Chronic postthoracotomy pain in transapical transcatheter aortic valve replacement.
Conclusions: CPTP occurs in patients undergoing TA-TAVR and is possibly associated with a decline quality of life and overall function. PMID: 31274483 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Gebhardt BR, Jain A, Basaham SA, Zahedi F, Ianchulev S, Brinckerhoff LH, Augoustides JG, Patel PA, Tsai A, Cobey FC Tags: Ann Card Anaesth Source Type: research

The perioperative effect of magnesium sulfate in patients with concentric left ventricular hypertrophy undergoing cardiac surgery: A double-blinded randomized study.
This study was conducted at a cardiac center. Patients: The study included 250 patients. Intervention: The study included two groups (each = 125): Group M - the patients who received magnesium sulfate infusion (15 mg/kg/h). The infusion was started 20 min before induction, during surgery, and the first postoperative 24 h. Group C - the patients who received an equal amount of normal saline. Measurements: The variables included troponin I level, creatinine kinase-MB (CK-MB) level, electrocardiograph (ECG) with automatic ST-segment analysis (leads II and V), E/A peak ratio, end-diastolic volume, cardiac index ...
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Soliman R, Abukhudair W Tags: Ann Card Anaesth Source Type: research

Furosemide: Would it help to improve the lungs as evaluated by sonography and compliance during aortic coarctation surgery.
Conclusions: The use of furosemide was accompanied by improved lung injury/edema profile as indicated by a much less drop in dynamic lung compliance, better oxygenation, a more favorable LUS scale with less parenchymal lung affection. PMID: 31274485 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Mohammed AK, Madkour MA, Hassanien HM Tags: Ann Card Anaesth Source Type: research

Perioperative glycemic control and its outcome in patients following open heart surgery.
This study was designed to observe the association between glycemic control and outcome of patients after open heart surgery in adult population. Materials and Methods: Data was collected retrospectively in all patients who underwent open cardiac surgery (coronary artery bypass grafting, valve, or bypass grafting with valve surgery) and survived 72 hours postoperatively and had diabetes. The study was conducted from January 2015 to December 2016. Results: Of the 129 patients included in the study, male dominated 101 (78.3%). Most frequent surgery was coronary artery bypass grafting (CABG) 123 (95.3%), CABG plus a...
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Siddiqui KM, Asghar MA, Khan MF, Khan FH Tags: Ann Card Anaesth Source Type: research

A randomized, double-blinded trial comparing the effectiveness of tranexamic acid and epsilon-aminocaproic acid in reducing bleeding and transfusion in cardiac surgery.
Conclusion: The findings of this study suggest that EACA and TA have similar effects on chest tube drainage but EACA is associated with fewer transfusions in CABG alone surgeries. Our results suggest that EACA can be used in a similar fashion to TA which may result in a cost and morbidity advantage. PMID: 31274487 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Leff J, Rhee A, Nair S, Lazar D, Sathyanarayana SK, Shore-Lesserson L Tags: Ann Card Anaesth Source Type: research

Assessment of untreated fresh autologous pericardium as material for construction of heart valve: Result at 5 years.
Conclusion: The untreated autologous pericardium functioned well when it was used to create a competent pulmonary valve at short term and midterm. Although it changed in its structure; there was no calcification at 5 years of follow-up. PMID: 31274488 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Arya A, Srivastava NK, Pande S, Tripathi S, Agarwal SK, Tewari P, Kapoor A Tags: Ann Card Anaesth Source Type: research

Refractory angina frequencies during 7 weeks treatment by enhanced external counterpulsation in coronary artery disease patients with and without diabetes.
Abstract Background: Refractory angina is a clinical diagnosis which implies to chronic pain due to coronary artery insufficiency and it is often resistant to routine cardiac treatment. The present study conducted to compare changes in refractory angina frequencies during 7 weeks treatment by enhanced external counterpulsation (EECP) in coronary artery disease (CAD) patients with and without diabetes. Methods: In this retrospective study, 94 CAD patients (30 diabetics vs. 64 nondiabetics) who referred to cardiac rehabilitation department of Imam Ali Hospital of Kermanshah, Iran, during January 2006-2014 were ...
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Sahebjami F, Madani FR, Komasi S, Heydarpour B, Saeidi M, Ezzati K, Ezzati P Tags: Ann Card Anaesth Source Type: research

