Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Aug 2009
Review Meta AnalysisLevosimendan reduces cardiac troponin release after cardiac surgery: a meta-analysis of randomized controlled studies.
The authors performed a meta-analysis to investigate the effects of levosimendan in cardiac surgery. Inotropic drugs have never shown beneficial effects on outcome in randomized controlled studies, with the possible exception of levosimendan. ⋯ Levosimendan has cardioprotective effects, resulting in reduced postoperative cardiac troponin release.
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J. Cardiothorac. Vasc. Anesth. · Aug 2009
Epidemiology of deep sternal wound infection in cardiac surgery.
The aim of this study was to investigate the incidence and predictors of deep sternal wound infection (DSWI) in a contemporary cohort of patients undergoing cardiac surgery. The early and late outcomes of patients with this complication also were analyzed. ⋯ DSWI remains a rare but devastating complication and is associated with significant comorbidity, increased hospital mortality, and reduced long-term survival.
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J. Cardiothorac. Vasc. Anesth. · Aug 2009
Predictors of prolonged mechanical ventilation after aortic arch surgery with deep hypothermic circulatory arrest plus antegrade selective cerebral perfusion.
The predictors of prolonged mechanical ventilation after aortic arch surgery with deep hypothermic circulatory arrest have not been comprehensively evaluated. The present study was designed to identify variables associated with prolonged ventilation in a group of aortic arch surgery patients from a single center. ⋯ The authors identified 4 preoperative and intraoperative predictors associated with increased risk of prolonged mechanical ventilation. This is helpful to identify patients with increased risk for prolonged ventilation, develop preemptive strategies, and allocate medical resources.
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J. Cardiothorac. Vasc. Anesth. · Aug 2009
The impact of lung recruitment on hemodynamics during one-lung ventilation.
The objective of the present study was to investigate respiratory and hemodynamic changes by measuring continuous cardiac output, cardiac filling, and stroke volume variation after lung recruitment in thoracic surgery. ⋯ The authors concluded that during open-chest surgery with OLV, an ARM effectively improved oxygenation without inducing important circulatory changes.
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J. Cardiothorac. Vasc. Anesth. · Aug 2009
Randomized Controlled Trial Comparative StudyA comparison of the deflecting-tip bronchial blocker with a wire-guided blocker or left-sided double-lumen tube.
To compare a new bronchial blocker, the Cohen blocker, with the Arndt blocker and a left double-lumen tube (DLT). ⋯ There was a trend toward a difference between times to place a bronchial blocker and the DLT. The Cohen blocker is more difficult to position in the left main bronchus than in the right one.