Role of hypothermia in adult cardiac surgery patients: a systematic review and meta-analysis
To review studies that assessed systemic hypothermia as an organ protection strategy in adult cardiac surgery with cardiopulmonary bypass. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 27, 2022 Category: Anesthesiology Authors: Riccardo Giuseppe Abbasciano, Marinos Koulouroudias, Thomas Chad, Walid Mohamed, Irene Leeman, Carol Pellowe, Gudrun Kunst, Andrew Klein, Gavin James Murphy Tags: Original Article Source Type: research

Utility of Transfontanelle Ultrasound in Predicting the Fluid Responsiveness in Children After Repair of Congenital Heart Diseases- A Prospective Observational Study
: The post-operative fluid management in children undergoing cardiac surgery requires a balanced optimization. The blood flow velocity variation in internal carotid artery ( ΔICA) measured through transfontanelle ultrasound has been shown to predict fluid responsiveness during cardiac surgery. It may provide an excellent window to study fluid responsiveness in infants during post-operative period when the intensivist is faced with the challenges of poor echocardiograph ic window. We aimed to observe the correlation between ΔICA measured on transfontanelle ultrasound with the respiratory variability of peak aort...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 27, 2022 Category: Anesthesiology Authors: Avneet Singh, Bhupesh Kumar, Goverdhan Dutt Puri, Shyam Kumar Singh Thingnam, Sunder Lal Negi, Subrashsih Guha Niyogi Source Type: research

The Many Faces of the Interatrial Septum: A Diagnostic Dilemma and Considerations for Defect Closure Device Selection
Patent foramen ovale (PFO) and ostium secundum atrial septal defect (ASD) are two atrial septal pathologies that are amenable to percutaneous transcatheter closure. The anatomic proximity of these pathologies can render them challenging to image and differentiate, especially in cases of inadequate or difficult imaging such as an aneurysmal interatrial septum, and the variations in procedural steps and devices used for closure of each defect can impact the overall outcome. Structural heart cases involving septal defects can pose challenges to the heart team, and the clinical decisions must be driven by integrating multimoda...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 27, 2022 Category: Anesthesiology Authors: Daniel McGrail, Sankalp Sehgal, Mark K. Tuttle, Roger Laham, Kiran Belani Tags: Case Report Source Type: research

Early is good, but is immediate better? Considerations in fast track extubation after cardiac surgery
With the development of enhanced recovery after surgery protocols, and the extension of these practices to the cardiac surgery realm, we are constantly examining the perioperative care of cardiac surgical patients. Of the enhanced recovery measures, the topic of extubation practices continues to be debated. It has been well described that fast track extubation is both beneficial and safe for the appropriate candidate after cardiac surgery (Horswell 2005, Chamchad 2010).1,2 The article by Brovman et al. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 24, 2022 Category: Anesthesiology Authors: Megan Chacon, Nicholas W. Markin Tags: Editorial Source Type: research

Perioperative outcomes and cardiovascular research on the African continent
Cardiovascular disease (CVD) is the leading cause of death in the world. Over three quarters of this mortality burden is carried by low and middle-income countries (LMIC).1 This problem is amplified when considering the population in LMIC is five times greater than high-income countries.2 (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 24, 2022 Category: Anesthesiology Authors: Christella S. Alphonsus, Justiaan Swanevelder, Bruce M. Biccard Source Type: research

Central Venous Catheter Tip Malposition Following Internal Jugular Vein Cannulation In Pediatric Patients With Congenital Heart Disease
Internal jugular vein cannulation is a routinely performed procedure during pediatric cardiac surgery. As can be expected with any invasive technique, there are well-documented adverse events associated with central venous catheter [CVC] insertion through the neck and thorax.1,2 An undesirable consequence is the malpositioning of the tip of the CVC in a vessel other than the superior vena cava.2 Currently there is no data available in pediatric cardiac patients comparing the incidence of a CVC tip malposition with the right internal jugular vein [RIJV] approach as against the left internal jugular vein [LIJV] approach. (So...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 24, 2022 Category: Anesthesiology Authors: Dr. Madan Mohan Maddali, Dr. Karima Rashid Salim Al Aliyani, Dr. Nishant Ram Arora, Mr. Panchatcharam Murthi Sathiya Tags: Original Article Source Type: research