Aortic counterpulsation for myocardial support: Towards a new paradigm.
PMID: 31274490 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Choudhury A Tags: Ann Card Anaesth Source Type: research

Comparison of sedation between dexmedetomidine and propofol during transesophageal echocardiography: A randomized controlled trial.
Conclusions: Time from the beginning of sedation with Dex was longer than that with propofol. However, Dex was able to provide satisfactory sedation levels, hemodynamic stability, short recovery time, and acceptable patient and practitioner satisfaction during TEE in our cardiac patients. PMID: 31274491 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Alizadehasl A, Sadeghpour A, Totonchi Z, Azarfarin R, Rahimi S, Hendiani A Tags: Ann Card Anaesth Source Type: research

Post-thoracotomy ipsilateral shoulder pain: What should be preferred to optimize it - phrenic nerve infiltration or paracetamol infusion?
Abstract Background: Post thoracotomy ipsilateral shoulder pain (PTISP) is a distressing and highly prevalent problem after thoracic surgery and has not received much attention despite the incidence as high as 85%. Objectives: To study the effect of phrenic nerve infiltration with Ropivacaine compared to paracetamol infusion on PTISP in thoracotomy patients with epidural analgesia as standard mode of incisional analgesia in both the groups. Study Design: Prospective Randomised and Double Blind Study. Methods: 126 adult patients were divided randomly into 2 groups, "Group A (Phrenic Nerve Infilt...
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Manzoor S, Khan T, Zahoor SA, Wani SQ, Rather JM, Yaqoob S, Ali Z, Hakeem ZA, Dar BA Tags: Ann Card Anaesth Source Type: research

Selection of appropriate statistical methods for data analysis.
Abstract In biostatistics, for each of the specific situation, statistical methods are available for analysis and interpretation of the data. To select the appropriate statistical method, one need to know the assumption and conditions of the statistical methods, so that proper statistical method can be selected for data analysis. Two main statistical methods are used in data analysis: descriptive statistics, which summarizes data using indexes such as mean and median and another is inferential statistics, which draw conclusions from data using statistical tests such as student's t-test. Selection of appropriate st...
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Mishra P, Pandey CM, Singh U, Keshri A, Sabaretnam M Tags: Ann Card Anaesth Source Type: research

Focus-assessed transthoracic echocardiography: Implications in perioperative and intensive care.
Abstract Transthoracic echocardiography is a potent and appealing diagnostic tool by virtue of rapidity, noninvasiveness, and repeatability. Focus-assessed transthoracic echocardiography (FATE) forms quick guidance to interpret the echocardiographic information and relates it to the clinical context. It can be applied in the perioperative period, intensive care units (ICUs), and emergency situations, in trauma and as resuscitation aids. FATE intents to assess cardiac function including contractility, chamber size and hypertrophy, valvular dysfunction, cardiac tamponade, and pericardial and pleural effusions. Thenc...
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Nagre AS Tags: Ann Card Anaesth Source Type: research

Perioperative takotsubo cardiomyopathy: Implications for anesthesiologist.
Abstract Takotsubo cardiomyopathy (TCM) is characterized by transient ventricular dysfunction in the absence of obstructive coronary artery disease that may be triggered by an acute medical illness or intense physical or emotional stress. TCM is often confused with acute myocardial infarction given the similar electrocardiographic changes, cardiac enzymes, hemodynamic perturbations, and myocardial wall motion abnormalities. In the perioperative setting, the clinical picture may be more confusing because of the effect of anesthesia as well as hemodynamic changes related to the surgery itself. However, awareness of ...
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Agarwal S, Sanghvi C, Odo N, Castresana MR Tags: Ann Card Anaesth Source Type: research

