keyword
https://read.qxmd.com/read/38458828/pro-methadone-should-be-used-as-a-part-of-enhanced-recovery-after-cardiac-surgery-protocol
#21
JOURNAL ARTICLE
Shelby Garcia, Mitali Mali, Ashanpreet Grewal
No abstract text is available yet for this article.
February 21, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38458824/commentary-on-an-intracardiac-shunt-in-a-patient-undergoing-left-ventricular-assist-device-implantation
#22
EDITORIAL
Amrita Sukhavasi, Aurelie Merlo
No abstract text is available yet for this article.
February 21, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38458823/can-lightning-strike-twice-double-sequential-external-defibrillation-extracorporeal-cardiopulmonary-resuscitation-and-the-international-liaison-committee-on-resuscitation-guidelines
#23
EDITORIAL
Kelly Byrne, Mikaela Garland, Elizabeth Turner
No abstract text is available yet for this article.
February 17, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38456068/cardiac-rehabilitation-after-cardiac-surgery-an-important-underutilized-treatment-strategy
#24
EDITORIAL
Christos Kourek, Stavros Dimopoulos
Physical inactivity remains in high levels after cardiac surgery, reaching up to 50%. Patients present a significant loss of functional capacity, with prominent muscle weakness after cardiac surgery due to anesthesia, surgical incision, duration of cardiopulmonary bypass, and mechanical ventilation that affects their quality of life. These complications, along with pulmonary complications after surgery, lead to extended intensive care unit (ICU) and hospital length of stay and significant mortality rates. Despite the well-known beneficial effects of cardiac rehabilitation, this treatment strategy still remains broadly underutilized in patients after cardiac surgery...
February 26, 2024: World Journal of Cardiology
https://read.qxmd.com/read/38455609/pneumonectomy-for-severe-post-tuberculosis-bronchiectasis-a-successful-of-case-report-and-review-of-the-long-term-outcome
#25
JOURNAL ARTICLE
Putri O Zulfa, Yopie A Habibie
Limited clinical intervention studies highlight the absence of evidence-based international guidelines for effectively managing post-tuberculosis lung disease, emphasizing bronchiectasis. The aim of this study was to describe a case of left pneumonectomy for severe post-tuberculosis cystic bronchiectasis and to provide a review of the post-surgical mortality rate, complications, survival rate, and the patient's quality of life following the pneumonectomy procedure. A 36-year-old Indonesian male smoker presented with worsening breathing difficulties and fever...
December 2023: Narra J
https://read.qxmd.com/read/38453558/overview-and-clinical-applications-of-artificial-intelligence-and-machine-learning-in-cardiac-anesthesiology
#26
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/38453557/pro-vasopressors-can-be-administered-safely-via-a-peripheral-intravenous-catheter
#27
JOURNAL ARTICLE
Dana Darwish, Kunal Karamchandani
No abstract text is available yet for this article.
February 14, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38453555/transversus-thoracic-muscle-plane-block-for-postoperative-pain-in-pediatric-cardiac-surgery-a-systematic-review-and-meta-analysis-of-randomized-and-observational-studies
#28
REVIEW
Yi-Yang Cui, Zi-Qing Xu, Huai-Jing Hou, Jie Zhang, Jian-Jun Xue
OBJECTIVES: Pediatric patients undergoing cardiac surgery usually experience significant surgical pain. Additionally, the effect of poor surgical analgesia creates a pain continuum that extends to the postoperative period. Transversus thoracic muscle plane block (TTMPB) is a novel plane block technique that can provide analgesia to the anterior chest wall. The analgesic role of TTMPB in pediatric cardiac surgery is still uncertain. A meta-analysis was conducted to determine the analgesic efficacy of this procedure...
February 23, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38451341/electroencephalographic-guided-propofol-remifentanil-tci-anesthesia-with-and-without-dexmedetomidine-in-a-geriatric-population-electroencephalographic-signatures-and-clinical-evaluation
#29
JOURNAL ARTICLE
Dominik M Mehler, Matthias Kreuzer, David P Obert, Luis F Cardenas, Ignacio Barra, Fernando Zurita, Francisco A Lobo, Stephan Kratzer, Gerhard Schneider, Pablo O Sepúlveda
Elderly and multimorbid patients are at high risk for developing unfavorable postoperative neurocognitive outcomes; however, well-adjusted and EEG-guided anesthesia may help titrate anesthesia and improve postoperative outcomes. Over the last decade, dexmedetomidine has been increasingly used as an adjunct in the perioperative setting. Its synergistic effect with propofol decreases the dose of propofol needed to induce and maintain general anesthesia. In this pilot study, we evaluate two highly standardized anesthetic regimens for their potential to prevent burst suppression and postoperative neurocognitive dysfunction in a high-risk population...
