Journal of cardiothoracic and vascular anesthesia
-
J. Cardiothorac. Vasc. Anesth. · Jan 2015
Blood Conservation Strategies Can Be Applied Safely to High-Risk Complex Aortic Surgery.
The present study aimed to evaluate the effect of blood conservation strategies on patient outcomes after aortic surgery. ⋯ Clinical practice guidelines for blood conservation should be considered for high-risk complex aortic surgery patients.
-
J. Cardiothorac. Vasc. Anesth. · Jan 2015
Initial Clinical Experience With a Miniaturized Transesophageal Echocardiography Probe in a Cardiac Intensive Care Unit.
To investigate the safety of a novel, miniaturized, monoplane transesophageal echocardiography probe (mTEE) and its potential as a hemodynamic monitoring tool. ⋯ Insertion and operation of a novel, miniaturized transoesophageal echocardiography probe can be performed for up to 72 hours without major complications. Repeated assessment using this device provides complementary information to invasive monitoring in the majority of patients and has an impact on hemodynamic management.
-
J. Cardiothorac. Vasc. Anesth. · Jan 2015
Tracheal Ring Fracture Secondary to Percutaneous Tracheostomy: Is Tracheal Flaccidity a Risk Factor?
To evaluate the risk factors of tracheal ring fracture and whether previous tracheal ring flaccidity predisposes to it in consecutive, mechanically ventilated, intensive care unit patients undergoing different percutaneous dilatational tracheostomy procedures (Ciaglia Blue Rhino, PercuTwist, and Ciaglia BlueDolphin). ⋯ In addition to the PercuTwist technique and intubation>14 days before tracheostomy, tracheal flaccidity was a significant risk factor for tracheal ring fracture. In the presence of this finding, a less traumatic tracheostomy procedure should be applied.