Neurological dysfunction after cardiac surgery and cardiac intensive care admission: A narrative review part 1: The problem; nomenclature; delirium and postoperative neurocognitive disorder; and the role of cardiac surgery and anesthesia.
Abstract The association with cardiac surgery with cognitive decline was first reported in the 1960s after the introduction of coronary artery surgery. The incidence in cognitive decline was thought to be more after cardiac surgery, especially with the use of the cardiopulmonary bypass. Anesthesia and surgery are both associated with cognitive decline but many other factors appear to contribute its genesis. On-pump surgery, microembolization during manipulation of the heart and great vessels, temperature changes, pH changes, and altered cerebral perfusion, during cardiac surgery, have all been blamed for this. Pos...
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Kapoor MC Tags: Ann Card Anaesth Source Type: research

Neurological dysfunction after cardiac surgery and cardiac intensive care admission: A narrative review part 2: Cognitive dysfunction after critical illness; potential contributors in surgery and intensive care; pathogenesis; and therapies to prevent/treat perioperative neurological dysfunction.
Abstract Severe cognitive decline and cognitive dysfunction has been attributed to patient's stay in the cardiovascular intensive care unit. Prolonged mechanical ventilation, long duration of stay, sedation protocols, and sleep deprivation contribute to patients developing neurocognitive disorder after intensive care admission and it is associated with poor clinical outcomes. Trauma of surgery, stress of critical care, and administration of anaesthesia evoke a systemic inflammatory response and trigger neuroinflammation and oxidative stress. Anaesthetic agents modulate the function of the GABA receptors. The persi...
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Kapoor MC Tags: Ann Card Anaesth Source Type: research

Covid 19 and its cardiovascular effects.
Abstract COVID-19 pandemic is mainly related with the pulmonary problems initially but now as the pandemic is growing it is observed that almost all organ systems of the body are affected. Up to 20-30% patients who are admitted in Covid hospitals are showing cardiovascular involvement. Severity of cardiovascular disease in a COVID-19 patient depends whether a patient is having pre-existing cardiac disease or not. Patients with pre-existing cardiac disease have more severe infection and associated mortality. Severe COVID-19 infection shows close association with myocardial damage and various arrythmias. The cardiov...
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Rastogi A, Tewari P Tags: Ann Card Anaesth Source Type: research

Measurement of aortic root dimensions by transesophageal echocardiography in adult patients undergoing cardiac surgery.
Abstract Background: Normal aortic root dimensions were established from studies from Western countries. As the body size is significantly associated with the aortic root dimensions, Thai populations may have smaller aortic root diameters. Aims: To elucidate the aortic root dimensions using transesophageal echocardiography (TEE) in adult patients undergoing cardiac surgery. Settings and Design: A retrospective cohort study including 150 patients aged>18 years undergoing cardiac surgery. Materials and Methods: Aortic root dimensions (annulus, sinus of Valsalva, sinotubular junction (STJ), and prox...
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Maisat W, Sawasdiwipachai P, Aroonrat W, Lapmahapaisan S Tags: Ann Card Anaesth Source Type: research

Quantitative estimation of LIMA blood flow between extraluminal papavarine vs extraluminal papavarine plus intraluminal vasodilator cocktail in CABG patients.
Conclusion: There was a significant difference in the LIMA flow when the LIMA had been treated with the intraluminal instillation of the vasodilator cocktail in addition to the topical application of papaverine solution. Therefore, intraluminal vasodilator cocktail of milrinone, NTG, and papaverine mixed with heparinized blood in addition to topical papaverine is a simple and effective method for LIMA preparation in CABG. PMID: 33109796 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Pillai VV, Sreekanthan R, Karunakaran J Tags: Ann Card Anaesth Source Type: research

Gender difference in long- and short-term outcomes of off-pump coronary endarterectomy.
Conclusion: The results of this study show that there was no significant difference in the short- and long-term outcomes of off-pump CABG and CE in both genders although women tend to carry a greater risk. PMID: 33109797 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Sabzi F, Asadmobini A Tags: Ann Card Anaesth Source Type: research