March 7, 2024: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/38449953/the-significance-of-equipment-availability-and-anesthesia-educational-conferences-to-decision-making-for-ekg-lead-v5-abnormalities
#30
JOURNAL ARTICLE
Kimberly L Skidmore, Joseph Drinkard, Henson M Randall, Giustino Varrassi, Sahar Shekoohi, Alan D Kaye
Introduction To predict postoperative myocardial infarction rates in patients who undergo noncardiac surgery, the Canadian Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management recommends assessment of brain natriuretic peptide (BNP) in certain patients. Serial troponins are measured if the BNP level is elevated. In certain cases, Revised Cardiac Risk Index (RCRI) alone does not perform well, for example, during vascular surgery. Cardiac events occur in 20% of all vascular surgery patients...
February 2024: Curēus
https://read.qxmd.com/read/38449943/cerebral-near-infrared-spectroscopy-a-viable-tool-in-an-anesthesiologist-s-armamentarium-for-pediatric-head-and-neck-surgeries
#31
Rajasekar Ramadurai, Banupriya Ravichandrane, Surentharraj Elangobaalan, Tamilarasan A Palanisamy
Near-infrared spectroscopy (NIRS) is a noninvasive monitor used regularly in pediatric cardiac surgeries to monitor regional cerebral oxygenation (rScO2). A significant intraoperative cerebral desaturation (>20% from baseline) has been reported with poor neurological outcomes. We describe a case of a six-year-old child with carotid sheath neuroblastoma, located at the carotid bifurcation posted for tumor excision. Intraoperative NIRS monitoring revealed only a transient and insignificant (<10%) fall in the rScO2 during the tumor manipulation, ensuring uninterrupted cerebral circulation...
February 2024: Curēus
https://read.qxmd.com/read/38446703/is-a-nomogram-a-viable-predictive-tool-for-managing-heparin-resistance-in-pediatric-cardiac-surgery
#32
JOURNAL ARTICLE
Karli Spann, Kenneth Stewart, Amir L Butt, Kenichi A Tanaka
No abstract text is available yet for this article.
March 6, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38446702/carboxyhemoglobin-in-cardiac-surgery-patients-and-its-association-with-risk-factors-and-biomarkers-of-hemolysis
#33
JOURNAL ARTICLE
Akinori Maeda, Dinesh Pandey, Ryota Inokuchi, Sofia Spano, Anis Chaba, Atthaphong Phongphithakchai, Glenn Eastwood, Hossein Jahanabadi, Hung Vo, Siven Seevanayagam, Andrew Motley, Rinaldo Bellomo
BACKGROUND: Cardiac surgery with cardiopulmonary bypass (CPB) is associated with hemolysis. Yet, there is no easily available and frequently measured marker to monitor this hemolysis. However, carboxyhemoglobin (CO-Hb), formed by the binding of carbon monoxide (a product of heme breakdown) to hemoglobin, may reflect such hemolysis. We hypothesized that CO-Hb might increase after cardiac surgery and show associations with operative risk factors and indirect markers for hemolysis. METHODS: We conducted a retrospective descriptive cohort study of data from on-pump cardiac surgery patients...
March 6, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38446699/effect-of-esketamine-on-postoperative-delirium-in-patients-undergoing-cardiac-valve-replacement-with-cardiopulmonary-bypass-a-randomized-controlled-trial
#34
JOURNAL ARTICLE
Xinglong Xiong, Yi Shao, Dongxu Chen, Bo Chen, Xin Lan, Jing Shi
BACKGROUND: The aim of this study was to investigate the effects of esketamine on the risk of postoperative delirium (POD) in adults undergoing on-pump cardiac valve surgery. METHODS: In this randomized, triple-blind, controlled trial, 116 adult patients with an American Society of Anesthesiologists (ASA) grade Ⅱ or Ⅲ and a New York Heart Association (NYHA) grade Ⅱ or Ⅲ who underwent cardiac valve surgery with cardiopulmonary bypass were included...
