Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Mar 2021
Efficacy of a Point-of-Care Transthoracic Echocardiography Workshop for Medical Students.
To assess the efficacy of a 5-week point-of-care transthoracic echocardiography workshop for medical students. ⋯ Results of this pilot study indicated that the workshop curriculum may be an effective way to teach basic point-of-care transthoracic echocardiography to medical students.
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J. Cardiothorac. Vasc. Anesth. · Mar 2021
Morbidity and Mortality After Acute Myocardial Infarction After Elective Major Noncardiac Surgery.
To develop parsimonious models of in-hospital mortality and morbidity risk after perioperative acute myocardial infarction (AMI). ⋯ The RCRI provides a simple but adequate model of preoperative risk factors for in-hospital mortality after perioperative AMI.
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J. Cardiothorac. Vasc. Anesth. · Mar 2021
Observational StudyVon Willebrand Factor Concentrate Administration for Acquired Von Willebrand Syndrome- Related Bleeding During Adult Extracorporeal Membrane Oxygenation.
To review the use of Von Willebrand Factor (VWF) concentrate for treatment of acquired Von Willebrand syndrome (VWS)-related bleeding in adult extracorporeal membrane oxygenation (ECMO) patients and determine if it was associated with improved VWF laboratory parameters. ⋯ VWF concentrate administration increases VWF function in adult ECMO patients, but also may be associated with increased thrombotic risk. Larger studies are needed to determine VWF concentrate's safety, efficacy, and optimal dosing in adult ECMO patients.
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J. Cardiothorac. Vasc. Anesth. · Mar 2021
Aortic Acceleration Time and the Intraoperative Assessment of Aortic Stenosis.
Aortic acceleration time (AAT) and the ratio of AAT to ejection time (AAT/ET) are relatively new echocardiographic measures of the severity of aortic stenosis (AS). This study investigated the utility of transesophageal echocardiography (TEE) measurements of AAT and AAT/ET to predict the severity of AS under intraoperative conditions. ⋯ The AAT and AAT/ET may be useful adjuncts for the intraoperative measurement of AS. The agreement between intraoperative TEE and preoperative TTE was better with AAT/ET compared with AAT alone.
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J. Cardiothorac. Vasc. Anesth. · Mar 2021
Preexisting Right Ventricular Diastolic Dysfunction and Postoperative Cardiac Complications in Patients Undergoing Nonemergency Coronary Artery Bypass Surgery.
To evaluate whether the presence of preexisting right ventricular diastolic dysfunction (RVDD) in patients undergoing coronary artery bypass grafting (CABG) is associated with a greater incidence of postoperative cardiac complications. ⋯ Preoperative RVDD, cardiopulmonary bypass, and female sex are independent risk factors for the development of PHF after CABG in coronary artery disease patients. The decreased Et/At ratio was the best echocardiographic marker predicting PHF development after CABG. Nevertheless, the possibility of assessing preoperative diastolic RV function to predict the development of PHF after CABG requires confirmation in additional studies.