Implementation of advanced vascular access, physiological monitoring and goal-directed resuscitation during OHCA in a helicopter emergency medical service
This article details the EAAA SPEAR technique; and the development, implementation and governance of this novel endovascular strategy in our UK physician-paramedic staffed helicopter emergency medical service.PMID:38610111 | DOI:10.1177/11297298241242157 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - April 13, 2024 Category: Surgery Authors: Shadman Aziz Kate Lachowycz Rob Major Paul Rees Jon Barratt Source Type: research
Atrial Fibrillation Ablation in Patients with Pulmonary Hypertension: Multicenter Experience
Pulmonary hypertension (PH) is a progressive condition characterized by pulmonary vascular remodeling and elevated pulmonary arterial pressure. Atrial arrhythmias are common in PH and may contribute to right ventricular failure and death1,2. We retrospectively identified patients with pre-capillary PH who underwent catheter ablation for AF at four high-volume ablation centers. Included patients had an established clinical diagnosis of PH, with suspected pre-capillary etiology, and at least one right heart catheterization showing mean pulmonary artery pressure>20 mm Hg and pulmonary capillary wedge pressure ≤15 mm Hg. (Source: Heart Rhythm)
Source: Heart Rhythm - April 13, 2024 Category: Cardiology Authors: Thomas A. Boyle, Bao Ha, Ikram Haq, Ammar Killu, Ritu Yadav, David Spragg, Christopher X. Wong, Babikir Kheiri, Joshua D. Moss, Francis E. Marchlinski, David S. Frankel Source Type: research
Positive Vasoreactivity Testing in Pulmonary Arterial Hypertension: Therapeutic Consequences, Treatment Patterns, and Outcomes in the Modern Management Era
CONCLUSIONS: Our data display heterogeneity within the group of vasoresponders, with a large subset failing to show a sustained satisfactory clinical response to CCBs. This highlights the necessity for comprehensive reassessment during early follow-up. The use of pulmonary artery compliance in addition to current measures may better identify those likely to have a good long-term response.PMID:38606558 | DOI:10.1161/CIRCULATIONAHA.122.063821 (Source: Circulation)
Source: Circulation - April 12, 2024 Category: Cardiology Authors: Felix Gerhardt Eva Fiessler Karen M Olsson Moritz Z Kayser Gabor Kovacs Henning Gall H Ardeschir Ghofrani Roza Badr Eslam Irene M Lang Nicola Benjamin Ekkehard Gr ünig Michael Halank Tobias J Lange Silvia Ulrich Hanno Leuchte Matthias Held Hans Klose Ral Source Type: research
Positive Vasoreactivity Testing in Pulmonary Arterial Hypertension: Therapeutic Consequences, Treatment Patterns, and Outcomes in the Modern Management Era
CONCLUSIONS: Our data display heterogeneity within the group of vasoresponders, with a large subset failing to show a sustained satisfactory clinical response to CCBs. This highlights the necessity for comprehensive reassessment during early follow-up. The use of pulmonary artery compliance in addition to current measures may better identify those likely to have a good long-term response.PMID:38606558 | DOI:10.1161/CIRCULATIONAHA.122.063821 (Source: Circulation)
Source: Circulation - April 12, 2024 Category: Cardiology Authors: Felix Gerhardt Eva Fiessler Karen M Olsson Moritz Z Kayser Gabor Kovacs Henning Gall H Ardeschir Ghofrani Roza Badr Eslam Irene M Lang Nicola Benjamin Ekkehard Gr ünig Michael Halank Tobias J Lange Silvia Ulrich Hanno Leuchte Matthias Held Hans Klose Ral Source Type: research
Epidural Catheterization in Cardiac Surgery: A Systematic Review and Risk Assessment of Epidural Hematoma
This study aims to provide an updated assessment of the clinical risks of epidural anesthesia in cardiac surgery, focusing on the occurrence of epidural hematomas and subsequent paralysis. A systematic search of Embase, Medline, Ovid Central, Web of Science, and PubMed was conducted to identify relevant publications between 1966 and 2022. Two independent reviewers assessed the eligibility of the retrieved manuscripts. Studies reporting adult patients undergoing cardiac surgery with epidural catheterization were included. The incidence of hematomas was calculated by dividing the number of hematomas by the total number of pa...
Source: Annals of Cardiac Anaesthesia - April 12, 2024 Category: Anesthesiology Authors: Pascal Laferri ère-Langlois Sean Jeffries Robert Harutyunyan Thomas M Hemmerling Source Type: research
Epidural Catheterization in Cardiac Surgery: A Systematic Review and Risk Assessment of Epidural Hematoma
This study aims to provide an updated assessment of the clinical risks of epidural anesthesia in cardiac surgery, focusing on the occurrence of epidural hematomas and subsequent paralysis. A systematic search of Embase, Medline, Ovid Central, Web of Science, and PubMed was conducted to identify relevant publications between 1966 and 2022. Two independent reviewers assessed the eligibility of the retrieved manuscripts. Studies reporting adult patients undergoing cardiac surgery with epidural catheterization were included. The incidence of hematomas was calculated by dividing the number of hematomas by the total number of pa...
