Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Jun 2010
Comparative StudyA comparison of central and mixed venous oxygen saturation in circulatory failure.
The purpose of this study was to evaluate whether central venous oxygen saturation can be used as an alternative to mixed venous oxygen saturation in patients with cardiogenic and septic shock. ⋯ Central and mixed venous oxygen saturation measurements are not interchangeable numerically.
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J. Cardiothorac. Vasc. Anesth. · Jun 2010
Intensive care unit utilization and outcome after esophagectomy.
To establish the frequency of intensive care unit (ICU) admission after esophagectomy and to determine the associated outcomes. ⋯ A significant minority of patients will require ICU admission after esophagectomy, often for aspiration pneumonitis and arrhythmias. Despite high severity of illness scores, the perioperative mortality rate for patients after esophagectomy at a high-volume center is low.
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J. Cardiothorac. Vasc. Anesth. · Jun 2010
Randomized Controlled TrialVolume replacement with a balanced hydroxyethyl starch (HES) preparation in cardiac surgery patients.
Balanced fluids appear to be have advantages over unbalanced fluids for correcting hypovolemia. The effects of a new balanced hydroxyethyl starch (HES) were studied in cardiac surgery patients. ⋯ A plasma-adapted HES preparation in addition to a balanced crystalloid resulted in significantly less decline in BE, less increase in concentrations of kidney-specific proteins, less inflammatory response and endothelial damage, and fewer changes in hemostasis compared with an unbalanced fluid strategy.
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J. Cardiothorac. Vasc. Anesth. · Jun 2010
Comparative StudyIn vitro comparative study of hemostatic components in warfarin-treated and fibrinogen-deficient plasma.
The authors hypothesized that various hemostatic products may differently affect viscoelastic clot formation depending on their respective procoagulant activity and fibrinogen content. ⋯ Cryoprecipitate supports clot formation on ROTEM more efficiently than FFP because of the high fibrinogen content. Improved ROTEM variables after platelet addition are presumably caused by increased interaction among thrombin-activated platelets and fibrinogen.