Technology: Is There Sufficient Evidence to Change Practice in Point-of-Care Management of Coagulopathy?

abstract：:Complications associated with pulmonary artery catheters (PACs) include interpretation errors, insertion problems, sepsis, thrombosis, and dysrhythmias. Alternatives to the use of PACs include the central venous pressure catheter, measurement of cardiac output by thoracic electrical bioimpedance, gastric tonometry and...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Becker K Jr

更新日期：1998-04-01 00:00:00

abstract：OBJECTIVE:The long-term use of milrinone is associated with increased mortality in chronic heart failure. A recent meta-analysis suggested that it might increase mortality in patients undergoing cardiac surgery. The authors conducted an updated meta-analysis of randomized trials in patients undergoing cardiac surgery t...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Majure DT,Greco T,Greco M,Ponschab M,Biondi-Zoccai G,Zangrillo A,Landoni G

更新日期：2013-04-01 00:00:00

abstract：DESIGN:A prospective, randomized, open study. The regional technique used was not blinded. SETTING:A university teaching hospital. PARTICIPANTS:Forty-eight patients undergoing video-assisted thoracoscopic surgery (VATS) for tumor resection. INTERVENTIONS:Patients received either continuous extrapleural block or cont...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Hotta K,Endo T,Taira K,Sata N,Inoue S,Takeuchi M,Seo N,Endo S

更新日期：2011-12-01 00:00:00

abstract：OBJECTIVE:Most-Care (powered by the pressure-recording analytic method [PRAM]; Vytech HealthTM, Padova, Italy) is a minimally invasive cardiac output monitoring. This system already has been studied and validated in cardiac surgery and in children. It already showed a correlation with thermodilution methods in hemodyna...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Maj G,Monaco F,Landoni G,Barile L,Nicolotti D,Pieri M,Melisurgo G,Pappalardo F,Zangrillo A

更新日期：2011-06-01 00:00:00

abstract：OBJECTIVE:The objective of this retrospective review was to evaluate the perioperative and procedural management of patients with pulmonary alveolar proteinosis (PAP) who presented for whole-lung lavage (WLL). DESIGN:The records of all adult patients with PAP who underwent WLL between January 1, 1988 and August 20, 20...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Smith BB,Torres NE,Hyder JA,Barbara DW,Gillespie SM,Wylam ME,Smith MM

更新日期：2019-09-01 00:00:00

abstract：OBJECTIVES:To prospectively assess the diagnostic performance of echocardiographic measurements before spinal anesthesia in elderly patients undergoing lower limb surgery. Emphasis was placed on the dIVCmax-to-IVCCI ratio and IVCCI, where dIVCmax was the maximum diameter of inferior vena cava (IVC) at expiration and IV...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Saranteas T,Spiliotaki H,Koliantzaki I,Koutsomanolis D,Kopanaki E,Papadimos T,Kostopanagiotou G

更新日期：2019-09-01 00:00:00

abstract：OBJECTIVE:To determine the feasibility, safety, and efficacy on PaO(2)/F(I)O(2) ratio of prone positioning (PP) for acute respiratory distress syndrome (ARDS) after cardiac surgery. DESIGN:Retrospective review of information entered prospectively in the authors' database. SETTING:A private community nonteaching hospi...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Maillet JM,Thierry S,Brodaty D

更新日期：2008-06-01 00:00:00

abstract：:Pulmonary edema increasingly is recognized as a perioperative complication affecting outcome. Several risk factors have been identified, including those of cardiogenic origin, such as heart failure or excessive fluid administration, and those related to increased pulmonary capillary permeability secondary to inflammat...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Assaad S,Kratzert WB,Shelley B,Friedman MB,Perrino A Jr

更新日期：2018-04-01 00:00:00

abstract：:The vascular endothelium is intimately involved in a wide variety of normal physiological processes, including coagulation/anticoagulation, the maintenance of vascular tone, and pathological processes, including reperfusion injury, inflammatory syndromes, and tumor cell metastasis. This review discusses the importance...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Hill GE,Whitten CW

更新日期：1997-05-01 00:00:00

abstract：OBJECTIVE:One-lung ventilation (OLV) in children remains a niche practice with few studies to guide best practices. The objective of this study was to describe lower airway anatomy relevant to establishment of OLV in young children. DESIGN:Retrospective, observational study using pre-existing studies in the electronic...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Downard MG,Lee AJ,Heald CJ,Anthony EY,Singh J,Templeton TW

