Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Jun 2016
Pulmonary Artery Catheter Use During Cardiac Surgery in the United States, 2010 to 2014.
To examine patterns of use of pulmonary artery catheters in a large cohort of patients undergoing cardiac surgery. ⋯ Pulmonary artery catheter use remains a mainstay of cardiac anesthesia practice. No significant change in the incidence of intraoperative death was noted, but patients with a PAC were less likely to have blood transfused.
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J. Cardiothorac. Vasc. Anesth. · Jun 2016
Risk Factors and Impact on Clinical Outcome of Multidrug-Resistant Acinetobacter Baumannii Acquisition in Cardiac Surgery Patients.
Acinetobacter baumannii recently has emerged as an important nosocomial pathogen. The aim of this study was to assess the impact on mortality of multidrug-resistant A. baumannii (MDR-AB) infection/colonization in patients undergoing cardiac surgery and to investigate microbiologic characteristics, epidemiologic spread of this pathogen, and the relative containment measures. ⋯ Sicker patients are more susceptible to be infected by A. baumannii, but mortality is not significantly higher compared with other patients with similar characteristics. Adequate measures are fundamental to control the spread of the infection.
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J. Cardiothorac. Vasc. Anesth. · Jun 2016
Accuracy of Vasopressor Documentation in Anesthesia Records.
To determine the accuracy of documentation of vasoactive medication administration in anesthetic records. ⋯ The authors found complete or partial omission of documentation of bolus doses of vasopressors in anesthesia records in the majority of cases in which such drugs were given. This finding has the potential to jeopardize the data integrity of local and pooled case registries and conclusions of retrospective studies that utilize these data.
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J. Cardiothorac. Vasc. Anesth. · Jun 2016
Protamine Administration Via the Ascending Aorta May Prevent Cardiopulmonary Instability.
The method of protamine administration may influence adverse reactions. The authors investigated the effects of 3 different methods of protamine administration on cardiopulmonary function. ⋯ The results indicated that administration of protamine via the ascending aorta may be the preferred route. The potential ability of administering protamine via the ascending aorta to prevent cardiopulmonary instability in patients undergoing cardiac surgery deserves further clinical investigation.