• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

Predicting Post –Liver Transplant Outcomes—Rise of the Machines or a Foggy Crystal Ball?
ALTHOUGH LIVER transplantation (LT) provides a life-saving therapy to thousands of patients per year, many more die while awaiting transplantation resulting from critical organ shortages. Due to these shortages, patient selection is of paramount importance. Liver transplant programs strive to select recipients with high expected gains in life expectancy and low risks of complications. Major adverse cardiovascular events (MACE), such as myocardial infarction, heart failure, and stroke, may occur in approximately 23% of LT recipients within six months of transplantation.
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 12, 2021 Category: Anesthesiology Authors: Matthew W. Vanneman, Vikram Fielding-Singh, Nima Aghaeepour Tags: Editorial Source Type: research

How to Manage the Perioperative Patient on Combined Anticoagulant and Antiplatelet Therapy: Comments on the 2020 ACC Consensus Decision Pathway
Antithrombotic drugs are frequently used to prevent or treat various common cardiovascular disorders like acute coronary syndrome (ACS), stroke, atrial fibrillation (AF), and venous thromboembolism (VTE). Mainly, two classes of oral antithrombotic drugs are on market: anticoagulants, which slow down clot formation by reduced thrombin generation and fibrin formation; and antiplatelet drugs, which prevent platelet activation and formation of stable clots. Combined anticoagulant and antiplatelet therapy might be indicated in some patients, but it is associated with increased risk of critical bleeding.
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 28, 2021 Category: Anesthesiology Authors: Daniel Bolliger, Jens Fassl, Gabor Erdoes Tags: Editorial Commentary Source Type: research

Functional Hemodynamic Monitoring with a Wireless Ultrasound Patch
In this Emerging Technology Review a novel, wireless, wearable Doppler ultrasound patch is described as a tool for resuscitation. The device is designed, foremost, as a functional hemodynamic monitor – a simple, fast and consistent method for measuring hemodynamic change with preload variation. More generally, functional hemodynamic monitoring is a paradigm that helps predict stroke volume response to additional intravenous volume. Because Doppler ultrasound of the left ventricular outflow tra ct non-invasively measures stroke volume in real-time, it is increasingly deployed for this purpose.
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 24, 2021 Category: Anesthesiology Authors: Jon- Émile S. Kenny Tags: Emerging Technology Source Type: research

Utility of the Hypotension Prediction Index During Cardiac Surgery
Intraoperative hypotension is common despite the monitors and pharmacologic interventions currently available.1 Intraoperative hypotension is associated with adverse outcomes. Studies have established a correlation between the degree of intraoperative hypotension and the incidence of post-operative myocardial ischemia (MI), acute kidney injury (AKI) and overall mortality following non-cardiac surgeries.2-4 Similar correlations are also observed following cardiac surgeries with respect to stroke, renal injury, and prolonged hospital stay.
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 21, 2020 Category: Anesthesiology Authors: Brian Shin, Steven A. Maler, Keerthi Reddy, Neal W. Fleming Tags: Original Research Article Source Type: research

Primary stroke and failure-to-rescue following thoracic endovascular aortic aneurysm repair
To characterize the impact, on failure-to-rescue (FTR), of cerebrovascular accident as first occurring post-operative complication following thoracic endovascular aortic aneurysm repair (TEVAR).
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 1, 2020 Category: Anesthesiology Authors: Christian Mpody, Jerry Cui, Hamdy Awad, Sujatha Bhandary, Michael Essandoh, Ronald L. Harter, Joseph D. Tobias, Olubukola O. Nafiu Source Type: research

End of Procedure Volume Responsiveness Defined by the Passive Leg Raise Test is not Associated with Acute Kidney Injury Post Cardiopulmonary Bypass
: Renal hypoperfusion is a common mechanism of cardiac surgery related acute kidney injury (CS-AKI). However, the optimal amount of volume resuscitation to correct systemic hypoperfusion and prevent the postoperative development of CS-AKI has been a subject of debate. The goal of this study is to assess the association of volume responsiveness determined by stroke volume variation using the passive leg raise test (PLRT) at chest closure with the development of CS-AKI according to the Kidney disease  : improving global outcomes (KDIGO) criteria.
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 16, 2020 Category: Anesthesiology Authors: Ahmed Zaky, Duraid S Younan, Bradley Meers, James Davies, Sara Pereira, Ryan L Melvin, Brent Kidd, Charity Morgan, Ashita Tolwani, Jean Francois Pittet Tags: Original Article Source Type: research

