Back to the Future-Importance of Spectral Doppler.

Abstract:

:Spectral Doppler is a part of the comprehensive echocardiographic imaging of the blood flow characteristics. Both pulsed-wave (PWD) and continuous-wave Doppler (CWD) provide valuable information about the blood flow speed and direction pattern. Evaluation of blood flow characteristics is crucially important in patients who present with thoracic aortic false aneurysm (TAFA). In the case presented, spectral Doppler interrogation, using both PWD and CWD, helped with establishing accurate mechanism for TAFA and guided surgical management.

authors

Alfirevic A

doi

10.1053/j.jvca.2018.11.006

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

1467-1470

issue

5

eissn

1053-0770

issn

1532-8422

pii

S1053-0770(18)31022-X

journal_volume

33

pub_type

杂志文章
  • Change in plasma glutamate concentration during cardiac surgery is a poor predictor of cognitive outcome.

    abstract:OBJECTIVE:To develop a simple and reliable method for quantitating plasma glutamate concentration and apply this method to monitor systemic glutamate levels during coronary artery bypass graft (CABG) surgery, a procedure associated with neurologic deficits. DESIGN:Prospective serial investigation of cardiac surgery pa...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/jcan.2002.125148

    authors: Reynolds JD,Amory DW,Grocott HP,White WD,Newman MF

    更新日期:2002-08-01 00:00:00

  • Age and other risk factors for neuropsychologic decline in patients undergoing coronary artery bypass graft surgery.

    abstract:OBJECTIVE:To evaluate if increasing age is a major determinant of long-term neuropsychologic (NP) dysfunction in patients undergoing coronary artery bypass graft (CABG) surgery. DESIGN:Prospective cohort study. SETTING:A single university hospital. PARTICIPANTS:Three hundred eighty-one patients undergoing elective C...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/jcan.2000.7941

    authors: Smith MH,Wagenknecht LE,Legault C,Goff DC,Stump DA,Troost BT,Rogers AT

    更新日期:2000-08-01 00:00:00

  • Prospective observational study of hemostatic alterations during adult extracorporeal membrane oxygenation (ECMO) using point-of-care thromboelastometry and platelet aggregometry.

    abstract:OBJECTIVES:To characterize the longitudinal hemostatic profile during adult ECMO using point-of-care tests (POCT) for coagulation and to compare these parameters to standard laboratory tests. In addition, the clinicians' responses during bleeding episodes using available information were compared to a POCT-based respon...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/j.jvca.2014.06.006

    authors: Nair P,Hoechter DJ,Buscher H,Venkatesh K,Whittam S,Joseph J,Jansz P

    更新日期:2015-04-01 00:00:00

  • Continuous versus intermittent cardiac output measurement in cardiac surgical patients undergoing hypothermic cardiopulmonary bypass.

    abstract:OBJECTIVE:Continuous thermodilution cardiac output (CCO) measurement was clinically evaluated in patients who underwent coronary revascularization using hypothermic low-flow, low-pressure cardiopulmonary bypass (CPB). DESIGN:Prospective study. SETTING:University hospital setting. PARTICIPANTS:30 cardiac surgical pat...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1016/s1053-0770(05)80095-3

    authors: Böttiger BW,Rauch H,Böhrer H,Motsch J,Soder M,Fleischer F,Martin E

    更新日期:1995-08-01 00:00:00

  • Pharmacodynamics of pentamorphone during coronary artery bypass grafting in humans.

    abstract::Pentamorphone is a new, highly potent opioid reported to have minimal cardiovascular effects in humans and a high therapeutic index in animals. Pentamorphone was injected intravenously (IV) as the sole anesthetic in 10 patients with left ventricular ejection fractions greater than 0.35 who were undergoing elective cor...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1016/1053-0770(92)90192-a

    authors: Falinski BA,Sebel PS,Hug CC Jr,Klochany A

    更新日期:1992-04-01 00:00:00

  • Exogenous surfactant may improve oxygenation but not mortality in adult patients with acute lung injury/acute respiratory distress syndrome: a meta-analysis of 9 clinical trials.

