Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Dec 2017
Randomized Controlled TrialIntravenous Acetaminophen Does Not Decrease Persistent Surgical Pain After Cardiac Surgery.
The authors investigated the hypothesis that perioperative acetaminophen reduces incisional pain at 30 and 90 days. ⋯ IV acetaminophen did not reduce the incidence or intensity of incisional pain at 30 days and 90 days after surgery.
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J. Cardiothorac. Vasc. Anesth. · Dec 2017
Preincision Initiation of Dexmedetomidine Maximally Reduces the Risk of Junctional Ectopic Tachycardia in Children Undergoing Ventricular Septal Defect Repairs.
To evaluate whether initiation of dexmedetomidine (DEX) infusion before surgical incision and cardiopulmonary bypass (CPB) versus initiation after CPB had an impact on the incidence of junctional ectopic tachycardia (JET). ⋯ Preincision initiation of DEX and its continued use during the immediate postoperative period are significantly associated with reduced risk of JET after congenital heart surgeries involving repair of ventricular septal defect.
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J. Cardiothorac. Vasc. Anesth. · Dec 2017
Observational StudyIndependent Predictors of the Duration and Overall Burden of Postoperative Delirium After Cardiac Surgery in Adults: An Observational Cohort Study.
Postoperative delirium (POD) is a common complication after cardiac surgery and is associated with increased patient morbidity and mortality. The objective of this study was to identify risk factors for long duration and overall burden of POD after cardiac surgery. ⋯ Known risk factors for the development of POD after cardiac surgery also are predictive of prolonged duration and high overall burden of POD.
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J. Cardiothorac. Vasc. Anesth. · Dec 2017
Randomized Controlled TrialSevoflurane Relieves Lung Function Deterioration After Cardiopulmonary Bypass.
To investigate sevoflurane's potential to alleviate the detrimental pulmonary changes after cardiopulmonary bypass (CPB). ⋯ Sevoflurane can alleviate CPB-induced bronchoconstriction, compromised lung tissue mechanics, and enhanced intrapulmonary shunt. This benefit has particular importance in patients with severe CPB-induced lung function deterioration.
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J. Cardiothorac. Vasc. Anesth. · Dec 2017
ReviewThe Congenital Cardiac Anesthesia Society: An Update on the First Twelve Years.
The Congenital Cardiac Anesthesia Society is an international body instituted for collaboration among parties with interest in the perioepartive care of patients with congenial heart disease. This report is a review and update on the first 12 years of this society.