Anesthetic Management of a Patient on Venoarterial Extracorporeal Membrane Oxygenation Undergoing Transcatheter Aortic Valve Implantation
A 41-YEAR-OLD male with a complex history including a bicuspid aortic valve with aortic stenosis, a background of inherited cardiomyopathy, and an implantable cardiac defibrillator for prevention of malignant arrhythmias presented to the cardiology department of our hospital with signs and symptoms of congestive heart failure. He previously had undergone a full workup for transcatheter aortic valve implantation (TAVI), including multidetector computed tomography for annular sizing. A transthoracic echocardiogram performed on this patient showed a left ventricular ejection fraction of 15% to 20% with low-flow/low-gradient s...
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 22, 2019 Category: Anesthesiology Authors: Paul Balfour, Nicholas Ioannou, Chris Meadows, Nicholas A. Barrett, Christos Chamos Tags: Letter to the Editor Source Type: research

Effective Dose of Landiolol, an Ultra-Short-Acting β-Blocker, to Decrease Heart Rate During On-Pump, Beating Coronary Artery Bypass Grafting
Decreasing the heart rate (HR) using landiolol, an ultra-short-acting β-blocker, is helpful for completing a meticulous distal anastomosis during on-pump or off-pump, beating coronary artery bypass grafting (CABG) surgery. We determine the effectiveness of landiolol to decrease the HR because the most effective dose has not been established. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 20, 2019 Category: Anesthesiology Authors: Shingo Kawashima, Tadayoshi Kurita, Koji Morita, Yoshiki Nakajima Tags: Original Article Source Type: research

The Utility of Echocardiography for the Prediction of Spinal-Induced Hypotension in Elderly Patients: Inferior Vena Cava Assessment Is a Key Player
To prospectively assess the diagnostic performance of echocardiographic measurements before spinal anesthesia in elderly patients undergoing lower limb surgery. Emphasis was placed on the dIVCmax-to-IVCCI ratio and IVCCI, where dIVCmax was the maximum diameter of inferior vena cava (IVC) at expiration and IVCCI was the collapsibility index of IVC. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 20, 2019 Category: Anesthesiology Authors: Theodosios Saranteas, Helen Spiliotaki, Iosifina Koliantzaki, Dimosthenis Koutsomanolis, Evangelia Kopanaki, Thomas Papadimos, Georgia Kostopanagiotou Tags: Original Article Source Type: research

Elective Extracorporeal Membrane Oxygenation Support for High-Risk Pediatric Cardiac Catheterization
The objective of this study was to analyze the outcomes of patients who underwent elective cannulation to ECMO for this purpose. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 19, 2019 Category: Anesthesiology Authors: Katherine L. Zaleski, Rebecca L. Scholl, Ravi R. Thiagarajan, Diego Porras, Douglas Mah, James A. DiNardo, Viviane G. Nasr Tags: Original Article Source Type: research

Central Extracorporeal Membrane Oxygenation for Bridging of Right-Sided Heart Failure to Lung Transplantation: A Single-Center Experience and Literature Review
Right-sided heart failure develops in lung transplantation candidates on prolonged peripheral extracorporeal membrane oxygenation support and is a major determinant of mortality. The use of central venoarterial extracorporeal membrane oxygenation for bridging of right-sided heart failure to lung transplantation was evaluated. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 18, 2019 Category: Anesthesiology Authors: Kyung Hun Nam, Younsuck Koh, Chae-Man Lim, Jin-Won Huh, Sung-Ho Jung, Pil-Je Kang, Ju Yong Lim, Sang-Bum Hong Tags: Original Article Source Type: research

Myocardial Protection During Minimally Invasive Mitral Valve Surgery: Is Retrograde Cardioplegia Alone Enough?
Minimally invasive mitral valve surgery is a commonly performed procedure in contemporary cardiac surgery.1-3 The surgical exposure for minimally invasive mitral valve surgery (right anterolateral minithoracotomy) provides very limited access to the aorta and makes myocardial protection with antegrade cardioplegia challenging.1,3 Early experiences used an endo-aortic balloon to administer antegrade cardioplegia, and retrograde cardioplegia was administered through a coronary sinus catheter.3 The endo-aortic balloon approach was associated with complications such as aortic dissection and stroke and has fallen out of favor i...
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 18, 2019 Category: Anesthesiology Authors: Michael Essandoh Tags: Letter to the Editor Source Type: research

