Filtered By:
Source: Journal of Cardiothoracic and Vascular Anesthesia
This page shows you your search results in order of relevance. This is page number 7.
Order by Relevance | Date
Total 207 results found since Jan 2013.
Impact of Positive End-Expiratory Pressure on Thermodilution-Derived Right Ventricular Parameters in Mechanically Ventilated Critically Ill Patients
To examine the effect of positive end-expiratory pressure (PEEP) on right ventricular stroke volume variation (SVV), with possible implications for the number and timing of pulmonary artery catheter thermodilution measurements.
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 16, 2015 Category: Anesthesiology Authors: Thomas G.V. Cherpanath, Wim K. Lagrand, Jan M. Binnekade, Anton J. Schneider, Marcus J. Schultz, Johan A.B. Groeneveld Tags: Original Article Source Type: research
The Effect of Cardiopulmonary Bypass on Dabigatran Levels
DABIGATRAN IS a novel anticoagulant that is licensed for use for the prevention of stroke in the presence of atrial fibrillation. Its use has expanded rapidly in New Zealand, primarily due to there being no requirement for routine monitoring of its effect, as there is for warfarin. There are case reports in the literature describing management of patients coming for urgent cardiac surgery, which revolve mainly around the use of dialysis and massive transfusion of clotting factors to manage the bleeding associated with surgery.
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 31, 2015 Category: Anesthesiology Authors: Kelly Byrne Tags: CASE REPORT Source Type: research
A Case of Fatal Bleeding Following Emergency Surgery on an Ascending Aorta Intramural Hematoma in a Patient Taking Dabigatran
INTRAMURAL HEMATOMA (IMH) is an acute aortic syndrome. More frequently—in 60% to 70% of cases—IMH involves the descending aorta (type B), whereas the involvement of the ascending aorta and aortic arch accounts for 30% and 10% of the cases, respectively. Hospital mortality of type-A IMH is similar to type-A aortic dissection. Cardiocirculatory shock secondary to cardiac tamponade, together with stroke, coma, and impaired coronary perfusion, are important predictive factors of postoperative mortality.
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 13, 2016 Category: Anesthesiology Authors: Giulia Beatrice Crapelli, Paolo Bianchi, Giuseppe Isgrò, Andrea Biondi, Carlo de Vincentiis, Marco Ranucci Tags: Case Report Source Type: research
Perfusion pressure cerebral infarction (PPCI trial - a protocol for a randomised clinical trial
Debilitating brain injury occurs in 1.6-5 % of patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). Diffusion-weighed magnetic resonance imaging (DWI) studies have reported stroke-like lesions in up to 51 % of patients after cardiac surgery. The majority of the lesions seem to be caused by emboli, but inadequate blood flow caused by other mechanisms may increase ischaemia in the penumbra or cause watershed infarcts. During CPB, blood pressure can be below the lower limit of cerebral autoregulation.
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 30, 2016 Category: Anesthesiology Authors: Anne G Vedel, F Holmgaard, HB Ravn, JC Nilsson Source Type: research
Left atrial appendage closure without general anaesthesia
Left atrial appendage closure is an important interventional procedure to prevent stroke in patients with permanent atrial fibrillation and contraindication to anticoagulants. Because it requires the patient not to move and the performance of a continuous and prolonged transoesophageal echocardiography (TEE), such procedure is usually performed under general anaesthesia. The risk of general anaesthesia in the elderly is associated with difficult airway control, malignant hyperthermia, residual neuromuscular block, high risk of postoperative pulmonary complications, and the risk of accelerated cognitive decline.
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 30, 2016 Category: Anesthesiology Authors: F Monaco, Evgeny Fominskiy, C D Votta, N Villari, R Capucci, JC Lopez-Delgado, V Camarda, M Baiardo Redaelli, A Oriani, A Zangrillo Source Type: research
Neutrophil-lymphocyte ratio and risk of atrial fibrillation after thoracic surgery
Postoperative atrial fibrillation (POAF) occurs in frequently in patients after noncardiac thoracic surgery and has been associated with increased morbidity and risk of stroke.
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 30, 2016 Category: Anesthesiology Authors: K Walsh, KS Tan, H Zhang, Dawn Desiderio, D Amar Source Type: research
Does glycemic level affect neurologic outcomes during cardiopulmonary bypass?
In this study, we tried to identify a relationship existence between cerebral arterial oxygen saturation (rSO2) and blood glucose levels, and thus; evaluate changes in rSO2 caused by changes in blood glucose levels measured at predetermined time points of CPB.
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 30, 2016 Category: Anesthesiology Authors: Elvin Kesimci, E Erkýlýc, F Alaybeyoglu, C Balcý, T Dulkadiroglu, T Gumus, O Kanbak Source Type: research
A Case of Fatal Bleeding Following Emergency Surgery on an Ascending Aorta Intramural Hematoma in a Patient Taking Dabigatran
INTRAMURAL HEMATOMA (IMH) is an acute aortic syndrome. More frequently —in 60% to 70% of cases—IMH involves the descending aorta (type B), whereas the involvement of the ascending aorta and aortic arch accounts for 30% and 10% of the cases, respectively. Hospital mortality of type-A IMH is similar to type-A aortic dissection. Cardiocirculatory shock secondary to ca rdiac tamponade, together with stroke, coma, and impaired coronary perfusion, are important predictive factors of postoperative mortality.
