Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Aug 2016
Steroids Improve Hemodynamics in Infants With Adrenal Insufficiency After Cardiac Surgery.
To investigate whether steroid replacement therapy improved hemodynamics in infants after surgery for congenital heart disease only when they develop adrenal insufficiency. The authors retrospectively investigated adrenal function and evaluated hemodynamic responses to steroid replacement therapy in infants after surgery for congenital heart disease. ⋯ After surgery for congenital heart disease, one-fifth of infants developed adrenal insufficiency. Steroid replacement therapy improved hemodynamics only in the subgroup with adrenal insufficiency.
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J. Cardiothorac. Vasc. Anesth. · Aug 2016
Randomized Controlled TrialIntravenous Acetaminophen as an Adjunct Analgesic in Cardiac Surgery Reduces Opioid Consumption But Not Opioid-Related Adverse Effects: A Randomized Controlled Trial.
The authors hypothesized that intravenous acetaminophen as an adjunct analgesic would significantly decrease 24-hour postoperative opioid consumption. ⋯ The administration of intravenous acetaminophen during cardiac surgery and for the first 24 hours postoperatively reduced opioid consumption and improved patient satisfaction with their overall pain experience but did not reduce opioid side effects.
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J. Cardiothorac. Vasc. Anesth. · Aug 2016
Characteristics of Double-Lumen Tubes Determine Bronchial Airway Pressure.
To determine pressure-flow characteristics of double-lumen tubes (DLTs) with an outer diameter of 26 to 41 French and calculate bronchial pressure in a model setup and using data from patients who underwent one-lung ventilation with a DLT. ⋯ The DLTs' pressure-flow characteristics differed considerably depending on size, mode of ventilation (one or two lung), direction of flow, and lumen for ventilation. Rohrer's approach allowed for sufficient calculation of the bronchial airway pressure during both one- and two-lung ventilation.