    abstract:OBJECTIVE:To evaluate whether exogenous surfactant therapy may be useful in adult patients with acute lung injury or acute respiratory distress syndrome, using a meta-analysis of published clinical trials. DESIGN:A comprehensive literature search was performed to identify all randomized clinical trials examining the e...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,meta分析

    doi:10.1053/j.jvca.2011.11.006

    authors: Meng H,Sun Y,Lu J,Fu S,Meng Z,Scott M,Li Q

    更新日期:2012-10-01 00:00:00

  • Determinants of postoperative hypothermia after normothermic cardiopulmonary bypass.

    abstract::Inadvertent postoperative hypothermia in the cardiac surgical patient can have various adverse physiologic effects. Previous studies have investigated the relationship of patient, surgical, and anesthetic factors with postoperative hypothermia in patients undergoing noncardiac surgery. This study was designed to asses...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1016/s1053-0770(05)80186-7

    authors: Baker J,Baker AJ,Mazer CD

    更新日期:1995-04-01 00:00:00

  • Preoperative interpleural administration of sufentanil or bupivacaine reduces intraoperative intravenous sufentanil requirements during thoracotomy.

    abstract::The efficacy of interpleural administration of sufentanil, 50 micrograms, was compared with that of 150 mg of bupivacaine, 0.5%, with epinephrine, 5 micrograms/mL, or saline, in 30 patients (N = 10 in each group) undergoing lateral thoracotomy. Sufentanil, bupivacaine, or saline was administered interpleurally after i...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1016/1053-0770(93)90307-7

    authors: Haak-van der Lely F,van Kleef JW,Burm AG,Bovill JG

    更新日期:1993-10-01 00:00:00

  • Outcomes of Infant Cardiac Surgery for Congenital Heart Disease Concomitant With Persistent Pneumonia: A Retrospective Cohort Study.

    abstract:OBJECTIVES:There is still controversy about whether an infant should have cardiac surgery concomitant with ongoing persistent pneumonia. This study analyzes the outcome of surgical treatment for infants with left-to-right shunt congenital heart disease accompanied with persistent pneumonia and discusses the perioperati...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/j.jvca.2018.05.039

    authors: Luo H,Qin G,Wang L,Ye Z,Pan Y,Huang L,Luo W,Guo Q,Peng Y,Wang E

    更新日期:2019-02-01 00:00:00

  • Propofol inhibits desflurane-induced preconditioning in rabbits.

    abstract:OBJECTIVES:The authors tested the hypothesis that ischemic and desflurane-induced preconditioning are blocked by propofol. DESIGN:A prospective, randomized, vehicle-controlled study. SETTING:A university research laboratory. SUBJECTS:New Zealand white rabbits (n = 52). METHODS:Pentobarbital-anesthetized rabbits wer...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/j.jvca.2010.07.018

    authors: Smul TM,Stumpner J,Blomeyer C,Lotz C,Redel A,Lange M,Roewer N,Kehl F

    更新日期:2011-04-01 00:00:00

  • Comparison of milrinone versus nitroglycerin, alone and in combination, on grafted internal mammary artery flow after cardiopulmonary bypass: effects of alpha-adrenergic stimulation.

    abstract:OBJECTIVES:To compare changes in blood flow in a grafted internal mammary artery (IMA) after cardiopulmonary bypass (CPB) in response to the administration of milrinone or nitroglycerin and to establish the effects of alpha-adrenergic stimulation. DESIGN:Randomized study. SETTING:A university medical center hospital ...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1053/jcan.2001.28316

    authors: Lobato EB,Janelle GM,Urdaneta F,Martin TD

    更新日期:2001-12-01 00:00:00

  • Cardiac output calculation and three-dimensional echocardiography.