March 6, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38443735/superficial-parasternal-intercostal-plane-blocks-in-cardiac-surgery-a-systematic-review-and-meta-analysis
#35
JOURNAL ARTICLE
Matthew J Cameron, Justin Long, Kenneth Kardash, Stephen S Yang
PURPOSE: Traditional multimodal analgesic strategies have several contraindications in cardiac surgery patients, forcing clinicians to use alternative options. Superficial parasternal intercostal plane blocks, anesthetizing the anterior cutaneous branches of the thoracic intercostal nerves, are being explored as a straightforward method to treat pain after sternotomy. We sought to evaluate the literature on the effects of superficial parasternal blocks on pain control after cardiac surgery...
March 5, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38443205/dexmedetomidine-and-perioperative-arrhythmias
#36
REVIEW
Shengji Duan, Shuzhi Zhou
The highly selective α2-adrenoceptor agonist dexmedetomidine is a commonly used sedative drug for patients undergoing anesthesia and intensive care treatment. Several studies have indicated that dexmedetomidine may have a potential role in preventing and treating perioperative tachyarrhythmias. However, the specific effect and mechanism of action of dexmedetomidine in this context remain unclear. Dexmedetomidine is known to regulate the electrophysiologic function of the myocardium by inhibiting the function of the sinus node and atrioventricular node, as well as affecting myocardial repolarization...
January 10, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38443204/unravelling-the-impact-of-gender-disparities-in-cardiac-surgery
#37
EDITORIAL
Daniel Bolliger, Caroline E Gebhard
No abstract text is available yet for this article.
February 10, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38440370/a-case-of-severe-lower-extremity-lymphedema-caused-by-postoperative-intraperitoneal-lymphatic-leakage-treatment
#38
Kahori Tsukura, Satoshi Onoda, Gaku Tachibana, Kohta Kobayashi, Ryohei Katsuragi, Toshihiko Satake
In the present study, we encountered a patient who developed intraabdominal lymphatic leakage after surgery for gastric cancer, underwent lymphangiography and lymphatic mass embolization, and developed severe lymphedema. The patient was a 55-year-old woman with gastric cancer with pancreatic invasion. Total gastrectomy and lymph node dissection were performed as conversion procedures. Six liters of ascites was detected postoperatively. Lymphangiography with Lipiodol injections into the bilateral inguinal lymph nodes was done three times, and Histoacryl embolization of the lymphatic leak was performed...
March 2024: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/38433128/successful-intraoperative-management-of-laparoscopic-hysterectomy-in-a-patient-with-eisenmenger-syndrome-a-case-report
#39
JOURNAL ARTICLE
Yuki Maeda, Nami Kakuta, Asuka Kasai, Hiroki Yonezawa, Ryosuke Kawanishi, Katsuya Tanaka
BACKGROUND: Patients with Eisenmenger syndrome (ES) requiring noncardiac surgery are at a significantly high risk of perioperative morbidity and mortality. However, perioperative management of patients with ES requiring laparoscopic surgery remains unclear. CASE PRESENTATION: We describe the case of a patient with ES who underwent laparoscopic hysterectomy under general anesthesia with a peripheral nerve block. The objectives of the perioperative management included the following: (1) maintaining systemic vascular resistance and cardiac output through euvolemia, facilitated by the infusion of noradrenaline, and (2) preventing a reduction in oxygen-carrying capacity and factors that elevate pulmonary vascular resistance, such as pain, hypoxia, and decreased body temperature...
March 4, 2024: JA Clinical Reports
https://read.qxmd.com/read/38430636/flurbiprofen-in-the-subglottic-space-to-prevent-postoperative-sore-throat-after-cardiac-surgery-a-randomized-double-blind-study
#40
JOURNAL ARTICLE
Maria Calabrese, Gabriella Arlotta, Maria Enrica Antoniucci, Luca Montini, Diana Giannarelli, Temistocle Taccheri, Filippo Corsi, Stefano De Paulis, Andrea Scapigliati, Francesca Bevilacqua, Joel Vargas, Michele Corrado, Natalia Pavone, Piergiorgio Bruno, Massimo Massetti, Franco Cavaliere
STUDY OBJECTIVE: Postoperative sore throat (POST) and hoarseness are common complications of tracheal intubation. This study aims to evaluate the efficacy of flurbiprofen administered through the subglottic port of tracheal tubes to prevent POST after cardiac surgery. DESIGN: Single-center, prospective, randomized, double-blind, placebo-controlled trial. SETTING: Tertiary Care Referral University Hospital (Fondazione Policlinico Universitario A...
March 1, 2024: Journal of Clinical Anesthesia
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