Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Oct 2008
Acute Physiology and Chronic Health Evaluation (APACHE) III outcome prediction after major vascular surgery.
To investigate the performance of the Acute Physiology and Chronic Health Evaluation (APACHE) III scoring system in patients admitted to the intensive care unit (ICU) after major vascular surgery. ⋯ The APACHE III scoring system discriminates well between survivors and nonsurvivors after major vascular surgery, but calibration of the model is poor.
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J. Cardiothorac. Vasc. Anesth. · Oct 2008
Myocardial performance index is a predictor of outcome after abdominal aortic aneurysm repair.
Perioperative measurement of the myocardial performance index (MPI) with transesophageal echocardiography in patients undergoing elective abdominal aortic aneurysm repair and its association with outcome. ⋯ The MPI is an easily obtained echocardiographic measure of global ventricular performance, which can be measured perioperatively and may be useful as a prospective risk stratification index for patients undergoing elective abdominal aortic aneurysm surgery.
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J. Cardiothorac. Vasc. Anesth. · Oct 2008
Perioperative coagulation management and blood conservation in cardiac surgery: a Canadian Survey.
To determine which strategies are currently used for (anti)coagulation management and blood conservation during cardiac surgery in Canada. ⋯ The majority of Canadian institutions do not use point-of-care tests other than ACT. Most institutions do not have algorithms for management of bleeding following cardiac surgery and at least 30% do not monitor their transfusion practice perioperatively. Cardiac surgery patients in Canada may benefit from a standardized approach to blood conservation in the perioperative period.