Clinical importance of quantitative assessment of myocardial blood flow
Ever since Werner Forssmann performed the first right heart catheterization in a human (on himself!) in 1929, physicians have been investigating the anatomy and physiology of coronary blood flow.1 Diagnostic cardiac catheterization was introduced in the 1940s, selective coronary angiography techniques developed in the 1960s, and catheter-based interventions pioneered in the 1970s.1 However, when the Senior Author of this Editorial graduated from medical school in 1987, approaches to studying coronary blood flow in humans (thermodilution, gas clearance, densitometry, electromagnetic/Doppler flow probe assessment, positron-e...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 23, 2022 Category: Anesthesiology Authors: Danisa Daubenspeck, Mark A. Chaney Source Type: research

Mitral regurgitation in obstructive hypertrophic cardiomyopathy: Systolic anterior motion or a more unusual cause?
A 52-year-old, 100 kg, 191 cm transitioned woman receiving hormonal therapy with a history of hypertension, hyperlipidemia, tobacco abuse, and known coronary artery disease presented to a community hospital with recurrent chest pain and dyspnea. An electrocardiogram demonstrated new ST-segment elevation consistent with an anterior wall myocardial infarction. The patient was taken to the cardiac catheterization laboratory where drug-eluting stents were implanted in the left anterior descending and diagonal coronary arteries. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 23, 2022 Category: Anesthesiology Authors: Steven R. Kapeles, Dustin Hang, Cagla S. Muslu, Paul S. Pagel, Brent T. Boettcher Source Type: research

Tracheal stent buckling and in-stent stenosis: a case report and proposed airway management algorithm for airway obstruction for patients with tracheal stents
We describe the effective management of a 57-year-old morbidly obese male who presented with acute airway obstruction and respiratory failure. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 23, 2022 Category: Anesthesiology Authors: A/Prof Laurence Weinberg, Dr Jon Graham, Dr Joshua Meyerov, Dr James Adam Moshinsky, Dr Sarah Aishah Azlina Aitken, Dr Manfred Spanger, Dr Simon Knight Tags: Case Report Source Type: research

Ventricular Assist Devices: Improving Lives of Children with Heart Failure
Mechanical circulatory support (MCS) is an important therapeutic option for children with decompensated heart failure. There has been a tremendous increase in the utilization of ventricular assist devices (VAD) over the past several decades, in large part due to the development of devices suitable for smaller patients.1-3 Nonetheless, the pediatric experience is still in its infancy and application of this technology across a heterogeneous population comprised of children with single and biventricular congenital heart disease (CHD), primary cardiomyopathies, and acquired heart disease is challenging. (Source: Journal of Ca...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 22, 2022 Category: Anesthesiology Authors: Eleonore Valencia, Viviane G. Nasr Tags: Editorial Source Type: research

Inhaled selective pulmonary vasodilator use following cardiac surgery: broader insights from a study describing significant changes in drug utilization and savings after implementation of a guideline favoring inhaled epoprostenol
In the armamentarium of treatment modalities for severe pulmonary hypertension, right ventricular (RV) failure and refractory hypoxemia in the setting of cardiac surgery, inhaled selective pulmonary vasodilators are regarded as an important therapeutic tool. When observed, the physiological benefits of these agents are immediate: by inducing pulmonary vasodilation, both inhaled nitric oxide (iNO) and inhaled epoprostenol (a synthetic prostacyclin, or prostaglandin I2 analogue) unload the RV, leading to improvements in pulmonary artery pressures, RV function and cardiac output; consistent with their selective delivery to ve...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 22, 2022 Category: Anesthesiology Authors: Vanessa G. Henke Tags: Editorial Source Type: research

