The checklist checkup & amp; checklist fatigue - Say what? How does it impact clinical perfusion practice
J Extra Corpor Technol. 2024 Mar;56(1):32-33. doi: 10.1051/ject/2023046. Epub 2024 Mar 15.NO ABSTRACTPMID:38488717 | DOI:10.1051/ject/2023046 (Source: Journal of Extra-Corporeal Technology)
Source: Journal of Extra-Corporeal Technology - March 15, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Bharat Datt Source Type: research

Extracorporeal cardiopulmonary resuscitation: lifesaving for the right patient, at the right time and in the right place
J Extra Corpor Technol. 2023 Dec;55(4):157-158. doi: 10.1051/ject/2023043. Epub 2023 Dec 15.NO ABSTRACTPMID:38099628 | PMC:PMC10723523 | DOI:10.1051/ject/2023043 (Source: Journal of Extra-Corporeal Technology)
Source: Journal of Extra-Corporeal Technology - December 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Patrick W Weerwind Nousjka P A Vranken Source Type: research

Meropenem extraction by ex vivo extracorporeal life support circuits
CONCLUSION: Meropenem is rapidly cleared by hemodiafiltration during CRRT. There is minimal adsorption of meropenem to ECMO circuit components; however, meropenem undergoes significant degradation and/or plasma metabolism at physiological conditions. These ex vivo findings will advise pharmacists and physicians on the appropriate dosing of meropenem.PMID:38099629 | PMC:PMC10723574 | DOI:10.1051/ject/2023035 (Source: Journal of Extra-Corporeal Technology)
Source: Journal of Extra-Corporeal Technology - December 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Christopher Cole Honeycutt Charles Griffin McDaniel Autumn McKnite J Porter Hunt Aviva Whelan Danielle J Green Kevin M Watt Source Type: research

Development of new colloid osmotic pressure measurement method using ultrafiltration membrane during cardiopulmonary bypass
CONCLUSION: Measuring COP using ultrafiltration membranes solves problems within existing measurement methods. Although further improvements in the method are necessary, it has implications for future research and clinical applications.PMID:38099630 | PMC:PMC10723525 | DOI:10.1051/ject/2023028 (Source: Journal of Extra-Corporeal Technology)
Source: Journal of Extra-Corporeal Technology - December 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Takeshi Matsumoto Kiyoshi Yoshida Tomotaka Shinohara Eiji Miyoshi Takayoshi Ueno Source Type: research

Impact of pre-bypass ultrafiltration on prime values and clinical outcomes in neonatal and infant cardiopulmonary bypass
CONCLUSIONS: PBUF creates standardized and more physiologic values for electrolytes, glucose, and lactate before the initiation of bypass without significant impacts on in-hospital outcomes.PMID:38099631 | PMC:PMC10723572 | DOI:10.1051/ject/2023039 (Source: Journal of Extra-Corporeal Technology)
Source: Journal of Extra-Corporeal Technology - December 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Katherine Kohlsaat Kimberlee Gauvreau Francis Fynn-Thompson Sharon Boyle Kevin Connor William Regan Gregory Matte Meena Nathan Source Type: research

Building an Extracorporeal Cardiopulmonary Resuscitation Program at a High-volume Extracorporeal Membrane Oxygenation Center
We present two contrasting cases from a high-volume extracorporeal membrane oxygenation (ECMO) center (defined as greater than 30 ECMO cases per year) without a 24/7 ECPR program to highlight how to establish an ECPR program with a focus on patient selection and outcome optimization. In one case, a patient presented with cardiac arrest during initial triage for chest pain within the emergency department, and in the other case, a patient experienced an out-of-hospital cardiac arrest with prolonged no-flow and low-flow time. Despite the lack of a 24/7 ECPR program at the presenting center, both patients received an ECPR eval...
Source: Journal of Extra-Corporeal Technology - December 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Peter C Michalakes Walter F DeNino Claire B Jara Maxwell E Afari Bram J Geller Source Type: research

An in vitro comparison of intra-operative isohemagglutinin and human leukocyte antigen removal techniques in pediatric heart transplantation
CONCLUSIONS: In this in vitro plasmapheresis model of IT and anti-HLA antibody reduction, both MP and CP incorporated into the EC circuit can be used quickly and effectively to reduce circulating antibodies. While CP may have some greater efficiency, further study is necessary to verify this in vivo.PMID:38099633 | PMC:PMC10723569 | DOI:10.1051/ject/2023034 (Source: Journal of Extra-Corporeal Technology)
Source: Journal of Extra-Corporeal Technology - December 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Emily A Hayes Ashley B Walczak Erin Goodhue Meyer Kathleen Nicol Matthew Deitemyer Vicky Duffy Michelle Moore Padilla Robert J Gajarski Deipanjan Nandi Source Type: research

Direct and continuous dosing of propofol can saturate Ex vivo ECMO circuit to improve propofol recovery
CONCLUSION: Our results suggest that if ECMO circuits are dosed directly with propofol, drug adsorption can be eliminated as a cause for altered drug exposure. Field of Research: Artificial Lung/ECMO.PMID:38099634 | PMC:PMC10723571 | DOI:10.1051/ject/2023036 (Source: Journal of Extra-Corporeal Technology)
Source: Journal of Extra-Corporeal Technology - December 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Nitish Khurana Till S ünner Oliver Hubbard Carina E Imburgia Venkata Yellepeddi Hamidreza Ghandehari Kevin M Watt Source Type: research

