Journal of Cardiothoracic and Vascular Anesthesia This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

One-lung ventilation techniques to facilitate thoracoscopic surgery: time for some different studies?
To the Editor: (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 22, 2024 Category: Anesthesiology Authors: John Pfitzner Tags: Letter to the Editor Source Type: research

Continuous Right Ventricular Pressure Monitoring in Cardiac Surgery
Right ventricular (RV) dysfunction in cardiac surgery can lead to RV failure which is associated with increased morbidity and mortality. Abnormal RV function can be identified using RV pressure monitoring. The primary objective of the study is to determine the proportion of patients with abnormal RV early to end-diastole diastolic pressure gradient (RVDPG) and abnormal RV end-diastolic pressure (RVEDP) before initiation and after cardiopulmonary bypass (CPB) separation. Secondary objective is to evaluate if RVDPG before CPB initiation is associated with difficult and complex separation from CPB, RV dysfunction and failure ...
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 22, 2024 Category: Anesthesiology Authors: Andr é Denault, Etienne J. Couture, Tjorvi Perry, Elena Saade, Alexander Calderone, Yu Hao Zeng, Daniel Scherb, Kevin Moses, Cristhian Potes, Ali Hammoud, William Beaubien-Souligny, Mahsa Elmi-Sarabi, Lars Grønlykke, Yoan Lamarche, Jean-Sébastien Lebon Source Type: research

Locoregional versus General Anesthesia for Carotid Artery Stenting in the ِAmerican College of Surgeons National Surgical Quality Improvement Project
The current surgical management of high-grade carotid stenosis includes carotid endarterectomy (CEA) and carotid artery stenting (CAS). CAS may be done via a transfemoral percutaneous approach (tfCAS) or by transcervical carotid artery revascularization (TCAR) via open common carotid exposure. Less commonly, a transradial approach for CAS may also be employed. Concerns regarding periprocedural stroke due to arch instrumentation during tfCAS led to the development of TCAR, and early results for this procedure have been favorable with short-term outcomes similar to CEA 1, 2. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 20, 2024 Category: Anesthesiology Authors: Issam Koleilat, John Denesopolis, Michael Parides, Katherine P. MacCallum, Evan Lipsitz Source Type: research

Platelet-Rich Plasma Sequestration in Cardiac Surgery in a Jehovah's Witness
Jehovah's Witnesses (JW) refuse allogeneic blood transfusions due to their religious beliefs. This situation poses significant challenges in the context of cardiac surgery, given that bleeding-related complications may arise during and after the procedure.1 Platelet-rich plasma (PRP) sequestration in cardiac surgery has been previously described.2-4 The new-generation autotransfusion device XTRA (LivaNova, UK) processes fresh donor blood using the device's built-in ‘PLT sequestration program’. According to Seyfried, platelet recovery in the PRP ranged from 39%-64%. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 19, 2024 Category: Anesthesiology Authors: Tabesh Azami, Bastiaan M Gerritse, Rene Daane, Thierry V Scohy Tags: Case Report Source Type: research

Post-operative hypotension after cardiac surgery is associated with acute kidney injury.
To describe the incidence of post-operative hypotension in patients undergoing cardiac surgery during the first 12 hours in ICU and any relationship between hypotension and the development of acute kidney injury (AKI). (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 19, 2024 Category: Anesthesiology Authors: Alexander Smith, Zsolt Turoczi, Nawaf Al-Subaie, Gabor Zilahi Tags: Original Article Source Type: research

Echocardiography In Sepsis: Can One Snapshot Tell The Whole Story?
It is with great interest that we read the single-center retrospective cohort study by Blank and Blank on the impact of echocardiography on mortality in sepsis in Critical Care Medicine. (1) Not only does this study add to the body of literature on sepsis, a major contributor to hospital morbidity and mortality, it also provokes an important discussion on how to best utilize echocardiography to manage our patients. (2) (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 18, 2024 Category: Anesthesiology Authors: Lakshmi Nemani, Louisa J. Palmer, Christoph G.S. Nabzdyk Tags: Editorial Source Type: research

The Association of Oxygen Delivery and Transfusion on Cardiopulmonary Bypass with Acute Kidney Injury
We sought to estimate whether the association of transfusion and AKI has a threshold of oxygen delivery below which transfusion is beneficial, but, above which it's harmful. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 17, 2024 Category: Anesthesiology Authors: Milo Engoren, Allison Janda, Michael Heung, David Sturmer, Donald S. Likosky, Robert B. Hawkins, Chi Chi Do-Nguyen, Michael Mathis Tags: Original Article Source Type: research

In Reply to “Letter to the Editor: The alphabet soup of norepinephrine doses”
To the Editor: (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 16, 2024 Category: Anesthesiology Authors: Stefano Salvati, Jacopo D'Andria Ursoleo, Giovanni Landoni, Alessandro Belletti Tags: Letter to the Editor Source Type: research