Pharmacokinetics of Cefazolin in Obese Patients Undergoing Surgery Requiring Cardiopulmonary Bypass
Our objective was to determine the adequacy of an institutional standard dosing practice for infection prophylaxis in open cardiac surgery in patients greater than 120 kg, undergoing cardiopulmonary bypass. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 20, 2022 Category: Anesthesiology Authors: Justin Poltak, Christopher Connors, David Nicolau, Jiajun Liu, Nicholas J. Mercuro, Minkey Wungwattana Tags: Original Article Source Type: research

Feasibility and usefulness of self-hypnosis in patients undergoing double-lung transplantation during the pre and postoperative periods: A randomized study
INTRODUCTION (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 20, 2022 Category: Anesthesiology Authors: Mireille Michel-Cherqui, Barbara Szekely, Julien Fessler, Matthieu Glorion, Edouard Sage, Morgan Le Guen, Julie Trichereau, Alexandre Vall ée, Marc Fischler Tags: Original Article Source Type: research

Predicting the Response of Hydroxocobalamin in Postoperative Vasoplegia in Recipients of Cardiopulmonary Bypass
The primary aim of this study was to identify predictors of response to hydroxocobalamin. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 20, 2022 Category: Anesthesiology Authors: Nicholas Vollmer, Patrick M. Wieruszewski, Nathaniel Martin, Troy Seelhammer, Erica Wittwer, Christoph Nabzdyk, Kristin Mara, Scott D. Nei Tags: Original Article Source Type: research

Percutaneous Right Ventricular Mechanical Circulatory Support- Analysis of Recent Data
Right ventricular (RV) failure in post cardiotomy patients is a potentially lethal pathophysiological state that requires rapid diagnosis and correction to prevent clinical deterioration and death. In combination with medical management, percutaneous right ventricular assist devices (RVAD) enjoy growing popularity as they have emerged to be a safe and viable option to bridge to recovery, durable mechanical circulatory support or heart transplant. Recent data from the Impella RP, Tandem right heart device (TH-RVAD), Protek Duo and Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) presented and compared demonstrate...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 20, 2022 Category: Anesthesiology Authors: Carson Welker, Jeffrey Huang, Ivan Nunez-Gil, MA. Villavicencio, Harish Ramakrishna Tags: Expert Review Source Type: research

Perioperative Management of Hereditary Factor V Deficiency: Timing of Plasma Administration is Critical in Maximizing Hemostatic Potency of Transfused Factor V
We read the case report regarding the peri-procedural management of hereditary factor V (FV) deficiency by Fitzsimons et al. with great interest.1 The authors are congratulated for successfully managing a challenging situation where multiple units of fresh frozen plasma (FFP) had to be transfused in an elderly patient with severely decreased left ventricular function. No purified FV concentrate is currently available for clinical use,2 and thus FFP administration is the only therapeutic option. While the authors concisely described the limitations of FFP transfusion in FV replacement, we felt it worthwhile to provide addit...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 18, 2022 Category: Anesthesiology Authors: Kenichi A. Tanaka, Kofi VanDyck, Shashank S. Shettar, Marcos Gomes Tags: Letter to the Editor Source Type: research

Intraoperative Oxygen Practices in Cardiac Surgery - A National Survey
GLOSSARY OF TERMS: Cardiopulmonary bypass (CPB), Research Electronic Data Capture (REDCap), American Society of Extracorporeal Technology (AmSECT), American Board of Cardiovascular Perfusion (ABCP), Society of Cardiovascular Anesthesiologists (SCA), Reactive oxygen species (ROS), Fraction of inspired oxygen (FiO2), Partial pressure of arterial oxygen (PaO2), Peripheral arterial oxygen saturation (SpO2), IQR (interquartile range) (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 18, 2022 Category: Anesthesiology Authors: Anthony Calhoun, Ameeka Pannu, Ariel L. Mueller, Omar Elmadhoun, Juan D. Valencia, Megan L. Krajewski, Brian P. O'Gara, Anastasia Katsiampoura, Sean T. O'Connor, Louis Chu, Erika Monteith, Puja Shankar, Kyle Spear, Shahzad Shaefi Tags: Original Article Source Type: research