End-of-Procedure Volume Responsiveness Defined by the Passive Leg Raise Test Is Not Associated With Acute Kidney Injury After Cardiopulmonary Bypass
Renal hypoperfusion is a common mechanism of cardiac surgery –related acute kidney injury (CS-AKI). However, the optimal amount of volume resuscitation to correct systemic hypoperfusion and prevent the postoperative development of CS-AKI has been a subject of debate. The goal of this study was to assess the association of volume responsiveness determined by stroke volume variation using the passive leg raise test (PLRT) at chest closure, with the development of CS-AKI according to the Kidney Disease Improving Global Outcomes criteria.
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 16, 2020 Category: Anesthesiology Authors: Ahmed Zaky, Duraid S. Younan, Bradley Meers, James Davies, Sara Pereira, Ryan L. Melvin, Brent Kidd, Charity Morgan, Ashita Tolwani, Jean Francois Pittet Tags: Original Article Source Type: research

NobleStitch ™ EL PFO Closure Guided by Transesophageal Echocardiography
Paradoxical embolism secondary to a persistent patent foramen ovale (PFO) is a significant source of embolic stroke and has been increasingly targeted by percutaneous interventional techniques. Both implanted devices and more recently, “deviceless” closure methods (i.e. suturing) have been developed. While device closure methods have historically been the predominant approach, issues related to the implanted devices such as migration, embolization, need for anticoagulation, device related thrombosis (DRT), erosion into adjacen t cardiovascular structures, and endocarditis are well documented.
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 5, 2020 Category: Anesthesiology Authors: Sridhar R. Musuku, Adithya Srikanthan, Divya Cherukupalli, Jaqueline Donovan, Alexander D. Shapeton, Brion Winston Tags: Case Report Source Type: research

NobleStitch EL PFO Closure Guided by Transesophageal Echocardiography
Paradoxical embolism secondary to a persistent patent foramen ovale (PFO) is a significant source of embolic stroke and increasingly has been targeted by percutaneous interventional techniques. Both implanted devices and, more recently, deviceless closure methods (ie, suturing) have been developed. Although device closure methods historically have been the predominant approach, issues related to the implanted devices, such as migration, embolization, need for anticoagulation, device-related thrombosis, erosion into adjacent cardiovascular structures, and endocarditis are well-documented.
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 5, 2020 Category: Anesthesiology Authors: Sridhar R. Musuku, Adithya Srikanthan, Divya Cherukupalli, Jaqueline Donovan, Alexander D. Shapeton, Brion Winston Tags: Case Report Source Type: research

A figure of eight and a circle within a circle: is this left ventricular geometry responsible for multiple embolic strokes two years after inferior wall myocardial infarction?
An 83-year-old, 165 cm, 67 kg man with hypertension, hyperlipidemia, and stage III chronic kidney disease presented for evaluation after several strokes. The patient suffered an inferior wall myocardial infarction two years before the current admission and more recently, underwent placement of a stent in the left circumflex coronary artery at a community hospital for treatment of a hemodynamically significant stenosis. The patient reported he was physically active after his most recent stroke with improved strength in his right upper and lower extremities.
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 23, 2020 Category: Anesthesiology Authors: Ryan M. Davidovich, Benjamin M. Mathews, Zafar Iqbal, Xavier V. Jean, Heather A. Sutter, G. Hossein Almassi, Paul S. Pagel Source Type: research

