keyword
Keywords Surgery,cardiothoracic surgery...

Surgery,cardiothoracic surgery,thoracic

https://read.qxmd.com/read/38531579/skeletal-muscle-relaxants-as-adjunctive-pain-control-following-cardiothoracic-surgery-a-systematic-review-protocol
#1
JOURNAL ARTICLE
Shadman Kabir, Quinn Whaley, Melissa Fernandez, Travis W Murphy
INTRODUCTION: Multimodal pain control following cardiothoracic surgery remains a focus in international guidelines. We hypothesise that non-depolarising skeletal muscle relaxants can prove to be a useful adjunct for this population. METHODS/ANALYSIS: This systematic review will focus on human adult studies of pain control using muscle relaxants within 1 week following cardiac and thoracic surgery available in PubMed, Cochrane Central, Web of Science and EMBASE...
March 25, 2024: BMJ Open
https://read.qxmd.com/read/38530331/combined-transaortic-transapical-left-ventricular-septal-myectomy-for-subaortic-and-midventricular-obstruction-in-a-paediatric-patient
#2
Mina Estafanos, Amir J Rose, Sameh M Said
The patient is a 15-year-old girl who was diagnosed with hypertrophic cardiomyopathy and has been symptomatic due to severe left ventricular outflow tract obstruction. Combined transaortic and transapical left ventricular septal myectomy was performed to relieve the left ventricular outflow tract obstruction and address both subaortic and midventricular gradients.
March 26, 2024: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://read.qxmd.com/read/38530245/totally-endoscopic-micro-invasive-aortic-valve-replacement
#3
Farhad Bakhtiary, Saad Salamate, Ali El-Sayed Ahmad
Micro-invasive totally endoscopic aortic valve replacement surgery is a minimally invasive cardiac procedure that can be performed with the help of several techniques and technologies that employ the latest innovations in instrumentation and technological advances in the field, thereby greatly limiting the overall invasiveness of the procedure. With the help of a 3-dimensional camera, long instruments, a very small thoracotomy and a soft-tissue retractor without any rib retractor, the aortic valve can be easily and safely accessed for replacement...
March 26, 2024: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://read.qxmd.com/read/38529899/correction-of-absent-pulmonary-valve-syndrome-using-hilum-to-hilum-internal-pulmonary-artery-plication-plasty
#4
Fabian A Kari, Sebastian Michel, Jürgen Hörer
A 12-month-old girl (8.4 kg) with absent pulmonary valve syndrome and enlarged bilateral pulmonary arteries underwent trans-tricuspid ventricular septal defect closure, placement of a right ventricular-to-pulmonary artery conduit and hilum-to-hilum internal pulmonary artery plication plasty.
March 26, 2024: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://read.qxmd.com/read/38526520/chest-wall-resection-with-robotic-assisted-thoracoscopic-surgery-for-a-pancoast-tumour-a-case-report
#5
Tarisai Mandishona, Nicole Asemota, Obadah Alqudah, Haisam Saad, Joanna Fuentes-Warr, Lydia Rhodes, Vasileios Kouritas
We describe a rare procedure involving near-total robotic-assisted thoracoscopic surgery resection of a right posterior Pancoast tumour. Four ports and an assistant port were used. The DaVinci X system was used. The lobectomy was performed first to allow for adequate exposure to the apex and spine. The lateral aspect of ribs 1 to 4 was resected next, and the extrathoracic space was entered. Dissection proceeded through this space superiorly up to the level of the scapula and then posteriorly towards the spine...
March 25, 2024: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://read.qxmd.com/read/38524021/intraoperative-acute-cardiac-tamponade-as-a-result-of-intracardiac-perforation-requiring-emergency-continuous-pericardiocentesis-and-open-sternotomy-a-case-report-and-literature-review-of-a-rare-but-fatal-complication
#6
Christopher M Russo, Mitchell E Harrison, Nathaniel M Harry, John R Benjamin, Christian Popa
Intraoperative acute cardiac tamponade associated with iatrogenic intracardiac perforation from percutaneous interventional cardiac procedures is a rare but potentially catastrophic complication. We report a case of intraoperative acute hemopericardium caused by a left atrial (LA) perforation resulting in cardiac tamponade in a patient undergoing a baffling procedure for the correction of two anomalous pulmonary veins draining into her superior vena cava (SVC) that required continuous pericardiocentesis with autologous blood transfusion via the femoral vein and an emergency intraoperative transfer from the interventional cardiology cath lab to the cardiac operating room for an open sternotomy and primary repair...