Comparison of flow-independent parameters for grading severity of aortic stenosis using intraoperative transesophageal echocardiography - A prospective observational study.
Conclusion: Perioperative grading of aortic stenosis continues to be a challenge for cardiac anesthesiologists. Multiple echocardiographic parameters have to be considered. We have found AVA and DI to have less disparity compared to AT/ET. PMID: 33109798 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Nanditha S, Malik V Tags: Ann Card Anaesth Source Type: research

Monitoring of limb perfusion after vascular surgery in critical limb ischemia using near-infrared spectroscopy: A prospective observational study.
Conclusion: NIRS represents a noninvasive and reliable means to monitor limb perfusion in patients undergoing vascular surgery for rest pain. PMID: 33109799 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Kundra TS, Thimmarayappa A, Subash SS, Kaur P Tags: Ann Card Anaesth Source Type: research

Tracheal extubation of anesthetized pediatric patients with heart disease decreases the incidence of emergence agitation: A retrospective study.
Conclusions: Tracheal extubation under anesthesia by propofol decreases the incidence of emergence agitation in pediatric patients with heart disease. PMID: 33109800 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Kunigo T, Nawa Y, Yoshikawa Y, Yamakage M Tags: Ann Card Anaesth Source Type: research

Fluid responsiveness to passive leg raising in patients with and without coronary artery disease: A prospective observational study.
Conclusion: Patients undergoing CABG had significant hemodynamic response to PLR, whereas non-CAD patients undergoing neurosurgery did not. A blood pressure-left ventricular end-diastolic volume combination represented strong correlation in response prediction (Pearson's coefficient 0.641; P
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Suresh V, Sethuraman M, Karunakaran J, Koshy T Tags: Ann Card Anaesth Source Type: research

Transesophageal probe placement increases endotracheal tube cuff pressure but is not associated with postoperative extubation failure after congenital cardiac surgery.
Abstract Context: The concomitant use of cuffed endotracheal tubes (ETT) and transesophageal echocardiography (TEE) probes increases ETT cuff pressures (CP), which may contribute to mucosal ischemia and perioperative complications such as failed extubation. Aims: To assess changes in ETT CP after TEE insertion in patients of different age groups undergoing congenital heart surgery and examine the relationship between ETT CP and postoperative extubation failure. Settings and Design: Single-center quality improvement project. Subjects and Methods: ETT CP was measured with a manometer following intubat...
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Pan SJ, Frabitore SZ, Ingram AR, Nguyen KN, Adams PS Tags: Ann Card Anaesth Source Type: research

Relationship between transesophageal echocardiography-derived pulmonary artery systolic pressure measurements and early morbidity in patients undergoing coronary artery bypass grafting.
The objective of the study was to assess whether TEE-derived elevated PASP is independently predictive of significant morbidity. Settings and Design: Prospective observational study in a university hospital. Materials and. Methods: Around 54 patients who underwent CABG under cardiopulmonary bypass (CPB) were divided into two groups; with PASP ≥35 mmHg and PASP
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Subramanian H, Parida S, Thangaswamy CR, Badhe AS, Sai Chandran BV, Mishra SK Tags: Ann Card Anaesth Source Type: research

Does the endotracheal tube cuff pressure increases with transesophageal probe insertion?
Conclusions: To conclude, the CP increases significantly with TEE probe insertion in 40% of patients exceeding a safe limit of 30 cm of H2O. The monitoring and optimization of CP is advisable. PMID: 33109804 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Borde DP, Pande S, Asegaonkar B, Khade S, George A, Joshi S Tags: Ann Card Anaesth Source Type: research

Effect of dexmedetomidine on pulmonary artery pressure in children with congenital heart disease and pulmonary hypertension.
This study was undertaken to determine the effects of dexmedetomidine on pulmonary artery pressure (PAP) in children with congenital heart disease (CHD) and pulmonary hypertension (PH) undergoing cardiac catheterization with and without a planned intervention during monitored anesthetic care using midazolam and ketamine. Materials and Methods: Children (
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Kanchi M, Inderbitzin DT, Ramesh KN, Suresh PV, Mayya SS, Sivanandam S, Belani K Tags: Ann Card Anaesth Source Type: research