Sudden appearance of new clot.
Abstract A patient having mitral stenosis with chronic atrial fibrillation, large left atrium, and spontaneous echo contrast is expected to have clot in LA or LAA. TEE is more sensitive to detect thrombus in LA and LAA than transthoracic echocardiography. However, false-negative results can still occur due to multilobed LAA, and a thrombus can be potentially missed. PMID: 31274496 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Raut MS, Hanjoora VM Tags: Ann Card Anaesth Source Type: research

Troubleshooting for epileptiform activity during percutaneous transvenous mitral commisurotomy.
We present the case of a 32-year-old female patient scheduled for a PTMC, who had multiple complications during the procedure. She developed cardiac tamponade for which pericardiocentesis and autotransfusion was done. Subsequently she exhibited epileptiform activity for which there was a diagnostic dilemma due to the presence of multiple confounding factors. However, she had a complete recovery without any residual sequelae at the time of discharge. PMID: 31274497 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Balaji RM, Dhananjaya M, Thimmarayappa A Tags: Ann Card Anaesth Source Type: research

Inadequacy of near-infrared spectroscopy cerebral oximetry monitoring for detecting neurological complication.
Abstract Near-infrared spectroscopy (NIRS) cerebral oximetry is an established and standard monitoring modality for surgery under extracorporeal circulation with circulatory arrest. It helps to reduce the neurological complication, but in many instances, it becomes not only technically challenging but also is difficult to interpret and take corrective action based on the NIRS values. In this case study, we aimed to present the inadequacy of cerebral oximetry for detecting neurological complication. PMID: 31274498 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: S Ghumman BP, Kumar A, Kumar S Tags: Ann Card Anaesth Source Type: research

Complete atrioventricular block during thoracic endovascular aortic repair.
We report a case of ACS with thoracic aneurysm. Thoracic endovascular aortic repair (TEVAR) was arranged. However, perioperative complete atrioventricular block occurred and soon progressed to ST-elevation myocardial infarction. In the case of chest discomfort with elevated troponin I and thoracic aneurysm, it is of tremendous importance to cope with both ACS and the possible AAS. In the era of hybrid operation room, coronary catheterization and intervention first followed by TEVAR may provide timely and more comprehensive treatment. PMID: 31274499 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Shyu HN, Li PH, Liu SK, Chiang YY Tags: Ann Card Anaesth Source Type: research

Chronic sternal wound fistula after coronary artery bypass surgery: A case series.
We report and evaluate the outcomes of five cases involved in chronic sternal osteomyelitis who were treated with two different strategies as follows: (1) debridement and secondary healing (conventional treatment), and (2) debridement and omental flap transfer for primary wound closure. All of the patients had acceptable results after treatment, but those who were managed by omental flap and primary wound closure had better cosmetic results and a shorter hospital stay. PMID: 31274500 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Mali S, Abyari N, Sarebanhassanabadi M Tags: Ann Card Anaesth Source Type: research

Inadvertent carotid artery cannulation with malposition of catheter tip in right ventricle in tetralogy of fallot patient undergoing total intracardiac repair - A case report.
We report a rare case of inadvertent cannulation of internal carotid artery in patients of tetralogy of Fallot undergoing intracardiac repair during an attempt to cannulate internal jugular vein. PMID: 31274501 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Negi SL, Damodaran S, Gaurav KP, Sevta P, Singla A Tags: Ann Card Anaesth Source Type: research

Gerbode defect formation two decades after tetrology of fallot repair.
We describe herein a patient who initially underwent repair of tetralogy of Fallot (TOF). Years after TOF repair, he developed severe dyspnea. Extensive evaluation revealed that he had developed a Gerbode defect. Very few cases of acquired Gerbode defect have been previously reported. Management options are predominantly surgical interventions. PMID: 31274502 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Ambesh P, Hirsch M, Tobin-Hess A, Kazmi D, Kapoor A, Shetty V, Kamholz S Tags: Ann Card Anaesth Source Type: research

