Carbon Dioxide Level between Nasal High-Frequency Oscillatory Ventilation and Synchronized Nasal Intermittent Positive Pressure Ventilation after Extubation in Neonates: A Cross-over Randomized Controlled Trial
Conclusion After neonatal extubation, the sNIPPV mode was associated with a lower pCO2 level than the nHFOV mode with no significant difference in preterm and very preterm neonates.
Key Points
[...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: American Journal of Perinatology)
Source: American Journal of Perinatology - July 29, 2023 Category: Perinatology & Neonatology Authors: Baingam, Kulthida Phatigomet, Manapat Thatrimontrichai, Anucha Maneenil, Gunlawadee Dissaneevate, Supaporn Janjindamai, Waricha Tags: Original Article Source Type: research
Pediatric Moyamoya Revascularization Perioperative Care: A Modified Delphi Study
ConclusionsIn the absence of data supporting specific care practices before and after indirect revascularization surgery in children with moyamoya, this Delphi process defined areas of consensus among neurosurgeons, neurologists, and intensivists with moyamoya expertise. Research priorities identified include determining the role of continuous electroencephalography in postoperative moyamoya care, optimal perioperative blood pressure and hemoglobin targets, and the role of supplemental oxygen for treatment of suspected postoperative ischemia. (Source: Neurocritical Care)
Source: Neurocritical Care - July 20, 2023 Category: Neurology Source Type: research
Infectious Risk of Arterial Lines: A Narrative Review
Arterial catheter-related bloodstream infections have been identified as a significant healthcare burden. However, the incidence of arterial catheter-related infections is commonly underestimated in clinical practice, and adherence to CDC-recommended practices is inconsistent. Several categories of interventions have been studied to prevent arterial catheter-related bloodstream infections, which include barrier precautions, cutaneous antisepsis, insertion site selection, dressings, chlorhexidine-impregnated sponges, and the duration of catheter placement with or without catheter replacement. (Source: Journal of Cardiothora...
Source: Journal of Cardiothoracic and Vascular Anesthesia - June 29, 2023 Category: Anesthesiology Authors: Shika Card, Anastasia Piersa, Adam Kaplon, Matthew W. Vanneman, Adam Dalia, Benjamin Weaver, David Hao Tags: Review Article Source Type: research
Applying video motion magnification to reveal spontaneous tympanic membrane displacement as an indirect measure of intracranial pressure in patients with brain pathologies
ConclusionsThe study suggests that Amp_spTMD increases with the increase in mean ICP and Amp_ICP. Estimation of Amp_spTMD using the VMM algorithm has the potential to allow for non-invasive detection of the risk of elevated ICP; however, further investigation in a larger group of patients is required. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - June 27, 2023 Category: Neurosurgery Source Type: research
The contribution of hypertensive disorders of pregnancy to late preterm and term admissions to neonatal units in the UK 2012-2020 and opportunities to avoid admission: A population-based study using the National Neonatal Research Database
CONCLUSIONS: The burden of maternal HDP on late preterm and term admissions to NNU is high, with hypoglycaemia and respiratory disease being the main drivers for admission. Over one in four were admitted solely for management of hypoglycaemia. Further research should determine whether maternal antihypertensive agent choice or postnatal pathways may reduce NNU admission.PMID:37337344 | DOI:10.1111/1471-0528.17574 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - June 20, 2023 Category: OBGYN Authors: Frances Conti-Ramsden Jessica Fleminger Julia Lanoue Lucy C Chappell Cheryl Battersby UK Neonatal Collaborative Source Type: research
The contribution of hypertensive disorders of pregnancy to late preterm and term admissions to neonatal units in the UK 2012-2020 and opportunities to avoid admission: A population-based study using the National Neonatal Research Database
CONCLUSIONS: The burden of maternal HDP on late preterm and term admissions to NNU is high, with hypoglycaemia and respiratory disease being the main drivers for admission. Over one in four were admitted solely for management of hypoglycaemia. Further research should determine whether maternal antihypertensive agent choice or postnatal pathways may reduce NNU admission.PMID:37337344 | DOI:10.1111/1471-0528.17574 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - June 20, 2023 Category: OBGYN Authors: Frances Conti-Ramsden Jessica Fleminger Julia Lanoue Lucy C Chappell Cheryl Battersby UK Neonatal Collaborative Source Type: research
Aortic arch replacement with simultaneous antegrade cerebral and systemic perfusion using a single centrifugal pump driven 'split arterial line' extracorporeal circuit design
We describe the development and successful implementation of a custom 'split arterial line' extracorporeal circuit configuration to facilitate complex aortic surgery. This circuit design offers a wide range of cannulation and perfusion strategies, is safe, adaptable, simple to manage, and avoids the use of roller pumps for blood delivery, which are associated with deleterious haematological complications during prolonged cardiopulmonary bypass cases. The split arterial line approach has now become the standardised methodology for facilitating complex aortic surgery at our institution.PMID:37279489 | DOI:10.1177/02676591231...