February 2024: Curēus
https://read.qxmd.com/read/38523024/prospective-randomized-pilot-trial-on-the-effects-of-mild-hypercapnia-on-cerebral-oxygen-saturation-in-patients-undergoing-off-pump-coronary-artery-bypass-grafting
#7
JOURNAL ARTICLE
Chanchal Bhandari, Hemang Gandhi, Anil Panwar, Maruti Haranal, Himani Pandya
OBJECTIVE AND DESIGN: A single-center prospective randomized controlled study was conducted to assess the effect of targeted mild hypercapnia (TMH) on cerebral oxygen saturation (rSO2 ) in patients undergoing off-pump coronary artery bypass grafting (CABG). SETTING AND PARTICIPANTS: A prospective randomized controlled study involving 100 patients undergoing off-pump CABG at U. N. Mehta Hospital, Ahmedabad, Gujarat, India. INTERVENTION: Patients were randomized to either the TMH (PaCO2 45-55 mmHg) or the targeted normocapnia (TN; PaCO2 35-45 mmHg) group, containing 50 patients in each group...
March 6, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38523023/tricuspid-regurgitation-analysis-of-outcomes-and-risk-assessment
#8
REVIEW
Ankit Jain, Brian Gebhardt, Sudhakar Subramani, Mayank Mehrotra, Mohamed Gaber, Harish Ramakrishna
No abstract text is available yet for this article.
March 5, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38522772/the-society-of-thoracic-surgeons-congenital-heart-surgery-database-2023-update-on-outcomes-and-research
#9
JOURNAL ARTICLE
S Ram Kumar, J William Gaynor, Hannah Heuerman, John E Mayer, Meena Nathan, James E O'Brien, Christian Pizarro, Haris Subačius, Leslie Wacker, Chasity Wellnitz, Pirooz Eghtesady
The Society of Thoracic Surgeons (STS) Congenital Heart Surgery Database (CHSD) continues to be the most comprehensive database of congenital and pediatric cardiothoracic surgical procedures in the world and contains information on 664,210 operations as of June 30, 2023. The thirty-fifth harvest of the STS CHSD data was undertaken in Spring 2023 spanning the 4-year period January 1, 2019, through December 31, 2022, and included 144,919 operations performed at 114 participating sites in North America. The harvest analysis was successfully executed by the STS research and analysis center...
March 22, 2024: Annals of Thoracic Surgery
https://read.qxmd.com/read/38522771/clinical-trial-diversity-equity-inclusion-roadmap-of-the-cardiothoracic-surgical-trials-network
#10
REVIEW
Anuradha Lala, Clauden Louis, Dominique Vervoort, Alexander Iribarne, Aarti Rao, Wendy C Taddei-Peters, Samantha Raymond, Emilia Bagiella, Patrick O'Gara, Vinod H Thourani, Vinay Badhwar, Joanna Chikwe, Mariell Jessup, Neal Jeffries, Alan J Moskowitz, Annetine C Gelijns, Carlos J Rodriguez
BACKGROUND: There is a recognized lack of diversity among patients enrolled in cardiovascular interventional and surgical trials. Diverse patient representation in clinical trials is necessary to enhance generalizability of findings, which may lead to better outcomes across broader populations. The Cardiothoracic Surgical Trials Network (CTSN) recently developed a plan-of-action to increase diversity among participating investigators and trial participants -- the focus of this paper. METHODS: Review of literature and enrollment data from CTSN trials...
March 22, 2024: Annals of Thoracic Surgery
https://read.qxmd.com/read/38521956/predictive-factors-of-thoracic-aortic-calcification-in-patients-candidate-for-cardiac-surgery
#11
JOURNAL ARTICLE
Amin Bagheri, Shapour Shirani, Arash Jalali, Shahrzad Salehbeigi, Jamshid Bagheri
BACKGROUND: The presence of the severe thoracic aortic calcification (TAC) in cardiac surgery patients is associated with adverse post-operative outcome. However, the relationship between cardiovascular risk factors and aortic plaque burden remains unknown. The objective of this study was to determine the predictive factors of TAC in patients candidate for cardiac surgery. METHODS: Patients who underwent thoracic CT scan prior to cardiac surgery between August 2020 to April 2021 were included...
March 23, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38521631/associations-of-preoperative-nutritional-status-and-sarcopenia-with-mortality-in-patients-with-abdominal-aortic-aneurysm-after-open-and-endovascular-abdominal-aortic-aneurysm-repair-a-retrospective-study
#12
JOURNAL ARTICLE
Jiashu Yao, Yepeng Zhang, Bo Gao, Min Zhou
OBJECTIVE: The effect of preoperative malnutrition and sarcopenia on outcomes in patients with abdominal aortic aneurysm (AAA) after open surgical repair (OSR) and endovascular abdominal aortic aneurysm repair is undefined. The authors conducted the study to address this issue in this population. DESIGN: A retrospective observational study. SETTING: A large tertiary hospital. PARTICIPANTS: Patients with AAA who underwent OSR and endovascular aneurysm repair (EVAR)...
