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Total 40 results found since Jan 2013.
Combined coronary and carotid artery disease: what to operate on first? or both at the same time?
Heart disease and stroke rank amongst the top four leading causes of death in the United States.1 Studies have demonstrated a positive correlation between the two, even suggesting that carotid artery disease may predict the presence of coronary artery disease (CAD).2,3 In fact, some have found that the prevalence of carotid artery stenosis (CAS) in those undergoing coronary artery bypass grafting (CABG) may be as high as 8-14%.4 Despite such co-existence, there remains no clear consensus Guidelines for revascularization in patients with co-existing CAD and CAS.
Source: Journal of Cardiothoracic and Vascular Anesthesia - September 20, 2023 Category: Anesthesiology Authors: Sherman Yu, Mark A. Chaney Tags: Case Conference Source Type: research
Invited Commentary on the Postpartum Preeclampsia ECMO Case Conference
PREGNANCY, DESPITE its common nature and reputation as a “natural stage” of female existence, has profound physiologic effects. The cardiovascular system evolves as early as 6 weeks' gestation to establish appropriate uteroplacental circulation to support a growing fetus and supply the increased demands on maternal metabolism.1 Cardiac output increase s throughout pregnancy and can reach up to 150% of prepregnancy levels by the twenty-fourth week, and is largely achieved by an increase in stroke volume; cardiac magnetic resonance imaging demonstrates increases in left ventricular end-diastolic volume and left ventricular mass.
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 8, 2023 Category: Anesthesiology Authors: Kristin Constantine Trela Tags: Invited Commentary Source Type: research
Invited Commentary to Postpartum Preeclampsia ECMO Case Conference
Pregnancy, despite its common nature and reputation as a “natural stage” of female existence, has profound physiological effects. The cardiovascular system evolves as early as six weeks gestation to establish appropriate uteroplacental circulation to support a growing fetus and supply the increased demands on maternal metabolism.1 Cardiac output incre ases throughout pregnancy and can reach up to 150% of pre-pregnancy levels by the twenty-fourth week and is largely achieved by an increase in stroke volume; cardiac magnetic resonance imaging demonstrates an increase in left ventricular end diastolic volume and left ventricular mass.
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 8, 2023 Category: Anesthesiology Authors: Dr. Kristin Constantine Trela Tags: Invited Commentary Source Type: research
Opioid-Free Cardiac Surgery: A Multimodal Pain Management Strategy With a Focus on Bilateral Erector Spinae Plane Block Catheters
CARDIAC SURGERY REQUIRING STERNOTOMY presents unique challenges for perioperative and postoperative analgesia. Intraoperatively, the sympathetic response to surgical stimulation must be modulated carefully to prevent excessive bleeding, maintain the integrity of surgical repairs, and decrease the risk of stroke or iatrogenic aortic injury without compromising myocardial and systemic perfusion. This must be achieved in patients whose underlying abnormal physiology, coupled with the effects of the surgical procedure, often result in tenuous hemodynamics.
Source: Journal of Cardiothoracic and Vascular Anesthesia - September 7, 2022 Category: Anesthesiology Authors: Nabil K. Thalji, Saumil Jayant Patel, John G. Augoustides, Robin J Schiller, Adam A. Dalia, Yinghui Low, Rawad I. Hamzi, Rohesh J. Fernando Tags: Case Conference Source Type: research
Opioid Free Cardiac Surgery: A Multimodal Pain Management Strategy with a Focus on Bilateral Erector Spinae Plane Block Catheters
Cardiac surgery requiring sternotomy presents unique challenges for perioperative and postoperative analgesia. Intraoperatively, the sympathetic response to surgical stimulation must be carefully modulated to prevent excessive bleeding, maintain the integrity of surgical repairs, and decrease the risk of stroke or iatrogenic aortic injury without compromising myocardial and systemic perfusion. This must be achieved in patients whose underlying abnormal physiology coupled with the effects of the surgical procedure often result in tenuous hemodynamics.
Source: Journal of Cardiothoracic and Vascular Anesthesia - September 7, 2022 Category: Anesthesiology Authors: Nabil K. Thalji, Saumil Jayant Patel, John G. Augoustides, Robin J Schiller, Adam A Dalia, Yinghui Low, Rawad I. Hamzi, Rohesh J. Fernando Tags: Case Conference Source Type: research
Perioperative Quality Initiative and Enhanced Recovery After Surgery-Cardiac Society Consensus Statement on the Management of Preoperative Anemia and Iron Deficiency in Adult Cardiac Surgery Patients
Anesth Analg. 2022 Sep 1;135(3):532-544. doi: 10.1213/ANE.0000000000006148. Epub 2022 Aug 17.ABSTRACTPreoperative anemia is common in patients presenting for cardiac surgery, with a prevalence of approximately 1 in 4, and has been associated with worse outcomes including increased risk of blood transfusion, kidney injury, stroke, infection, and death. Iron deficiency, a major cause of anemia, has also been shown to have an association with worse outcomes in patients undergoing cardiac surgery, even in the absence of anemia. Although recent guidelines have supported diagnosing and treating anemia and iron deficiency before ...