Decision making, management, and midterm outcomes of postinfarction ventricular septal rupture: Our experience with 21 patients.
Conclusions: Early surgical repair benefits the patient by preventing early end-organ damage. The renal failure left ventricular dysfunction (moderate and severe) and Killip class (III and IV) adversely affect early outcomes after surgery. Small residual ventricular septal defect (VSD) does not affect the midterm quality of life. PMID: 33109806 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Bisoyi S, Jagannathan U, Dash AK, Mohapatra R, Nayak D, Sahu S, Satyanarayan P Tags: Ann Card Anaesth Source Type: research

Myocardial protection in cardiac surgery: Del Nido versus blood cardioplegia.
Abstract Objectives: del Nido cardioplegia which was traditionally used for myocardial protection in pediatric congenital heart surgery is now being extensively utilized in adult cardiac surgery. The aim of this study was to compare the safety and efficacy of del Nido cardioplegia (DNC) with blood cardioplegia (BC). Materials and Methods: This is a historical cohort study using secondary data. Two hundred and eighty six patients who underwent coronary artery bypass graft (CABG) or valve surgery were included. They were divided into 2 matched cohorts of which 143 patients received BC and 143 patients received ...
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: George G, Varsha AV, Philip MA, Vithayathil R, Srinivasan D, Sneha Princy FX, Sahajanandan R Tags: Ann Card Anaesth Source Type: research

Cardiothoracic surgery during COVID-19: Our experience with different strategies.
Conclusion: All asymptomatic patients should be tested for COVID-19 using RT-PCR prior to cardio-thoracic surgeries not only to contain the disease but to avoid potential implications of COVID-19 on the perioperative course, without added financial implications. PMID: 33109808 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Ralhan S, Arya RC, Gupta R, Wander GS, Gupta RK, Gupta VK, Bagga S, Mohan B Tags: Ann Card Anaesth Source Type: research

Anesthetic consideration for patients with micra leadless pacemaker.
We present a case of a 66-year-old patient with a Micra pacemaker scheduled for kidney-pancreas transplant. The patient is pacemaker dependent. The preoperative cardiology consult did not comment on the need of reprogramming. One hour prior to the surgery, the anesthesia team was unable to locate the pacemaker on the chest wall. The Medtronic hotline was called, and the caregivers learned that the particular pacemaker is buried within the ventricular wall and is not responsive to an external magnet. Thus, the case was delayed and a cardiac electrophysiology team was contacted to reprogram the pacemaker to VOO (fixed ventri...
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Karuppiah S, Prielipp R, Banik RK Tags: Ann Card Anaesth Source Type: research

Coronary cameral fistula and its complications: A case report.
We present the case of a 20-year-old patient with a fistula connecting right coronary artery and the right atrium, along with aortic valve endocarditis and congestive cardiac failure. PMID: 33109810 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Upadhyay R, Gargava A, Prabhu V, Sarkar M, Ramteke JH Tags: Ann Card Anaesth Source Type: research

Two patterns of the "crossed swords sign" for the accurate diagnosis of diverse mitral valve regurgitations.
We describe the cases of two patients with varying patterns of the crossed swords sign. In the first patient, the crossed swords sign was detected during the holosystolic phase. In the second patient, the direction of the MR jet changed according to the phase of systole: The crossed swords sign was formed by two regurgitation jets during different phases of systole. The crossed swords sign implies two patterns and is useful for the accurate diagnosis of complex MR. PMID: 33109811 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Miyata K, Shigematsu S Tags: Ann Card Anaesth Source Type: research

Iatrogenic intramural hematoma of the ascending aorta complicating inadvertent arterial cannulation during central venous catheter placement. A case report and review of the literature.
Abstract Aortic injury during central venous catheter (CVC) insertion is a rare but serious complication. This presentation describes a case of iatrogenic intramural hematoma of the ascending aorta complicating inadvertent arterial cannulation of the right subclavian artery during attempted Port-A-Cath insertion at the right subclavian vein. Various strategies for the prevention and management of aortic injury during CVC placement are discussed. In this case, the hematoma was managed surgically and replacement of the ascending aorta was undertaken under deep hypothermic circulatory arrest. PMID: 33109812 [Pub...
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Basta M Tags: Ann Card Anaesth Source Type: research

