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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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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
In this study, we focused on two pathways of cardiomyocytes or heart cells: the Hippo pathway, which is involved in stopping renewal of adult cardiomyocytes, and the dystrophin glycoprotein complex (DGC) pathway, essential for cardiomyocyte normal functions." Previous work had hinted that components of the DGC pathway may somehow interact with members of the Hippo pathway. The researchers genetically engineered mice to lack genes involved in one or both pathways, and then determined the ability of the heart to repair an injury. These studies showed for the first time that dystroglycan 1, a component of the DGC ...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
We present the anesthetic management of a 1-day-old neonate with a postnatally diagnosed aortopulmonary window for correction of a TEF.
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports: Case Report Source Type: research
We report an incidence of transient CB in an 11-year-old child who was operated for double chambered right ventricle with ventricular septal defect. PMID: 28393793 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - Category: Anesthesiology Authors: Tags: Ann Card Anaesth Source Type: research
Abstract Challenging times are here for cardiac surgical and anesthesia team. The interventional cardiologist seem to have closed the flow of 'good cases' coming up for any of the surgery,; successful percutaneous interventions seem to be offering reasonable results in these patients, who therefore do not knock on the doors of the surgeons any more . It is a common experience among the cardiac anesthesiologists and surgeons that the type of the cases that come by now are high risk. That may be presence of comorbidities, ongoing medical therapies, unstable angina, uncontrolled heart failure and rhythm disturbances;...
Source: Annals of Cardiac Anaesthesia - Category: Anesthesiology Authors: Tags: Ann Card Anaesth Source Type: research
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