Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Apr 2003
Letter Case ReportsVancomycin interaction with Haemaccel.
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J. Cardiothorac. Vasc. Anesth. · Apr 2003
Randomized Controlled Trial Clinical TrialHeparin-coated versus uncoated extracorporeal circuit in patients undergoing coronary artery bypass graft surgery.
To assess the effect of heparin-coated circuits on bleeding, transfusion, and platelet count in patients undergoing primary coronary artery bypass grafting with full heparinization. ⋯ The use of a heparin-coated or uncoated cardiopulmonary bypass circuit and full heparinization marginally reduced only red blood cell transfusion but was not associated with platelet sparing or reduced perioperative bleeding.
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J. Cardiothorac. Vasc. Anesth. · Apr 2003
Randomized Controlled Trial Clinical TrialRegional oxygenation and systemic inflammatory response during cardiopulmonary bypass: influence of temperature and blood flow variations.
To evaluate the role of target temperature (28 degrees or 34 degrees C) in cardiac surgery on regional oxygenation during hypothermia and rewarming and systemic inflammatory response. ⋯ During cardiopulmonary bypass, hypothermia at 28 degrees C increases regional and central venous oxygenation better than at 34 degrees C. In contrast, venous oxygenation decreases during rewarming irrespective of the preceding temperature. No significant difference in the systemic inflammatory response associated with target temperature was detected.
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J. Cardiothorac. Vasc. Anesth. · Apr 2003
Comparative StudyMeasurement of cardiac output after cardiac surgery by a new transesophageal Doppler device.
Assessment of hemodynamics by transesophageal Doppler devices (TDD) may be a less invasive alternative to the pulmonary artery catheter. In contrast to the TDD evaluated so far, a new monitor (HemoSonic100) measures both blood flow velocity and the diameter of the descending aorta. The aim of this study was to assess the accuracy of the cardiac output/index (CO/CI) measured by this device compared with the CO/CI measured by thermodilution. ⋯ The transesophageal Doppler device (HemoSonic100) cannot be recommended as a sole method for monitoring cardiac output in patients after cardiac surgery.
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J. Cardiothorac. Vasc. Anesth. · Apr 2003
Comparative StudyComparison of continuous cardiac output measurements in patients after cardiac surgery.
To investigate in a direct comparison accuracy and precision of continuous cardiac output measurements assessed by continuous pulmonary artery thermodilution technique (TDCCO), continuous pulse contour analysis (PCCO), and noninvasive partial CO(2)-rebreathing technique (NICO) in patients after coronary artery bypass grafting (CABG) during the postoperative period. ⋯ The results of this clinical investigation show agreement between TDCCO and PCCO to satisfy clinical requirements in a setting of postoperative patients after cardiac surgery. In contrast, the NICO monitor is of very limited use in these patients.