Abstract：
:Cardiopulmonary bypass (CPB) has been one of the most important additions to the field of heart surgery in the past century. However, significant morbidity associated with CPB has led to the increasing implementation of off-pump coronary artery bypass (OPCAB). The use of OPCAB has broadened surgical revascularization for patient populations at high risk for undergoing CPB, including the very elderly and patients with impending end-organ failure. Intraoperative hemodynamic instability requires expeditious correction of hypotension with various medical and surgical techniques that require the close attention and skill of both the anesthesia and surgical teams. Technical skill at performing and interpreting transesophageal echocardiography is essential to help differentiate regional wall motion abnormalities from coronary ischemia and external compression from manipulation of the heart, which require different management strategies to resolve hemodynamic collapse. Flawless communication between the anesthesiologist and surgeons, with frequent intraoperative adjustments, is paramount for the completion of successful OPCAB.
journal_name
J Cardiothorac Vasc Anesthjournal_title
Journal of cardiothoracic and vascular anesthesiaauthors
Bianco V,Kilic A,Gelzinis T,Gleason TG,Navid F,Rauso L,Joshi R,Sultan Idoi
10.1053/j.jvca.2019.05.005subject
Has Abstractpub_date
2020-01-01 00:00:00pages
258-266issue
1eissn
1053-0770issn
1532-8422pii
S1053-0770(19)30461-6journal_volume
34pub_type
杂志文章,评审abstract：OBJECTIVE:The authors investigated the relationship between pulmonary artery and transpulmonary aortic thermodilution cardiac output measurements under conditions of increasing cardiac output (CO). DESIGN:Animal study with repeated simultaneous measurements comparing 2 cardiac output measurement techniques. SETTING:E...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2007.01.005
更新日期：2007-10-01 00:00:00
abstract：OBJECTIVES:Prolonged intensive care unit stay after cardiac surgery is associated with high mortality. The aim of this study was to evaluate the impact of the introduction of a quality improvement program under the supervision of an intensivist on the long-term mortality of high-risk patients with prolonged intensive c...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2020.12.048
更新日期：2021-01-04 00:00:00
abstract：OBJECTIVE:To determine whether preoperative regional cerebral oxygen saturation (rSO2) and the decrease in rSO2 during carotid clamping were predictive of the risk for neurologic complications in carotid endarterectomy and to determine the cutoff values of the studied parameters. DESIGN:Cohort, prospective, nonrandomi...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 临床试验,杂志文章
doi：10.1053/j.jvca.2016.10.017
更新日期：2017-06-01 00:00:00
abstract：OBJECTIVE:The goal of this study was to evaluate the efficacy of 100% oxygen and inhaled nitric oxide (iNO) in decreasing pulmonary vascular resistance (PVR) and transpulmonary gradient (TPG) in dilated cardiomyopathy patients being evaluated for orthotopic heart transplantation (OHT); who, despite maximal intravenous ...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 临床试验,杂志文章
doi：10.1053/j.jvca.2006.01.028
更新日期：2007-02-01 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
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1053/jcan.2001.23274
更新日期：2001-06-01 00:00:00
abstract：OBJECTIVE:In minimally invasive surgical ablation for atrial fibrillation during video-assisted thoracoscopy surgery, one-lung ventilation (OLV) with a double- lumen tube is commonly employed. In contrast with the majority of thoracic procedures, the patient lies supine; thus, the protective effect of gravity is lost a...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2020.03.064
更新日期：2020-11-01 00:00:00
abstract：OBJECTIVES:Cardiopulmonary bypass (CPB) provides a unique circumstance to study the effects of drugs on the systemic vasculature. Thus, this study was designed to evaluate the effects of sodium bicarbonate on the systemic circulation during CPB in humans. DESIGN:Randomized, double-blind study. SETTING:Tertiary care u...