Predictors of Intensive Care Unit Admission in Patients Undergoing Lead Extraction: A 10-Year Observational Study in a High-Volume Center
To identify reliable predictors of periprocedural intensive care unit (ICU) admission after transvenous lead extraction (LE) in a high-volume center. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 18, 2019 Category: Anesthesiology Authors: Fabrizio Monaco, Nora Di Tomasso, Giovanni Landoni, Pasquale Nardelli, Andrea Radinovic, Francesco Melillo, Giuseppe D'Angelo, Paolo Della Bella, Alberto Zangrillo, Patrizio Mazzone Tags: Original Article Source Type: research

Direct Intraoperative Neurologic Assessment to Monitor Spinal Cord Ischemia During Thoracoabdominal Aneurysm Endovascular Repair
SPINAL CORD ISCHEMIA (SCI) resulting in paraplegia or paraparesis is one of the most feared and harmful complications after thoracoabdominal aneurysm repair.1 SCI risk after aortic thoracoabdominal aneurysm endovascular repair (TEVAR) is 0% to 33%.2 It is increased by multiple factors, including stent graft length and number of intercostal and lumbar arteries covered.3 (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 18, 2019 Category: Anesthesiology Authors: Elena Bignami, Marco Di Lecce, Marco Baciarello, Valentina Bellini, Mara Fanelli, Rita Maria D'Ospina, Paolo Perini, Antonio Freyrie Tags: Case Report Source Type: research

Impact of Body Mass Index on Short- and Long-Term Outcomes After Isolated First-Time Surgical Aortic Valve Replacement for Aortic Stenosis
To ascertain whether body mass index (BMI) has a clinical effect on short- and long-term postoperative outcomes after surgical aortic valve replacement in patients with severe aortic stenosis. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 18, 2019 Category: Anesthesiology Authors: Vito D. Bruno, Pierpaolo Chivasso, Filippo Rapetto, Gustavo Guida, Ettorino Di Tommaso, Hoi Man Chau, Hunaid Vohra Tags: Original Article Source Type: research

In Response to “Regional Cerebral Oxygen Saturation and Mortality in Patients with Left Ventricular Assist Device”
We want to thank Dr. Cakir et al. for their interest in our recent study on regional cerebral oxygen saturation and clinical outcomes of left ventricular assist device patients.1 They raised an important point on the complex nature of the human brain and the need for delicate monitoring technology. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 18, 2019 Category: Anesthesiology Authors: Qian Xu, Maiying Kong, Jiapeng Huang Tags: Letter to the Editor Source Type: research

Analysis of Outcomes in Heart Transplantation
END-STAGE HEART FAILURE (HF) results from a myriad of etiologies and represents a major financial and healthcare burden.1 Since 1983, nearly 150,000 pediatric and adult heart transplants have been reported to the International Society for Heart and Lung Transplantation (ISHLT) Registry, with medical advancements in perioperative care resulting in improved patient outcomes over time.2 This paper aims to assess outcomes within the field of heart transplantation. The authors will focus on historical context, current demographics, indications, and contraindications for transplantation. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 18, 2019 Category: Anesthesiology Authors: Archer Kilbourne Martin, Juan G. Ripoll, Barbara J. Wilkey, Arun L. Jayaraman, Ashley V. Fritz, Robert A. Ratzlaff, Harish Ramakrishna Tags: Expert Review Source Type: research

Con: Hyperoxia Should Not Be Used Routinely in the Management of Cardiopulmonary Bypass
STANDARD ANESTHESIA PRACTICE has traditionally included administering 100% oxygen before both induction and emergence. Historically, it was not uncommon to deliver 100% oxygen throughout a case out of fear of hypoxemia. In fact, it was once routine practice for the surgeon to announce “the blood is red” immediately after incision. With the standard use of pulse oximetry and oxygen concentration monitoring in modern-day operating rooms, it would be atypical to encounter delivery of 100% oxygen throughout an entire anesthetic just in case of a catastrophic patient event or equi pment failure. (Source: Journal of ...
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 16, 2019 Category: Anesthesiology Authors: S. Michael Roberts, Theodore J. Cios Tags: Pro and Con Source Type: research

