ml. Many of these surgeries require allogenic blood transfusion with a subsequent increase in both mortality and morbidity rates. Among approaches to reduce intraoperative blood loss is intraoperative cell salvage (ICS). ICS…
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Impact of pulse pressure on clinical outcome in Extracorporeal Cardiopulmonary Resuscitation Patients
The researchers realized that more than half a million people in America suffer cardiac arrest each year. In Europe, more that quarter a million people suffer out of hospital cardiac arrest annually.Rilinger and his colleagues proposed that refractory cardiac arrest and veno-arterial extracorporeal membrane oxygenation can be referred to as extracorporeal cardiopulmonary resuscitation (eCPR) and…
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Association of Circulating Ketone Bodies with Functional Outcomes After ST-Segment Elevation Myocardial Infarction
Research suggests that increase ketone metabolism affect the response of myocardial ischemia. In the study, De Koning and his colleagues suspected that patients with high levels of ketone bodies were mostly affected by heart failures. In their study, De Koning and his colleagues investigated the effect of increased ketone bodies on heart failures. The role…
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Vasoplegic syndrome following cardiothoracic surgery— A Review of pathophysiology and update of treatment options
Vasoplegic syndrome occurs in up to 50% of all patients receiving cardiac surgery. This condition is a type of vasodilatory shock that proceeds cardiopulmonary bypass (CPB). Vasoplegic syndrome involves normal or increased cardiac output and decreased systemic vascular resistance (SVR) leading to organ hypoperfusion. It has a similar mechanism and presentation as sepsis, usually requiring…
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Anti‑Xa activity and Hemorrhagic Events Under Extracorporeal Membrane Oxygenation
Usage of Veno-Venous (V-V) and Veno-Arterial (V-A) Extra-Corporeal Membrane Oxygenation (ECMO) is increasingly common in ICU setups. This carries a risk of numerous complications, and among them, hemorrhagic events result in high mortality. These events occur due to anticoagulants used for preventing thromboembolic events and clotting inside the equipment used in ECMO. To monitor the…
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Comparison of Skeletonized vs Pedicled Internal Thoracic Artery Harvesting
The clinical trial used two methods to do a coronary artery bypass grafting and studied the long-term clinical outcomes. The two methods in use were the skeletonized internal thoracic arteries and the pedicled internal thoracic arteries (ITAs). The study involved 2161 patients and the results indicate patients with skeletonized ITAs had higher rates of cardiovascular…
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The Relationship Between AKI and Cardiac Surgery
The study investigated the relationship between levosimendan treatment and acute kidney injury (AKI) among cardiac surgery patients. It analyzed the experiences of 854 LEVO-CTS patients who were undergoing the treatment. AKI is associated with high treatment cost, mortality, and morbidity, which may occur after cardiac surgery. Therefore patients who have undergone cardiac surgery are likely…
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Emergency Reversal of Anticoagulation
The risk of bleeding varies with the type of anticoagulant agent used. The incidence of bleeding while on warfarin has been estimated at 15-20% per year, with life-threatening bleeding occurring.At a rate of 1-3% per year. Providers should remember that all patients with emergent or life-threatening bleeding require attention to basic interventions, including cessation of…
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Radiation-Associated Coronary Disease in Young Cancer Survivors
The article “Radiation-Associated Coronary Disease in Young Cancer Survivors” highlights important developments in radiotherapy (RT) research in reducing and evaluating coronary artery disease (CAD). Many significant findings have surfaced from well-executed research studies, evolving the therapeutic landscape and changing how we treat and monitor breast cancer patients post-RT. Major research objectives include how to reduce…
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Predicting Parameters For Successful Weaning From Veno‐Arterial Extracorporeal Membrane Oxygenation In Cardiogenic Shock
Percutaneous veno‐arterial extracorporeal membrane oxygenation (VA‐ECMO) is a resource used in treating patients with cardiogenic shock. The protocols of weaning from the VA‐ECMO are not yet well defined. The research carried out from the past few years shows that the weaning rate from VA‐ECMO is still low, but research shows that there is a higher…
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Vein graft patency after coronary artery bypass graft surgery
Graft patency is significant in determining the long-term medical success after coronary artery bypass graft surgery (CABG). Saphenous vein graft (SVG) continues to be the most usual conduit in CABG. Compared to the conventional (CON) SVG technique, the atraumatic No Touch (NT) of harvesting the SVG with its pedicle intact has proven to be more…
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