    abstract:OBJECTIVE:To compare the determination of stroke volume (SV) and cardiac output (CO) using 2-dimensional (2D) versus 3-dimensional (3D) transesophageal echocardiography (TEE). DESIGN:Prospective observational study. SETTING:Tertiary care university hospital. PARTICIPANTS:35 patients without structural valve abnormal...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/j.jvca.2013.11.005

    authors: Montealegre-Gallegos M,Mahmood F,Owais K,Hess P,Jainandunsing JS,Matyal R

    更新日期:2014-06-01 00:00:00

  • Predictive accuracy of alfentanil infusion in coronary artery surgery: a prebypass study in middle-aged and elderly patients.

    abstract::Twenty-three informed and consenting patients scheduled for CABG were anesthetized using computer-controlled infusions of alfentanil, midazolam, and pancuronium. Thirteen middle-aged patients received a preprogrammed infusion scheme of alfentanil, simulated using the population pharmacokinetic set of Maitre et al (Gro...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,评审

    doi:10.1016/1053-0770(94)90238-0

    authors: Barvais L,D'Hollander A,Schmartz D,Hendrice C,Cantraine F,Coussaert E

    更新日期:1994-06-01 00:00:00

  • ICU sedation after coronary artery bypass graft surgery: dexmedetomidine-based versus propofol-based sedation regimens.

    abstract:OBJECTIVE:To compare dexmedetomidine-based to propofol-based sedation after coronary artery bypass graft (CABG) surgery in the intensive care unit (ICU). DESIGN:Randomized, open label. SETTING:Twenty-five centers in the United States and Canada. PARTICIPANTS:Two hundred ninety-five adults undergoing CABG surgery. I...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1016/s1053-0770(03)00200-3

    authors: Herr DL,Sum-Ping ST,England M

    更新日期:2003-10-01 00:00:00

  • Corticosteroids for Patients With Coronavirus Disease 2019 (COVID-19) With Different Disease Severity: A Meta-Analysis of Randomized Clinical Trials.

    abstract:OBJECTIVES:Efficacy and safety of corticosteroids in patients with 2019-nCoV (novel coronavirus 2019) infection still are debated. Because large randomized clinical trials (RCTs) and a well-conducted meta-analysis on the use of corticosteroids, focused on patients with coronavirus disease (COVID-19) in intensive care u...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,meta分析

    doi:10.1053/j.jvca.2020.11.057

    authors: Pasin L,Navalesi P,Zangrillo A,Kuzovlev A,Likhvantsev V,Hajjar LA,Fresilli S,Lacerda MVG,Landoni G

    更新日期:2021-02-01 00:00:00

  • Comparison of epsilon aminocaproic acid and tranexamic acid in pediatric cardiac surgery.

    abstract:OBJECTIVE:This study compared the efficacy of aminocaproic acid and tranexamic acid in reducing postoperative blood loss, as well as blood and blood product requirements in children with cyanotic congenital heart disease. DESIGN:A prospective randomized study. SETTING:Cardiac center of a tertiary care, referral hospi...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1053/j.jvca.2004.01.016

    authors: Chauhan S,Das SN,Bisoi A,Kale S,Kiran U

    更新日期:2004-04-01 00:00:00

  • Effects of positive-pressure ventilation, pericardial effusion, and cardiac tamponade on respiratory variation in transmitral flow velocities.

    abstract:OBJECTIVE:To determine the effects of positive-pressure ventilation and experimentally induced pericardial effusion and tamponade on transmitral flow velocities in dogs. DESIGN:Descriptive. SETTING:University laboratory. PARTICIPANTS:Eleven tracheally intubated and mechanically ventilated dogs. INTERVENTIONS:Experi...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/jcan.2003.9

    authors: Faehnrich JA,Noone RB Jr,White WD,Leone BJ,Hilton AK,Sreeram GM,Mark JB

    更新日期:2003-02-01 00:00:00

  • The effects of propofol compared to high-dose fentanyl anesthesia on rheologic parameters in coronary artery surgery.