Source: Perfusion - June 6, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Jack Satchwell Rebecca Friar Govind Chetty Syed Sadeque Renata Greco Patrick Knowles James Bowie Paul Beatson Sean Colley Source Type: research
A Low-power wearable acoustic device for accurate invasive arterial pressure monitoring
CONCLUSIONS: Given the increased workload demands on nurses and physicians, our proof-of concept technology may improve accuracy of pressure measurements and reduce the task burden for medical staff by automating a task that previously required manual manipulation and close patient surveillance.PMID:37210561 | DOI:10.1038/s43856-023-00296-8 (Source: Pain Physician)
Source: Pain Physician - May 20, 2023 Category: Anesthesiology Authors: Maruchi Kim Anran Wang Srdjan Jelacic Andrew Bowdle Shyamnath Gollakota Kelly Michaelsen Source Type: research
A Low-power wearable acoustic device for accurate invasive arterial pressure monitoring
CONCLUSIONS: Given the increased workload demands on nurses and physicians, our proof-of concept technology may improve accuracy of pressure measurements and reduce the task burden for medical staff by automating a task that previously required manual manipulation and close patient surveillance.PMID:37210561 | PMC:PMC10199919 | DOI:10.1038/s43856-023-00296-8 (Source: Pain Physician)
Source: Pain Physician - May 20, 2023 Category: Anesthesiology Authors: Maruchi Kim Anran Wang Srdjan Jelacic Andrew Bowdle Shyamnath Gollakota Kelly Michaelsen Source Type: research
Invasive CO2 monitoring with arterial line compared to end tidal CO2 during peroral endoscopic myotomy
Conclusions Universal PaCO2 monitoring contributes to increased procedure and anesthesia times without any decrease in AEs in patients undergoing POEM. CO2 monitoring with an arterial line should only be performed in patients with major cardiovascular comorbidities; in all other patients, ETCO2 is an appropriate tool. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents | Abstract | open access Full text (Source: Endoscopy International Open)
Source: Endoscopy International Open - May 9, 2023 Category: Gastroenterology Authors: Duarte-Chavez, Rodrigo Tyberg, Amy Sarkar, Avik Shahid, Haroon M. Vemulapalli, Bhargav Shah-Khan, Sardar Gaidhane, Monica Kahaleh, Michel Tags: Original article Source Type: research
Effect of the machine learning-derived Hypotension Prediction Index (HPI) combined with diagnostic guidance versus standard care on depth and duration of intraoperative and postoperative hypotension in elective cardiac surgery patients: HYPE-2 - study protocol of a randomised clinical trial
Introduction
Hypotension is common during cardiac surgery and often persists postoperatively in the intensive care unit (ICU). Still, treatment is mainly reactive, causing a delay in its management. The Hypotension Prediction Index (HPI) can predict hypotension with high accuracy. Using the HPI combined with a guidance protocol resulted in a significant reduction in the severity of hypotension in four non-cardiac surgery trials. This randomised trial aims to evaluate the effectiveness of the HPI in combination with a diagnostic guidance protocol on reducing the occurrence and severity of hypotension during coronary artery ...
Source: BMJ Open - May 2, 2023 Category: General Medicine Authors: Rellum, S. R., Schuurmans, J., Schenk, J., van der Ster, B. J. P., van der Ven, W. H., Geerts, B. F., Hollmann, M. W., Cherpanath, T. G. V., Lagrand, W. K., Wynandts, P., Paulus, F., Driessen, A. H. G., Terwindt, L. E., Eberl, S., Hermanns, H., Veelo, D. Tags: Open access Protocol Source Type: research
Does perivascular fibrin glue application have a preventive effect for the endothelial damage on saphenous vein graft? An experimental model
CONCLUSION: Perivascular application of FG on the SVG showed a protective effect against endothelial damage resulting from increased intraluminal pressure.PMID:37084310 | DOI:10.24875/CIRU.22000142 (Source: Cirugia y Cirujanos)
Source: Cirugia y Cirujanos - April 21, 2023 Category: Surgery Authors: Serdar Badem Nail Kahraman Ezgi Isil-Turhan Temmuz Taner Deniz Demir Didem Melis-Oztas Murat Ugurlucan Source Type: research
Does perivascular fibrin glue application have a preventive effect for the endothelial damage on saphenous vein graft? An experimental model
CONCLUSION: Perivascular application of FG on the SVG showed a protective effect against endothelial damage resulting from increased intraluminal pressure.PMID:37084310 | DOI:10.24875/CIRU.22000142 (Source: Cirugia y Cirujanos)
Source: Cirugia y Cirujanos - April 21, 2023 Category: Surgery Authors: Serdar Badem Nail Kahraman Ezgi Isil-Turhan Temmuz Taner Deniz Demir Didem Melis-Oztas Murat Ugurlucan Source Type: research
Does perivascular fibrin glue application have a preventive effect for the endothelial damage on saphenous vein graft? An experimental model
CONCLUSION: Perivascular application of FG on the SVG showed a protective effect against endothelial damage resulting from increased intraluminal pressure.PMID:37084310 | DOI:10.24875/CIRU.22000142 (Source: Cirugia y Cirujanos)
Source: Cirugia y Cirujanos - April 21, 2023 Category: Surgery Authors: Serdar Badem Nail Kahraman Ezgi Isil-Turhan Temmuz Taner Deniz Demir Didem Melis-Oztas Murat Ugurlucan Source Type: research
Does perivascular fibrin glue application have a preventive effect for the endothelial damage on saphenous vein graft? An experimental model
CONCLUSION: Perivascular application of FG on the SVG showed a protective effect against endothelial damage resulting from increased intraluminal pressure.PMID:37084310 | DOI:10.24875/CIRU.22000142 (Source: Cirugia y Cirujanos)
Source: Cirugia y Cirujanos - April 21, 2023 Category: Surgery Authors: Serdar Badem Nail Kahraman Ezgi Isil-Turhan Temmuz Taner Deniz Demir Didem Melis-Oztas Murat Ugurlucan Source Type: research
