Does Platelet Transfusion Increase the Risk for Healthcare Associated Infection in Cardiac Surgical Patients?
Although platelets are commonly transfused in cardiac surgery for thrombocytopenia and to treat post cardiopulmonary bypass (CPB) coagulopathy, platelet transfusion is also plagued by significant challenges including frequent product shortages, inventory management problems, and the potential for bacterial contamination, which can cause sepsis. Transfusion-related bacterial infection occurs most commonly with platelet transfusion because platelets are typically stored at room temperature, which facilitates bacterial growth. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 25, 2024 Category: Anesthesiology Authors: Brian Cho, Nadia B. Hensley, Michael Mazzeffi Tags: Editorial Source Type: research

Optimizing Hemodynamic Management in the Neonatal Intensive Care Unit: Leveraging Neonatal Echocardiography
Intensive care of the neonate involves a delicate balance of monitoring, intervention, and adaptation, particularly in the face of hemodynamic instability. Neonatal hemodynamic management has become increasingly sophisticated and comprehensive in recent years, driven by a deeper understanding of cardiovascular physiology and the development of innovative diagnostic and therapeutic modalities. Traditionally, hemodynamic status and end-organ perfusion are assessed utilizing measurements of heart rate, blood pressure, serum lactate, capillary refill time, and urine output. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 25, 2024 Category: Anesthesiology Authors: Kan Zhang, Anna M. Ray, James A. DiNardo Tags: Invited Commentary Source Type: research

Comparison of the ultrasound-guided supraclavicular and infraclavicular approaches for subclavian vein cannulation in children with congenital heart disease
Central venous catheterization (CVC) is widely used in pediatric critical patients. We thought to compare the success rate and safety of ultrasound-guided subclavian vein cannulation performed via infraclavicular and supraclavicular approaches. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 22, 2024 Category: Anesthesiology Authors: Xiaolei Gong, Nuaini Aikemu, Zhuoming Xu, Limin Zhu Tags: Original Article Source Type: research

Perioperative Risk Factors of Acute Kidney Injury After Heart Transplantation and One-Year Clinical Outcomes: A Retrospective Cohort Study
This study aimed to identify perioperative risk factors of acute kidney injury after heart transplantation and to evaluate 1-year clinical outcomes. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 21, 2024 Category: Anesthesiology Authors: Geoffroy Hariri, Paul Henocq, Guillaume Coutance, Sehmi Mansouri, Joanna Tohme, J érémie Guillemin, Shaida Varnous, Pauline Dureau, Baptiste Duceau, Pascal Leprince, Agnès Dechartres, Adrien Bouglé Tags: Original Article Source Type: research

The Society of Thoracic Surgeons/American Society for Radiation Oncology/American Society of Clinical Oncology Recommendations on the Care of Patients With Localized Esophageal Cancers
OVER THE LAST DECADE, with the implementation of multimodal therapy, consisting of surgery, chemotherapy (CT), and radiation, otherwise known as trimodality therapy, outcomes for patients with esophageal cancer have improved from a survival rate of 5% in 1970 to the current survival rate of 22% for all stages combined.1-3 For esophageal cancers that are localized or regional, the survival rates are 49% and 28%, respectively.2 Although there is agreement on what the treatment entails, there is wide variation in its implementation based on physician bias, the broad range of surgical and medical literature, and guidelines by ...
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 21, 2024 Category: Anesthesiology Authors: Theresa A. Gelzinis Tags: Editorial Source Type: research

Peri-operative risk factors of acute kidney injury after heart transplantation and one-year clinical outcomes: A retrospective cohort study
This study aims to identify perioperative risk factors of acute kidney injury after heart transplantation and to evaluate one-year clinical outcomes. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 21, 2024 Category: Anesthesiology Authors: Geoffroy HARIRI, Paul HENOCQ, Guillaume COUTANCE, Sehmi MANSOURI, Joanna TOHME, J érémie GUILLEMIN, Shaida VARNOUS, Pauline DUREAU, Baptiste DUCEAU, Pascal LEPRINCE, Agnès DECHARTRES, Adrien BOUGLE Tags: Original Article Source Type: research

Locoregional anesthesia has lower risks of cardiac complications than general anesthesia after prolonged endovascular repair of abdominal aortic aneurysms
While general anesthesia is the primary anesthesia in endovascular aneurysm repair (EVAR), some studies suggested locoregional anesthesia could be a feasible alternative for eligible patients. However, most evidence was from retrospective studies and was subjected to an inherent selection bias that general anesthesia is often chosen for more complex and prolonged cases. To mitigate this selection bias, this study aimed to compare 30-day outcomes of prolonged non-emergent intact infrarenal EVAR in patients undergoing locoregional or general anesthesia. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 21, 2024 Category: Anesthesiology Authors: Renxi Li, Anton Sidawy, Bao-Ngoc Nguyen Tags: Original Article Source Type: research

