Journal of cardiothoracic and vascular anesthesia
-
J. Cardiothorac. Vasc. Anesth. · Jan 2015
Meta AnalysisVenoarterial Extracorporeal Membrane Oxygenation for Cardiogenic Shock and Cardiac Arrest: A Meta-Analysis.
To evaluate the effect of extracorporeal membrane oxygenation (ECMO) on survival and complication rates in adults with refractory cardiogenic shock or cardiac arrest. ⋯ Venoarterial ECMO can improve short-term survival in adults with refractory cardiogenic shock or cardiac arrest. It also may provide favorable long-term survival at up to 3 years postdischarge. However, ECMO also is associated with significant complication rates, which must be incorporated into the risk-benefit analysis when considering treatment. These findings require confirmation by large, adequately controlled and standardized trials with long-term follow-up.
-
J. Cardiothorac. Vasc. Anesth. · Jan 2015
Observational StudyPreoperative Brain Natriuretic Peptide and Atrial Arrhythmias After Coronary Artery Bypass Graft Surgery.
To assess the association of preoperative brain natriuretic peptide with atrial arrhythmias and length of stay after cardiac surgery. ⋯ The results indicated that elevated brain natriuretic peptide was associated with increased risk of atrial arrhythmias and prolonged length of hospital stay after cardiac surgery. Identifying at-risk patients is important to guide preventative strategies for postoperative atrial arrhythmias.
-
J. Cardiothorac. Vasc. Anesth. · Jan 2015
Observational StudyBedside Ultrasonographic Measurement of the Inferior Vena Cava Fails to Predict Fluid Responsiveness in the First 6 Hours After Cardiac Surgery: A Prospective Case Series Observational Study.
To assess validity of respiratory variation of inferior vena cava (IVC) diameter to predict fluid responsiveness and guide fluid therapy in mechanically ventilated patients during the first 6 hours after elective cardiac surgery. ⋯ Dynamic IVC-derived parameters (IVC-CI, IVC-DI, and IVC/aorta index) and CVP are not reliable predictors of fluid responsiveness in the first 6 hours after cardiac surgery. Complexity of physiologic factors modulating cardiac performance in this group may be responsible for the difficulty in finding a plausible monitoring tool for fluid guidance. Bedside ultrasonographic measurement of IVC is unable to predict fluid responsiveness in the first 6 hours after cardiac surgery.
-
J. Cardiothorac. Vasc. Anesth. · Jan 2015
Reversal of Heparin After Cardiac Surgery: Protamine Titration Using a Statistical Model.
To establish a statistical model for determination of protamine dose in conjunction with cardiopulmonary bypass. ⋯ Protamine dosing based on statistical modeling represents an alternative to point-of-care tests.