Cerebrospinal Fluid Drains: Risks in Contemporary Practice
Cerebrospinal fluid (CSF) drainage is commonly performed in thoracoabdominal aortic repair surgery as part of a neuroprotective strategy to prevent spinal cord injury. Whilst there is strong evidence for CSF drainage in open aortic repair, the benefit in endovascular surgery is limited. The reduced efficacy of CSF drainage in endovascular aortic repair procedures may be explained by the relatively short duration of balloon occlusion of the proximal descending aorta compared with prolonged cross-clamping of the descending aorta during open surgery. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 18, 2022 Category: Anesthesiology Authors: Chi Ho CHAN, Suneel Ramesh DESAI, Nian Chih HWANG Source Type: research

Perioperative Management of Pulmonary Hypertension During Cardiac Surgery: A Call for Interdisciplinary Networking.
Pulmonary hypertension (PH) is a multifaceted condition displaying pre-capillary, isolated post-capillary, and combined features due to a heterogeneous spectrum of underlying diseases. To date, specific pharmacological treatment options are only available for patients with pulmonary arterial hypertension (PAH, group I of the clinical classification of PH) and for patients with chronic thrombo-embolic pulmonary hypertension (CTEPH, group IV), who are considered inoperable. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 17, 2022 Category: Anesthesiology Authors: Daniel Dumitrescu, Andreas Koster, Gabor Erdoes, Andre Y. Denault Source Type: research

A Big Step in the Right Direction but Still Much to Iron Out
Patient Blood Management (PBM) as an essential component of perioperative management in both children and adults has rightly garnered a great deal of attention lately 1,2,3. Unfortunately, like most perioperative initiatives associated with meaningful improvements in outcomes implementing and sustaining initiatives is always more difficult than it would appear. It makes perfect sense that presenting for cardiac surgery, or any surgery where blood loss is likely, in a non-anemic state would be beneficial to the patient 4. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 15, 2022 Category: Anesthesiology Authors: James A. DiNardo Tags: Editorial Source Type: research

Urgent/Emergent MitraClip Therapy in Decompensated Heart Failure — Afterload Mismatch Treatment May Improve Short and Intermediate Cardiovascular Outcomes
Mitral regurgitation (MR) is a common valvular heart pathology in the United States — prevalent in about 1.7% of the population — and is associated with considerable morbidity and mortality.1,2 Clinical symptoms develop as the regurgitant volume becomes hemodynamically significant and causes left ventricular dilation and dysfunction, left atrial hypertension, atrial arrhythmias , pulmonary vascular congestion, and right heart dysfunction. Traditionally, the treatment of MR has targeted eliminating the regurgitant blood volume with guideline directed medical therapy (GDMT), cardiac resynchronization therapy (CRT...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 14, 2022 Category: Anesthesiology Authors: Manoj H. Iyer, Andrew Denney, Hamdy Awad, Michael Essandoh Tags: Editorial Source Type: research

Masthead
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 13, 2022 Category: Anesthesiology Source Type: research

Editorial Board
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 13, 2022 Category: Anesthesiology Source Type: research

Contents
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 13, 2022 Category: Anesthesiology Source Type: research

Articles to Appear in Future Issues
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 13, 2022 Category: Anesthesiology Source Type: research

Guide for Authors
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 13, 2022 Category: Anesthesiology Source Type: research