Source: Anesthesia and Analgesia - August 17, 2022 Category: Anesthesiology Authors: Nicole R Guinn Jonathon Schwartz Rakesh C Arora Vicki Morton-Bailey Solomon Aronson Charles Scott Brudney Elliott Bennett-Guerrero Perioperative Quality Initiative (POQI-8) and the Enhanced Recovery After Surgery-Cardiac Society (ERAS-C) Investigators Source Type: research
Routine or selective carotid artery shunting for carotid endarterectomy (and different methods of monitoring in selective shunting)
CONCLUSIONS: This review concluded that the data available were too limited to either support or refute the use of routine or selective shunting in carotid endarterectomy when performed under general anaesthesia. Large-scale randomised trials of routine shunting versus selective shunting are required. No method of monitoring in selective shunting has been shown to produce better outcomes.PMID:35731671 | PMC:PMC9216235 | DOI:10.1002/14651858.CD000190.pub4
Source: Cochrane Database of Systematic Reviews - June 22, 2022 Category: General Medicine Authors: Busaba Chuatrakoon Sothida Nantakool Amaraporn Rerkasem Saritphat Orrapin Dominic Pj Howard Kittipan Rerkasem Source Type: research
Morbidity and mortality in patients managed with high compared with low blood pressure targets during on-pump cardiac surgery: a systematic review and meta-analysis of randomized controlled trials
ConclusionIndividual trial definitions of high and low blood pressure targets varied, limiting inferences. The effect of high (compared with low) blood pressure targets on other morbidity and mortality after cardiac surgery remains unclear because of limitations with the body of existing evidence. Research to determine the optimal management of blood pressure during cardiac surgery is required.Study registrationPROSPERO (CRD42020177376); registered: 5 July 2020.
Source: Canadian Journal of Anesthesia - February 17, 2022 Category: Anesthesiology Source Type: research
DUPLICATE: Combined Stroke and Spinal Cord Infarction in Hybrid Type I Aortic Arch Debranching and TEVAR and the Dual Role of the Left Subclavian Artery
The Publisher regrets that this article is an accidental duplication of an article that has already been published, http://dx.doi.org/10.1016/j.endend.2014.06.001. The duplicate article has therefore been withdrawn.The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy.
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 11, 2022 Category: Anesthesiology Authors: Hamdy Awad, Arwa Raza, Samiya Saklayen, Sujatha Bhandary, Hesham Kelani, Ciaran Powers, Eric Bourekas, Michael Essandoh Tags: Case Conference Source Type: research
Combined Stroke and Spinal Cord Infarction in Hybrid Type I Aortic Arch Debranching and TEVAR and the Dual Role of the Left Subclavian Artery
Introduction
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 11, 2022 Category: Anesthesiology Authors: Hamdy Awad, Arwa Raza, Samiya Saklayen, Sujatha Bhandary, Hesham Kelani, Ciaran Powers, Eric Bourekas, Michael Essandoh Tags: Case Conference Source Type: research
Morbidity and mortality in patients managed with high compared with low blood pressure targets during on-pump cardiac surgery: a systematic review and meta-analysis of randomized controlled trials
CONCLUSION: Individual trial definitions of high and low blood pressure targets varied, limiting inferences. The effect of high (compared with low) blood pressure targets on other morbidity and mortality after cardiac surgery remains unclear because of limitations with the body of existing evidence. Research to determine the optimal management of blood pressure during cardiac surgery is required.STUDY REGISTRATION: PROSPERO (CRD42020177376); registered: 5 July 2020.PMID:35014001 | DOI:10.1007/s12630-021-02171-3
Source: Canadian Journal of Anaesthesia - January 11, 2022 Category: Anesthesiology Authors: Charlotte C McEwen Takhliq Amir Yuan Qiu Jack Young Kevin Kennedy Hilary P Grocott Hesham Kessani David Mazer Scott Brudney Morvarid Kavosh Eric Jacobsohn Anne Vedel Eugene Wang Richard P Whitlock Emilie P Belley-Cot é Jessica Spence Source Type: research
Bringing WISDOM to Breast Cancer Care
Dr. Laura Esserman answers the door of her bright yellow Victorian home in San Francisco’s Ashbury neighborhood with a phone at her ear. She’s wrapping up one of several meetings that day with her research team at University of California, San Francisco, where she heads the Carol Franc Buck Breast Care Center. She motions me in and reseats herself at a makeshift home office desk in her living room, sandwiched between a grand piano and set of enormous windows overlooking her front yard’s flower garden. It’s her remote base of operations when she’s not seeing patients or operating at the hospita...
Source: TIME: Health - October 22, 2021 Category: Consumer Health News Authors: Alice Park Tags: Uncategorized Source Type: news
