Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Dec 2024
ReviewThe Year in Cardiothoracic Critical Care: Highlighted Publications From 2023.
There were several noteworthy articles published in 2023 affecting the practice of critical care anesthesiology, summarized in this year's "The Year in Cardiothoracic Critical Care: Highlighted Publications From 2023." While many articles published in 2023 were notable and modified practices, the authors have highlighted a broad selection of papers. The selection of papers reviewed for 2023 includes studies demonstrating the noninferiority of organ donation after circulatory death, the immune response to blood administration in lung transplantation recipients, the lack of need for prescribing antiplatelet therapy in Heartmate 3 patients, outcomes following extracorporeal CPR, and evidence contradicting tight glycemic control in the intensive care unit. It is anticipated that all these topics will have further research in 2024 and beyond.
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J. Cardiothorac. Vasc. Anesth. · Dec 2024
Randomized Controlled TrialClinical Utility of Ultrasonographic Guidance for Arterial Catheterization in Patients with Obesity: A Randomized Controlled Trial.
To compare the success and complication rates of radial artery catheterization using ultrasound guidance versus the conventional palpation technique in obese patients by anesthesia residents with similar levels of experience in both methods, and to measure the skin-to-artery distance of radial, brachial, and dorsalis pedis arteries using ultrasound with standardized anatomic landmarks. ⋯ The results of this study do not support the routine use of ultrasonography during radial arterial catheterizations for obese adults when junior practitioners perform the procedure.
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J. Cardiothorac. Vasc. Anesth. · Dec 2024
Multicenter Study Observational StudySex Differences in Chronic Postsurgical Pain after Open Thoracotomy.
To determine the incidence of chronic postsurgical pain (CPSP) in women after open thoracotomy. Secondary objectives were to compare relevant patient and procedural variables between women and men. ⋯ These findings show that the incidence of physician-diagnosed chronic postsurgical pain is higher in women than in men after surgeries involving thoracotomy. Sex and gender should be included in future clinical research on pain in surgical settings.
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J. Cardiothorac. Vasc. Anesth. · Dec 2024
Comparative Study Observational StudyA Retrospective Comparative Study of the Frequency of Hypotension in Pediatric Cardiac Catheterization under General Anesthesia: Remimazolam versus Sevoflurane.
To compare the incidence of hypotension between remimazolam and sevoflurane under general anesthesia for cardiac catheterization in patients with congenital heart disease. ⋯ Remimazolam was not associated with a lower incidence of hypotension compared to sevoflurane during pediatric cardiac catheterization for congenital heart disease while maintaining significantly higher blood pressure overall.
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J. Cardiothorac. Vasc. Anesth. · Dec 2024
Impact of Covert Brain Infarction Following Coronary Angiography on Coronary Artery Bypass Surgery Outcomes.
To determine the association between preoperative covert brain infarction following coronary angiography (CAG) and major adverse cardiac and cerebrovascular events (MACCEs) after coronary artery bypass grafting (CABG). ⋯ Among patients undergoing elective CABG, there was no significant association between covert brain infarction following CAG and the occurrence of MACCEs within 30 days or long-term mortality after CABG.