Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Apr 2015
Multicenter StudyOutcome of emergency coronary artery bypass grafting.
The aim of this study was to evaluate the immediate and late outcome of emergency coronary artery bypass grafting (CABG) in a multicenter setting. ⋯ The outcome after emergency CABG is satisfactory despite a significant operative risk. However, the results of emergency CABG significantly differed between the participating institutions, likely due to differences in the referral pathways and perioperative treatment strategies. Evaluation of these factors is crucial for implementation of treatment in centers with suboptimal results.
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J. Cardiothorac. Vasc. Anesth. · Apr 2015
Regional Tolerance to Acute Normovolemic Hemodilution: Evidence that the Kidney May Be at Greatest Risk.
To evaluate the regional tolerance to acute normovolemic hemodilution (ANH). ⋯ During graded ANH, increases in RBF were sufficient to maintain DO2 in only the heart, brain, and spinal cord. The especially marked decrease in DO2 in the kidney, combined with previous physiologic studies demonstrating its inability to augment EO2, suggest that this organ may be the most at risk of hypoxic damage during ANH.