Predictors of severe postoperative hyperglycemia after cardiac surgery in infants: a single-center, retrospective, observational study

ConclusionAdding to hyperglycemia during the operation, longer CPB time younger age and chromosomal abnormality were identified as predictors of high blood glucose levels at ICU admission.
Source: Journal of Anesthesia - Category: Anesthesiology Source Type: research

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ConclusionsImpaired neurodevelopment was associated with increase of GFAP plasma levels during cardiac surgery in infants. The identification of the neurologic high-risk phases of CPB run could support the application of new neuroprotective strategies for CHD repair.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
The development of transcatheter interventions to provide a minimally invasive alternative to open surgical repair has revolutionized the care of patients with valvular heart disease. Recently, this technology has been expanded to allow for the treatment of pathology of the mitral valve. This review discusses the anesthetic considerations for patients presenting for transcatheter management of mitral valve disease, including transcatheter mitral valve replacement (TMVR) and transcatheter mitral valve repair (TMVRep).
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Review Article Source Type: research
The term double outlet right ventricle (DORV) denotes a congenital heart disease in which both great vessels arise entirely or predominantly from the right ventricle.1 The essence of biventricular repair here is to ensure a patent pathway from the left ventricle to the aorta and from the right ventricle to the pulmonary artery. Although preoperative echocardiography with subcostal and transthoracic views usually guides this decision, a few patients require further imaging in the form of transesophageal echocardiography (TEE), computed tomography, or three-dimensional printing for surgical planning.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Case Report Source Type: research
THE INCIDENCE OF moderate and severe forms of congenital heart disease (CHD) is approximately 6/1,000 of all live births.1 Surgical procedures and perioperative management for CHD patients have improved, and the late survival rate (45 years after first surgery) after neonatal cardiac surgery to repair heart defects has risen to nearly 90%.2 This result naturally has led to an increase in the number of women with CHD who consider becoming pregnant. Approximately 2% of pregnancies involve cardiac disease, and the most common type of maternal cardiac disease is CHD.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Case Report Source Type: research
This study, published in April in the journal Anesthesiology, confirmed the presence of the receptor in rodent hearts, which are similar in composition to human hearts.UCLA HealthDr. Soban Umar“This study clues us in to how we might be able to better help patients heal when they experience heart conditions,” said Dr. Soban Umar, first author of the study and an assistant professor in residence in the  department of anesthesiology and perioperative medicine at the David Geffen School of Medicine at UCLA. “For the first time, we’re finding a particular receptor in the heart th...
Source: UCLA Newsroom: Health Sciences - Category: Universities & Medical Training Source Type: news
Authors: Wang CH, Luo J, Li J, Zhang JZ, Huang SY, Shao W, Ma HS Abstract OBJECTIVE: To investigate the efficacy of inhalational sevoflurane anesthesia induction on inhibiting the stress response to endotracheal intubation in pediatric patients with congenital heart disease (CHD). PATIENTS AND METHODS: Forty ASA physical status I/II pediatric patients scheduled for interventricular septal defect repair or interatrial septal defect repair, were randomly divided into two groups (20 each): intravenous induction group (Group C) and inhalational sevoflurane anesthesia induction group (Group D). In group C, anesthesi...
Source: European Review for Medical and Pharmacological Sciences - Category: Drugs & Pharmacology Tags: Eur Rev Med Pharmacol Sci Source Type: research
Abstract Cyanotic congenital heart disease presents an increased tendency to bleed in view of subtle coagulation defects. Airway bleeding can be particularly difficult to manage while maintaining an adequate ventilation. An isolated lung bleed with the exclusion of possible traumatic, medical and surgical causes of bleeding, should alert the attending anesthesiologist to the possibility of the collateral-related bleeding. Preoperative coil embolization remains an important initial management step in a case of tetralogy of Fallot (TOF) with major aortopulmonary collaterals. Nevertheless, the coiling of the collater...
Source: Annals of Cardiac Anaesthesia - Category: Anesthesiology Authors: Tags: Ann Card Anaesth Source Type: research
DURING THE LAST few decades, significant progress has occurred in the surgical management of congenital heart disease (CHD), which is performed regularly in tertiary hospitals worldwide. This progress has contributed to increased life expectancy, and since the advent of neonatal repair of complex lesions in the 1970s, an estimated 85% of patients survive into adult life.1 Moreover, to improve early postoperative recovery, the safest anesthetic management and correct choice of vasoactive drugs to facilitate weaning from cardiopulmonary bypass (CPB) are among the main challenges faced by anesthesiologists during these procedures.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Review Article Source Type: research
DECIDING whether and how best to intervene for valvular heart disease at the time of coronary artery bypass graft (CABG) surgery remains a complex decision-making process. Recently, the guidelines published to assist with these decisions were revised in part due to new studies evaluating the appropriateness of surgical intervention for moderate ischemic mitral regurgitation (MR) at the time of CABG surgery and for mitral valve replacement (MVR) versus repair for severe symptomatic ischemic MR.1 –6 Known limitations of assessing the severity of MR with transesophageal echocardiography (TEE) in the operating room under...
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Editorial Source Type: research
We present here a first in human case of a transvenous transcatheter off-pump direct annuloplasty with the Edwards Cardioband system and simultaneous one-staged transapical off-pump transcatheter implantation of three NeoChordae using the NeoChord DS1000 application system to treat a 63-year-old male with a STS-score of mortality of 8% and a logistic EuroScore of 31%. The patient suffered from severe mitral regurgitation due to a chordal rupture on the P2 segment and annular dilatation (anteroposterior diameter of 42  mm) with a leaflet-to-annulus-index (LAI) of 1.02. The risk profile included coronary artery diseas...
Source: European Heart Journal - Category: Cardiology Source Type: research
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