更新日期：2020-08-12 00:00:00

abstract：OBJECTIVE:Volatile anesthetics reduce the risk of myocardial infarction and mortality in coronary artery surgery. Recently, the American College of Cardiology/American Heart Association Guidelines suggested the use of volatile anesthetic agents for the maintenance of general anesthesia during noncardiac surgery in pati...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Zangrillo A,Testa V,Aldrovandi V,Tuoro A,Casiraghi G,Cavenago F,Messina M,Bignami E,Landoni G

更新日期：2011-12-01 00:00:00

abstract：OBJECTIVE:To assess the effect of systemic vascular resistance (SVR) on the reliability of the ClearSight system (Edwards Lifesciences, Irvine, CA) for measuring blood pressure (BP) and cardiac output (CO). DESIGN:Observational study. SETTING:University hospital. PARTICIPANTS:Twenty-five patients undergoing cardiac ...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Mukai A,Suehiro K,Kimura A,Tanaka K,Yamada T,Mori T,Nishikawa K

更新日期：2020-11-12 00:00:00

abstract：:Sotalol is a beta-adrenergic blocking drug with the additional property of lengthening the cardiac action potential. These electrophysiologic properties render the drug attractive for use in the prevention of postoperative supraventricular arrhythmias (SVA), and previous studies have suggested that it was indeed effec...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Jacquet L,Evenepoel M,Marenne F,Evrard P,Verhelst R,Dion R,Goenen M

更新日期：1994-08-01 00:00:00

abstract：OBJECTIVE:To evaluate magnesium as a sole or adjuvant agent with currently used prophylactic drugs in suppressing postoperative atrial tachyarrhythmias (POAT) after coronary artery bypass graft (CABG) surgery. DESIGN:Single-center prospective, randomized clinical trial. SETTING:University hospital. PARTICIPANTS:Pati...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Bert AA,Reinert SE,Singh AK

更新日期：2001-04-01 00:00:00

abstract：OBJECTIVE:To compare radial and femoral artery perfusion pressure during initiation and various stages of cardiopulmonary bypass (CPB). DESIGN:Prospective study. SETTING:The cardiac center of a tertiary referral teaching institute. PARTICIPANTS:Sixty consecutive patients of all ages undergoing a variety of cardiac o...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Chauhan S,Saxena N,Mehrotra S,Rao BH,Sahu M

更新日期：2000-06-01 00:00:00

abstract：:Tricuspid regurgitation is a notable aspect of congestive heart failure and is linked with worse outcomes if untreated. Functional tricuspid regurgitation commonly is seen in patients with heart failure, particularly in patients presenting for surgical management, such as those for mechanical cardiac assist device imp...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Ramsdell GC,Nelson JA,Pislaru SV,Ramakrishna H

更新日期：2020-06-12 00:00:00

abstract：OBJECTIVES:The use of monitored anesthesia care (MAC) for transcatheter aortic valve replacement (TAVR) is gaining favor in the United States, although general anesthesia (GA) continues to be common for these procedures. Open surgical cutdown for transfemoral TAVR has been a relative contraindication for TAVR with MAC ...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Bianco V,Gleason TG,Kilic A,Lee JS,Schindler JT,Rauso L,Arnold J,Joshi R,Navid F,Kliner D,Sultan I

更新日期：2019-01-01 00:00:00

abstract：OBJECTIVES:Two-dimensional speckle tracking echocardiography has advantages over tissue Doppler imaging during isovolumetric relaxation for predicting left-ventricular end-diastolic pressure in non-surgical patients. Considering the direct and indirect effects of general anesthesia on hemodynamics, we examined correlat...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Ebrahimi F,Kohanchi D,Gharedaghi MH,Petrossian V

更新日期：2019-04-01 00:00:00

abstract：OBJECTIVE:Cerebral near-infrared spectroscopy (NIRS) was evaluated for use in monitoring global oxygenation in adult patients after cardiac surgery. DESIGN:Prospective, randomized clinical monitoring study. SETTING:Intensive care unit for cardiac surgery; university hospital. PARTICIPANTS:The study included 35 patie...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Dullenkopf A,Baulig W,Weiss M,Schmid ER

更新日期：2007-08-01 00:00:00

abstract：OBJECTIVE:To compare the hemodynamic effects, efficacy, and safety of intravenous milrinone (M), 50 microg/kg during 10 minutes followed by 0.5 microg/kg/min, with intravenous dobutamine (D), 10 to 20 microg/kg/min, in patients with low cardiac output after cardiac surgery. DESIGN:Randomized, open-label, multicenter s...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Feneck RO,Sherry KM,Withington PS,Oduro-Dominah A,European Milrinone Multicenter Trial Group.