Source: Annals of Cardiac Anaesthesia - April 12, 2024 Category: Anesthesiology Authors: Pascal Laferri ère-Langlois Sean Jeffries Robert Harutyunyan Thomas M Hemmerling Source Type: research
Epidural Catheterization in Cardiac Surgery: A Systematic Review and Risk Assessment of Epidural Hematoma
This study aims to provide an updated assessment of the clinical risks of epidural anesthesia in cardiac surgery, focusing on the occurrence of epidural hematomas and subsequent paralysis. A systematic search of Embase, Medline, Ovid Central, Web of Science, and PubMed was conducted to identify relevant publications between 1966 and 2022. Two independent reviewers assessed the eligibility of the retrieved manuscripts. Studies reporting adult patients undergoing cardiac surgery with epidural catheterization were included. The incidence of hematomas was calculated by dividing the number of hematomas by the total number of pa...
Source: Annals of Cardiac Anaesthesia - April 12, 2024 Category: Anesthesiology Authors: Pascal Laferri ère-Langlois Sean Jeffries Robert Harutyunyan Thomas M Hemmerling Source Type: research
Positive Vasoreactivity Testing in Pulmonary Arterial Hypertension: Therapeutic Consequences, Treatment Patterns, and Outcomes in the Modern Management Era
CONCLUSIONS: Our data display heterogeneity within the group of vasoresponders, with a large subset failing to show a sustained satisfactory clinical response to CCBs. This highlights the necessity for comprehensive reassessment during early follow-up. The use of pulmonary artery compliance in addition to current measures may better identify those likely to have a good long-term response.PMID:38606558 | DOI:10.1161/CIRCULATIONAHA.122.063821 (Source: Circulation)
Source: Circulation - April 12, 2024 Category: Cardiology Authors: Felix Gerhardt Eva Fiessler Karen M Olsson Moritz Z Kayser Gabor Kovacs Henning Gall H Ardeschir Ghofrani Roza Badr Eslam Irene M Lang Nicola Benjamin Ekkehard Gr ünig Michael Halank Tobias J Lange Silvia Ulrich Hanno Leuchte Matthias Held Hans Klose Ral Source Type: research
Epidural Catheterization in Cardiac Surgery: A Systematic Review and Risk Assessment of Epidural Hematoma
This study aims to provide an updated assessment of the clinical risks of epidural anesthesia in cardiac surgery, focusing on the occurrence of epidural hematomas and subsequent paralysis. A systematic search of Embase, Medline, Ovid Central, Web of Science, and PubMed was conducted to identify relevant publications between 1966 and 2022. Two independent reviewers assessed the eligibility of the retrieved manuscripts. Studies reporting adult patients undergoing cardiac surgery with epidural catheterization were included. The incidence of hematomas was calculated by dividing the number of hematomas by the total number of pa...
Source: Annals of Cardiac Anaesthesia - April 12, 2024 Category: Anesthesiology Authors: Pascal Laferri ère-Langlois Sean Jeffries Robert Harutyunyan Thomas M Hemmerling Source Type: research
Epidural Catheterization in Cardiac Surgery: A Systematic Review and Risk Assessment of Epidural Hematoma
This study aims to provide an updated assessment of the clinical risks of epidural anesthesia in cardiac surgery, focusing on the occurrence of epidural hematomas and subsequent paralysis. A systematic search of Embase, Medline, Ovid Central, Web of Science, and PubMed was conducted to identify relevant publications between 1966 and 2022. Two independent reviewers assessed the eligibility of the retrieved manuscripts. Studies reporting adult patients undergoing cardiac surgery with epidural catheterization were included. The incidence of hematomas was calculated by dividing the number of hematomas by the total number of pa...
Source: Annals of Cardiac Anaesthesia - April 12, 2024 Category: Anesthesiology Authors: Pascal Laferri ère-Langlois Sean Jeffries Robert Harutyunyan Thomas M Hemmerling Source Type: research
Epidural Catheterization in Cardiac Surgery: A Systematic Review and Risk Assessment of Epidural Hematoma
This study aims to provide an updated assessment of the clinical risks of epidural anesthesia in cardiac surgery, focusing on the occurrence of epidural hematomas and subsequent paralysis. A systematic search of Embase, Medline, Ovid Central, Web of Science, and PubMed was conducted to identify relevant publications between 1966 and 2022. Two independent reviewers assessed the eligibility of the retrieved manuscripts. Studies reporting adult patients undergoing cardiac surgery with epidural catheterization were included. The incidence of hematomas was calculated by dividing the number of hematomas by the total number of pa...
Source: Annals of Cardiac Anaesthesia - April 12, 2024 Category: Anesthesiology Authors: Pascal Laferri ère-Langlois Sean Jeffries Robert Harutyunyan Thomas M Hemmerling Source Type: research
