Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Feb 2004
Randomized Controlled Trial Clinical TrialAcupressure wristbands for the prevention of postoperative nausea and vomiting in adults undergoing cardiac surgery.
To determine whether the application of acupressure bands would lead to a reduction in postoperative nausea and vomiting after cardiac surgery. ⋯ Acupressure treatment did not lead to a reduction in nausea, vomiting, or antiemetic requirements in patients after cardiac surgery.
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J. Cardiothorac. Vasc. Anesth. · Feb 2004
Randomized Controlled Trial Comparative Study Clinical TrialA prospective, randomized study of endothelin and postoperative recovery in off-pump versus conventional coronary artery bypass surgery.
The objectives are 2-fold: (1). to serially determine endothelin (ET) levels in arterial vascular compartments in patients undergoing coronary artery bypass surgery using either cardiopulmonary bypass or off-pump techniques, and (2). to define potential relationships between endothelial levels and specific perioperative parameters of patient recovery. ⋯ Postoperative ET levels were higher in patients who underwent CPB for coronary artery bypass surgery. Increased ET in the postoperative period may contribute to a more complex recovery from coronary artery bypass surgery in patients undergoing cardiopulmonary bypass.
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J. Cardiothorac. Vasc. Anesth. · Feb 2004
Randomized Controlled Trial Clinical TrialPostoperative intravenous iron used alone or in combination with low-dose erythropoietin is not effective for correction of anemia after cardiac surgery.
The aim of this study was to examine whether intravenous iron III-hydroxide sucrose complex (IHSC) used alone was sufficient to provide rapid correction of anemia after cardiac surgery and whether additional stimulation of erythropoiesis is possible by means of a single low dose of recombinant-human erythropoietin (r-HuEPO) administration. ⋯ Postoperative intravenous iron supplementation alone or in combination with a single dose of r-HuEPO (300 U/kg) is not effective in correcting anemia after cardiac surgery.
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J. Cardiothorac. Vasc. Anesth. · Feb 2004
Perioperative beta-blockade: a survey of physician attitudes in the department of Veterans Affairs.
To delineate clinician opinion on the efficacy, safety, and logistics of perioperative beta-adrenergic blockade for patients undergoing noncardiac surgery. ⋯ A wide range of opinions by clinicians regarding the efficacy, safety, and logistics of perioperative beta-adrenergic blockade was encountered, suggesting need for additional clinical research and centralized efforts at increasing compliance with existing guidelines.