更新日期：2001-06-01 00:00:00

abstract：OBJECTIVE:The purpose of this study was to evaluate the left ventricular lusitropic effects of epinephrine versus milrinone after cardiopulmonary bypass. DESIGN:Prospective randomized study. SETTING:Single institution, university teaching hospital. PARTICIPANTS:Adult patients undergoing coronary artery bypass grafti...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Lobato EB,Willert JL,Looke TD,Thomas J,Urdaneta F

更新日期：2005-06-01 00:00:00

abstract：OBJECTIVE:To study adult patients in the immediate postoperative period after cardiac surgery and determine whether cardiac output (CO) and systemic vascular resistance (SVR) are generally within normal limits and whether clinical assessment of CO provides an adequate approximation to guide treatment. DESIGN:Prospecti...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Linton RA,Linton NW,Kelly F

更新日期：2002-02-01 00:00:00

abstract：OBJECTIVE:The aim of this study was to evaluate the pretreatment effect of simvastatin on spinal cord ischemia-reperfusion injury. DESIGN:Prospective, interventional study. SETTING:University research laboratory. PARTICIPANTS:Forty-five male Sprague-Dawley rats. INTERVENTIONS:Rats were treated with oral simvastatin...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Hwang J,Han JI,Han S

更新日期：2013-02-01 00:00:00

abstract：PURPOSE:The authors analyze a commercially available software package capable of geometrically reconstructing the mitral valve (MV) dynamically throughout systole. DESCRIPTION:Three-dimensional echocardiography has revolutionized the understanding of MV geometry. Advanced quantification software can be used to assess ...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Warraich HJ,Shahul S,Matyal R,Mahmood F

更新日期：2011-10-01 00:00:00

abstract：OBJECTIVES:Mesenteric ischemia is still a fatal event after cardiac procedures. No adequate intraoperative methods are available to monitor the gastrointestinal mucosal microcirculation in real-time conditions. The aim of the study was to assess a newly designed microprobe using laser Doppler flowmetry and remission sp...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Kiessling AH,Reyher C,Philipp M,Beiras-Fernandez A,Moritz A

更新日期：2015-02-01 00:00:00

abstract：OBJECTIVES:Use of viscoelastic testing, such as thromboelastography (TEG), is recommended in cardiac surgery to monitor coagulation and to guide the transfusion of blood products. The Quantra QPlus System is a novel point-of-care platform that uses ultrasonic pulses to characterize dynamic changes in viscoelastic prope...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： DeAnda A,Levy G,Kinsky M,Sanjoto P,Garcia M,Avandsalehi KR,Diaz G,Yates SG

更新日期：2020-12-08 00:00:00

abstract：:Quality improvement, research, and reporting of outcome results can be stratified by preoperative risk by using a logistic regression equation or scores to correct for multiple risk factors. The more than 30-fold mortality differences between lowest and highest risk patients make it critical to stratify outcome result...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Higgins TL

更新日期：1998-06-01 00:00:00

abstract：OBJECTIVE:At the authors' institution, before 2015, patients cannulated for peripheral venoarterial extracorporeal membrane oxygenation (VA-ECMO) did not undergo left ventricular (LV) decompression with the use of an LV vent. After 2015, the authors' institution began using the Impella device to vent the left ventricle...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Fiedler AG,Dalia A,Axtell AL,Ortoleva J,Thomas SM,Roy N,Villavicencio MA,D'Alessandro DA,Cudemus G

更新日期：2018-12-01 00:00:00

abstract：OBJECTIVE:Cardiac surgery patients have a high risk of postoperative bleeding. Historically, the platelet count has been one of the main parameters used to establish the need for platelet transfusions, and the recent introduction of point-of-care tests for platelet function has allowed clinicians to rationalize platele...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Auci E,Vetrugno L,Riccardi I,Brussa A,Orso D,Baroselli A,Gigante A,Cecotti R,Bassi F,Livi U,Bove T

更新日期：2020-12-01 00:00:00

abstract：OBJECTIVE:The purpose of this study was to investigate the association between general (GA), regional (RA), and local (LA) anesthetic techniques with respect to the development of delirium after vascular surgery. The authors hypothesized that patients undergoing GA for vascular surgery would have a higher incidence of ...

journal_title：Journal of cardiothoracic and vascular anesthesia

authors： Ellard L,Katznelson R,Wasowicz M,Ashworth A,Carroll J,Lindsay T,Djaiani G

更新日期：2014-06-01 00:00:00