A comparison of volatile anesthesia and total intravenous anesthesia (TIVA) on outcome from cardiac surgery: a systematic review and meta-analysis
Volatile anesthesia and total intravenous anesthesia (TIVA) are the two main approaches that are taken to providing general anesthesia for patients undergoing cardiac surgery. Based on the findings of animal experimentation models, it has been proposed that volatile anesthesia has a cardioprotective effect as compared to TIVA, volatile anesthesia is associated with; higher left ventricular stroke volumes, reduced requirement for positive inotropes postoperatively, and lower postoperative levels of biomarkers of myocardial injury.
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 21, 2020 Category: Anesthesiology Authors: Jamie Beverstock, Thomas Park, R Peter Alston, Celine Chan Ah Song, Amy Claxton, Thomas Sharkey, Sarah Hutton, Joseph Fathers, Will Cawley Tags: Original Article Source Type: research

Cerebral Oximetry Monitoring in Patients Undergoing Surgery for Stanford Type-A Aortic Dissection
Brain ischemic injury is a frequent complication occurring after surgery for Stanford Type A aortic dissection (TAAD).1,2 In these patients, acute neurological events are often present at admission and are further aggravated or induced by perioperative hypotension, severe anemia, hypothermic circulatory arrest and extensive surgical repair.1,2 Postoperative stroke in TAAD patients is associated with markedly increased risk of early and mid-term mortality.3 Non-invasive monitoring of oxygen delivery to the brain has the potential to guide therapeutic interventions during the perioperative period to prevent these neurologica...
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 13, 2020 Category: Anesthesiology Authors: Fausto Biancari, Mikko Jormalainen, Peter Raivio, Caius Mustonen, Hannu-Pekka Honkanen, Johanna Valo, Antti Vento, Tatu Juvonen Tags: Original Article Source Type: research

Andexanet Alfa Use in Cardiac Surgical Patients: A Xa Inhibitor and Heparin Reversal Agent
THE NONVITAMIN K direct oral anticoagulants (DOACs) currently are approved for clinical use for the prevention of cerebrovascular embolic stroke in patients with nonvalvular atrial fibrillation, and as antithrombotic therapy and prophylaxis.1 As a result, clinicians should be aware of perioperative management strategies for both elective and emergency surgery in patients receiving these agents. Currently, specific reversal agents, also referred to as antidotes, are available for dabigatran (idarucizumab) and Xa inhibitors (andexanet alfa).
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 13, 2020 Category: Anesthesiology Authors: Jerrold H. Levy, Jean M. Connors Tags: Editorial Source Type: research

Left Atrial Myxoma Presenting as Cerebral Infarct
ACUTE embolic cerebral stroke is a major health setback for any individual, with increased mortality and morbidity. Embolus arising from cardiac chambers constitutes about 20% of ischemic strokes. Atrial fibrillation is the root cause of more than 50% of cardiogenic emboli, whereas congenital heart diseases, such as atrial septal defect, patent foramen ovale, prosthetic heart valves, rheumatic heart valvular disease, dilated cardiomyopathy, and endocarditis are predisposing factors for cardiogenic emboli.
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 5, 2020 Category: Anesthesiology Authors: Hemant Digambar Waikar, Aylliath Gosalakkal Jayakrishnan, Bodiabaduge Senaka Nimalakeerthi Bandusena, Prakash Priyadarshan, Peter Parthepan Kamalaneson, Abhaya Ileperuma, Praveen Kumar Neema, Richa Dhawan, Mark A. Chaney Tags: Case Conference Source Type: research

Left Atrial Myxoma Presenting as Cerebral Embolism
ACUTE embolic cerebral stroke is a major health setback for any individual, with increased mortality and morbidity. Embolus arising from cardiac chambers constitutes about 20% of ischemic strokes. Atrial fibrillation is the root cause of more than 50% of cardiogenic emboli, whereas congenital heart diseases, such as atrial septal defect, patent foramen ovale, prosthetic heart valves, rheumatic heart valvular disease, dilated cardiomyopathy, and endocarditis are predisposing factors for cardiogenic emboli.
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 5, 2020 Category: Anesthesiology Authors: Hemant Digambar Waikar, Aylliath Gosalakkal Jayakrishnan, Bodiabaduge Senaka Nimalakeerthi Bandusena, Prakash Priyadarshan, Peter Parthepan Kamalaneson, Abhaya Ileperuma, Praveen Kumar Neema, Richa Dhawan, Mark A. Chaney Tags: Case Conference Source Type: research

Pages: 1  2  3  4  5  6  7  8  9  10  11  12  13  14