Masthead
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 15, 2024 Category: Anesthesiology Source Type: research

Editorial Board
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 15, 2024 Category: Anesthesiology Source Type: research

Contents
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 15, 2024 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 - February 15, 2024 Category: Anesthesiology Source Type: research

Overview and Clinical Applications of Artificial Intelligence and Machine Learning in Cardiac Anesthesiology
Artificial intelligence (AI) and machine learning (ML)-based applications are becoming increasingly pervasive in the healthcare setting. This has in turn challenged clinicians, hospital administrators, and health policymakers to understand such technologies and develop frameworks for safe and sustained clinical implementation. Within cardiac anesthesiology, challenges and opportunities for AI/ML to support patient care are presented by the vast amounts of electronic health data which are rapidly collected, interpreted, and acted upon within the periprocedural area. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 15, 2024 Category: Anesthesiology Authors: Michael Mathis, Kirsten R. Steffner, Harikesh Subramanian, George P. Gill, Natalia I. Girardi, Sagar Bansal, Karsten Bartels, Ashish K Khanna, Jiapeng Huang Tags: Review Article Source Type: research

Early Surgery for Infective Endocarditis Complicated With Neurologic Injury
To estimate the association between early surgery and the risk of mortality in patients with left-sided infective endocarditis in the context of stroke. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 14, 2024 Category: Anesthesiology Authors: Sing-Siou Tsai, Victor Chien-Chia Wu, Yi-Hsin Chan, Dong-Yi Chen, Yu-Ting Cheng, Kuo-Chun Hung, Fu-Chih Hsiao, Ying-Chang Tung, Chia-Pin Lin, Pao-Hsien Chu, Yen Chu, Shao-Wei Chen Tags: Original Article Source Type: research

Early Surgery for Infective Endocarditis Complicated with Neurological Injury
Infective endocarditis (IE) has an incidence of approximately 3 to 10 per 100  000 person-years.(1) Its global morbidity and mortality rates remain high despite improvements in the guidelines for treatment and surgical interventions.(1) Embolic neurological events occur in 20% to 40% of active IE cases; these have been suggested to increase mortality during short-term and l ong-term follow-up.(2-5) For patients presenting with neurological complications on admission or with such complications before operation, determining the optimal timing for cardiac surgery following stroke is challenging.(6) One small randomized cont...
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 14, 2024 Category: Anesthesiology Authors: Sing-Siou Tsai, Victor Chien-Chia Wu, Yi-Hsin Chan, Dong-Yi Chen, Yu-Ting Cheng, Kuo-Chun Hung, Fu-Chih Hsiao, Ying-Chang Tung, Chia-Pin Lin, Pao-Hsien Chu, Yen Chu, Shao-Wei Chen Tags: Original Article Source Type: research

PRO: Vasopressors Can Be Administered Safely via a Peripheral Intravenous Catheter
THE USE of vasopressors is ubiquitous in the perioperative arena, as well as in the intensive care unit. Vasopressors are often used for the management of intraoperative hypotension, which is associated with postoperative organ injury and is a potentially modifiable cause of surgical morbidity and mortality.1 Although the exact role of vasopressors in intraoperative arterial pressure management is not well- characterized, they are usually the first-line therapy in many scenarios.2 In critically ill patients, vasopressors are used commonly for the management of circulatory shock and are recommended as a first-line treatment...
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 13, 2024 Category: Anesthesiology Authors: Dana Darwish, Kunal Karamchandani Tags: Pro and Con Source Type: research

Selecting the optimal anesthetic management for ventricular tachycardia ablation
We read with interest the recent study of Dada et al examining the prevailing anesthetic management for ventricular tachycardia (VT) ablation through a comprehensive analysis of the National Anesthesia Clinical Registry database.1 Their findings revealed that general anesthesia, as opposed to monitored anesthesia care (MAC), continued to be the primary anesthetic technique for VT ablation. This trend persisted despite the Heart Rhythm Society's guidance provided by the 2019 Expert Consensus Statement, which specifically recommended avoiding general anesthesia in idiopathic VT. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 13, 2024 Category: Anesthesiology Authors: Naoya Kataoka, Teruhiko Imamura Tags: Letter to the Editor Source Type: research

PRO: Vasopressors can be safely administered via a peripheral intravenous catheter
The use of vasopressors is ubiquitous in the perioperative arena as well as in the Intensive care unit (ICU). Vasopressors are often used for the management of intraoperative hypotension (IOH), which is associated with postoperative organ injury and is a potentially modifiable cause of surgical morbidity and mortality.1 Although the exact role of vasopressors in intraoperative arterial pressure management is not well characterized, they are usually the first line therapy in many scenarios.2 In critically ill patients, vasopressors are commonly used for the management of circulatory shock and are recommended as a first line...
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 13, 2024 Category: Anesthesiology Authors: Dana Darwish, Kunal Karamchandani Source Type: research

