Perioperative Right Ventricular Function & Dysfunction In Adult Cardiac Surgery
The single most significant factor for improving RV (right ventricular) failure is recognizing and anticipating it. Therefore, therapies and medications for RV failure should focus on enhancing coronary RV perfusion, optimizing pre-load, and lowering PVR (pulmonary vascular resistance).In the management of RV failure, the first step is to augment RV pre-load to the pressure of…
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Cost-effectiveness analysis of extended ECMO duration in newborns with congenital diaphragmatic hernia in the United States
Congenital diaphragmatic hernia (CDH) is a serious and sometimes fatal congenital diaphragmatic abnormality. The abdominal contents migrate into the pleural cavity, and the deficiency is accompanied by a range of lung and pulmonary vascular bed maldevelopment. Advanced life-support methods, such as extracorporeal membrane oxygenation (ECMO), are frequently required in patients with increasingly severe diseases. According…
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Advantages and Disadvantages in Anticoagulation and Coating Methods Used in Extracorporeal Life Support Devices
In the previous few decades, the usage of extracorporeal life support (ECLS) technologies has skyrocketed. Despite medical and scientific breakthroughs, the intricate interplay between the human body, blood, and artificial materials remains a major problem in the ECLS sector. Blood exposure to artificial surfaces does cause an imbalanced activation of the coagulation cascade, which can…
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Regional citrate anticoagulation during CRRT in critically ill patients with COVID-19
The coronavirus (COVID-19) pandemic has increased in patients requiring intensive care around the world. Many critically ill patients with severe respiratory distress syndrome caused by SARS-CoV2 infection develop acute kidney injury (AKI) and require renal replacement therapy (RRT), putting RRT delivery capacity in disease outbreak at risk. Furthermore, despite the administration of systemic anticoagulation, the…
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The preoperative nutritional status and postoperative mortality after cardiac surgery
Several different well-developed stratification systems can help estimate the outcomes after the surgeries. According to the clinical experiences, other factors can also influence the post-op outcome, other than the stratification of physiological risk. Most of these factors are psychological, functional, and social. Since the research work of the last two decades, scientists have been successful…
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A narrative review of advanced ventilator modes in the pediatric intensive care unit
Children are often hospitalized in pediatric intensive care units (PICUs) due to respiratory failure. The vast majority of children, who require mechanical ventilation, can be supported with conventional mechanical ventilation (CMV), but refractory hypoxemia or hypercapnia may necessitate more advanced modes of ventilation, such as high-frequency oscillatory ventilation (HFOV), high-frequency percussive ventilation (HFPV), high-frequency jet…
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Psychology of healthcare leadership
Leaders play a central role in many organizations, and healthcare organizations are not the exception. Leaders face significant stress in this context, knowing how much can be associated with their decisions, as healthcare often leads to life or death situations. How do they cope with this? What are the challenges they face? Healthcare managers face…
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Thrombogenicity Indices and Coronary Microvascular Dysfunction in Patients
Despite recent breakthroughs in procedural and pharmacologic methods, acute myocardial infarction (AMI) is one of the leading causes of death and is linked with substantial morbidity. In patients with AMI, the focus has been on prompt reperfusion of the epicardial coronary artery throughout the last few decades. Reduced myocardial perfusion has been linked to severe…
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Effect of Del Nido cardioplegia on ventricular arrhythmias after cardiovascular surgery
Cardiopulmonary bypass (CPB) relies on cardiac cardioplegia to maintain the beating heart and provide surgeons with a reversible bloodless surgical field of vision. Del Nido cardioplegia (DNC) is a type of cold blood cardioplegia with a greater potassium level. Professor Pedro Del Nido at the University of Pittsburgh first created it for usage in children’s…
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Peripheral neuropathy after extracorporeal membrane oxygenation therapy in children
Extracorporeal membrane oxygenation (ECMO) has made significant progress in recent years and is now a viable treatment option for adults and children suffering from cardiorespiratory failure. After ECMO, neurologic problems are common, with the frequency and types of neurologic issues changing by patient demographic. Neurological problems have been documented in 7.1 percent of ECMO-treated adults,…
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Assessing The Impact of Diversity and Aging Population on Health Expenditure of United States
With continued growth in healthcare services, aging and diversity have increased healthcare expenditure in the United States. For instance, the aged people spending on health treatments are similar to unhealthy young people’s health spending throughout their lifetime. Besides, the rise in healthcare spending has been influenced by the increase in the population of the elderly…
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Anticoagulation with Argatroban in a Patient with Heparin-Induced Thrombocytopenia
Heparin-induced thrombocytopenia is a risky immune-mediated condition that causes extensive thrombosis in people exposed to unfractionated heparin after undergoing heart surgery. The level of reduction of platelet count is a crucial risk element in the increase of thrombosis. Hemorrhage is not prevalent in such patients, and any noticeable thrombocytopenia is caused by eliminating antibody-coated platelets….
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