The Use of Transoesophageal Doppler and Central Venous Oxygen Saturation as Predictors of Weaning Success
: Weaning individuals from mechanical ventilation (MV) is a challenge to physicians. Respiratory failure is the main reason for weaning failure (WF), but heart failure plays a pivotal role as well. Transoesophageal Doppler (TED) is a minimally invasive method of haemodynamic tracking with fewer problems. We evaluated the role of TED in predicting WF. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 13, 2022 Category: Anesthesiology Authors: Hanan Mohamed Mohamed Mohamed Mostafa, Mohamed Amr Abd El-Fattah Mattar, Niveen Mahmoud Abd El-Malek Gouda, Ahmed Abdelaal Ahmed Mahmoud M. Alkhatip, Mohamed Khaled Mohamed Hamza Source Type: research

Critical preoperative hemoglobin value to predict anemia-related complications after cardiac surgery
Introduction (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 13, 2022 Category: Anesthesiology Authors: Fehmi Kattou, Olivier Montandrau, Mohamed Rekik, Philippe Delentdecker, Kais Brini, Konstantinos Zannis, Marc Beaussier Source Type: research

Electrocardiographic Features and Outcome Correlations in 124 Hospitalized COVID-19 Patients with Cardiovascular Events
Electrocardiographic (ECG) changes have been associated with COVID-19 severity. However, the progression of ECG findings in COVID-19 patients has not been studied. The purpose of this study was to describe ECG features at different stages of COVID-19 cardiovascular (CV) events and to examine the effects of specific ECG parameters and cardiac-related biomarkers on clinical outcomes in COVID-19. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 13, 2022 Category: Anesthesiology Authors: Pavani Nathala, Vidyulata Salunkhe, Harideep Samanapally, Qian Xu, Stephen Furmanek, Omar F. Fahmy, Fnu Deepti, Alex Glynn, Trevor McGuffin, Dylan C. Goldsmith, Jessica Petrey, Tshura Ali, Derek Titus, Ruth Carrico, Julio Ramirez, Demetra Antimisiaris, Se Tags: Original Article Source Type: research

Quo Vadis CASUS? From predicting to impacting outcomes in cardiac surgery
Prognosis models in the intensive care unit (ICU) such as the Cardiac Surgery Risk Score (CASUS) are expected to facilitate risk-adjustment of outcome data, objective communication of a patient's condition, and provide guidance regarding clinical decision-making and resource allocation (Hekmat et al. 2005). We welcome the contributions made by Sudarsanan et al., in their recent publication, assessing the external validity of CASUS in a relatively understudied population (Sudarsanan et al. 2021). (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 13, 2022 Category: Anesthesiology Authors: Juan C. Diaz-Soto, Etienne J. Couture, Christoph G.S. Nabzdyk Tags: Editorial Source Type: research

Anesthesia in Children with Pulmonary Hypertension: Clinically Significant Serious Adverse Events Associated with Cardiac Catheterization and Non-Cardiac Procedures
Introduction (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 13, 2022 Category: Anesthesiology Authors: Mary Lyn Stein, Steven J. Staffa, Amy O'Brien Charles, Ryan Callahan, James A. DiNardo, Viviane G. Nasr, Morgan L. Brown Tags: Original Article Source Type: research

Left atrial appendage confusion: a mobile echodensity in a patient with endocarditis
A 50-year-old, 70 kg, 172 cm man with known bicuspid aortic valve disease and severe aortic insufficiency presented to the authors ’ institution with a three-day history of “pulsating” chest pain, dyspnea with exertion, and bilateral lower extremity swelling. The patient was previously hospitalized on several occasions for treatment of recurrent Streptococcus cristatus bacteremia originating from poor dentition. He was al so receiving apixaban for treatment of a cephalic vein thrombosis. The physical examination was notable for sinus tachycardia (122 beats/min), grade III/VI systolic and diastolic murmurs...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 11, 2022 Category: Anesthesiology Authors: Dustin Hang, Michael C. Schmitt, Laura S. Gonzalez, Amber Zdanovec, Paul S. Pagel Tags: Diagnostic Dilemma Source Type: research