    abstract::Propofol has previously been found to decrease hematocrit values. Because hematocrit is an important determinant of blood viscosity, lower hematocrits may cause a decrease in blood viscosity, improving blood flow and oxygen delivery. This phenomenon may be beneficial in certain intraoperative situations. To study the ...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1016/1053-0770(93)90111-w

    authors: Mokken FC,Henny CP,Gelb AW,Biervliet JD,Hardeman MR,Kedaria M,van Wezel HB

    更新日期:1993-02-01 00:00:00

  • Glycocalyx Degradation and Inflammation in Cardiac Surgery.

    abstract:OBJECTIVE:Experimental inflammation induces degradation of glycocalyx. The authors hypothesized that inflammation is an important determinant of glycocalyx degradation in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). DESIGN:A prospective observational study. SETTING:Operation theater and inte...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/j.jvca.2018.04.007

    authors: Pesonen E,Passov A,Andersson S,Suojaranta R,Niemi T,Raivio P,Salmenperä M,Schramko A

    更新日期:2019-02-01 00:00:00

  • Paravertebral ropivacaine, 0.3%, and bupivacaine, 0.25%, provide similar pain relief after thoracotomy.

    abstract:OBJECTIVE:This study was designed to determine whether ropivacaine plus fentanyl was as effective as bupivacaine plus fentanyl in a continuous thoracic paravertebral block after posterolateral thoracotomy. DESIGN:Patients were randomly assigned in a blinded fashion to receive 1 of 2 solutions for paravertebral analges...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1053/j.jvca.2006.02.032

    authors: Navlet MG,Garutti I,Olmedilla L,Pérez-Peña JM,San Joaquin MT,Martinez-Ragues G,Gomez-Caro L

    更新日期:2006-10-01 00:00:00

  • Perioperative myocardial ischemia in carotid endarterectomy under cervical plexus block and prophylactic nitroglycerin infusion.

    abstract::Perioperative myocardial ischemia was evaluated in 36 consecutive carotid endarterectomy procedures carried out on patients with a high (72.2%) prevalence of ischemic heart disease. The procedures were performed under cervical plexus block plus a prophylactic intravenous nitroglycerin infusion. Findings of myocardial ...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1016/1053-0770(93)90002-3

    authors: Landesberg G,Erel J,Anner H,Eidelman LA,Weinmann E,Luria MH,Admon D,Assaf J,Sapoznikov D,Berlatzky Y

    更新日期:1993-06-01 00:00:00

  • Safety of Noncardiac Surgery in Patients With Hypertrophic Obstructive Cardiomyopathy at a Tertiary Care Center.

    abstract:OBJECTIVES:This study's purpose was to review non-cardiac surgery (NCS) in patients with hypertrophic obstructive cardiomyopathy (HOCM) to examine perioperative management and quantify postoperative mortality and worsening heart failure. DESIGN:Retrospective review. SETTING:A single tertiary care center. PARTICIPANT...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/j.jvca.2015.08.017

    authors: Barbara DW,Hyder JA,Behrend TL,Abel MD,Schaff HV,Mauermann WJ

    更新日期:2016-06-01 00:00:00

  • The Use of Regional or Local Anesthesia for Carotid Endarterectomies May Reduce Blood Loss and Pulmonary Complications.

    abstract:OBJECTIVE:Over 150,000 carotid endarterectomy (CEA) procedures are performed each year. Perioperative anesthetic management may be complex due to multiple patient and procedure-related risk factors. The authorsaimed to determine whether the use of general anesthesia (GA), when compared with regional anesthesia (RA), wo...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/j.jvca.2018.08.195

    authors: Malik OS,Brovman EY,Urman RD

    更新日期:2019-04-01 00:00:00

  • A Pilot Randomized Controlled Study of Mild Hypercapnia During Cardiac Surgery With Cardiopulmonary Bypass.

