keyword
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
#1
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/38516147/cardiothoracic-anesthesiology-fellowship-programs-website-assessment-and-recommendations-for-fellowship-web-based-platforms
#2
EDITORIAL
Vladislav Pavlovich Zhitny, Edgar Lopez Mora, Eric Kawana, Benjamin Vachirakorntong, Michael C Wajda, Sunny Kim, Adam Foley, Aditya Nihalani, David Rehe, Liliya Pospishil, Jennie Ngai
No abstract text is available yet for this article.
2024: Journal of Education in Perioperative Medicine: JEPM
https://read.qxmd.com/read/38507134/neuraxial-anesthesia-and-analgesia-during-cardiothoracic-surgery-a-narrative-review
#3
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
https://read.qxmd.com/read/38453558/overview-and-clinical-applications-of-artificial-intelligence-and-machine-learning-in-cardiac-anesthesiology
#4
REVIEW
Michael Mathis, Kirsten R Steffner, Harikesh Subramanian, George P Gill, Natalia I Girardi, Sagar Bansal, Karsten Bartels, Ashish K Khanna, Jiapeng Huang
Artificial intelligence- (AI) and machine learning (ML)-based applications are becoming increasingly pervasive in the healthcare setting. This has in turn challenged clinicians, hospital administrators, and health policymakers to understand such technologies and develop frameworks for safe and sustained clinical implementation. Within cardiac anesthesiology, challenges and opportunities for AI/ML to support patient care are presented by the vast amounts of electronic health data, which are collected rapidly, interpreted, and acted upon within the periprocedural area...
February 15, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38423885/european-pediatric-cardiac-anesthesia-fellowship-program-a-first-proof-of-concept
#5
JOURNAL ARTICLE
Gabor Erdoes, Ehrenfried Schindler, Andreas Koster, Vera von Dossow, Ioana Maria Belciu, Sascha Meier, Mohammed R El-Tahan, Viviane G Nasr
The Pediatric Cardiac Anesthesia (PCA) fellowship is a demanding training program in Europe and the United States. Successful completion of the program requires years of training in anesthesiology, a thorough understanding of cardiovascular anatomy and physiology, and extensive experience in the perioperative management of neonates and children with heart disease. In the context of the first candidate to successfully complete the PCA program in Europe, this article presents excerpts from the design and structure of the European PCA program...
February 8, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38423884/artificial-intelligence-for-anesthesiology-board-style-examination-questions-role-of-large-language-models
#6
REVIEW
Adnan A Khan, Rayaan Yunus, Mahad Sohail, Taha A Rehman, Shirin Saeed, Yifan Bu, Cullen D Jackson, Aidan Sharkey, Feroze Mahmood, Robina Matyal
New artificial intelligence tools have been developed that have implications for medical usage. Large language models (LLMs), such as the widely used ChatGPT developed by OpenAI, have not been explored in the context of anesthesiology education. Understanding the reliability of various publicly available LLMs for medical specialties could offer insight into their understanding of the physiology, pharmacology, and practical applications of anesthesiology. An exploratory prospective review was conducted using 3 commercially available LLMs--OpenAI's ChatGPT GPT-3...
February 1, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38383274/con-implementation-science-is-not-relevant-to-cardiothoracic-surgery-and-anesthesiology
#7
JOURNAL ARTICLE
Meghann M Fitzgerald, Marguerite M Hoyler, Ankur Srivastava
No abstract text is available yet for this article.
November 23, 2023: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38365466/the-society-of-thoracic-surgeons-adult-cardiac-surgery-database-intraoperative-echocardiography-reporting
#8
JOURNAL ARTICLE
Alina Nicoara, Vikram Fielding-Singh, Bruce A Bollen, Amanda Rhee, Emily J Mackay, James H Abernathy, Andrej Alfirevic, Sonia John, Anubhav Kapoor, Alistair J MacDonald, Jason Z Qu, Gabriela Querejeta Roca, Harikesh Subramanian, Miklos D Kertai
OBJECTIVES: To identify trends in the reporting of intraoperative transesophageal echocardiographic (TEE) data in the Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database (ACSD) and the Adult Cardiac Anesthesiology (ACA) module by period, practice type, and geographic distribution, and to elucidate ongoing areas for practice improvement. DESIGN: A retrospective study. SETTING: STS ACSD. PARTICIPANTS: Procedures reported in the STS ACSD between July 2017 and December 2021 in participating programs in the United States...
January 17, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38267114/racial-and-ethnic-disparities-in-perioperative-health-care-among-patients-undergoing-cardiac-surgery-jacc-state-of-the-art-review
#9
REVIEW
Adam J Milam, Modele O Ogunniyi, Abimbola O Faloye, Luis R Castellanos, Ricardo E Verdiner, James W Stewart, Merije Chukumerije, Alexis K Okoh, Steven Bradley, Robert O Roswell, Paul L Douglass, Shakirat O Oyetunji, Alexander Iribarne, Debra Furr-Holden, Harish Ramakrishna, Sharonne N Hayes
There has been little progress in reducing health care disparities since the 2003 landmark Institute of Medicine's report Unequal Treatment. Despite the higher burden of cardiovascular disease in underrepresented racial and ethnic groups, they have less access to cardiologists and cardiothoracic surgeons, and have higher rates of morbidity and mortality with cardiac surgical interventions. This review summarizes existing literature and highlights disparities in cardiovascular perioperative health care. We propose actionable solutions utilizing multidisciplinary perspectives from cardiology, cardiac surgery, cardiothoracic anesthesiology, critical care, medical ethics, and health disparity experts...