Beyond Venoarterial and Venovenous ECMO: Novel Cannulation Strategies
Extracorporeal Membrane Oxygenation (ECMO) is most commonly used as either lung support or venovenous ECMO (VV-ECMO) or combined heart and lung support or venoarterial ECMO (VA-ECMO). In certain instances such as large body habitus, peripheral vascular disease or poor vascular access, these strategies may not provide sufficient support or are not feasible to deploy. New strategies for ECMO including parallel VV-ECMO circuits for patients with high cardiac output, veno-venopulmonary ECMO, left atrial venoarterial ECMO, and dual lumen cannula access through the left ventricular apical may be helpful in complex circumstances....
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 15, 2024 Category: Anesthesiology Authors: Anthony Calhoun, Christopher Szabo, David Convissar, Dominic V. Pisano, Jamel Ortoleva Tags: Editorial Source Type: research

Prediction of acute kidney injury after coronary artery bypass graft from preoperative serum uric acid
This study aimed to examine the association of a heightened level of uric acid (UA) in the bloodstream and a heightened likelihood of AKI following CABG surgery. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 15, 2024 Category: Anesthesiology Authors: Chunsheng Huang, Jun Qiu, XiangMing Fang Source Type: research

One-Lung Ventilation in a Small Child
We congratulate Maddali et al. for the successful management of a challenging case involving a 2-yr-old undergoing one-lung ventilation for right thoracotomy.1 Withdrawal of a single-lumen endotracheal tube from the left mainstem bronchus is also helpful to temporarily resume bilateral ventilation when oxygen desaturation occurs during one-lung ventilation. Placement of a single-lumen endotracheal tube into the left mainstem bronchus may be difficult and can be facilitated by rotation of the bevel (depending on the model) and patient's head before advancement. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 12, 2024 Category: Anesthesiology Authors: Anthony M.-H. Ho, Amanda Jasudavisius, Julie Zalan, Joanna M. Dion, Melinda Fleming, Glenio B. Mizubuti Tags: Letter to the Editor Source Type: research

Transatlantic Educational Network – An Innovation Born Out of Necessity
The COVID-19 epidemic brought about many changes to the delivery of healthcare, graduate medical education, and collaborative efforts across academic medicine. While there was a temporary disruption in fluid delivery of services, longer-term benefits emerged with the leveraging of innovative technology and multi-centered collaborations. These new opportunities led fourteen centers within the United States and Europe to develop a novel remote collaborative educational effort in cardiovascular and thoracic anesthesiology, known as the Transatlantic Educational Network. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 12, 2024 Category: Anesthesiology Authors: Gabor Erdoes, Archer Kilbourne Martin Source Type: research

Use of laryngeal mask airway with continuous transcutaneous PCO2-monitoring for crico-tracheal resection requiring intermittent prolonged apnea in a pregnant woman
Subglottic stenosis (SGS) is characterized by a narrowed upper airway extending from just below the vocal folds to the lower border of the cricoid cartilage (1). SGS is either a congenital or an acquired condition of unknown pathophysiology generally accompanied by formation of scar tissue, fibrosis, and enhanced inflammation (2, 3). As the affected tissue contains estrogen receptors, growth hormones influence and impact its severity (2). Although several conservative and invasive treatment strategies exist, only crico-tracheal resection (CTR) can remove the constricting tissue completely and offers recurrence-free surviva...
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 11, 2024 Category: Anesthesiology Authors: Sophie Wuthe, Cecilia Veraar, Ursula Jantsch-Watzinger, Keso Skhirtladze-Dworschak, Thomas Schweiger, Konrad Hoetzenecker, Edda Tschernko, Martin Dworschak Tags: Case Report Source Type: research

Surgical ablation for atrial fibrillation: risk factors for recurrence and long-term outcome
Atrial fibrillation (AF) is the most common cardiac arrhythmia. Due to the insufficient efficacy of antiarrhythmic drugs and their adverse side effects, there has been considerable interest in the interventional treatment of AF, including both catheter ablation and surgical ablation. Surgical ablation or "maze procedure" is a treatment option for patients with AF undergoing concomitant or isolated cardiac surgery. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 11, 2024 Category: Anesthesiology Authors: Jonathan Frogel, Alexander Kogan, John G Augoustides, Tamer Jamal, Nir Shimoni, Roni Postan-Koren, Viktoriia Ivanov, Avi Sabbag, Ehud Raanani, Leonid Sternik Tags: Original Article Source Type: research

The use of early veno-venous extra-corporeal membrane oxygenation (ECMO) following lightning strike induced acute lung injury
Lightning is a life-threatening natural phenomenon. It has an electrical potential of 100-300 million volts and is capable of producing heat of up to 3000 °C. Fortunately, in the United Kingdom lightning strike injury is relatively uncommon, affecting 30-60 people annually with a mortality of approximately 5-10%. The probability of being struck by lightning is 1 in 1.2 million, and the probability of death is 1 in 33 million – resulting in approxim ately 3 deaths annually.1 (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 11, 2024 Category: Anesthesiology Authors: Rohan Farrimond, Yusuff Hakeem, Matthew Charlton Tags: Case Report Source Type: research