European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
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To update the European System for Cardiac Operative Risk Evaluation (EuroSCORE) risk model. ⋯ Cardiac surgical mortality has significantly reduced in the last 15 years despite older and sicker patients. EuroSCORE II is better calibrated than the original model yet preserves powerful discrimination. It is proposed for the future assessment of cardiac surgical risk.
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Eur J Cardiothorac Surg · Apr 2012
Subtle changes in renal function are associated with differences in late survival following adult cardiac surgery.
To determine the predictors of post-operative renal function following adult cardiac surgery, and to assess the influence of this on late survival. ⋯ Subtle early changes in renal function at the time of surgery are powerful predictors of adverse late outcome and can be predicted by pre-operative renal function.
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Eur J Cardiothorac Surg · Apr 2012
Case ReportsSingle site venovenous extracorporeal membrane oxygenation as an alternative to invasive ventilation in post-pneumonectomy fistula with acute respiratory failure.
We report the use of venovenous extracorporeal membrane oxygenation with a single dual lumen cannula in a 42-year-old patient suffering from a post-pneumonectomy fistula and severe respiratory insufficiency, avoiding the classical approach of invasive mechanical ventilation. We discussed the potential advantages of extracorporeal oxygenation as the main support in this particular clinical setting.