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.2007.06.001
更新日期：2008-04-01 00:00:00
abstract：OBJECTIVES:Methicillin-resistant Staphylococcus is a growing problem in intensive care units (ICUs). The aim of this study was to describe the epidemiology of methicillin-resistant Staphylococcus isolates in a cardiac surgical ICU over a 5-year period and to determine the risk factors and outcome of this condition. ME...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2004.12.002
更新日期：2006-02-01 00:00:00
abstract：OBJECTIVES:Helium produces preconditioning by activating prosurvival kinases, but the roles of reactive oxygen species (ROS) or mitochondrial adenosine triphosphate-regulated potassium (K(ATP)) channels in this process are unknown. The authors tested the hypothesis that ROS and mitochondrial K(ATP) channels mediate hel...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2008.04.005
更新日期：2008-08-01 00:00:00
abstract：:Since DeBakey's replacement of an aortic arch aneurysm using cardiopulmonary bypass and individual perfusion of the brachiocephalic and carotid arteries, selective cerebral perfusion has been used as an effective method of cerebral protection. Although interest in this technique waned with the evolution of hypothermic...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章,评审
doi：10.1016/s1053-0770(96)80181-9
更新日期：1996-01-01 00:00:00
abstract：:Patients with abdominal aortic aneurysms (AAA) have a high incidence of associated cardiac disease. If a patient presents with both severe coronary artery disease and a large AAA, a staged procedure of cardiac surgery (CS) followed by AAA resection may present too great a risk of aneurysm rupture and death. A combined...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1016/1053-0770(94)90163-5
更新日期：1994-10-01 00:00:00
abstract：OBJECTIVES:Perioperative treatment with angiotensin-converting enzyme (ACE) inhibitors in cardiac surgery with cardiopulmonary bypass is still controversial. Using ACE inhibitors during cardiac surgery might be associated with an increased risk of critical hypotensive episodes. On the other hand, ACE inhibitors could h...
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.2003.10.011
更新日期：2004-02-01 00:00:00
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
更新日期：1993-02-01 00:00:00
abstract：OBJECTIVE:Controversial results exist on the effects of spinal analgesia in cardiac surgery. The authors conducted a review of randomized studies to show whether there are any advantages in clinically relevant outcomes using spinal analgesia in patients undergoing cardiac surgery. DESIGN:Meta-analysis. SETTING:Multip...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章,meta分析
doi：10.1053/j.jvca.2009.07.002
更新日期：2009-12-01 00:00:00
abstract：OBJECTIVE:The inadequacy of heparinization during cardiopulmonary bypass (CPB) can lead to hemostatic activation with increases in postoperative blood loss and blood product requirements after cardiac surgery. Because activated coagulation time (ACT) measurements may not be accurate during CPB, the use of a heparin man...
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.2007.07.011
更新日期：2008-02-01 00:00:00
abstract：OBJECTIVE:To examine the association between blood component transfusions and the incidence of major postoperative infections in patients undergoing esophageal resection surgery. DESIGN:Retrospective cohort study. SETTING:Single academic tertiary referral center. PARTICIPANTS:All patients who underwent esophagectomy...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2011.12.015
更新日期：2012-08-01 00:00:00
abstract：OBJECTIVE:To determine which strategies are currently used for (anti)coagulation management and blood conservation during cardiac surgery in Canada. DESIGN:Institutional survey. SETTING:University hospital. PARTICIPANTS:All sites performing cardiac surgery in Canada. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESUL...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2008.02.005
更新日期：2008-10-01 00:00:00
abstract：OBJECTIVES:The aim of this study was to evaluate the ability of static, volumetric, and dynamic parameters of cardiac preload to predict volume responsiveness during one-lung ventilation (OLV). DESIGN:Prospective experimental study. SETTING:Laboratory of the animal facility of the University Medical Center Hamburg-Ep...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2013.05.003
更新日期：2013-12-01 00:00:00
abstract：:Clinical manifestations of coronavirus disease 2019 in pregnant women, in contrast to previous outbreaks, seem to be similar to those of nonpregnant women. During severe acute respiratory syndrome (SARS), SARS influenza A, and Middle East respiratory syndrome outbreaks, an increased severity of disease among pregnant ...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type：
doi：10.1053/j.jvca.2020.07.088
更新日期：2020-08-06 00:00:00
abstract：:The Doppler assessment of diastolic dysfunction (DD) is not part of a standard comprehensive intraoperative echocardiographic examination. Although the reasons may be many, the lack of a simplified algorithm for the assessment of DD specific to the perioperative arena, the implications of this diagnosis on clinical ca...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章,评审
doi：10.1053/j.jvca.2012.07.012
更新日期：2012-12-01 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
pub_type： 杂志文章,meta分析,评审
doi：10.1053/j.jvca.2012.08.005
更新日期：2013-04-01 00:00:00
abstract：OBJECTIVE:Postoperative atrial tachyarrhythmias (POATs) after coronary artery bypass grafting (CABG) are reported in 11% to 40% of patients. Several etiologic factors are mentioned. Prophylactic intervention with sotalol is reported to reduce the incidence of POAT. The authors studied the effect of magnesium chloride (...