Inferior vena cava filter removal - Hope for the best and prepare for the worst: An anesthesiology perspective.
Abstract A patient presented to our institution for an elective removal of an inferior vena cava (IVC) filter under local anesthesia. Once removed, it was noticed that the filter had a missing secondary leg. The patient had a chest CT done which showed a hyper-attenuating structure in the region of the tricuspid valve highly suspicious for the fractured strut of the filter. Upon these findings, the patient was taken once again to the surgical suite for an endovascular retrieval of the strut. For fear of a possible cardiac injury and a potential need for a sternotomy, the patient received general anesthesia and was...
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Poliwoda S, Suthar R, Suraci N, Garcia P, Behrens V, Goldman H Tags: Ann Card Anaesth Source Type: research

Preoperative "R wave amplitude variation" on electrocardiogram predicts severe hypovolemia.
We report a case of 44-year-old female posted for total mastectomy with axillary clearance for carcinoma breast, with prolonged fasting where preoperative R wave amplitude variation along with associated changes in the plethysmograph was noticed on the monitor. 500 milliliters of lactated ringer solution was administered before induction of anesthesia, by the time R wave amplitude variation decreased. Variations in plethysmography became normal after 1 L of fluid administration after induction of anesthesia. Gross R wave amplitude variation is not a very common finding and may predict severe hypovolemia in preoperative are...
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Solanki SL, Kumar PP, Ambulkar RP Tags: Ann Card Anaesth Source Type: research

Hydatid cyst in interventricular septum.
PMID: 31274505 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Alami B, Boujraf S, Alaoui-Lamrani Y, Boubbou M, Maaroufi M Tags: Ann Card Anaesth Source Type: research

Digital X-ray: Not so indefectible!
PMID: 31274506 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Dixit A, Sharan S Tags: Ann Card Anaesth Source Type: research

Volume change following valsalva: A Valuable tool to be incorporated in the stepwise technique for central venous catheter placement under ultrasound guidance: An opinion.
PMID: 31274507 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - July 1, 2019 Category: Anesthesiology Authors: Patil VP, Bakshi SG, Singh H Tags: Ann Card Anaesth Source Type: research

Argon: The Future Organ Protectant?
PMID: 30971590 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Nair SG Tags: Ann Card Anaesth Source Type: research

Propofol for sedation for direct current cardioversion.
Abstract Direct current cardioversion is a low-risk and standard procedure to restore normal sinus rhythm in patients with tachyarrhythmias. It requires sedation to facilitate the procedure, as it is painful and distressful. The preferred anesthetic drug must be short acting, producing conscious sedation, to enable rapid recovery after the procedure. In this sense, this narrative review focuses on the critical analysis of recent randomized studies and presents about the safety and effectiveness of propofol, comparing it with other established sedatives, mainly etomidate and midazolam. The research was performed on...
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Wafae BG, da Silva RMF, Veloso HH Tags: Ann Card Anaesth Source Type: research

A complete review of preclinical and clinical uses of the noble gas argon: Evidence of safety and protection.
Abstract The noble gas argon (Ar) is a "biologically" active element and has been extensively studied preclinically for its organ protection properties. This work reviews all preclinical studies employing Ar and describes the clinical uses reported in literature, analyzing 55 pertinent articles found by means of a search on PubMed and Embase. Ventilation with Ar has been tested in different models of acute disease at concentrations ranging from 20% to 80% and for durations between a few minutes up to days. Overall, lesser cell death, smaller infarct size, and better functional recovery after ischemia hav...
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Nespoli F, Redaelli S, Ruggeri L, Fumagalli F, Olivari D, Ristagno G Tags: Ann Card Anaesth Source Type: research

