Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Dec 2018
Review Case ReportsMalignant Hyperthermia: Review of Diagnosis and Treatment during Cardiac Surgery with Cardiopulmonary Bypass.
Malignant hyperthermia is a potentially life-threatening hypermetabolic disorder, often induced by exposure to volatile anesthetics and succinylcholine. There are few reports of malignant hyperthermia during cardiopulmonary bypass. Here the authors review available literature including case reports of malignant hyperthermia and cardiopulmonary bypass and discuss the potential implications of malignant hyperthermia diagnosis and management as it applies to cardiac surgery.
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Enhanced Recovery After Surgery (ERAS® Society, Stockholm, Sweden) programs are developing rapidly in multiple specialties, fueled by the promising outcomes in colorectal surgery. There currently are no Enhanced Recovery After Surgery guidelines for cardiac surgery. The elevated burden of mortality, morbidity, and high resource expenditures associated with cardiac surgery present a tremendous opportunity for enhanced recovery. This narrative review sets out to examine the literature involving enhanced recovery in cardiac surgery and explores additional potential areas of interest.
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J. Cardiothorac. Vasc. Anesth. · Dec 2018
Multicenter StudyBurnout in Cardiac Anesthesiologists: Results From a National Survey in Italy.
There is increasing burnout incidence among medical disciplines, and physicians working in emergency settings seem at higher risk. Cardiac anesthesiology is a stressful anesthesiology subspecialty dealing with high-risk patients. The authors hypothesized a high risk of burnout in cardiac anesthesiologists. ⋯ A relatively high incidence of burnout was found in cardiac anesthesiologists, especially regarding high depersonalization and low personal accomplishment. Nonetheless, most of the respondents would choose to remain in cardiac anesthesiology.
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J. Cardiothorac. Vasc. Anesth. · Dec 2018
Randomized Controlled TrialA Randomized Controlled Trial of Intra-Aortic Adenosine Infusion Before Release of the Aortic Cross-Clamp During Coronary Artery Bypass Surgery.
To assess the feasibility, safety, and potential useful effect of adenosine as a postconditioning agent in patients undergoing coronary artery bypass grafting surgeries. ⋯ Adenosine postconditioning provided cardiac protection as evidenced by a favorable outcome on systolic and diastolic function indices, less cardiac troponin I and creatine kinase-MB release, lower incidence of arrhythmia, lower inotropic score, and shorter duration of postoperative mechanical ventilation and intensive care unit stay.