Serratus Anterior Plane Block for Transapical Off-Pump Mitral Valve Repair With NeoChord Implantation
There is a growing interest in minimally invasive and transcatheter mitral surgery to treat degenerative mitral disease. One such technique entails the use of sternal sparing mini-thoracotomy and transcatheter beating heart targeted NeoChord resuspension under echo guidance (NeoChord DS1000, St. Louis Park, MN).1,2 However, the procedure does require a mini-thoracotomy, which can result in significant postoperative pain.3 As such, we performed serratus anterior plane block (SAPB) as part of a multimodal pain management strategy in 3 consecutive patients undergoing minimally invasive NeoChord mitral valve repair. (Source: J...
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 13, 2019 Category: Anesthesiology Authors: Himani V. Bhatt, Morgan L. Montgomery, Alexander J.C. Mittnacht, Ali Shariat, Ahmed El-Eshmawi, David H. Adams, Menachem M. Weiner Tags: Letter to the Editor Source Type: research

Bilateral Continuous Erector Spinae Plane (ESP) Blockade for Perioperative Opioid-Sparing in Median Sternotomy
MEDIAN STERNOTOMY in cardiac surgery is associated with significant acute postoperative pain.1 Adequate analgesia is important not only for patient comfort, but for ventilator weaning and prevention of respiratory complications. Opioids are used most commonly to provide analgesia, but they are associated with significant adverse effects that include sedation, respiratory depression, nausea, and vomiting. Thoracic epidural analgesia (TEA) can provide excellent opioid-sparing analgesia following cardiac surgery and is associated with reductions in respiratory complications, arrhythmias,2 and mortality. (Source: Journal of Ca...
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 12, 2019 Category: Anesthesiology Authors: Felipe Mu ñoz-Leyva, Ki Jinn Chin, Wilman E. Mendiola, Javier Cubillos, Diego A. Moreno, Carlos Zhong-Lin, Antonio J. Bonilla Tags: Case Report Source Type: research

Comparison of Left Atrial Measurements Using 2- and 3-Dimensional Transesophageal Echocardiography
To assess the correlation between left atrial measurements using 2- and 3-dimensional transesophageal echocardiography. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 12, 2019 Category: Anesthesiology Authors: Jenny Kwak, Andrea Polito, Michael Majewski, William Adams, Kimberly Burcar, Mina Oftadeh, Michael Haske, Pierre LeVan Tags: Original Article Source Type: research

The Coagulopathy of Acute Type A Aortic Dissection: A Prospective, Observational Study
To evaluate the hemostatic system in patients undergoing surgery for acute type A aortic dissection (ATAAD) compared with those undergoing elective aortic procedures. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 12, 2019 Category: Anesthesiology Authors: Igor Zindovic, Johan Sj ögren, Henrik Bjursten, Richard Ingemansson, Jonas Ingimarsson, Mårten Larsson, Peter J. Svensson, Karin Strandberg, Per Wierup, Shahab Nozohoor Tags: Original Article Source Type: research

Ethnic Disparities in Cardiothoracic Anesthesiology Fellowship Training
“We all should know that diversity makes for a rich tapestry, and we must understand that all the threads of the tapestry are equal in value no matter what their color.”― Maya Angelou (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 12, 2019 Category: Anesthesiology Authors: Brittany N. Burton, Nancy M. Boulos, Lizett Wilkins y Martinez, Rodney A. Gabriel, Charlene M. Blake Tags: Letter to the Editor Source Type: research

Anesthetic Considerations for Aortic Arch Stenting
With advances in modern day imaging techniques for the aorta, there has been an increasing incidence of vascular diseases involving the aortic arch. Historically, the only treatment option for arch disease has been open arch replacement under circulatory arrest conditions with or without selective cerebral perfusion. However, this open procedure has significant morbidity and mortality, especially in elderly patients with multiple comorbidities. To potentially mitigate the risks associated with open replacement, endovascular arch repair has gained momentum as an alternative treatment option. (Source: Journal of Cardiothorac...
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 11, 2019 Category: Anesthesiology Authors: Jonathan K. Zoller, Stephen H. Gregory, Tracey W. Stevens, Luis A. Sanchez, Rocco Hueneke Tags: Emerging Technology Source Type: research