January 30, 2024: Journal of the American College of Cardiology
https://read.qxmd.com/read/38264926/where-have-all-the-pediatric-anesthesiology-fellows-gone-in-the-usa-anesthesiology-fellowship-trends
#10
JOURNAL ARTICLE
Andrew J Giustini, Erica L Sivak, Viviane G Nasr, Franklyn P Cladis, Dean B Andropoulos, Nina Deutsch, Justin L Lockman, Bree Bower, Marco Corridore, Matthew K Muffly
BACKGROUND: Recent consternation over the number of unfilled Pediatric Anesthesiology fellowship positions in the United States compelled us to assess the change in the ratio of Pediatric Anesthesiology fellows to the number of graduating anesthesiology residents over the 14-year period between 2008 and 2022. We also sought to report the total ratio of anesthesiology fellows to graduating residents and trends in the annual number of fellowship applicants relative to the number of Accreditation Council for Graduate Medical Education (ACGME)-accredited anesthesiology fellowship positions by specialty...
January 24, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38212186/heterogeneity-among-countries-in-the-subspecialty-of-cardiovascular-anesthesia-in-latin-america-survey-results
#11
JOURNAL ARTICLE
Juan Riva, Jimena Calviño, Juan Pablo Bouchacourt, Leticia Turconi, Fiorella Cavalleri, Nigro Neto Caetano, Luis Enriquez, Bruno Tonelotto, Guillermo Lema, Pablo Motta
OBJECTIVES: To evaluate demographics, workload, training, facilities, and equipment in cardiovascular anesthesia (CVA) in Latin America (LA). DESIGN: A descriptive cross-sectional study with data collected through a survey. SETTING: A multicenter, international web-based questionnaire that included 37 multiple-choice questions. PARTICIPANTS: Physicians and specialists in anesthesiology who regularly participated in cardiovascular surgeries and were members of the scientific societies of the Latin American Confederation of Anesthesiology...
October 14, 2023: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38085876/a-decade-long-analysis-of-gender-race-and-ethnic-representation-of-incoming-cardiothoracic-anesthesiology-fellows
#12
JOURNAL ARTICLE
Jenna M Sesi, Meghan R Mansour, Roy G Soto
PURPOSE OF REVIEW: This study calls attention to the necessity for increasing representation of minority groups among cardiothoracic fellowship programs. RECENT FINDINGS: Demographics in medicine are changing, with more women and varying ethnicities contributing to the physician pool. Despite this change, diversity among cardiothoracic anesthesia fellows has not mirrored this trend. SUMMARY: In November of 2022, medical student, anesthesia resident and cardiothoracic fellow demographics were analyzed from 2011 to 2021 to assess the changes in program diversity...
December 8, 2023: Current Opinion in Anaesthesiology
https://read.qxmd.com/read/38057168/pro-implementation-science-has-value-in-anesthesiology-and-cardiothoracic-surgery
#13
JOURNAL ARTICLE
Sagar Navare, Olga Rozental, Natalia Girardi
Implementation science is a nascent field that aims to study the factors that influence the effectiveness of a given clinical intervention, such as the characteristics of the individuals involved, the internal and external settings, the process of implementation, and other factors. Overall, implementation science aims to increase the extent to which an intervention is practiced, and the quality of its delivery to a patient. Although still in its infancy, the applications of implementation science in anesthesiology and cardiothoracic surgery abound...
November 4, 2023: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38040533/the-year-in-cardiothoracic-and-vascular-anesthesia-selected-highlights-from-2023
#14
REVIEW
Himani V Bhatt, Ashley Virginia Fritz, Jared W Feinman, Sudhakar Subramani, Anita K Malhotra, Matthew M Townsley, Menachem M Weiner, Archit Sharma, Miguel T Teixeira, Jennifer Lee, Regina E Linganna, Nathan H Waldron, Anna Bovill Shapiro, John Mckeon, Satoshi Hanada, Harish Ramakrishna, Archer Kilbourne Martin
This special article is the 16th in an annual series for the Journal of Cardiothoracic and Vascular Anesthesia. The authors thank the editor-in-chief, Dr. Kaplan, and the editorial board for the opportunity to continue this series, namely the research highlights of the past year in the specialty of cardiothoracic and vascular anesthesiology. The major themes selected for 2023 are outlined in this introduction, and each highlight is reviewed in detail in the main article. The literature highlights in the specialty for 2023 begin with an update on perioperative rehabilitation in cardiothoracic surgery, with a focus on novel methods to best assess patients in the preoperative and postoperative periods, and the impact of rehabilitation on outcomes...
