Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Apr 2004
Clinical TrialProcalcitonin and C-reactive protein kinetics in postoperative pediatric cardiac surgical patients.
To determine the kinetics of procalcitonin (PCT) and C-reactive protein (CRP) concentration after pediatric cardiac surgery with cardiopulmonary bypass. ⋯ An increment of both PCT and CRP was observed just after CPB. However, PCT values remained within reference values, whereas CRP concentrations increased significantly after CPB until the third day. These preliminary results suggest that PCT was more effective than CRP to monitor patients with SIRS and a favorable outcome.
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J. Cardiothorac. Vasc. Anesth. · Apr 2004
Randomized Controlled Trial Clinical TrialImportance of pulmonary artery perfusion in cardiac surgery.
To investigate the importance of pulmonary artery perfusion in cardiac surgery. ⋯ Pulmonary artery perfusion was found to be important in cardiac surgery.
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J. Cardiothorac. Vasc. Anesth. · Apr 2004
Clinical TrialThe value of end-tidal carbon dioxide monitoring during systemic-to-pulmonary artery shunt insertion in cyanotic children.
To investigate the relationship between end-tidal carbon dioxide levels and augmentation of pulmonary blood flow achieved by insertion of systemic-pulmonary shunts. ⋯ It is concluded that end-tidal carbon dioxide tension alterations offer an alternative intraoperative tool to monitor pulmonary blood flow during modified Blalock-Taussig shunt procedures.
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J. Cardiothorac. Vasc. Anesth. · Apr 2004
Anesthetic considerations during caval inflow occlusion in children with congenital heart disease.
Caval inflow occlusion (IO) was introduced to facilitate surgical pulmonary and aortic valvotomy without cardiopulmonary bypass (CPB). Although a technique that is used infrequently today, it remains useful in some patients with complex single-ventricle congenital cardiac defects who require an atrial septectomy. The potential for complications and anesthetic considerations have not been described previously. ⋯ IO is an effective technique for short intracardiac procedures without the need for CPB. Close collaboration between anesthesia and surgical staff is essential to keep the duration of IO as short as possible and because of the potential for hemodynamic instability.