NIRS: So near yet so far (From the brain).
We report the association of red man syndrome with exaggerated cerebral oximetry values. PMID: 33109813 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Kandachar SS, Annamalai A Tags: Ann Card Anaesth Source Type: research

Post-surgical unilateral left pulmonary edema after mitral valve replacement - A diagnostic challenge.
Abstract Unilateral left pulmonary edema due to inadvertent surgical occlusion of left superior and inferior pulmonary veins is not only an exceedingly rare complication of mitral valve surgeries but also a diagnostic challenge in the postoperative recovery unit. Described here is a case of a 38-year-old male who developed progressively worsening unilateral left pulmonary edema after mitral valve replacement on postoperative day-1. The diagnosis was mostly by the exclusion of multiple possible differentials and was confirmed during reexploration surgery. PMID: 33109814 [PubMed - in process] (Source: Annals of...
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Tharimena S, R Naidu AV Tags: Ann Card Anaesth Source Type: research

An unusual case of uninterrupted inferior vena cava with accessory hemizygous channel: An incidental finding in a child.
We report a case of a 4-year-old, male child presenting with a history of poor weight gain. A detailed evaluation of the child revealed a diagnosis of hemizygous continuation of uninterrupted, but severely obstructed, IVC. This incidental finding has rarely been reported in the literature. PMID: 33109815 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Agrawal G, Das A, Gupta G Tags: Ann Card Anaesth Source Type: research

Aortic cannula tip dislodgement: A rare complication.
Abstract Cardiac surgery involves use of cardiopulmonary bypass which usually requires a circulatory circuit containing numerous cannulae and tubings draining from major vessels (like superior and inferior vena cavae) and returning it back to the systemic circulation (via the aorta, femoral artery, axillary artery etc). Establishment of this circuit not only requires good surgical skills for technical procedures but also requires stringent vigilance and awareness about the working of these disposable items. Surgeons concentrating in the technical aspect might miss out on the minor manufacturing defects in these di...
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Gargava A, Sarkar M, Umbarkar S, Shringarpure A Tags: Ann Card Anaesth Source Type: research

Metastasizing leiomyoma obstructing the right ventricular outflow tract.
Abstract A very loud systolic murmur was identified during a pre-operative evaluation of a 51-year-old woman for an elective hysterectomy. The TTE showed a 4.7 cm intracardiac mass obstructing the RVOT. The patient was scheduled instead for resection of the mass. Before anesthesia induction, the surgical team and perfusionist were prepared to initiate CPB in case of circulatory collapse. After induction of general anesthesia, the patient became hypotensive, requiring vasopressor support. She recovered and was then successfully placed on CPB. The mass was removed without incident, and a TEE confirmed resolution of ...
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Abalo MR, Carey J, Aljure O, Rodriguez-Blanco Y Tags: Ann Card Anaesth Source Type: research

Recurrent unilateral hemorrhagic pleural effusion: A rare manifestation of thoracic endometriosis syndrome.
We report a case of 32-year-old female with recurrent unilateral hemorrhagic pleural effusion that was the presenting feature of thoracic endometriosis syndrome. PMID: 33109818 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Dogra N, Luthra A, Chauhan R, Bajaj R, Gourav KP Tags: Ann Card Anaesth Source Type: research

Intraoperative transesophageal echocardiography: A complement to 18F-fluorodeoxyglucose positron emission tomography-computed tomography in localizing pacemaker lead endocarditis.
We report a case where transesophageal echocardiography was complementary to FDG PET/CT in the diagnosis and localization of vegetation over pacemaker leads during intraoperative period. PMID: 33109819 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Sarkar S, Ganesan R, Kumar B, Singh H, Basher R, Sood A Tags: Ann Card Anaesth Source Type: research

