Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
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Ann Thorac Cardiovasc Surg · Jun 2004
Comparative StudyRight ventricular end-diastolic volume monitoring after cardiac surgery.
In the postoperative management of cardiac surgery patients, pulmonary capillary wedge pressure (PCWP) and central venous pressure (CVP) are the most commonly used parameters of preload. However, these pressure parameters are easily affected by ventricular compliance, positive end-expiratory pressure and other factors. The aim of this study was to evaluate whether right ventricular end-diastolic volume index (RVEDVI) reflects cardiac output or ventricular preload in patients after cardiac surgery during postoperative management. ⋯ RVEDVI was a significant index during the postoperative management after cardiac surgery.
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Ann Thorac Cardiovasc Surg · Jun 2004
Randomized Controlled Trial Clinical TrialEfficacy of postoperative rewarming after cardiac surgery.
To compare the efficacy of forced-air warmers and radiant heaters on rewarming after cardiac surgery in a prospective randomized study. ⋯ In the current setting active warming, forced-air warming more than radiant warming, increased speed of rewarming two- to threefold in comparison to insulation with a blanket.
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Ann Thorac Cardiovasc Surg · Jun 2004
Diaphragmatic plication in adult patients with diaphragm paralysis after cardiac surgery.
We investigated the benefit of diaphragmatic plication for weaning from mechanical ventilation in these adult patients. ⋯ Diaphragmatic plication is a useful procedure for treatment of diaphragmatic paralysis in adults as well in children.
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Ann Thorac Cardiovasc Surg · Jun 2004
Comparative StudyThe efficacy of low prime volume completely closed cardiopulmonary bypass in coronary artery revascularization.
This study was conducted to evaluate and demonstrate the efficacy of low prime volume completely closed cardiopulmonary bypass (LPVP) in arrested coronary artery bypass grafting (CABG). We improved the percutaneous cardiopulmonary support (PCPS) circuit to reduce the deleterious effects of cardiopulmonary bypass (CPB). ⋯ Compared to standard prime volume open CPB, LPVP resulted in fewer deleterious operative effects. Less blood loss, fewer blood transfusions, and earlier patient recovery was noted with LPVP. Thus, LPVP is a very efficient form of CPB.