Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Jun 1998
Comparative StudyIntraoperative transesophageal echocardiography during noncardiac surgery.
To investigate the use and impact of transesophageal echocardiography (TEE) during noncardiac surgery. ⋯ It appears that TEE in patients undergoing noncardiac surgery is efficacious in rapidly disclosing new findings and information during periods of hemodynamic instability. It may have a significant impact on intraoperative patient management and may be beneficial in patients older than 66 years of age.
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J. Cardiothorac. Vasc. Anesth. · Jun 1998
Comparative StudyThromboelastography with heparinase in orthotopic liver transplantation.
To investigate the role of heparin in the postreperfusion coagulopathy during liver transplantation with heparinase-guided thromboelastography. ⋯ Heparinase-treated thromboelastography offered compelling evidence for the presence of heparin-like activity after liver graft reperfusion. The objective evidence provided by this modification of thromboelastography-guided protamine administration and was useful in identifying one of the many potential causes of postreperfusion bleeding in patients undergoing OLT.
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J. Cardiothorac. Vasc. Anesth. · Jun 1998
Comparative StudyShort atrioventricular delay dual-chamber pacing early after coronary artery bypass grafting in patients with poor left ventricular function.
To investigate the effect of short atrioventricular (AV) delay dual-chamber pacing on mean arterial pressure (MAP) and stroke volume index (SVI) in patients with poor left ventricular (LV) function after cardiac surgery. ⋯ Dual-chamber pacing with nonphysiologic short AV delay failed to improve acute hemodynamics in patients with poor LV function after CABG. Short AV delay VDD pacing was superior to DDD pacing in both normal and impaired LV function. The use of Doppler echocardiography enabled optimization of the AV delay on the basis of LV filling patterns.
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J. Cardiothorac. Vasc. Anesth. · Jun 1998
Anesthesia for deep hypothermic circulatory arrest in adults: experience with the first 50 patients.
To evaluate the efficacy of a simple method of central nervous system (CNS) protection in patients undergoing deep hypothermic circulatory arrest (DHCA) lasting less than 30 minutes, for a variety of complex cardiovascular procedures. ⋯ The anesthetic management of DHCA described is simple, effective, and safe, and can be performed in any institution that performs cardiac surgery.