Left ventricular pacemaker wire through patent foramen ovale.
Abstract A 53-year-old male status post pacemaker placement three months prior for sinus bradycardia presented with worsening dyspnea, holosystolic murmur, and a ventricular-paced right bundle branch block on electrocardiogram. Transesophageal echocardiography demonstrated a pacer wire in the right atrium coursing into the left atrium and ventricle through an undiagnosed patent foramen ovale. The patient underwent surgical repair and repositioning of the pacemaker lead without complication. Although rare, it should be suspected after recent lead placement. PMID: 33109820 [PubMed - in process] (Source: Annals ...
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Suraci N, Lo Presti S, Concepcion GG, Santana O Tags: Ann Card Anaesth Source Type: research

Pacemakers-"an infernal machine that interferes with the will of god".
Pacemakers-"an infernal machine that interferes with the will of god". Ann Card Anaesth. 2020 Oct-Dec;23(4):530-531 Authors: Varma PK PMID: 33109821 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Varma PK Tags: Ann Card Anaesth Source Type: research

Guiding principles for cardiology care in times of the COVID-19 Pandemic: Gazing through the crystal ball.
PMID: 33109822 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Sahu A, Kapoor A Tags: Ann Card Anaesth Source Type: research

Epicardial lead placement for cardiac resynchronization therapy in dilated cardiomyopathy patient: Fine tuning anaesthetic challenges.
PMID: 33109823 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Damodaran S, Gandhi K, Mandal B, Mishra AK Tags: Ann Card Anaesth Source Type: research

A parable of the mask: Stay calm, be a hummingbird.
PMID: 33109824 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Nair HC Tags: Ann Card Anaesth Source Type: research

Preventing intubation with the transverse thoracic muscle plane block.
PMID: 33109825 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: de Haan JB, Yu D, Hernandez N, Sen S Tags: Ann Card Anaesth Source Type: research

Cardioplegic arrest as pharmacological defibrillation; A novel approach for refractory ventricular fibrillation.
PMID: 33109826 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Chowdhry V Tags: Ann Card Anaesth Source Type: research

Is ECG an aid to differentiate pulmonary embolism from ACS?
PMID: 33109827 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Senthilkumaran S, Karthikeyan N, Meenakshisundaram R, Florence B, Thirumalaikolundusubramanian P Tags: Ann Card Anaesth Source Type: research

Monitoring of carotid endarterectomy.
PMID: 33109828 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Authors: Rawat RS, Al Maashani SM Tags: Ann Card Anaesth Source Type: research

Erratum: Intensive care and anesthesia management for HARPOON beating heart mitral valve repair.
Authors: Abstract [This corrects the article DOI: 10.4103/aca.ACA_200_18]. PMID: 33109829 [PubMed] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Tags: Ann Card Anaesth Source Type: research

Retraction: The efficacy of pre-emptive dexmedetomidine versus amiodarone in preventing postoperative junctional ectopic tachycardia in pediatric cardiac surgery.
Authors: Abstract [This corrects the article DOI: 10.4103/0971-9784.191564]. PMID: 33109830 [PubMed] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 1, 2020 Category: Anesthesiology Tags: Ann Card Anaesth Source Type: research

Are humans so vulnerable? They are!
PMID: 32687076 [PubMed - as supplied by publisher] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - June 30, 2020 Category: Anesthesiology Authors: Tewari P Tags: Ann Card Anaesth Source Type: research

The current status of EuroSCORE II in predicting operative mortality following cardiac surgery.
PMID: 32687077 [PubMed - as supplied by publisher] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - June 30, 2020 Category: Anesthesiology Authors: Subramani S Tags: Ann Card Anaesth Source Type: research

Anticoagulants and immunosuppressants in COVID-19: Bullets to Defeat MicroCLOTS.
PMID: 32687078 [PubMed - as supplied by publisher] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - June 30, 2020 Category: Anesthesiology Authors: Turi S, Nardelli P, Landoni G Tags: Ann Card Anaesth Source Type: research

Depth of anesthesia monitoring in cardiac surgery-Standard of care soon?
PMID: 32687079 [PubMed - as supplied by publisher] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - June 30, 2020 Category: Anesthesiology Authors: Kapoor MC Tags: Ann Card Anaesth Source Type: research