Transthoracic Echocardiography and the Field of Cardiothoracic Anesthesiology: Where Do We Stand?
IN RECENT YEARS, physicians from specialties other than cardiology have shown immense interest in the utility of transthoracic echocardiography (TTE) in their respective clinical arena because of its noninvasive and diagnostic features. Professional societies such as the American College of Emergency Physicians, Society of Critical Care Medicine, American College of Chest Physicians, and Society of Cardiothoracic Anesthesiologists all have put great effort into creating live courses, workshops, and didactics to educate clinicians in performing and interpreting echocardiography. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 11, 2019 Category: Anesthesiology Authors: Richard Sheu, Mariya Geube, Daniel Cormican Tags: Editorial Source Type: research

Sildenafil: Time to Look Beyond Pulmonary Pressures
IN THIS ISSUE of the journal, Ram et al.1 report on their study on the effects of postoperative sildenafil in patients with pulmonary hypertension undergoing mitral valve surgery. This expands on previous work done in postoperative patients with pulmonary hypertension, including the study by Jiang et al.,2 in which a single, larger dose of sildenafil was used postoperatively in 90 adult patients, and a study by Raja et al.,3 who examined a dose range of 0.5 to 2 mg/kg in 10 pediatric patients who also were on nitric oxide. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 11, 2019 Category: Anesthesiology Authors: Kelly Byrne, Kate Goldstone Tags: Editorial Source Type: research

Regional Right Ventricular Volume and Function Analysis Using Intraoperative 3-Dimensional Echocardiography –Derived Mesh Models
In daily echocardiographic practice, the right ventricle (RV) is assessed using mostly 2-dimensional (2D) echocardiography. Parameters measuring longitudinal shortening (eg, tricuspid annular plane systolic excursion) or changes in areas (eg, fractional area change) are used as surrogates for right ventricular function. Three-dimensional (3D) echocardiography –based techniques allow for cardiac magnetic resonance imaging–validated assessment of the RV. Depiction of regional right ventricular function is of increasing clinical interest. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 11, 2019 Category: Anesthesiology Authors: Martina Nowak-Machen, Tobias Lang, Andreas Schilling, Lisa Mockenhaupt, Marius Keller, Peter Rosenberger, Harry Magunia Tags: Original Article Source Type: research

Regional Cerebral Oxygen Saturation and Mortality in Patients With Left Ventricular Assist Device
We congratulate Ghosal and colleagues for their work.1 In the study, it was found that the decrease in regional cerebral oxygen saturation (rSO2) in patients with a left ventricular assist device was associated with mortality (postoperative 30 days). In the same study, no association was found between rSO2 and major adverse cardio-cerebral events. That rSO2 is associated with mortality and is not associated with major adverse cardio-cerebral events is an important contradiction, and this contradiction needs to be explained. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 11, 2019 Category: Anesthesiology Authors: Habib Cakir, Bortecin Eygi, Ismail Yurekli, Pelin Cakir, Mert Kestelli Tags: Letter to the Editor Source Type: research

Renal Replacement Therapy in Adult Patients After Cardiac Surgery
ACUTE RENAL FAILURE (ARF) is a devastating complication of cardiac surgery that leads to adverse outcomes. Among numerous perioperative risk factors, oxygen delivery/consumption mismatch and inflammatory response syndrome are considered the major risk factors in the development of ARF.1 Acute renal failure requiring renal replacement therapy (RRT) is associated with increased morbidity and both short- and long-term mortality.2,3 There are specific requirements regarding choice of therapeutic modality, use of anticoagulation, and the process of conducting procedures in the intensive care unit (ICU) in RRT in cardiac surgery...
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 11, 2019 Category: Anesthesiology Authors: Alexander S. Borisov, Andrey A. Malov, Sergey V. Kolesnikov, Vladimir V. Lomivorotov Tags: Review Article Source Type: research

Masthead
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 9, 2019 Category: Anesthesiology Source Type: research

Editorial Board
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 9, 2019 Category: Anesthesiology Source Type: research

Contents
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 9, 2019 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 - March 9, 2019 Category: Anesthesiology Source Type: research

Guide for Authors
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 9, 2019 Category: Anesthesiology Source Type: research

Left Atrial Appendage Occlusion: A Narrative Review
Left atrial appendage occlusion (LAAO) is a proposed alternative to oral anticoagulation in reducing stroke in patients with atrial fibrillation. It is suggested that LAAO is most suitable in patients at increased risk of stroke or bleeding or with contraindication to pharmacologic intervention. Despite the increase in evidence evaluating LAAO, the relative safety and efficacy of the procedure remains uncertain. Presently, several ongoing randomized trials are comparing various devices to each other and to pharmacologic anticoagulation. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 9, 2019 Category: Anesthesiology Authors: Ali Alsagheir, Alex Koziarz, Emilie P. Belley-C ôté, Richard P. Whitlock Tags: Review Article Source Type: research

