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Fast-track anesthesia in lateral mini-thoracotomy for transapical transcatheter valve implantation
CONCLUSIONS: Fast-track anesthesia using paravertebral-blockade for transcatheter transapical valve replacement in high-risk patients is a possible anesthetic approach. An effective PVB, in addition to a double-lumen laryngeal mask, provide an alternative strategy to conventional general anesthesia. These promising results could encourage further consideration of this approach in similar cardiac surgery patients.PMID:34527324 | PMC:PMC8411149 | DOI:10.21037/jtd-21-751
Source: Journal of Thoracic Disease - September 16, 2021 Category: Respiratory Medicine Authors: Ali Haddad Cynthia Szalai Lena van Brakel Yacine Elhmidi Sven Arends Marco Rabis Anca Pop Arjang Ruhparwar Thorsten Brenner Sharaf-Eldin Shehada Source Type: research

Mitral valve surgery via repeat median sternotomy versus right mini ‐thoracotomy: A systematic review and meta‐analysis of clinical outcomes
ConclusionRight MT is a safe alternative to the traditional re-sternotomy for patients who have had previous cardiac surgery. The approach offers a reduced length of hospital stay, ICU stay, and a lower risk of new-onset renal failure requiring dialysis. This review calls for robust trials in the field to further strengthen the evidence.
Source: Journal of Cardiac Surgery - November 6, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Manasi Mahesh Shirke, Nidhruv Ravikumar, Tan Jia Xiang Shawn, Nyasha Mutsonziwa, Vernie Soh, Amer Harky Tags: ORIGINAL ARTICLE Source Type: research

MELD-score for risk stratification in cardiac surgery
AbstractThe outcome of the patients undergoing cardiac surgery with cardiopulmonary bypass (CPB) is also influenced by the renal and hepatic organ functions. Risk stratification, using scores such as EURO Score II or STS Short-Term Risk Calculator for patients undergoing cardiac surgery with cardiopulmonary bypass, ignores the quantitative renal and hepatic function; therefore, MELD-Score was applied in these cases. We retrospectively examined patient data using the MELD score as a predictor of mortality. To perform a univariate analysis of the data, patients were classified into three groups based on the MELD Score: MELD ...
Source: Heart and Vessels - April 1, 2023 Category: Cardiology Source Type: research

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