Terlipressin versus norepinephrine to prevent milrinone-induced systemic vascular hypotension in cardiac surgery patient with pulmonary hypertension.
Conclusion: The use of terlipressin after milrinone will reverse systemic hypotension with lesser effect on the pulmonary artery pressure. PMID: 30971593 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Abdelazziz MM, Abdelhamid HM Tags: Ann Card Anaesth Source Type: research

Comparison of full outline of unresponsiveness score and Glasgow Coma Scale in Medical Intensive Care Unit.
Abstract Context: The Glasgow Coma Scale (GCS) is the most commonly used scale, and Full Outline of Unresponsiveness (FOUR) score is new validated coma scale as an alternative to GCS in the evaluation of the level of consciousness. Aim: The aim of the current study was to evaluate FOUR score and GCS ability in predicting the outcomes (Survivors, nonsurvivors) in Medical Intensive Care Unit (MICU). Setting and Design: This was an observational and prospective study of 300 consecutive patients admitted to the MICU during a 14 months' period. Materials and Methods: FOUR score, GCS score, and demographi...
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Ramazani J, Hosseini M Tags: Ann Card Anaesth Source Type: research

In search of a better measuring scale of consciousness.
PMID: 30971595 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Kalita J, Misra UK Tags: Ann Card Anaesth Source Type: research

The effect of perioperative magnesium sulfate on blood sugar in patients with diabetes mellitus undergoing cardiac surgery: A double-blinded randomized study.
Abstract Objective: The aim of the present study was to evaluate the perioperative effect of magnesium infusion on blood sugar level in patients with diabetes mellitus undergoing cardiac surgery. Design: This was a double-blind randomized study. Setting: The study was conducted at cardiac center. Patients: The study included 122 adult patients. Intervention: Group M - The patients received a continuous infusion of magnesium sulfate (without a loading dose) at 15 mg/kg/h. The infusion rate was started 20 min before induction maintained during surgery and the first postoperative 24 h. The medicat...
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Soliman R, Nofal H Tags: Ann Card Anaesth Source Type: research

The effect of cerebral oximeter use on the shunt placement concerning carotid endarterectomy surgery.
Conclusions: Cerebral monitoring in elective CAE operations has great importance in determining the necessity of using intraluminal shunt to reduce the complications that may occur. PMID: 30971597 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Ceyhan D, Ovali C Tags: Ann Card Anaesth Source Type: research

Hyperkalemia in ambulant postcardiac surgery patients during combined therapy with angiotensin-converting enzyme inhibitor, spironolactone, and diet rich in potassium: A report of two cases and review of literature.
Conclusion: In India, many patients are from a low socioeconomic background and often resort to cheap and filling food items like bananas. This dietary factor should be kept in mind while prescribing patients with these medications and adequate counseling regarding diet should be done. PMID: 30971598 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Dixit A, Majumdar G, Tewari P Tags: Ann Card Anaesth Source Type: research

Perioperative anesthesia management for pulmonary endarterectomy: Adopting an established European Protocol for the Asian Population.
Conclusion: We have demonstrated that with careful planning and a well-outlined protocol, anesthesia for PEA in an Asian population can be achieved with favorable outcomes. Further fine-tuning of the protocol is still required based on local expertise. PMID: 30971599 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Chen Y, Tan Z, Shah SS, T Loh KW Tags: Ann Card Anaesth Source Type: research

A comparative study of safety and efficacy of ultrasound-guided infra-clavicular axillary vein cannulation versus ultrasound-guided internal jugular vein cannulation in adult cardiac surgical patients.
Conclusion: The study shows that the US-guided AV cannulation may serve as an effective alternative to the IJV cannulation in cardiac surgery. PMID: 30971600 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Shinde PD, Jasapara A, Bansode K, Bunage R, Mulay A, Shetty VL Tags: Ann Card Anaesth Source Type: research