March 5, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38521630/comparison-of-outcomes-in-patients-requiring-mechanical-circulatory-support-who-received-cangrelor-in-addition-to-anticoagulation-versus-anticoagulation-alone
#13
JOURNAL ARTICLE
Trent C Martin, Brittney E Duewell, Janelle J Juul, Joseph R G Rinka, Lisa Rein, Joel T Feih
OBJECTIVES: To evaluate the safety of cangrelor administered concurrently with heparin or bivalirudin in patients on mechanical circulatory support. DESIGN: A single-center, retrospective cohort study of adult patients consecutively admitted between January 2016 and October 2020. SETTING: A tertiary medical center. PARTICIPANTS: Adult patients admitted to the cardiovascular intensive care unit put on mechanical circulatory support for acute myocardial infarction (AMI) or non-AMI indications...
March 2, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38521629/first-characterization-of-tissue-oxygen-saturation-recovery-patterns-in-pediatric-cardiac-surgery-patients-undergoing-remote-ischemic-preconditioning-and-the-association-with-clinical-outcomes
#14
JOURNAL ARTICLE
Maria A Vélez-Esquivia, Santiago Pedroza, Richard Rivera, Juan Camayo-Zorrilla, Gustavo A Cruz-Suárez
OBJECTIVE: This study aimed to delineate the recovery patterns of regional oxygen saturation (SrO2 ) in pediatric cardiac surgery patients subjected to remote ischemic preconditioning (RIPC), utilizing near-infrared spectroscopy (NIRS) for quantification. It also sought to establish the correlation between these perfusion patterns and postoperative clinical outcomes. DESIGN: A prospective longitudinal observational study. SETTING: The study was conducted at (BLINDED FOR REVIEW), a high-complexity service provider institution in (BLINDED FOR REVIEW)...
March 2, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38521494/gamification-in-cardiothoracic-surgical-education-time-to-learn-more
#15
EDITORIAL
Arjun Puri, Stephen C Yang, Benjamin D Kozower
No abstract text is available yet for this article.
March 21, 2024: Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38519337/con-the-harms-of-overfeeding-early-in-critical-illness
#16
JOURNAL ARTICLE
Andrew Gessouroun, Daniella DiNizo
Historically, several studies showed an association between malnutrition in critically ill patients and poor outcomes. As a result, the standard practice had been to provide patients with full nutrition as soon as possible to eliminate malnutrition, improve outcomes, and reduce mortality. However, several studies recently suggested that providing more calories and protein is not better in critical illness and may be harmful in certain disease states. This literature review and editorial describe the harms of maximal feeding early in critical illness...
October 13, 2023: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38514291/if-a-tree-falls-in-the-forest-is-there-an-echo-lessons-learnt-from-the-sts-database-analysis
#17
EDITORIAL
Swapnil Khoche
No abstract text is available yet for this article.
March 15, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38513707/probabilistic-prediction-of-bowel-ischemia-after-cardiothoracic-surgery
#18
JOURNAL ARTICLE
Francois Stephan, Mathilde Facque, Fares Ben Salem, Olivia Picq, Audrey Imbert, Thibaut Genty, Marc Zins
BACKGROUND: Gastro intestinal ischemia (GIisch) is challenging to diagnose in patients after cardiothoracic surgery. Computed tomography angiography (CTA) carries substantial false-negative and false-positive rates. The aim of the study was to evaluate if a combination of readily available variables improves the diagnosis of GIisch after cardiothoracic surgery. METHODS: This retrospective study included patients receiving intensive care after cardiothoracic surgery...
March 21, 2024: Thoracic and Cardiovascular Surgeon
https://read.qxmd.com/read/38508966/near-infrared-guided-thoracoscopic-surgery-and-future-near-infrared-targets
#19
REVIEW
Chris Thomson
Intraoperative near-infrared fluorescence imaging allows for real time, noninvasive visualization of anatomic structures (blood vessels, lymphatic vessels) or diseased states (cancer, inflammation). This technique is easily adapted to thoracoscopy and has allowed for improved detection of lung tumors and other various cancers, thoracic lymphatics, and cardiothoracic vasculature.
March 19, 2024: Veterinary Clinics of North America. Small Animal Practice
https://read.qxmd.com/read/38507134/neuraxial-anesthesia-and-analgesia-during-cardiothoracic-surgery-a-narrative-review
#20
REVIEW
Kevin Chen, Kyle Gashler, Tommy Li, Anvinh Nguyen
PURPOSE OF REVIEW: The purpose of this review is to synthesize and examine the literature on the use of neuraxial anesthesia and analgesia during cardiothoracic surgery. As cardiothoracic procedures often require systemic anticoagulation, neuraxial techniques are quite often underutilized due to the theoretical risk of epidural hematoma. In this review, we seek to examine the literature to review the indications and contraindications and to explore if neuraxial anesthesia and analgesia has a role in cardiothoracic surgery...
March 20, 2024: Current Pain and Headache Reports
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