ECPR for prolonged Pediatric Cardiac Arrest, an outcome without major neurological compromise
We report a case of a 4-month-old patient with a history of ventricular and septal defects, with left to right shunt and enlargement of left heart chambers that underwent surgery for the closure of the atrial and septal defects, and experienced complications that led to the use of ECMO in response to a prolonged cardiac arrest.PMID:38099635 | PMC:PMC10723570 | DOI:10.1051/ject/2023019 (Source: Journal of Extra-Corporeal Technology)
Source: Journal of Extra-Corporeal Technology - December 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Laura Guti érrez-Soriano Eduardo Becerra Zapata Nicolas Maya Trujillo German Andres Franco Gruntorad Pedro Hurtado Pe ña Source Type: research

Fifth-time redo mitral valve replacement via right thoracotomy under systemic hyperkalemia cardiopulmonary bypass without aortic cross-clamp
We report a case of a 46-year-old female patient who had a history of four cardiac operations. We chose a mitral valve replacement via right thoracotomy to enable optimal exposure of the mitral valve (MV). Because of multi-reoperations, we employed systemic hyperkalemia for cardiac arrest to protect the heart during cardiopulmonary bypass (CPB) without aortic cross-clamping. Here, we present a complex operation that performed management of CPB under hyperkalemia and the patient had a good postoperative recovery.PMID:38099636 | PMC:PMC10723575 | DOI:10.1051/ject/2023040 (Source: Journal of Extra-Corporeal Technology)
Source: Journal of Extra-Corporeal Technology - December 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Tomohisa Takeichi Yoshihisa Morimoto Akitoshi Yamada Takanori Tanaka Source Type: research

Central ECMO cannulation for severe dihydropyridine calcium channel blocker overdose
We present a case of a 12-year-old with severe dihydropyridine CCB ingestion, refractory to medical management and successfully treated with central ECMO cannulation. The patient was discharged home with no significant disability. Central ECMO cannulation may be helpful to facilitate adequate flows in vasodilatory shock such as CCB overdose.PMID:38099637 | PMC:PMC10723573 | DOI:10.1051/ject/2023037 (Source: Journal of Extra-Corporeal Technology)
Source: Journal of Extra-Corporeal Technology - December 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Jose M Cardenas Santiago Borasino Joseph Timpa Jeremy Hawkins Martha McBride William Rushton Jordan Newman Erika Mendoza Robert Sorabella Jonathan Byrnes Source Type: research

Our initial experience of monitoring the autoregulation of cerebral blood flow during cardiopulmonary bypass
CONCLUSION: Monitoring of CA during cardiopulmonary bypass is intriguing and complex. A series of challenges and limitations should be considered before introducing this method into clinical practice.PMID:38099638 | PMC:PMC10723576 | DOI:10.1051/ject/2023032 (Source: Journal of Extra-Corporeal Technology)
Source: Journal of Extra-Corporeal Technology - December 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Leon Andersen Micael Appelblad Urban Wiklund Nina Sundstr öm Staffan Svenmarker Source Type: research

A multipurpose Extracorporeal Life Support Circuit: a concept for multiorgan transplant and circulatory support service Healthcare provider
J Extra Corpor Technol. 2023 Dec;55(4):218-220. doi: 10.1051/ject/2023038. Epub 2023 Dec 15.ABSTRACTThe demand for efficient and adaptable life support systems in the field of Extracorporeal Life Support (ECLS) is steadily increasing. To meet this growing need, there is a requirement for a versatile extracorporeal life support circuit that can be effectively applied in various medical scenarios, especially in tertiary hospitals where multiple ECLS services are utilized. These services include Extracorporeal Membrane Oxygenation (ECMO) for addressing respiratory or cardiac problems, Ventricular Assist Device (VAD) as a brid...
Source: Journal of Extra-Corporeal Technology - December 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Salman Pervaiz Butt Nuno Raposo Yasir Saleem Source Type: research

Extracorporeal cardiopulmonary resuscitation: lifesaving for the right patient, at the right time and in the right place
J Extra Corpor Technol. 2023 Dec;55(4):157-158. doi: 10.1051/ject/2023043. Epub 2023 Dec 15.NO ABSTRACTPMID:38099628 | PMC:PMC10723523 | DOI:10.1051/ject/2023043 (Source: Journal of Extra-Corporeal Technology)
Source: Journal of Extra-Corporeal Technology - December 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Patrick W Weerwind Nousjka P A Vranken Source Type: research

Meropenem extraction by ex vivo extracorporeal life support circuits
CONCLUSION: Meropenem is rapidly cleared by hemodiafiltration during CRRT. There is minimal adsorption of meropenem to ECMO circuit components; however, meropenem undergoes significant degradation and/or plasma metabolism at physiological conditions. These ex vivo findings will advise pharmacists and physicians on the appropriate dosing of meropenem.PMID:38099629 | PMC:PMC10723574 | DOI:10.1051/ject/2023035 (Source: Journal of Extra-Corporeal Technology)
Source: Journal of Extra-Corporeal Technology - December 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Christopher Cole Honeycutt Charles Griffin McDaniel Autumn McKnite J Porter Hunt Aviva Whelan Danielle J Green Kevin M Watt Source Type: research