Nuclear investigative techniques and their interpretation in the heart and vascular disease.
Abstract Over the last several decades, myocardial perfusion imaging with single photon emission tomography and positron emission tomography has been a mainstay for the evaluation of patients with known or suspected coronary artery disease non-invasively. Technical advances in imaging modalities and radiopharmaceutical have revolutionaries the understanding of pathogenesis and management of various diseases. In this article, we shall discuss the various available imaging nuclear medicine techniques, radiopharmaceutical, and common indications. In the era of "precision medicine," imaging has to be patient...
Source: Annals of Cardiac Anaesthesia - June 30, 2020 Category: Anesthesiology Authors: Ora M, Gambhir S Tags: Ann Card Anaesth Source Type: research

The role of entropy monitoring in reducing propofol requirements during open heart surgeries. A prospective randomized study.
Conclusions: Entropy monitoring significantly reduced the dose of propofol required for induction of anesthesia and maintained hemodynamic stability compared to the conventional clinical monitoring during CABG surgeries. PMID: 32687081 [PubMed - as supplied by publisher] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - June 30, 2020 Category: Anesthesiology Authors: Elgebaly AS, El Mourad MB, Fathy SM Tags: Ann Card Anaesth Source Type: research

Comparison of the additive, logistic european system for cardiac operative risk (EuroSCORE) with the EuroSCORE 2 to predict mortality in high-risk cardiac surgery.
Conclusion: In high-risk cardiac surgery patients, ES2 only marginally improve the predicted 30-day mortality in comparison to other ES. PMID: 32687082 [PubMed - as supplied by publisher] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - June 30, 2020 Category: Anesthesiology Authors: Guillet L, Moury PH, Bedague D, Durand M, Martin C, Payen JF, Chavanon O, Albaladejo P Tags: Ann Card Anaesth Source Type: research

Transesophageal Echocardiography Compared to Fluoroscopy for Avalon Bicaval Dual-Lumen Cannula Positioning for Venovenous ECMO.
Abstract The Avalon elite bicaval dual-lumen cannula for single site VenoVenous Extracorporeal Membrane Oxygenation (VV ECMO) offers several advantages. Correct placement of the Avalon cannula is safe using image guidance and needs either fluoroscopy or Transesophageal echocardiography (TEE). We assessed our institutional ECMO performance, cannulation related complications, instances of cannula malposition among patients cannulated using the two imaging modalities. We reviewed all patients who had Avalon cannula placement for VV ECMO at our institute. Ten patients were included in the study. Patients were cannulat...
Source: Annals of Cardiac Anaesthesia - June 30, 2020 Category: Anesthesiology Authors: Hemamalini P, Dutta P, Attawar S Tags: Ann Card Anaesth Source Type: research

The accuracy of electrical cardiometry for the noninvasive determination of cardiac output before and after lung surgeries compared to transthoracic echocardiography.
Conclusion: Compared to the TTE, EC provides accurate and reliable CO, SV, and HR measurements before and even after lung surgeries. PMID: 32687084 [PubMed - as supplied by publisher] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - June 30, 2020 Category: Anesthesiology Authors: Elgebaly AS, Anwar AG, Fathy SM, Sallam A, Elbarbary Y Tags: Ann Card Anaesth Source Type: research

Impact of simulator-based training on acquisition of transthoracic echocardiography skills in medical students.
Conclusions: Both teaching methods are effective and lead to the intended level of knowledge and skills. PMID: 32687085 [PubMed - as supplied by publisher] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - June 30, 2020 Category: Anesthesiology Authors: Hempel C, Turton E, Hasheminejad E, Bevilacqua C, Hempel G, Ender J, Rotzoll D Tags: Ann Card Anaesth Source Type: research

Routine preoperative doppler ultrasound examination of arterial system in patients undergoing cardiac surgery is beneficial: A retrospective study.
Conclusions: Performing Doppler examination in cardiac surgical patients may yield important data that might prevent complications and support patient safety. PMID: 32687086 [PubMed - as supplied by publisher] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - June 30, 2020 Category: Anesthesiology Authors: Chakravarthy M, Prabhakumar D, Shivalingappa B, Rao S, Padgaonkar S, Hosur R, Harivelam C, Jawali V Tags: Ann Card Anaesth Source Type: research