Does the volume and constitution of cardiopulmonary bypass priming fluids affect blood loss post cardiac surgery in children?
Pediatric patients, especially neonates and infants, undergoing cardiac surgery are at particularly high risk for developing surgical bleeding. After separation from cardiopulmonary bypass (CPB), excessive bleeding in children frequently requires the administration of large volumes of blood products to achieve hemostasis. In the operating room, this period of bleeding and transfusion of blood products is associated with hemodynamic instability, prolonged operation time, hypothermia, and the need for escalating inotropic support. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 8, 2022 Category: Anesthesiology Authors: John S. Kim, W Cory Ellis, Richard J Ing Tags: Editorial Source Type: research

We enter the bridge and start to run out of time.
Techniques for short-term temporary mechanical circulatory support (MCS) of the failing heart and lungs are evolving. In the current issue of the Journal of Cardiothoracic and Vascular Anesthesia, Loforte and colleagues provide a comprehensive review of indications, patient selection and timing of implantation for contemporary MCS devices used as a bridge until cardiac function recovers or until a more permanent therapy can be employed.1 (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 8, 2022 Category: Anesthesiology Authors: Michiel Morshuis, Gabor Erdoes, Andreas Koster, Matthias Siepe Source Type: research

Gender Disparities in Cardiac Surgery Outcomes - The Trajectory of Change
Research in gender-based outcomes after coronary artery bypass surgery (CABG) has garnered tremendous interest in the last two decades. A simple PubMed search of “gender differences in CABG” yields over 1000 articles. The literature is at once robust in the abundance of scientific research into gender disparities, yet also stagnant in the evaluation of preventative or causative factors. In this issue of the Journal, Bell and colleagues1 present a large d atabase study evaluating postoperative acute renal insufficiency (AKI) as a causative factor for worse outcomes in women after CABG. (Source: Journal of Cardio...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 7, 2022 Category: Anesthesiology Authors: Richa Dhawan Tags: Editorial Source Type: research

Outcomes after Bidirectional Glenn Shunt in a Tertiary Pediatric Hospital in South Africa
Six decades after its introduction, the bidirectional Glenn shunt (BDG) remains a vital step for many patients undergoing single-ventricle palliation. The BDG is a palliative procedure which plays a crucial role in altering the circulation and ventricular preload of the single ventricle. Large datasets have been published on short- and long-term outcomes following BDG in high-income countries (HICs)[1,2,3], but data from low- and middle-income countries (LMICs) are few and often limited to the immediate postoperative period. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 7, 2022 Category: Anesthesiology Authors: Heidi M Meyer, Danai Marange-Chikuni, Liesl Z ühlke, Beyra Roussow, Paul Human, Andre Brooks Tags: Original Article Source Type: research

Acute Thrombocytopenia is More Pronounced in Women After LVAD Implantation
The alterations of platelet count in patients undergoing left ventricular assist device (LVAD) implantation are unkonown. We characterized differences in platelet count between men and women with a “benign” course post LVAD in the absence of stroke, sepsis, the need for other mechanical circulatory support, renal replacement therapy, and prolonged vasopressor support. After Institutional Review Board approval, we retrospectively studied consecutive patients undergoing Heart Mate 2 or 3 imp lantation from April, 2008 until August, 2020. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 7, 2022 Category: Anesthesiology Authors: Assi Milwidsky, Magued W. Haroun, Shivank Madan, Omar Saeed, Ari Feinberg, Seyed F. Marashi, Mayuko Uehara, Stephen J. Forest, Daniel J. Goldstein, Ulrich. P. Jorde Source Type: research

Atrial Arrhythmias During Venovenous ECMO: A Cry for Help?
We read with great interest the work by Li et al in the journal.1 In their work, the authors characterize the incidence and effect on outcomes of new onset atrial arrhythmias in patients undergoing support with venovenous extracorporeal membrane oxygenation (VV ECMO) predominantly for infection related acute respiratory distress syndrome. Of note, this study population was from the time period of January 1st, 2016 to January 1st, 2019 and thus the VV ECMO coronavirus associated infectious disease 2019 (COVID-19) subgroup is not represented by this investigation. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 6, 2022 Category: Anesthesiology Authors: Haval Chweich, Email Naoum, Jamel P. Ortoleva Source Type: research

