Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Aug 2004
Randomized Controlled Trial Clinical TrialProspective randomized trial of ketorolac after congenital heart surgery.
Ketorolac is a potent nonsteroidal analgesic agent used to treat postoperative pain. It produces excellent analgesia without the sedating side effects of opioid analgesics. Routine use of ketorolac after cardiac surgery is limited by concerns of bleeding complications. The purpose of this study was to evaluate the risk of bleeding complications of ketorolac for treatment of pain after congenital heart surgery in infants and children. ⋯ Ketorolac can be used to treat pain after congenital heart surgery without an increased risk of bleeding complications.
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J. Cardiothorac. Vasc. Anesth. · Aug 2004
Meta Analysis Comparative StudyAlbumin versus crystalloid for pump priming in cardiac surgery: meta-analysis of controlled trials.
To determine the effects of pump priming fluid choice on platelets, fluid balance, and clinical outcomes. ⋯ Albumin prime better preserves platelet counts than crystalloid. Albumin also favorably influences colloid oncotic pressure, on-bypass positive fluid balance, postoperative weight gain, and colloid usage. The clinical significance of these observations merits further investigation.