The IMPACT Score: A new score to predict the risk of early mortality in cardiogenic shock patients treated with veno arterial extracorporeal membrane oxygenation
The objective of this study was to establish a prognosis score: the IMPACT score (predIction of early Mortality associated with VA-ECMO using Pre-implAntation CharacTeristics), by determining the risk factors associated with early mortality.Design: This was a retrospective and observational studySetting: University hospitalParticipants: This single-center retrospective study included 147 patients treated with VA-ECMO for cardiogenic shock between 2014-2021. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 23, 2023 Category: Anesthesiology Authors: VEYRET Simon, GIRARD L éandre, PUECH Bérénice, DANGERS Laurence, JABOT Julien, NEUSCHWANDER Arthur, BRAUNBERGER Eric, ALLYN Jérôme, ALLOU Nicolas, VIDAL Charles Tags: Original Article Source Type: research

Con: Implementation Science is not relevant to Cardiothoracic Surgery and Anesthesiology
The field of Implementation Science (IS) was introduced in the 1960s to address the delay between the establishment of evidence-based recommendations for clinical practice and the widespread adoption of these recommendations1. The principles upon which IS is based, however, do not apply in cardiothoracic surgery and anesthesiology. It is simply not possible in this field to establish a convincing body of literature on which to base clinical practice decisions in the operating room. There are a multitude of factors that make cardiac surgery and anesthesiology impossible to standardize. (Source: Journal of Cardiothoracic and...
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 23, 2023 Category: Anesthesiology Authors: Meghann M Fitzgerald, Marguerite M Hoyler, Ankur Srivastava Tags: Pro and Con Source Type: research

Effect of Mechanical Ventilation Mode Type on Postoperative Pulmonary Complications After Cardiac Surgery: A Randomized Controlled Trial
It is unknown whether there is a difference in pulmonary outcome in different intraoperative ventilation modes for cardiac surgery with cardiopulmonary bypass (CPB). The aim of this trial was to determine whether patients undergoing cardiac surgery with CPB could benefit from intraoperative optimal ventilation mode. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 18, 2023 Category: Anesthesiology Authors: Xue-Fei Li, Wen-Jie Mao, Rong-Juan Jiang, Hong Yu, Meng-Qiu Zhang, Hai Yu Tags: Original Article Source Type: research

Aortic Valve Injury During Thoracic Endovascular Aortic Repair Requiring Emergent Surgical Aortic Valve Replacement
Endovascular management has become the preferred therapy for anatomically appropriate descending thoracic aortic aneurysms due to decreased rates of adverse cardiac and pulmonary events, decreased rates of kidney injury, shorter length of stay, and similar long-term outcomes when compared to open techniques.1,2 Because the surgical procedure requires large-bore (>20F) arterial access and the passage of catheters and stiff wires into the aorta, patients are at risk for hemorrhagic, embolic, and direct mechanical complications related to aortic instrumentation. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 17, 2023 Category: Anesthesiology Authors: T. Everett Jones, John R. Spratt, Derek B. Covington, Zain Shahid Tags: Case Report Source Type: research

Comparison Between Changes in Systolic-Pressure Variation and Pulse-Pressure Variation After Passive Leg Raising to Predict Fluid Responsiveness in Postoperative Critically Ill Patients
The authors aimed to evaluate the precision of changes in systolic-pressure variation after passive leg raising (PLR) as a predictor of fluid responsiveness in postoperative critically ill patients, and to compare the precision of changes in pulse-pressure variation after PLR ( ΔPPVPLR) with changes in systolic-pressure variation after PLR (ΔSPVPLR). (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 16, 2023 Category: Anesthesiology Authors: Jin Xie, Li Xu, Ke Peng, Jun Chen, Jingjie Wan Tags: Original Article Source Type: research