Emergent Coronary Revascularization Strategies in ECPR Patients
The study by Hsun-Yi Fu et al., published in the European Journal of Cardio-Thoracic Surgery, offers valuable insights into the management of patients undergoing extracorporeal cardiopulmonary resuscitation (ECPR) due to acute coronary syndrome (ACS), particularly those with triple vessel disease. This research is highly relevant for perfusionists, as it highlights how different revascularization strategies can influence…
Read
“Technique of Blood Conservation in Direct Perfusion and Procurement of Lungs in Combination with Abdominal Normothermic Regional Perfusion”
The article by Prashant N. Mohit et al., published in the JHLT Open journal, explores an innovative approach to blood conservation during the simultaneous procurement of lungs and abdominal organs in donation after circulatory death (DCD) procedures. As utilizing abdominal-normothermic regional perfusion (A-NRP) for organ procurement becomes more common, it introduces technical challenges, mainly when harvesting…
Read
Intraoperative Renal Perfusion Monitoring: Hyperspectral Imaging and AI in Action
In a recent study published in Scientific Reports (Nature), A. Studier-Fischer et al. explores the application of hyperspectral imaging (HSI) and artificial intelligence (AI) to intraoperative renal perfusion assessment, offering a new dimension in real-time, objective perfusion monitoring. Accurate perfusion assessment is critical for perfusionists, especially during procedures such as partial nephrectomies and kidney transplants. This…
Read
Beyond the Final Heartbeat: Neurological Perspectives on Normothermic Regional Perfusion for Organ Donation after Circulatory Death
The article “Beyond the Final Heartbeat: Neurological Perspectives on Normothermic Regional Perfusion for Organ Donation after Circulatory Death” by Dr. Matthew P. Kirschen and colleagues, published in Annals of Neurology, offers a comprehensive exploration of the increasingly utilized technique of Normothermic Regional Perfusion (NRP) in the context of organ donation following circulatory death (DCD). This innovative…
Read
Pioneering Advances in Cardiac Surgery: “Hybrid System for Extracorporeal Circulation”
The groundbreaking article “First worldwide use of the hybrid system for extracorporeal circulation in heart transplant” by Kaan Kirali et al., published in the Journal of Cardiothoracic Surgery, presents an unprecedented case report that marks a significant milestone in cardiac surgery. This report details the first-ever global use of the Hybrid System from Spectrum Medical in…
Read
Advanced Machine Learning Models for Predicting Acute Brain Injury in VA-ECMO Patients
A groundbreaking study recently published in the Extracorporeal Life Support Organization (ELSO) Registry by Andrew Kalra and colleagues has made significant progress in the prediction of acute brain injury (ABI) in patients undergoing venoarterial extracorporeal membrane oxygenation (VA-ECMO) or extracorporeal cardiopulmonary resuscitation (ECPR). By leveraging sophisticated tree-based machine learning algorithms such as Random Forest, CatBoost, LightGBM,…
Read
Improved Survival and Weaning Success with Combined VA-ECMO and IABP in Post-cardiotomy Shock
A recent study by Cagdas Baran and colleagues, published in the Journal of Cardiovascular Development and Disease by MDPI, explores the outcomes and complications associated with the use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and intra-aortic balloon pump (IABP) in patients experiencing postcardiotomy shock following cardiac surgery. This research spans data collected from 255 patients…
Read
Swedish Intensive Care Nurses’ Knowledge, Attitudes, and Views on Donation After Circulatory Death Before a National Implementation
A study conducted by Emilie Gripewall and colleagues, published in SAGE Open Nursing, investigates the knowledge, attitudes, and views of Swedish Intensive Care Nurses (ICNs) on Donation After Circulatory Death (DCD) before its national implementation. As the global demand for transplantable organs continues to rise, DCD offers a potential solution but introduces complex challenges in clinical…
Read
Case Report: Anaphylactic Shock Induced by Human Fibrinogen Infusion During Cardiac Surgery
Human fibrinogen (FIB) is widely recognized for its efficacy in treating postoperative bleeding, particularly in cardiac surgery. Allergic reactions to human FIB are notably rare, making this case of anaphylactic shock during cardiac surgery a significant occurrence. This report details the case of a 27-year-old patient with rheumatic heart valve disease who underwent mitral valve…
Read
Normothermic Regional Perfusion in Donor Heart Recovery: Establishing a New Normal
The article discusses the evolving landscape of heart transplantation, mainly focusing on using Normothermic Regional Perfusion (NRP) in donor heart recovery. With the scarcity of heart donors being a persistent issue, the medical community has been exploring innovative ways to expand the donor pool, including using hearts from donors who are not brain-dead, a process…
Read
Non iatrogenic Hypoglycemia as a Marker for Poor Outcomes in Cardiac Surgery
Recent findings by Hannah Rando et al. have unveiled critical insights into the impact of hypoglycemia on postoperative outcomes in cardiac surgery patients. The study, conducted at a single institution from 2016 to 2021, sought to differentiate between iatrogenic and noniatrogenic causes of hypoglycemia and their respective impacts on patient health. The research aimed to…
Read
Mechanical Circulatory Support in Patients with Congenital Heart Disease: A European Registry for Patients with Mechanical Circulatory Support (EUROMACS) Study
A study led by Maddalena Ardissino and colleagues examined the characteristics and clinical outcomes of patients with congenital heart disease (CHD) who received mechanical circulatory support (MCS) across Europe. Utilizing data from the European Registry for Patients with Mechanical Circulatory Support (EUROMACS) from 2011 to 2023, the study analyzed 5340 participants, separating adult and pediatric…
Read