Reliability of Bioreactance and Pulse-Power Analysis in Measuring Cardiac Index During Open Abdominal Aortic Surgery
DISTURBED ORGAN perfusion may lead to major postoperative complications, such as cognitive dysfunction, acute kidney injury, and myocardial depression.1 Goal-directed therapy (GDT) with fluids and vasoactive drugs reduces complications and shortens the lengths of both intensive care unit (ICU) and hospital stays after cardiac and major noncardiac surgery.2-4 The use of GDT requires the reliable monitoring of various hemodynamic parameters, such as cardiac output (CO), arterial pressure, and mixed venous oxygen saturation. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 12, 2024 Category: Anesthesiology Authors: Heikki Pekka Oskari Ronkainen, Laura Anneli Ylikauma, Mari Johanna Pohjola, Pasi Petteri Ohtonen, Tiina Maria Erkinaro, Merja Annika Vakkala, Janne Henrik Liisanantti, Tatu Sakari Juvonen, Timo Ilari Kaakinen Tags: Original Research Article Source Type: research

Hemodynamic Monitoring In The Cardiac Surgical Patient: Comparison of Three Arterial Catheters
Systemic systolic (SAP) and mean (MAP) arterial pressure monitoring is the cornerstone in hemodynamic management of the cardiac surgical patient, and the radial artery is the most common site of catheter placement. The present study compared 3 different arterial line procedures. It is hypothesized that a 20-G 12.7- cm catheter inserted into the radial artery will be equal to a 20-G 12.7- cm angiocath placed in the brachial artery, and superior to a 20-G 5.00 cm angiocath placed in the radial artery. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 12, 2024 Category: Anesthesiology Authors: Danny Bui, Geoffrey Hayward, Tzong Huei Chen, Patricia Apruzzese, Shyamal Asher, Matthew Maslow, Michelle Gorgone, Caroline Hunter, Devon Flaherty, Mark Kendall, Andrew Maslow Tags: Original Article Source Type: research

“Hemodynamic Monitoring In The Cardiac Surgical Patient: Comparison of Three Arterial Catheters.”
Systemic systolic (SAP) and mean (MAP) arterial pressure monitoring is the cornerstone in hemodynamic management of the cardiac surgical patient and the radial artery is the most common site of catheter placement. The present study compares three different arterial line procedures. It is hypothesized that a 20-G 12.7cm catheter inserted in the radial artery will be equal to 20-G 12.7cm angiocath placed in the brachial artery, and superior to a 20-G 5.0cm angiocath placed in the radial artery. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 12, 2024 Category: Anesthesiology Authors: Danny Bui, Geoffrey Hayward, Tzong Huei Chen, Patricia Apruzzese, Shyamal Asher, Matthew Maslow, Michelle Gorgone, Caroline Hunter, Devon Flaherty, Mark Kendall, Andrew Maslow Tags: Original Article Source Type: research

Reliability of bioreactance and pulse power analysis in measuring cardiac index during open abdominal aortic surgery.
Disturbed organ perfusion may lead to major postoperative complications, such as cognitive dysfunction, acute kidney injury, and myocardial depression.1 Goal-directed therapy (GDT) with fluids and vasoactive drugs reduces complications and shortens the lengths of both intensive care unit (ICU) and hospital stays after cardiac and major noncardiac surgery.2 –4 The utilization of GDT requires the reliable monitoring of various hemodynamic parameters, such as cardiac output (CO), arterial pressure, and mixed venous oxygen saturation. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 12, 2024 Category: Anesthesiology Authors: Heikki Pekka Oskari Ronkainen, Laura Anneli Ylikauma, Mari Johanna Pohjola, Pasi Petteri Ohtonen, Tiina Maria Erkinaro, Merja Annika Vakkala, Janne Henrik Liisanantti, Tatu Sakari Juvonen, Timo Ilari Kaakinen Tags: Original Article Source Type: research

Unravelling the Impact of Gender Disparities in Cardiac Surgery
Anemia, blood loss and transfusion of blood products adversely affect outcome in cardiac surgery patients.1-5 Their direct relationship and interactions, however, remain disputed. Some studies suggested a relevant interaction on patient outcome,6,7 whereas others failed to show an additional detrimental impact of red blood cell (RBC) transfusion in anemic patients on postoperative mortality.2,8,9 Potentially, sex (biological factors such as body mass index) and gender (sociocultural factors) differences (Fig. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 10, 2024 Category: Anesthesiology Authors: Daniel Bolliger, Caroline E. Gebhard Tags: Editorial Source Type: research