January 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38021530/anesthetic-considerations-for-patients-with-mitral-stenosis-undergoing-orthotopic-liver-transplant
#15
Justin Mitchell, Amar Alnemer, Selina Deiparine, Erica Stein, Leonid Gorelik
A 70-year-old male presented for an orthotopic liver transplant (OLT) with co-existing moderate-severe mitral valve stenosis. The hemodynamic goals of managing mitral stenosis posed a significant additional challenge to this patient's care. Intraoperative transesophageal echocardiography (TEE) was critical in guiding volume status and resuscitation. In addition, the patient's valvulopathy guided our vasoactive medication selection and arrhythmia prevention. In this article, we describe the multidisciplinary discussions regarding preoperative valvular intervention as well as the intraoperative techniques used to preserve cardiac output while avoiding coagulopathy and arrhythmias...
October 2023: Curēus
https://read.qxmd.com/read/38011027/intraoperative-mechanical-power-and-postoperative-pulmonary-complications-in-non-cardiothoracic-elective-surgery-patients-a-ten-year-retrospective-cohort-study
#16
JOURNAL ARTICLE
Bertrand Elefterion, Cedric Cirenei, Eric Kipnis, Emeline Cailliau, Amélie Bruandet, Benoit Tavernier, Antoine Lamer, Gilles Lebuffe
BACKGROUND: Postoperative Pulmonary Complications (PPC) is a major issue that impacts outcomes of surgical patients. Our hypothesis was that the intraoperative ventilation parameters are associated with occurrence of PPCs. METHODS: We conducted a single-center retrospective cohort-study at the Lille University Hospital, France. We included 33701 adults undergoing non-cardiac non-thoracic elective surgery requiring general anesthesia with tracheal intubation between January 2010 and December 2019...
November 28, 2023: Anesthesiology
https://read.qxmd.com/read/37970597/update-in-lung-transplantation-anesthetic-considerations
#17
REVIEW
Ashley V Fritz, Miguel T Teixeira, Saumil J Patel, Melissa Burtoft, Archer Kilbourne Martin
The field of lung transplantation (LTx) has expanded rapidly since its inception in the early 1960s with the work of James Hardy and colleagues at the University of Mississippi from the work of local single specialty physicians into an international multidisciplinary specialty. Advancements throughout the next several decades have led to the completion of over 70,000 lung transplants worldwide. The unique challenges presented by patients with end-stage lung disease have both evolved and remained consistent since then, yet these challenges are being answered with major improvements and advancements in perioperative care in the 21st century...
October 25, 2023: Annals of Translational Medicine
https://read.qxmd.com/read/37940457/fundamental-electrophysiology-principles-related-to-perioperative-management-of-cardiovascular-implantable-electronic-devices
#18
JOURNAL ARTICLE
Pingping Song, G Alec Rooke
An increasing number of patients undergoing elective or emergency surgery in the United States have a cardiovascular implantable electronic device. Practice advisories and consensus statements have been issued by the American Society of Anesthesiologists and the Heart Rhythm Society, advocating a multidisciplinary approach. Unfortunately, anesthesia providers often find themselves in a situation in which they are left to manage these devices independently. At the University of Washington Medical Center, an anesthesiology-based service to manage these devices has existed for more than a decade...
February 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/37932195/perioperative-management-of-patients-receiving-sodium-glucose-cotransporter-2-inhibitors-development-of-a-clinical-guideline-at-a-large-academic-medical-center
#19
JOURNAL ARTICLE
Jesse M Raiten, Andrea Morlok, Sarah D'Ambrosia, Michael A Ruggero, Jeremy Flood
The use of sodium-glucose cotransporter 2 inhibitors (SGLT2i) is increasing rapidly for patients with diabetes, heart failure, and chronic kidney disease. These medications can cause euglycemic diabetic ketoacidosis in the perioperative period, and the Food and Drug Administration recently updated their recommendations that they be held for at least 3-to-4 days preoperatively. There is a paucity of guidelines for the perioperative management of patients taking SGLT2i who present for emergent surgery or elective surgery having not held the medications per Food and Drug Administration guidelines...
October 10, 2023: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/37923595/medical-malpractice-claims-related-to-performance-of-transesophageal-echocardiography-by-anesthesiologists
#20
JOURNAL ARTICLE
John S McNeil, Karen E Singh, Paul D Gallo, Bruce Gehle, Matthew B Saunders, Michael A Mazzeffi
More than 300,000 adults have cardiac surgery in the United States annually, and most undergo intraoperative transesophageal echocardiography (TEE). This patient population is often older with multiple comorbidities, increasing their risk for complications for even routine procedures. Major morbidity or mortality caused by TEE is rare, and it is unknown how often such complications lead to malpractice lawsuits. The authors identified 13 cases out of 2,564 in a closed claims database that involved TEE and reviewed their etiology...
January 2024: Journal of Cardiothoracic and Vascular Anesthesia
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