Effect of volatile anesthetics on myocardial infarction following coronary surgery. A post-hoc analysis of a randomized controlled trial
To investigate the effect of volatile anesthetics on rate of postoperative myocardial infarction (MI) and cardiac death following coronary artery bypass graft (CABG). (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 6, 2022 Category: Anesthesiology Authors: Alberto Zangrillo, Vladimir V. Lomivorotov, Vadim V. Pasyuga, Alessandro Belletti, Gordana Gazivoda, Fabrizio Monaco, Caetano Nigro Neto, Valery V. Likhvantsev, Nikola Bradic, Andrey Lozovskiy, Chong Lei, Nazar A.R. Bukamal, Fernanda Santos Silva, Andrey Source Type: research

Angiotensin II in Patients with Shock on Mechanical Circulatory Support:: A Single Center Retrospective Case Series
Describe angiotensin II (ANG II) use in patients on mechanical circulatory support (MCS). Evaluate the efficacy and safety of ANG II in patients with shock on MCS. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 6, 2022 Category: Anesthesiology Authors: Adham Mohamed, Timothy P Berry, Julie A Welge, Elizabeth L Thomas, Larisa Zhurav, Jonathan Kozinn, Michelle M Haines Source Type: research

Coming to terms with a new normal: Recovery, resilience, and opportunities in a Post-Covid World
The coronavirus pandemic has caused enormous upheaval requiring numerous changes and adjustments not only in our personal lives, but also in our professional worlds. As we begin to imagine a future beyond the immediate crisis caused by COVID-19, we have an opportunity to use this moment of transition and disruption to promote positive change and innovation in our professional environments and professional communities. A reflection on the changes brought by the pandemic, seen in the context of several forces that have been challenging traditional professional structures in the past several decades, provides some insight int...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 3, 2022 Category: Anesthesiology Authors: Daryl Oakes, Emily Methangkool Source Type: research

The Puzzle of TAVR for Bicuspid AS: Still Missing a Piece?
Transcatheter aortic valve replacement (TAVR) was introduced as a therapy reserved for patients with severe, symptomatic and inopearable aortic stenosis (AS) almost 20 years ago. Currently, TAVR is a therapeutic option for patients with severe AS at any degree of estimated surgical risk. TAVR procedures have proliferated as interventional imaging, proceduralists ’ experience and expertise, and requisite TAVR equipment (vascular access sheaths, steering guides, valves, etc) have improved and advanced; multicenter clinical trials have accompanied the investigations seeking to expand TAVR indications, resulting in a rob...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 2, 2022 Category: Anesthesiology Authors: Daniel S. Cormican Source Type: research

Pulmonary Hypertension in Pregnancy: A Positive Outcome with a Multidisciplinary Team and Individualized Treatment Plan
Introduction (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 2, 2022 Category: Anesthesiology Authors: Brian M. Radvansky, Ronak Shah, Jared Feinman, John G. Augoustides, Alexandra Kiers, Joshua Younger, Joseph Sanders, Victoria H. Knott, Rohesh J. Fernando Source Type: research

Renal Resistive Index and Acute Kidney Injury in Aortic Surgery: An Observational Pilot Study
Acute kidney Injury (AKI) is a common perioperative complication in patients undergoing cardiovascular surgery, increasing mortality, morbidities and costs. Recently, growing interest has risen in the use of  renal resistive index (RRI) as predictor of perioperative AKI. Aim of this study was to evaluate the role of RRI variation to identify postoperative AKI. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 2, 2022 Category: Anesthesiology Authors: Ilaria Valeri, Paolo Persona, Emanuele Pivetta, Silvia De Rosa, Rossella Cescon, Enrico Petranzan, Michele Antonello, Franco Grego, Paolo Navalesi Source Type: research