The STS/ASTRO/ASCO Recommendations on the Care of Patients with Localized Esophageal Cancers
Over the last decade, with the implementation of multimodal therapy, consisting of surgery, chemotherapy and radiation, otherwise known as trimodality therapy, outcomes for patients with esophageal cancer have improved, from a survival rate of 5% in 1970 to the current survival rate of 22% (2,3) for all stages combined.(1) For esophageal cancers that are localized or regional, the survival rates are 49% and 28% respectively.(2) Although there is agreement in what the treatment entails, there is wide variation in its implementation, based on physician bias, the broad range of surgical and medical literature, and guidelines ...
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 21, 2024 Category: Anesthesiology Authors: Theresa A Gelzinis Tags: Editorial Source Type: research

Organ Donation from Patients Receiving Extracorporeal Membrane Oxygenation: a Systematic Review
The mismatch between the organ demand and supply is constantly growing.1-5 In 2019, 18 patients per day died on the waiting list for an organ transplantation in Europe.6 In the United States, every 10 minutes another person was added to the transplantation waiting list, and 104 234 patients were on the list.7 Various strategies have been developed to address organ donation shortage, including organ utilisation from patients being on extracorporeal membrane oxygenation (ECMO) at the time of death. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 19, 2024 Category: Anesthesiology Authors: Sasa Rajsic, Benedikt Treml, Nicole Innerhofer, Christine Eckhardt, Aleksandra Radovanovic Spurnic, Robert Breitkopf Tags: Original Article Source Type: research

Intraoperative Cerebral Autoregulation Monitoring using Cerebral Oximetry index for Early Detection of Neurologic Complications in an Infant Undergoing Repair of Interrupted Aortic Arch.
Despite advancements in surgical and anesthesia care, postoperative neurologic complications are still frequent in infants presenting with critical congenital heart defects and several risk factors have been associated with poor neurologic outcome in a multifactorial cumulative model.1 Near infrared spectroscopy (NIRS) is widely used to monitor perioperative brain oxygenation in cardiac surgery, despite further investigation are needed to define threshold values for triggering interventions2. NIRS-based cerebral autoregulation continuous assessment can be provided by a dedicated monitoring software that calculates the Cere...
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 19, 2024 Category: Anesthesiology Authors: Stefano Pezzato, Andrea Moscatelli, Marta Fedriga, Rathinaswamy B. Govindan, Andrew T. Waberski, Ricardo A. Munoz, Yves d'Udekem, Can Yerebakan Tags: Case Report Source Type: research

Caseous Calcification of the Interventricular Septum Leading to Left Ventricular Outflow Tract Obstruction in the Setting of a Normal Mitral Valve Annulus
Caseous calcification of the mitral annulus (CCMA) is a rare pathology and considered a unique variant of mitral annular calcification (MAC). It is often diagnosed with the use of echocardiography where it is described as a large, heterogenous, echodense mass near the mitral annular region.1 It is a unique form of intramyocardial calcification and its central areas of echolucency, resembling liquefaction, distinguish it from the more commonly known dystrophic calcification.1,2 While its exact prevalence is unclear, some studies have mentioned it to be as rare as occurring in only 0.06% of the population. (Source: Journal o...
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 19, 2024 Category: Anesthesiology Authors: Joseph AbuRahma, Joseph C. Goldstein, John R. Spratt, Tomas Martin, Eric Pruitt, Tom Lewandowski, Albert R. Robinson Tags: Case Report Source Type: research

Fistula Into the Left Atrium After Atrial Septal Defect Closure
A 4-YEAR-OLD boy (weight: 13 kg; height: 98 cm) underwent surgical closure of a very large atrial septal defect (2.72 cm; Fig 1, A and B; Video 1). The aortic rim of the septal defect was deficient (Fig 2, Video 2). Both atrioventricular valves were competent. The aortic valve and proximal aorta appeared normal. All the pulmonary veins were draining into the left atrium, and the coronary sinus was of normal size. After separation from cardiopulmonary bypass, the 4-chamber transesophageal echocardiography view showed complete closure of the defect (Video 3). (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 18, 2024 Category: Anesthesiology Authors: Mohan Madan Maddali, Salim Nasser Al Maskari, Is'haq Al Aamri Tags: Diagnostic Dilemma Source Type: research

Fistula Into The Left Atrium Following Atrial Septal Defect Closure
A 4-year-old boy [weight:13kg; height: 98cm] underwent surgical closure of a very large atrial septal defect (2.72 cm; figure 1 A, B; videoclip 1). The aortic rim of the septal defect was deficient (Figure 2, videoclip 2). Both atrioventricular valves were competent. The aortic valve and proximal aorta appeared normal. All the pulmonary veins were draining into the left atrium, and the coronary sinus was of normal size. After separation from the cardiopulmonary bypass, the 4-chamber transesophageal echocardiography view showed complete closure of the defect (Videoclip 3)]. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 18, 2024 Category: Anesthesiology Authors: Mohan Madan Maddali, Salim Nasser Al Maskari, Is'haq Al Aamri Tags: Diagnostic Dilemma Source Type: research

Masthead
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 16, 2024 Category: Anesthesiology Source Type: research

Editorial Board
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 16, 2024 Category: Anesthesiology Source Type: research