Initiation of ECMO in patients with COVID-19- related ARDS does not increase blood markers of neutrophil extracellular traps (NETs) or IL-8
Venovenous extracorporeal membrane oxygenation (ECMO) is increasingly used for refractory acute respiratory distress syndrome (ARDS).1 However, ECMO is associated with immune modulation. The interaction of blood and ECMO circuit, pump, and oxygenator may pose a second hit of inflammation in addition to the underlying condition.2 Neutrophil extracellular traps (NETs) are web-like chromatin-based structures coated with histones and proteases that are capable of capturing and killing pathogens, and have been implicated in the pathophysiology of ARDS. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 9, 2024 Category: Anesthesiology Authors: Mazen F. Odish, Jorge A. Masso-Silva, Travis L. Pollema, Robert L. Owens, Laura E. Crotty Alexander, Angela Meier Tags: Letter to the Editor Source Type: research

Initiation of ECMO in patients with COVID-19 related ARDS does not increase blood markers of neutrophil extracellular traps (NETs) or IL-8, a letter to the editor
Veno-venous extracorporeal membrane oxygenation (V-V ECMO) is increasingly used for refractory acute respiratory distress syndrome (ARDS)1. However, ECMO is associated with immune modulation. The interaction of blood and ECMO circuit, pump, and oxygenator may pose a second hit of inflammation in addition to the underlying condition2. Neutrophil extracellular traps (NETs) are web-like chromatin-based structures coated with histones and proteases that are capable of capturing and killing pathogens and have been implicated in the pathophysiology of ARDS3 –5. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 9, 2024 Category: Anesthesiology Authors: Mazen Odish, Jorge A. Masso-Silva, Travis Pollema, Robert L. Owens, Laura E. Crotty Alexander, Angela Meier Tags: Letter to the Editor Source Type: research

Intraoperative Prophylaxis with Palonosetron for Postoperative Nausea and/or Vomiting in Adults Undergoing Cardiothoracic Surgery Under General Anesthesia: A Single-Center Retrospective Study
This study assessed the efficacy of palonosetron, alone or with dexamethasone, in reducing postoperative nausea and/or vomiting (PONV) and its impact on hospitalization duration in patients who undergo adult cardiothoracic surgery (CTS) under general anesthesia. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 7, 2024 Category: Anesthesiology Authors: Carlos E. Estrada Alamo, Suejean Hwangpo, Lisa Chamberlain, Connie Chon, Bala Nair, Vikas O'Reilly-Shah, Sarah E. Bain, Justin S. Liberman Tags: Original Article Source Type: research

European Pediatric Cardiac Anesthesia Fellowship Program: A First Proof of Concept
The Pediatric Cardiac Anesthesia (PCA) fellowship is a demanding training program in Europe and the United States. Successful completion of the program requires years of training in anesthesiology, a thorough understanding of cardiovascular anatomy and physiology, and extensive experience in the perioperative management of neonates and children with heart disease. In the context of the first candidate to successfully complete the PCA program in Europe, this article presents excerpts from the design and structure of the European PCA program. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 7, 2024 Category: Anesthesiology Authors: Gabor Erdoes, Ehrenfried Schindler, Andreas Koster, Vera von Dossow, Ioana Maria Belciu, Sascha Meier, Mohammed R. El-Tahan, Viviane G. Nasr Tags: Special Article Source Type: research

European Pediatric Cardiac Anesthesia Fellowship Program: A First Proof of Concept.
The Pediatric Cardiac Anesthesia Fellowship is a demanding training program in Europe and the United States. Successful completion of the program requires years of training in anesthesiology, a thorough understanding of cardiovascular anatomy and physiology, and extensive experience in the perioperative management of neonates and children with heart disease. In the context of the first candidate to successfully complete the PCA program in Europe, this article presents excerpts from the design and structure of the European PCA program. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 7, 2024 Category: Anesthesiology Authors: Gabor Erdoes, Ehrenfried Schindler, Andreas Koster, Vera von Dossow, Ioana Maria Belciu, Sascha Meier, Mohammed R. El-Tahan, Viviane G. Nasr Tags: Special Article Source Type: research

Intraoperative Prophylaxis with Palonsetron for Postoperative Nausea and/or Vomiting in Adults Undergoing Cardiothoracic Surgery under General Anesthesia: A Single-Center Retrospective Study
This study assessed the efficacy of palonosetron, alone or with dexamethasone, in reducing postoperative nausea and/or vomiting (PONV) and its impact on hospitalization duration in adult cardiothoracic surgery (CTS) patients under general anesthesia. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 7, 2024 Category: Anesthesiology Authors: Carlos E. Estrada Alamo, Suejean Hwangpo, Lisa Chamberlain, Connie Chon, Bala Nair, Vikas O'Reilly-Shah, Sarah E. Bain, Justin S. Liberman Tags: Original Article Source Type: research

Predictive Role of Preoperative Nutritional Status on Early Postoperative Outcomes in Different-Aged Patients Undergoing Heart Valve Surgery
INSUFFICIENT NUTRIENT intake, culminating in malnutrition, represents a complex syndrome that fails to fulfill the physiologic needs of patients. This condition may further deteriorate due to systemic inflammatory responses triggered by underlying diseases.1 Preoperative malnutrition is closely linked to suboptimal early postoperative outcomes. Notably, early nutritional intervention is posited to enhance patient prognosis.2,3 Within the field of cardiovascular disease, preoperative malnutrition has been identified as a significant prognostic indicator for early postoperative outcomes, including prolonged intensive care un...
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 6, 2024 Category: Anesthesiology Authors: Xuetao Jiang, Jie Xiang, Ming Yang, Wenjun Liu, Guoyun Lin, Fang Chen, Wei Wang, Guangyou Duan, Sheng Jing, Xiaohang Bao Tags: Original Article Source Type: research

