Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Jun 2002
Lithium dilution cardiac output measurement in oleic acid-induced pulmonary edema.
To determine whether lung injury influences the accuracy of lithium dilution cardiac output (CO) measurement. ⋯ Although the variability of lithium dilution CO measurement after oleic acid-induced pulmonary edema was greater than that of the control, this technique was acceptable even in cases of lung injury.
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J. Cardiothorac. Vasc. Anesth. · Jun 2002
Randomized Controlled Trial Clinical TrialDiltiazem infusion for renal protection in cardiac surgical patients with preexisting renal dysfunction.
To evaluate if the calcium channel blocker diltiazem protects postoperatively renal function in cardiac surgical patients with preexisting mild-to-moderate renal dysfunction. ⋯ Diltiazem can be safely used in patients who have mild-to-moderate renal dysfunction and undergo cardiac surgery using cardiopulmonary bypass. Within the limits of this study, the data suggest that addition of prophylactic diltiazem may prevent further glomerular damage resulting from cardiopulmonary bypass and may improve glomerular function 3 weeks after cardiac surgery.
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J. Cardiothorac. Vasc. Anesth. · Jun 2002
Randomized Controlled Trial Clinical TrialPlatelet pheresis is not a useful adjunct to blood-sparing strategies in cardiac surgery.
To examine whether specific platelet pheresis (minimal plasma harvested) would contribute toward reduced blood loss and allogenic blood requirements after cardiac surgery. ⋯ Platelet pheresis activates a proportion of the harvested platelets and impairs the function of the remainder; this may explain its failure to reduce postoperative blood loss and transfusion requirements.