Articles: postoperative.
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Surgery Case Report Posters ISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Amiodarone induced thyrotoxicosis (AIT) is a serious complication of amiodarone treatment. After failure of medical treatment, total thyroidectomy allows to stop hyperthyroidism and restart the antiarrhythmic. ⋯ The following authors have nothing to disclose: Nuno Ferreira, Alejandro Arbelaez, Anna Gonzalez, Marius RocaNo Product/Research Disclosure Information.
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Pediatr Crit Care Me · Mar 2014
Observational StudySerum Cortisol and Early Postoperative Outcome After Stage-1 Palliation for Hypoplastic Left Heart Syndrome.
The postoperative cortisol profile and its association with early outcomes are poorly understood in neonates undergoing surgery for complex congenital heart disease. We investigated the postoperative profile of cortisol and its relationship with the clinical course in a cohort of newborns after stage-1 palliation for hypoplastic left heart syndrome. ⋯ Cortisol levels fell significantly over the first 24 hours after stage-1 palliation for hypoplastic left heart syndrome. A higher postoperative cortisol was associated with increased postoperative morbidity, which warrants further investigation.
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Thoracic Surgery PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Totally minimally invasive Ivor Lewis esophagectomy(MIIE) with per-oral placement of anvil has been reported elsewhere, but MIIE with manual pursestring and per-thoracic port placement of anvil has been seldomly reported. 27 cases with the later technique were conducted in this prospective study. ⋯ The following authors have nothing to disclose: Hecheng Li, Longfei Ma, Yiliang Zhang, Yawei Zhang, Jiaqing Xiang, Haiquan ChenNo Product/Research Disclosure Information.
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Observational Study
HIV, vascular surgery and cardiovascular outcomes: a South African cohort study.
Risk factors for peri-operative cardiac morbidity are poorly described in HIV-positive patients. This prospective observational study describes cardiovascular risk factors in a cohort of vascular surgical patients of known HIV status. We recruited 225 patients with 73 (32%) being HIV-positive. ⋯ HIV-positive and -negative patients had similar outcomes in: 30-day mortality (p = 0.78); three-day postoperative troponin leak (p = 0.66); and a composite outcome of mortality and troponin release (p = 0.69). We conclude that although HIV-positive patients have fewer cardiovascular risk factors, they have similar peri-operative major adverse cardiac events to HIV-negative patients. Research should focus on why this is the case, and if alternative clinical risk predictors can be developed for HIV patients.
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Pediatr Crit Care Me · Mar 2014
Changes in Cerebral Oxygen Saturation Correlate with S100B in Infants Undergoing Cardiac Surgery With Cardiopulmonary Bypass.
The relationship of cerebral saturation measured by near-infrared spectroscopy with serum biomarker of brain injury S100B was investigated in infants undergoing cardiac surgery with cardiopulmonary bypass. ⋯ A wide cerebral arteriovenous difference measured by near-infrared spectroscopy during cardiopulmonary bypass is associated with increased serum S100B in the perioperative period and may be a modifiable risk factor for neurological injury.