Morbidity Following Pulmonary Embolism Hospitalization- Contributing Factors and Outcomes
©2024 Mayo Foundation for Medical Education and Research (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 6, 2024 Category: Anesthesiology Authors: Carson Welker, Jeffrey Huang, Omar Elmadhoun, Sarvie Esmaeilzadeh, Farouk Mookadam, Harish Ramakrishna Tags: Expert Review Source Type: research

Predictive role of preoperative nutritional status on early postoperative outcomes in different aged patients undergoing cardiac valvular surgery
Insufficient nutrient intake, culminating in malnutrition, represents a complex syndrome that fails to fulfill the physiological needs of patients. This condition may further deteriorate due to systemic inflammatory responses triggered by underlying diseases.1 Preoperative malnutrition is intricately linked to suboptimal early postoperative outcomes. Notably, early nutritional intervention is posited to enhance patient prognosis.2, 3 Within the realm of cardiovascular disease, preoperative malnutrition has been identified as a significant prognostic indicator for early postoperative outcomes, including prolonged intensive ...
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 6, 2024 Category: Anesthesiology Authors: Xuetao Jiang, Jie Xiang, Ming Yang, Wenjun Liu, Guoyun Lin, Fang Chen, Wei Wang, Guangyou Duan, Sheng Jing, Xiaohang Bao Tags: Original Article Source Type: research

Subxiphoid Pericardial Window Using a Combination of Rectointercostal Fascial Plane Block and Superficial Parasternal Intercostal Plane Block
We describe the combined use of bilateral rectointercostal fascial and superficial parasternal intercostal plane blocks for anesthesia in a conscious patient undergoing a pericardial window. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 3, 2024 Category: Anesthesiology Authors: Burhan Dost, Esra Turunc, Emine Ozdemir Tags: Letter to the Editor Source Type: research

Subxiphoid Pericardial Window Using a Combination of Recto-Intercostal Fascial Plane Block and Superficial Parasternal Intercostal Plane Block
We describe the combined use of bilateral recto-intercostal fascial and superficial parasternal intercostal plane blocks for anesthesia in a conscious patient undergoing a pericardial window. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 3, 2024 Category: Anesthesiology Authors: Burhan Dost, Esra Turunc, Emine Ozdemir Tags: Letter to the Editor Source Type: research

The Promise of Artificial Intelligence-Assisted Point-of-Care Ultrasonography in Perioperative Care
The role of point-of-care ultrasonography in the perioperative setting has expanded rapidly over recent years. Revolutionizing this technology further is integrating artificial intelligence to assist clinicians in optimizing images, identifying anomalies, performing automated measurements and calculations, and facilitating diagnoses. Artificial intelligence can increase point-of-care ultrasonography efficiency and accuracy, making it an even more valuable point-of-care tool. Given this topic's importance and ever-changing landscape, this review discusses the latest trends to serve as an introduction and update in this area...
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 2, 2024 Category: Anesthesiology Authors: Ricardo A. Serrano, Alan M. Smeltz Tags: Emerging Technology Review Source Type: research

The Promise of AI-assisted POCUS in Perioperative Care
The role of point-of-care ultrasonography (POCUS) in the perioperative setting has expanded rapidly over recent years. Revolutionizing this technology further is integrating artificial intelligence (AI) to assist clinicians in optimizing images, identifying anomalies, performing automated measurements and calculations, and facilitating diagnoses. AI can increase POCUS efficiency and accuracy, making it an even more valuable point-of-care tool. Given this topic's importance and ever-changing landscape, this review will discuss the latest trends to serve as an introduction and update in this area. (Source: Journal of Cardiot...
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 2, 2024 Category: Anesthesiology Authors: Ricardo A. Serrano, Alan M Smeltz Tags: Emerging Technology Source Type: research

Artificial Intelligence for Anesthesiology Board –Style Examination Questions: Role of Large Language Models
New artificial intelligence tools have been developed that have implications for medical usage. Large language models (LLMs), such as the widely used ChatGPT developed by OpenAI, have not been explored in the context of anesthesiology education. Understanding the reliability of various publicly available LLMs for medical specialties could offer insight into their understanding of the physiology, pharmacology, and practical applications of anesthesiology. An exploratory prospective review was conducted using 3 commercially available LLMs ––OpenAI's ChatGPT GPT-3.5 version (GPT-3.5), OpenAI's ChatGPT GPT-4 (GPT-4), and G...
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 1, 2024 Category: Anesthesiology Authors: Adnan A. Khan, Rayaan Yunus, Mahad Sohail, Taha A. Rehman, Shirin Saeed, Yifan Bu, Cullen D. Jackson, Aidan Sharkey, Feroze Mahmood, Robina Matyal Tags: Emerging Technology Review Source Type: research

Virtual Reality as an Anesthetic Alternative for Ablation of Noninducible Ventricular Arrhythmia
THE ANESTHETIC management of patients undergoing ventricular arrhythmia ablation can vary from local anesthetic infiltration and moderate sedation to general anesthesia (GA). The ideal anesthetic strategy for ablation of ventricular arrhythmias (VAs) is variable based on targeted arrhythmia, procedure time, patient age, comorbidities, risk of airway obstruction, and patient ability and/or desire to cooperate. In general, shorter-acting agents are preferred to easily manipulate the depth of anesthesia. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 1, 2024 Category: Anesthesiology Authors: Andrea Rivero, Klaus Torp, Rebecca Klingbeil, Fred Kusumoto Tags: Case Report Source Type: research