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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FDA Approves First Leadless Dual-Chamber Pacing System by Abbott
The FDA has approved Abbott’s AVEIR dual chamber (DR) leadless pacemaker system. The AVEIR DR leadless pacing system is made up of two devices: the previously approved AVEIR VR single chamber device, which paces the right ventricle, and the now-approved AVEIR AR single chamber device, which paces the right atrium. “Leadless pacemakers have been limited…
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Big Data in Cardiac Surgery: Real World and Perspectives
The utilization of Big Data and related analysis tools, such as artificial intelligence (AI) and machine learning (ML), has been viewed as a revolution in contemporary medical procedures. Big Data’s multifaceted origins offer a treasure trove of information, including electronic health records, clinical trials, imaging data, registries, administrative databases, patient-reported results, and OMICS profiles. The…
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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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An Update On Accidental Hypothermia Treatment Recommendations
In January 2022, researchers from Paracelsus Medical University (Department of Anesthesiology and Intensive Care Medicine), International Commission for Mountain Emergency Medicine, Lausanne University Hospital (Department of Emergency Medicine), Medical University of Silesia (Department of Anesthesiology and Intensive Care), Military Hospital Germany (Department of Anesthesiology, Intensive care Medicine, Emergency Medicine, and Pain Therapy), Jagiellonian University Medical…
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The Potential Benefits Of S100B In Cardiac Surgery Brain Monitoring
In January 2022, researchers from d’Annunzio University (Neonatal Intensive Care Unit), Biago and C. Arrigo (Department of Maternal, Fetal, and Neonatal Medicine), Maastricht University (Department of Pediatrics and Neonatology), and IRCCS San Donato Milanese Hospital (Department of Pediatric Cardiac Surgery) discussed the use of protein S100B to predict short and long-term adverse neurological outcomes in…
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Optimizing PO2 During Peripheral Veno-Arterial ECMO
In July 2022, researchers from Centre Hospitalier Universitair de Besancon (Service de Reanimation medicale), Centre Hospitalier Universitaire de Dijon (Service d’Anesthesie-Reanimation Chirurgicale), APHP Sorbonne Universite Hopital Pitie-Salpetriere (Service de Medecine Intensive Reanimation), Centre Hospitalier Universitaire de Besancon (Service d’Anesthesie-Reanimation Chirurgicale and Service de Chirurgie Cardiaque), Maastricht University Medical Centre (Cardio-Thoracic Surgery Department), Centre Hospitalier Universitaire…
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