Synchronized Attenuation of Frontal Alpha Wave Power and Mean Arterial Pressure During Cardiopulmonary Bypass
We experienced a case in which a drop in alpha wave power was observed in electroencephalograms (EEGs) on a bispectral index monitor (Medtronic, Minneapolis, MN) in association with a transient reduction in mean arterial pressure despite stable regional cerebral oximetry values during cardiopulmonary bypass. This observation suggested that a transient decrease in cerebral blood flow may have occurred. A 63-year-old man with angina pectoris underwent on-pump coronary artery bypass grafting. In the operating room, neuromonitoring included bilateral frontal regional cerebral oximetry (INVOS ™ 5100C cerebral/somatic oxim...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 2, 2022 Category: Anesthesiology Authors: Ryo Wakabayashi, Hidenori Tanaka, Kenkichi Kiyosawa, Kaori Kimura Kuroiwa, Takumi Shimao, Susumu Ide Tags: Case Report Source Type: research

Single-injection mid-point transverse process to pleura block versus thoracic paravertebral block for postoperative analgesia after uniportal video-assisted thoracoscopic surgery: a randomized controlled trial
The effect of mid-point transverse process to pleura block (MTPB) is unclear. We compared the analgesic characteristics of MTPB with those of thoracic paravertebral nerve block (TPVB) in patients undergoing uniportal video-assisted thoracoscopic surgery (uVATS) and examined the two types of block for noninferiority. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 2, 2022 Category: Anesthesiology Authors: Xu Chen, Jinjing Yang, Min Xia, Hao Wu, Sheng Wang, Wei Zhang Source Type: research

The impact of initial post-operative destination on unplanned critical care admissions after lung resection
INTRODUCTION (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 2, 2022 Category: Anesthesiology Authors: Marcus Taylor, Richard Templeton, Felice Granato, Thomas Eadington, Rajesh Shah, Stuart W Grant Tags: Original Article Source Type: research

A pharmacokinetic and plasmin generation pharmacodynamic assessment of a tranexamic acid regimen designed for cardiac surgery with cardiopulmonary bypass.
Introduction (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 29, 2021 Category: Anesthesiology Authors: Erik R. Strauss, Shuhui Li, Reney Henderson, Ross Carpenter, Dong Guo, Kiruphagaran Thangaraju, Upendra Katneni, Paul W. Buehler, Jogarao V.S. Gobburu, Kenichi A. Tanaka Source Type: research

The Evolution of Temperature Management for Cardiac Surgery: A Historical Perspective
Intraoperative temperature regimen usually is planned preoperatively by a “team.” Selecting and understanding the impact of the temperature regimen (normothermia, or mild, moderate, or severe hypothermia) usually are related to the type of cardiac surgery (eg, using circulatory arrest or open-heart surgery). Cardiopulmonary bypass constitutes a challenging situation f or monitoring temperature because of the rapid and extraordinary degree of heat transferred through the bypass circuit during heating and cooling. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 24, 2021 Category: Anesthesiology Authors: Ignazio Condello, Giuseppe Nasso, Giuseppe Filiberto Serraino, Pasquale Mastroroberto, Flavio Fiore, Giuseppe Speziale, Giuseppe Santarpino Tags: Review Article Source Type: research

Postoperative Pulmonary Complications After Cardiac Surgery: The VENICE International Cohort Study
The objective was to report the incidence and identify risk factors of PPC after cardiac surgery. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 24, 2021 Category: Anesthesiology Authors: Marc-Olivier Fischer, Fran çois Brotons, Anais R. Briant, Koichi Suehiro, Waldemar Gozdzik, Christoph Sponholz, Idar Kirkeby-Garstad, Alexandre Joosten, Caetano Nigro Neto, Jan Kunstyr, Jean-Jacques Parienti, Osama Abou-Arab, Alexandre Ouattara, VENICE s Tags: Original Article Source Type: research