Female Gender is not a Risk Factor for Early Mortality after Coronary Artery Bypass Grafting.
Abstract Background: The female gender is considered as a risk factor for morbidity and mortality after coronary artery bypass grafting (CABG). Aim: In this analysis, we assessed the impact of female gender on early outcome after CABG. Study Design: This is a retrospective analysis of data from our center situated in South India. Statistical Analysis: Patients were categorized according to gender and potential differences in pre-operative and post-operative factors were explored. Significant risk factors were then built in a multivariate model to account for differences in predicting gender influenc...
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Gurram A, Krishna N, Vasudevan A, Baquero LA, Jayant A, Varma PK Tags: Ann Card Anaesth Source Type: research

Comparison of grading of aortic stenosis between transthoracic and transesophageal echocardiography in adult patients undergoing elective aortic valve replacement surgeries: A prospective observational study.
Abstract Introduction: Intraoperative trans-esophageal echocardiography (TEE) has been found to underestimate severity of aortic stenosis (AS) compared to trans-thoracic echo (TTE). We conducted a prospective study comparing pre induction TTE and intra operative TEE grading of AS in patients posted for aortic valve replacement surgeries. Methods: Sixty patients with isolated AS who were undergoing aortic valve replacement were enrolled in our study. Baseline TTE was done and after induction of anesthesia, TEE was done. Mean gradient across aortic valve, peak jet velocity, aortic valve area (AVA) by continuity...
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Nanditha S, Malik V, Hasija S, Malhotra P, Sreenivas V, Chauhan S Tags: Ann Card Anaesth Source Type: research

The utilization spectrum of cardiac output monitoring devices among anesthesiology programs across Veterans Health Administration in the United States.
Conclusion: Many anesthesiologists have placed emphasis on the importance of CO monitoring within the intensive care setting. However, physicians are still faced with multiple options in terms of how they wish to specifically monitor this hemodynamic variable. Factors that influence such decisions include the time of physician's residency training along with patient and clinical case characteristics. PMID: 30971603 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Porhomayon J, Pourafkari L, Mahmoodpoor A, Nader ND Tags: Ann Card Anaesth Source Type: research

Acute renal failure due to bilateral renal vein thromboses: A rare complication of heparin-induced thrombocytopenia.
Abstract Heparin-induced thrombocytopenia type II is a rare but devastating complication of heparin exposure. We review a case of a 66-year-old female who underwent aortic valve surgery requiring venoarterial extracorporeal membranous oxygenation (ECMO) support postoperatively. She subsequently developed acute renal failure due to bilateral renal vein thromboses and thrombocytopenia and was found to have platelet factor 4/heparin antibodies and was diagnosed with heparin-induced thrombocytopenia (HIT). She was transitioned to nonheparin anticoagulation and her thrombocytopenia improved. Although a rare complicatio...
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Klompas AM, Albright RC, Maltais S, Demirci O Tags: Ann Card Anaesth Source Type: research

Postoperative hyperbilirubinemia and Gilbert's syndrome in patients undergoing cardiac surgery.
We report a series of seven patients with Gilbert's syndrome undergoing cardiac surgery. Early and transient increase of total, direct, and indirect bilirubin without other complications was observed. Although this is a benign process, we believe that this disease should be routinely included in the differential diagnosis of postoperative jaundice after cardiopulmonary bypass. PMID: 30971605 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Fernández AL, Baluja A, Al-Hamwy Z, Alvarez J Tags: Ann Card Anaesth Source Type: research

Cardiac arrest after induction of anesthesia in a 2-month-old infant with undiagnosed Williams syndrome.
Abstract A 2-month-old male infant presented for elective repair of inguinal hernias. His preoperative medical history and physical examination were unremarkable. During induction of anesthesia, the infant sustained an adverse cardiac event. The event was characterized by tachycardia, hypotension, and massive ST-segment elevation. Despite vigorous resuscitation, spontaneous hemodynamic stability could not be achieved and extracorporeal membrane oxygenation was required. A transthoracic echocardiogram revealed severe hypoplasia of the ascending aorta. As effective cardiac function did not recover and there was evid...
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Dunlap JD, Green MC, Shah AM, Kibby BT, Billmire DF Tags: Ann Card Anaesth Source Type: research

