Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Oct 2010
Comparative StudyThe endovascular coronary sinus catheter in minimally invasive mitral and tricuspid valve surgery: a case series.
To determine the safety and efficacy of a standardized approach to the use of an endovascular coronary sinus (CS) catheter during minimally invasive cardiac surgery. ⋯ Endovascular CS catheter insertion can be performed with a high rate of success for positioning and a low complication rate. During positioning, obtaining ventricularization is associated with an increased success rate.
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J. Cardiothorac. Vasc. Anesth. · Oct 2010
ReviewProgress in perioperative medicine: focus on statins.
Beyond cholesterol reduction, statins have multiple beneficial influences on vascular endothelial function, atherosclerotic plaque stability, inflammation, and thrombosis. These favorable pleiotropic effects may be the basis for their perioperative risk reduction in cardiothoracic and vascular procedures. The published evidence suggests that statins offer significant outcome benefits throughout perioperative practice. ⋯ The pleiotropic effects of statins also appear to have therapeutic roles in the progression of valve disease, sepsis, and venous thrombosis. Further trials are required to provide data to drive their safe and comprehensive perioperative application for optimal patient outcome both in the short term and the long term. Because there are multiple randomized trials currently in progress throughout perioperative medicine, it is very likely that the indications for statins will be expanded significantly.
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J. Cardiothorac. Vasc. Anesth. · Oct 2010
Comparative StudyHemodynamic responses to etomidate in pediatric patients with congenital cardiac shunt lesions.
The authors investigated the effects of intravenous etomidate on hemodynamics in children with congenital cardiac shunts. ⋯ Etomidate at 0.3 mg/kg produces very minimal changes in hemodynamic parameters and shunt fraction in children with congenital shunt lesions.
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J. Cardiothorac. Vasc. Anesth. · Oct 2010
Comparative StudyStroke volume variation as a predictor of fluid responsiveness in patients undergoing one-lung ventilation.
To investigate the ability of stroke volume variation (SVV) calculated by the Vigileo-FloTrac system (Edwards Lifescience, Irvine, CA) to predict fluid responsiveness in patients undergoing one-lung ventilation (OLV). ⋯ The authors found that SVV measured by the Vigileo-FloTrac system was able to predict fluid responsiveness in patients undergoing surgery with OLV with acceptable levels of sensitivity and specificity.