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 12, 2016 Category: Anesthesiology Authors: Giulia Beatrice Crapelli, Paolo Bianchi, Giuseppe Isgr ò, Andrea Biondi, Carlo de Vincentiis, Marco Ranucci Tags: Case Report Source Type: research
The Effect of Cardiopulmonary Bypass on Dabigatran Levels
DABIGATRAN IS a novel anticoagulant that is licensed for use for the prevention of stroke in the presence of atrial fibrillation. Its use has expanded rapidly in New Zealand, primarily due to there being no requirement for routine monitoring of its effect, as there is for warfarin. There are case reports in the literature describing management of patients coming for urgent cardiac surgery, which revolve mainly around the use of dialysis and massive transfusion of clotting factors to manage the bleeding associated with surgery.
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 30, 2015 Category: Anesthesiology Authors: Kelly Byrne Tags: CASE REPORT Source Type: research
Impact of Positive End-Expiratory Pressure on Thermodilution-Derived Right Ventricular Parameters in Mechanically Ventilated Critically Ill Patients
To examine the effect of positive end-expiratory pressure (PEEP) on right ventricular stroke volume variation (SVV), with possible implications for the number and timing of pulmonary artery catheter thermodilution measurements.
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 15, 2015 Category: Anesthesiology Authors: Thomas G.V. Cherpanath, Wim K. Lagrand, Jan M. Binnekade, Anton J. Schneider, Marcus J. Schultz, Johan A.B. Groeneveld Tags: Original Article Source Type: research
Old Drug, New Route: A Systematic Review of Intravenous Acetaminophen After Adult Cardiac Surgery
THE MANAGEMENT OF postoperative pain after cardiac surgery remains clinically challenging. Well-controlled pain is critical to maintaining the physical and psychologic well-being of each patient and can help facilitate timely extubation, comfortable breathing, and early postoperative ambulation. On the other hand, left poorly managed, postoperative pain can lead to rising catecholamine levels, ultimately triggering myocardial ischemia, stroke, or bleeding complications.1-3 Insufficient pain control also can limit patient mobility, increasing the risk of deep vein thrombosis and pneumonia, in addition to the harmful psychol...
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 2, 2016 Category: Anesthesiology Authors: Daniel J. Douzjian, Alexander Kulik Tags: Review ArticleGiovanni Landoni, MDSection Editors? > Source Type: research
A Tight Spot After Pulmonary Vein Catheter Ablation
A 52-YEAR-OLD woman with a history of embolic stroke due to paroxysmal atrial fibrillation was referred to the authors ’ institution for epicardial surgical pulmonary vein isolation with left atrial appendage resection. The patient had 2 previous failed pulmonary vein catheter ablations. Dense fibrous tissue surrounding the left upper pulmonary vein was seen during surgery. Transesophageal echocardiography reveale d the following image (Fig 1). What is the diagnosis?
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 15, 2016 Category: Anesthesiology Authors: Rabia Amir, Lu Yeh, Mario Montealegre-Gallegos, Rabya Saraf, Robina Matyal, Feroze Mahmood Tags: Diagnostic Dilemma Source Type: research
Transcatheter Aortic Valve Replacement After Intraoperative Discovery of Porcelain Aorta in a Patient With Aortic Stenosis
PORCELAIN AORTA IS a major risk factor for stroke after cardiac surgery and may prompt alterations in surgical technique.1,2 Transcatheter aortic valve replacement (TAVR) has become a preferred treatment for patients with aortic stenosis and porcelain aorta.2 –4 Although TAVR has become a common procedure worldwide, this procedure typically is characterized by extensive preprocedural planning by a multidisciplinary heart team.5–9 This case conference describes a scenario in which TAVR was performed successfully on an urgent basis after intraoperative discovery of a porcelain aorta in a patient with severe aortic stenos...
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 17, 2016 Category: Anesthesiology Authors: Rohesh Fernando, Jacob T. Gutsche, John G.T. Augoustides, Jeremy D. Kukafka, Warren Spitz, Jonathan Frogel, Michael Fabbro, Prakash A. Patel Tags: Case ConferenceVictor C. Baum, MDSection Editors? > Source Type: research
Bivalirudin for Cardiopulmonary Bypass in the Setting of Heparin-Induced Thrombocytopenia and Combined Heart and Kidney Transplantation —Diagnostic and Therapeutic Challenges
SINCE THE PUBLICATION of the first case reports, heparin-induced thrombocytopenia (HIT) has persisted as a serious management dilemma for cardiothoracic anesthesiologists.1 –3 Nonimmune-mediated and immune-mediated forms of HIT, type I and II, respectively, both have been described in the literature.3–6 Of these 2 HIT phenotypes, the devastating and life-threatening thrombotic complications, such as limb ischemia, pulmonary embolism, stroke, and myocardial infarcti on, are almost associated exclusively with type-II HIT disease.
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 12, 2016 Category: Anesthesiology Authors: Ankeet A. Choxi, Prakash A. Patel, John G. Augoustides, Julio Benitez-Lopez, Jacob T. Gutsche, Hani Murad, Yiliam F. Rodriguez-Blanco, Michael Fabbro, Kendall P. Crookston, Neal S. Gerstein Tags: Case ConferenceMark A. Chaney, MDSection Editors? > Source Type: research
Perioperative Strokes and Early Outcomes in Mitral Valve Surgery: A Nationwide Analysis
To demonstrate the role of perioperative stroke as an independent risk factor for in-hospital morbidity and mortality after mitral valve surgery and review the trends in the early outcomes of mitral valve surgery over the past decade.
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 28, 2017 Category: Anesthesiology Authors: Reshmi Udesh, Amol Mehta, Thomas G. Gleason, Lawrence Wechsler, Parthasarathy D. Thirumala Tags: Original Article Source Type: research
