Journal of cardiothoracic and vascular anesthesia
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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.
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J. Cardiothorac. Vasc. Anesth. · Aug 2004
Multicenter Study Comparative Study Clinical Trial Controlled Clinical TrialPerioperative enoximone infusion improves cardiac enzyme release after CABG.
To assess whether routine postoperative enoximone infusion compared with dobutamine improved clinical and biochemical results after coronary artery bypass grafting with cardiopulmonary bypass. ⋯ Postoperative enoximone reduced troponin I release and need for inotropic support in patients undergoing on-pump myocardial revascularization. Subgroup data were confirmed in diabetes, left ventricular hypertrophy, and total arterial revascularization.
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J. Cardiothorac. Vasc. Anesth. · Aug 2004
Randomized Controlled Trial Clinical TrialAnalgesic effects of interpleural bupivacaine with fentanyl for post-thoracotomy pain.
The analgesic effect of bupivacaine/fentanyl with epinephrine given interpleurally after thoracotomy was investigated in a randomized placebo and intravenous controlled study. ⋯ It is concluded that total fentanyl consumption via PCA decreased in all interpleural groups, but pain during coughing and deep breathing was significantly reduced in only the interpleural bupivacaine/fentanyl with epinephrine group.
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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
The incidence and risk of acute renal failure after cardiac surgery.
To evaluate outcome and risk factors of acute renal failure in a surgical population with or without preoperative renal dysfunction. ⋯ This study confirms that acute renal failure is one of the major complications of cardiac surgery, identifies the risk factors, and suggests that optimizing cardiac output and reducing CPB time could improve the outcome of patients at high risk of acute renal failure.