    abstract:OBJECTIVES:To test whether targeted therapeutic mild hypercapnia (TTMH) would attenuate cerebral oxygen desaturation detected using near-infrared spectroscopy during cardiac surgery requiring cardiopulmonary bypass (CPB). DESIGN:Randomized controlled trials. SETTING:Operating rooms and intensive care unit of tertiary...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1053/j.jvca.2019.03.012

    authors: Chan MJ,Lucchetta L,Cutuli S,Eyeington C,Glassford NJ,Mårtensson J,Angelopoulos P,Matalanis G,Weinberg L,Eastwood GM,Bellomo R

    更新日期:2019-11-01 00:00:00

  • The Impact of Anesthetic Regimen on Outcomes in Adult Cardiac Surgery: A Narrative Review.

    abstract::Despite improvements in surgical techniques and perioperative care, cardiac surgery still is burdened by relatively high mortality and frequent major postoperative complications, including myocardial dysfunction, pulmonary complications, neurologic injury, and acute kidney injury. Although the surgeon's skills and vol...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,评审

    doi:10.1053/j.jvca.2020.03.054

    authors: Pisano A,Torella M,Yavorovskiy A,Landoni G

    更新日期:2020-04-20 00:00:00

  • Cardiac interventions in pregnancy and peripartum - a narrative review of the literature.

    abstract::In the UK, mortality rate during pregnancy/in the peripartal period is 14.1 per 100,000 maternities with heart disease being the leading cause of non-obstetric maternal mortality (10% to 15% of all maternal deaths). Owing to the advances in the treatment of congenital heart disease (CHD), an increasing percentage of w...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,评审

    doi:10.1053/j.jvca.2019.12.021

    authors: Carlier L,Devroe S,Budts W,Van Calsteren K,Rega F,Van de Velde M,Rex S

    更新日期:2020-12-01 00:00:00

  • Tricuspid Regurgitation in Congestive Heart Failure: Management Strategies and Analysis of Outcomes.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/j.jvca.2020.06.022

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

    更新日期:2020-06-12 00:00:00

  • Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study.

    abstract:OBJECTIVE:Clinical handover is a critical moment in patient care. The authors tested the hypothesis that handover of anesthesia care is associated with increased mortality and morbidity in patients undergoing cardiac surgery. DESIGN:This was a single-center, retrospective cohort study of prospectively collected data. ...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/j.jvca.2014.05.018

    authors: Hudson CC,McDonald B,Hudson JK,Tran D,Boodhwani M

    更新日期:2015-02-01 00:00:00

  • CHA2DS2-VASc Score and In-Hospital Mortality in Critically Ill Patients With New-Onset Atrial Fibrillation.

    abstract:OBJECTIVE:To examine the role of the CHA2DS2-VASc (Congestive heart failure; Hypertension; Age ≥75 years [doubled]; Diabetes; previous Stroke, transient ischemic attack, or thromboembolism [doubled]; Vascular disease; Age 65-75 years; and Sex category) score as a prognostic marker of in-hospital mortality in critically...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/j.jvca.2019.11.044

    authors: Karamchandani K,Schoaps RS,Abendroth T,Carr ZJ,King TS,Bonavia A

    更新日期:2020-05-01 00:00:00

  • Milrinone increases flow in coronary artery bypass grafts after cardiopulmonary bypass: a prospective, randomized, double-blind, placebo-controlled study.

    abstract:OBJECTIVE:To compare the effects of a bolus of milrinone, 50 microg/kg, versus placebo on flow in coronary artery bypass grafts after cardiopulmonary bypass (CPB). DESIGN:A prospective, randomized, double-blind study. SETTING:A university hospital. PARTICIPANTS:Forty-four patients with stable angina and left ventric...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1053/j.jvca.2008.07.005

    authors: Arbeus M,Axelsson B,Friberg O,Magnuson A,Bodin L,Hultman J

    更新日期:2009-02-01 00:00:00