Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Feb 2017
Hyperlactemia Predicts Surgical Mortality in Patients Presenting with Acute Stanford Type-A Aortic Dissection.
Inspired by the limited facility of the Penn classification, the authors aimed to determine a rapid and optimal preoperative assessment tool to predict surgical mortality after acute Stanford type-A aortic dissection (AAAD) repair. ⋯ Lactic acidosis, ostensibly as a surrogate for systemic malperfusion, represents a novel, accurate, and easily obtainable preoperative predictor of short-term mortality after attempted AAAD repair. These data may improve identification of patients who would not benefit from surgery.
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J. Cardiothorac. Vasc. Anesth. · Feb 2017
Pulmonary Artery Catheter Placement Using Transesophageal Echocardiography.
To assess the feasibility of pulmonary artery catheter placement using transesophageal echocardiography inclusive of a description of the technique. ⋯ Transesophageal echocardiography is a viable adjunctive method to conventional pressure waveform placement of pulmonary artery catheters in potentially difficult patients.