Impact of Preoperative Iron Deficiency on Blood Transfusion in Elective Cardiac Surgery
To evaluate the incidence and consequences of preoperative iron deficiency in elective cardiac surgery. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 9, 2019 Category: Anesthesiology Authors: Marine Hubert, Baptiste Gaudriot, Sebastien Biedermann, Herv é Gouezec, Emmanuelle Sylvestre, Guillaume Bouzille, Jean-Philippe Verhoye, Erwan Flecher, Claude Ecoffey Tags: Original Article Source Type: research

Pre-existing Right Ventricular Dysfunction and Major Cardiac Events. Propensity-Score Matching or Regression Analysis?
We would like to thank Dr. Meng and Dr. Liu for their interest in our previously published article in which we evaluated the association between pre-existing right ventricular dysfunction and postoperative major adverse cardiac events in high-risk patients undergoing major vascular surgery using multivariate regression analysis. In their letter to the editor, Dr. Meng and Dr. Liu suggested the use of propensity-score matching (PSM) over-regression analysis because the comparative groups in the original study cohort had unbalanced baseline characteristics. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 7, 2019 Category: Anesthesiology Authors: Jody Chou Tags: Letter to the Editor Source Type: research

Primum Non Nocere
The responsibility as physicians to heal without imposing harm is particularly relevant to the field of anesthesiology. Anesthesia is a necessary adjunct to most surgical procedures but should not in itself pose more than necessary risk to patient safety. Potential benefits should outweigh potential risks for any medications administered or procedures performed. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 7, 2019 Category: Anesthesiology Authors: Kelly A. Machovec, Warwick A. Ames Tags: Editorial Source Type: research

Ventilatory Efficiency Identifies Patients Prone to Hypoxemia During One-Lung Ventilation
One-lung ventilation (OLV) may be complicated by hypoxemia. Ventilatory efficiency, defined as the ratio of minute ventilation to carbon dioxide output (VE/VCO2), is increased with ventilation/perfusion mismatch and pulmonary artery hypertension, both of which may be associated with hypoxemia. Hence, the authors hypothesized increased VE/VCO2 will predict hypoxemia during OLV. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 7, 2019 Category: Anesthesiology Authors: Milos Chobola, Pavel Homolka, Michal Benej, Zdenek Chovanec, Kristian Brat, Vladimir Sramek, Lyle J. Olson, Ivan Cundrle Tags: Original Article Source Type: research

Del Nido Cardioplegia Should Be Used in All Adults Undergoing Cardiac Surgery: Con
MYOCARDIAL PROTECTION is critical to the conduct of complex cardiac surgery. Key components to successful myocardial preservation rely on reducing the metabolic rate of the heart through hypothermia and a potassium-induced diastolic arrest. Delivering cardioplegia to the coronary arterial tree results in a reduction in myocardial oxygen consumption, and an added benefit is the creation of cardiac stasis, so that the heart is motionless while the surgeon is working. Formulations that include variable ratios of blood to crystalloid and differing electrolyte and drug additives to stabilize the membrane potential have existed ...
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 7, 2019 Category: Anesthesiology Authors: Amany Gorgy, Linda Shore-Lesserson Tags: Pro and Con Source Type: research

Pulmonary Artery Pressure Without Simultaneously Measured Cardiac Output: A Serious Omission?
We congratulate Hinske et al. for demonstrating the role of a preoperative mean pulmonary arterial pressure and lung allocation score in predicting the need for extracorporeal circulation during lung transplantation.1 However, we are surprised by the absence of any data concerning anesthetic management, vascular filling, and especially preoperative cardiac output, measured during the assessment, or intraoperative cardiac output. How to highlight pulmonary arterial pressure without knowing the cardiac output measured simultaneously? High pulmonary arterial pressure can be explained by high cardiac output, and low pulmonary ...
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 7, 2019 Category: Anesthesiology Authors: Julien Fessler, Marc Fischler Tags: Letter to the Editor Source Type: research

