The Annals of thoracic surgery
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The Society of Thoracic Surgeons (STS) established the National Database (NDB) for Cardiac Surgery in 1989. Since then it has grown to be the largest database of its kind in medicine. The NDB has been one of the pioneers in the analysis and reporting of risk-adjusted outcomes in cardiothoracic surgery. ⋯ Because of their collective efforts, the goal to establish the STS NDB as a "gold standard" worldwide for process and outcomes analysis related to cardiothoracic surgery is becoming a reality.
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Randomized Controlled Trial Comparative Study Clinical Trial
Aprotinin and tranexamic acid for high transfusion risk cardiac surgery.
Studies have shown that aprotinin and tranexamic acid can reduce postoperative blood loss after cardiac operation. However, which drug is more efficacious in a higher risk surgical group of patients, has yet to be defined in a randomized study. ⋯ Overall, there was no significant difference in blood loss, or transfusion requirements, when patients received either aprotinin or tranexamic acid for high transfusion risk cardiac operation. Aprotinin, when given as an infusion in a high-dose regimen, was able to negate the usual positive effect of cardiopulmonary bypass time on chest tube blood loss.
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Randomized Controlled Trial Clinical Trial
Low-dose continuous infusion of human atrial natriuretic peptide during and after cardiac surgery.
We evaluated the effects of human atrial natriuretic peptide (hANP) during cardiopulmonary bypass (CPB). ⋯ hANP can satisfactorily compensate for the shortcomings of CPB by decreasing the peripheral vascular resistance, suppressing the renin-angiotensin-aldosterone system, and exerting a strong diuretic effect.
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In this study we investigate the frequency and mortality of acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) after pulmonary resection. ⋯ In our experience ALI and ARDS are major causes of mortality after lung resection.
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Dysphagia can be a significant complication following cardiac operations. This study evaluates its incidence and relationship to intraoperative transesophageal echocardiography (TEE) for specific indications versus known factors such as stroke or prolonged intubation. ⋯ TEE may be an independent risk factor for dysphagia following cardiac operations.