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.2004.03.010
更新日期：2004-06-01 00:00:00
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 patient...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2018.11.006
更新日期：2019-05-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to test the hypothesis that meperidine induces a dilator response in the feline pulmonary vascular bed, and to identify receptors involved in the mediation or modulation of these effects. DESIGN:Prospective vehicle controlled study. SETTING:University research laboratory. SUBJ...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2005.10.003
更新日期：2006-10-01 00:00:00
abstract：OBJECTIVE:To evaluate the effect of two anesthetic agents (sevoflurane or propofol) on postoperative delirium (POD) in patients undergoing off-pump coronary artery bypass grafting (CABG). DESIGN:Retrospective observational design. SETTING:University hospital. PARTICIPANTS:Two hundred ninety-two patients undergoing o...
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.2017.02.047
更新日期：2017-12-01 00:00:00
abstract：OBJECTIVES:To investigate the association between adenosine diphosphate (ADP)-induced platelet aggregation measured by single-platelet count testing and postoperative blood loss in clopidogrel-treated patients with acute coronary syndromes undergoing coronary artery bypass grafting (CABG). DESIGN:Prospective observati...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2013.10.007
更新日期：2014-04-01 00:00:00
abstract：OBJECTIVE:Although failure to achieve an adequate activated coagulation time (ACT) after full heparinization before cardiopulmonary bypass often is attributed to antithrombin (AT) deficiency, it remains unclear if this is a causative mechanism of decreased heparin responsiveness. Therefore, the authors determined the r...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2012.03.011
更新日期：2012-08-01 00:00:00
abstract：OBJECTIVE:To investigate the effects of JM-1232(-) on norepinephrine (10(-6) mol/L)- and high K(+) (40 mmol/L)-induced contractions in isolated human gastroepiploic arteries (GEA), and to compare them with the effects of midazolam and propofol. In addition, to investigate whether the benzodiazepine-receptor antagonist,...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2010.03.013
更新日期：2011-02-01 00:00:00
abstract：OBJECTIVE:To test the reproducibility of Sonoclot coagulation analysis (SCA; Sienco Inc, Morrison, CO). The authors wished to determine if the mix/release of the preloaded celite activator in standard Sono-cuvettes could be responsible for the high variation coefficients for SCA parameters with citrated whole blood and...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1016/s1053-0770(99)90209-4
更新日期：1999-08-01 00:00:00
abstract：:Fiberoptic pulmonary artery flotation catheters have gained clinical acceptance for continuous monitoring of mixed venous oxygen saturation (SvO2), especially in the management of hemodynamically unstable patients. Therefore, the performance of the oximetry system used is extremely important. The accuracy and stabilit...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1016/1053-0770(92)90139-x
更新日期：1992-06-01 00:00:00