Toward Opioid-Free Fast Track for Pediatric Congenital Cardiac Surgery
We read with interest the article by Krishna et al.1 that reported reduced opioid use, time to extubation, and intensive care unit stay in patients with erector spinae plane blocks (ESPBs) after sternotomy. We have used ESPB catheters alongside multimodal intravenous analgesic techniques successfully to minimize adult and pediatric cardiac patients ’ pain at our institution, and in some circumstances effectively eliminating the need for postoperative opioids in adults.2,3 With patient assent and written parental consent, we report a pediatric patient who received bilateral ESPB catheters and a multimodal intraoperati...
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 7, 2019 Category: Anesthesiology Authors: Mohammad Esfahanian, Thomas J. Caruso, Carole Lin, Calvin Kuan, Neha Joshi Purkey, Katsuhide Maeda, Ban C.H. Tsui Tags: Letter to the Editor Source Type: research

2018 Clinical Update in Liver Transplantation
Liver transplantation (LT) continues to be the gold standard for treating end-stage liver disease, and challenges that are posed to the anesthesiologist during transplantation are well known. Successful liver transplantation requires knowledge, recognition, and treatment of hemodynamic and metabolic disturbances by the anesthesiologist. End-stage liver disease causes unique derangements to the clotting cascade, increasing risk both for hemorrhagic and thrombotic events. Cirrhotic cardiomyopathy may be masked for years because of low systemic vascular resistance in cirrhosis, and overt heart failure can be precipitated by L...
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 7, 2019 Category: Anesthesiology Authors: Nicholas W. Markin, Kyle J. Ringenberg, Cale A. Kassel, Charles R. Walcutt, M. Megan Chacon Tags: Review Article Source Type: research

Corrigendum to Six-Month Outcomes After High-Risk Coronary Artery Bypass Graft Surgery and Preoperative Intra-aortic Balloon Counterpulsation Use: An Inception Cohort Study [Journal of Cardiothoracic and Vascular Anesthesia,Volume 32, Issue 5, October 2018, Pages 2067-2073]
The list of collaborators which is available in the supplementary appendix in this article has been updated. In addition a link to the list of these authors has been added to the footnote, so it now reads: A complete list of sites, investigators, and research coordinators is provided in the supplementary appendix found here. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 7, 2019 Category: Anesthesiology Authors: Edward Litton, Frances Bass, Anthony Delaney, Graham Hillis, Silvana Marasco, Shay McGuinness, Paul S. Myles, Christopher M. Reid, Julian A. Smith, the PINBALL study investigators and the ANZICS CTG Tags: Corrigendum Source Type: research

Operational and Institutional Recommendations and Requirements for TAVR: A Review of Expert Consensus and the Impact on Health Care Policy
When transcatheter aortic valve replacement (TAVR) was first approved for use in the United States in 2012, multiple leading surgical and cardiology societies were tasked with creating recommendations and requirements for operators and institutions starting and maintaining TAVR programs. Creation of this consensus document was challenging due to limited experience with this new technology, and a lack of robust centralized data that could be used to validate outcome measures and create benchmarks for self-assessment and improvement. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 6, 2019 Category: Anesthesiology Authors: Peter J. Neuburger, Brent J. Luria, Lisa Q. Rong, Danielle N. Sin, Prakash A. Patel, Mathew R. Williams Tags: Review Article Source Type: research

Thirty-Day Unplanned Reintubation Following Pleurodesis: A Retrospective National Registry Analysis
To examine risk factors associated with 30-day unplanned reintubation after pleurodesis. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 6, 2019 Category: Anesthesiology Authors: Brittany N. Burton, Boya Abudu, Pradhan Bhat, Rodney A. Gabriel, Ulrich H. Schmidt Tags: Original Article Source Type: research

Comparison of Patient Outcomes of Transfemoral Transcatheter Aortic Valve Replacement Using Pre-Sedation Radial Versus Post-Sedation Femoral Arterial Sites for Blood Pressure Monitoring
To compare outcomes among patients with and without preprocedural radial arterial catheters who underwent transfemoral transcatheter aortic valve replacement (TF-TAVR) under deep intravenous (IV) sedation and to assess predictive variables for preprocedural placement. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 5, 2019 Category: Anesthesiology Authors: Stephanie A. Cook, Jose R. Navas-Blanco, Christine Acho, Xiaoxia Han, Janet Wyman, Trevor J. Szymanski Tags: Original Article Source Type: research