Intraoperative sudden cardiac death in pediatric patients - Calamity yet to overcome?
PMID: 30971607 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Annachhatre AS Tags: Ann Card Anaesth Source Type: research

Perioperative management of a patient with double orifice mitral valve with supramitral ring with subaortic membrane with ventricular septal defect and severe pulmonary hypertension: Report of a rare case.
We present a first report of a patient with a DOMV with supramitral ring (SMR), subaortic membrane (SAM), a large ventricular septal defect (VSD) with more than 50% aortic override, and severe pulmonary arterial hypertrophy (PAH). This patient underwent excision of the SAM, and SMR, with closure of the VSD together under cardiopulmonary bypass (CPB). However postoperatively, the patient developed an irreversible fatal pulmonary hypertensive crisis (PHC), immediately after transferring the patient to the cardiac intensive care unit from the operating room (OR). The PHC was refractory to intravenous and inhaled milrinone and...
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Datt V, Khurana P, Aggarwal S, Mishra S, Sujith CN, Virmani S Tags: Ann Card Anaesth Source Type: research

Sternal osteomyelitis by Gordonia Bronchialis in an immunocompetent patient after open heart surgery.
Abstract Gordonia is a catalase-positive, aerobic, nocardioform, Gram-positive staining actinomycete that also shows weak acid-fast staining. Several Gordonia species are commonly found in the soil. The bacterium has been isolated from the saliva of domesticated/wild dogs as well. In hospitalized patients, most commonly it is found in the setting of intravascular catheter-related infections. However, recent reports show that it is being increasingly isolated from sternal wounds, skin/neoplastic specimens and from pleural effusions. Gordonia shares many common characteristics with Rhodococcus and Nocardia. Ergo, it...
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Ambesh P, Kapoor A, Kazmi DH, Elsheshtawy M, Shetty V, Lin YS, Kamholz S Tags: Ann Card Anaesth Source Type: research

Aortic rupture during endovascular repair of a postoperative coarctation pseudoaneurysm in an adult: Emergency lifesaving stent graft implantation.
We present a case with aortic rupture during an operation of thoracic endovascular aortic repair of an anastomotic pseudoaneurysm. This happened after the use of a low-pressure remodeling balloon inside the covered part of the deployed endografts. It was successfully treated with a second more centrally in the aortic arch-implanted endograft with full coverage of the left subclavian artery orifice. This patient had a history of surgically operated aortic coarctation. PMID: 30971610 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Kratimenos T, Patris V, Baikoussis NG, Tomais D, Samiotis I, Argiriou M Tags: Ann Card Anaesth Source Type: research

Unusual case of intraoperative acute cor pulmonale during spine surgery.
We present a case where the patient had these changes after changing the position after spine surgery in prone position. A quick response from the treating anesthesiologist and active involvement of cardiologist helped in reaching the diagnosis and successful management of aspiration pneumonitis in this patient. We conclude that a quick response in investigations and multimodality approach helps in the management of such perioperative complications. PMID: 30971611 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Mohan B, Garg P, Bali R, Arya R, Tandon R, Goyal A, Singh B, Chhabra ST, Aslam N, Wander GS Tags: Ann Card Anaesth Source Type: research

Nonopioid Analgesics for Managing Postoperative Pain after Cardiothoracic Surgeries.
PMID: 30971612 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Nair AS Tags: Ann Card Anaesth Source Type: research

In response to: Non opioid analgesics for managing postoperative pain after cardiothoracic surgeries.
PMID: 30971613 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Lupindula Nachiyunde BS, Lam L Tags: Ann Card Anaesth Source Type: research

Effect of chloride liberal fluids on renal and metabolic profiles of patients undergoing off-pump CABGs.
PMID: 30971614 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Parida S, Patil P, Bidkar PU, Panneerselvam S, S Satyaprakash MV Tags: Ann Card Anaesth Source Type: research