Association Between Infection and Thrombosis After Coronary Artery Bypass Grafting: A Cohort Study
This study aimed to examine the association of postoperative infection with thrombosis and major adverse cardiovascular and cerebral events (MACCEs) in patients undergoing coronary artery bypass grafting (CABG). (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 23, 2019 Category: Anesthesiology Authors: Xiaojie Liu, Lijuan Wang, Sudena Wang, Wenyuan Zhang, Yang Yu, Sipeng Chen, Hushan Ao Tags: Original Article Source Type: research

Making the Rare Diagnosis: Trust Yourself, Your Colleagues, or Both?
CARDIAC SARCOMA is a rare primary malignant tumor of the heart. In their “E-Challenge,” Mondal et al. report on a patient with near total occlusion of the right ventricle by a cardiac sarcoma who presented to a Baltimore emergency department.1 Their thorough workup elucidated the diagnosis via a computed tomography scan, which promptly lead to surgical palliation to improve the patient's symptomatology. Also in Baltimore, Harvey et al. once wrote in Differential Diagnosis: The Interpretation of Clinical Evidence that, “In making the diagnosis of the cause of illness in an individual case, calculations of ...
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 20, 2019 Category: Anesthesiology Authors: Siavash Saadat, Frederick Y. Chen Tags: Editorial Source Type: research

Percutaneous Coronary Artery Revascularization and Transcatheter Aortic Valve Replacement: Is There a Who, Why, and When?
WITH A PREVALENCE in aortic stenosis (AS) patients of 25% to 50%, concomitant coronary artery disease (CAD) has proven to be an independent risk factor for patients undergoing transcatheter aortic valve replacement (TAVR).1 Currently there is no standard- or guideline-driven approach for these patients, and many new challenges have emerged in this population. In this issue of the Journal of Cardiothoracic and Vascular Anesthesia, Bacigalupo et al.2 report a case of a patient with recent percutaneous coronary intervention (PCI) for obstructive CAD who underwent TAVR complicated by in-stent thrombosis and an ischemic stroke ...
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 20, 2019 Category: Anesthesiology Authors: Oscar D. Aljure, Michael Fabbro Tags: Editorial Source Type: research

Association Between the Quantity of Subcutaneous Fat and the Inter-Device Agreement of 2 Tissue Oximeters
This study aimed to evaluate the association between the quantity of subcutaneous fat (assessed by skinfold thickness) and the inter-device agreement of 2 tissue oximeters. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 20, 2019 Category: Anesthesiology Authors: Alexis Cournoyer, Sylvie Cossette, Jean Paquet, Raoul Daoust, Martin Marquis, Éric Notebaert, Massimiliano Iseppon, Jean-Marc Chauny, André Denault Tags: Original Article Source Type: research

Perioperative Anesthetic and Transfusion Management of Veno-Venous Extracorporeal Membrane Oxygenation Patients Undergoing Noncardiac Surgery: A Case Series of 21 Procedures
To analyze the perioperative management of veno-venous extracorporeal membrane oxygenation (VV ECMO) in patients undergoing major noncardiac surgical procedures, which is poorly described in the literature. In doing so, perioperative challenges related to hemodynamic instability, impaired gas exchange, bleeding, and coagulopathy will be quantified. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 20, 2019 Category: Anesthesiology Authors: Michael A. Fierro, Benjamin Dunne, David N. Ranney, Mani A. Daneshmand, John C. Haney, Jacob A. Klapper, Matthew G. Hartwig, Desiree Bonadonna, Michael W. Manning, Raquel R. Bartz Tags: Original Article Source Type: research

A Propensity-Score Matched Analysis on Outcomes Using Recombinant Activated Factor VII in Pediatric Cardiac Surgery
To evaluate the effect of recombinant activated factor VII (rFVIIa) administration on outcomes in pediatric cardiac surgery patients with postoperative bleeding. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 19, 2019 Category: Anesthesiology Authors: Yinan Li, Wei Zhao, Qipeng Luo, Xie Wu, Jie Ding, Fuxia Yan Tags: Original Article Source Type: research

Masthead
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 15, 2019 Category: Anesthesiology Source Type: research

Editorial Board
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 15, 2019 Category: Anesthesiology Source Type: research

Contents
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 15, 2019 Category: Anesthesiology Source Type: research