Published in Journal of cardiothoracic and vascular anesthesia
Strain analysis allows for global and regional analysis of myocardial function and has been shown to be an independent predictor of outcomes after cardiac surgery. Strain imaging offers advantages over traditional EF measurements in that it is relatively angle independent, it is less dependent upon loading conditions, it is reproducible, it does no...
Published in Journal of cardiothoracic and vascular anesthesia
Published in Journal of cardiothoracic and vascular anesthesia
In the recent years there has been increasing trend towards the practice of on-table extubation after pediatric cardiac surgery among practitioner in European and non-European countries. In this article we share our experience with on-table extubation among children after cardiac surgery in the developing world supported with the currently availabl...
Published in Journal of cardiothoracic and vascular anesthesia
Published in Journal of cardiothoracic and vascular anesthesia
Venoarterial extracorporeal membrane oxygenation (ECMO) is a well-established technique to rescue patients experiencing cardiogenic shock. As a form of temporary mechanical circulatory support, venoarterial ECMO can be life-saving, but it is resource intensive and associated with substantial morbidity and mortality. Optimal clinical outcomes requir...
Published in Journal of cardiothoracic and vascular anesthesia
Published in Journal of cardiothoracic and vascular anesthesia
Several nerve block procedures are available for post-thoracotomy pain management. In this randomized trial, the authors aimed to determine whether the analgesic effect of preoperative ultrasound-guided erector spinae plane block (ESPB) might be superior to that of intraoperative intercostal nerve block (ICNB) in pain control in patients undergoing...
Published in Journal of cardiothoracic and vascular anesthesia
Published in Journal of cardiothoracic and vascular anesthesia
High heparin doses during cardiopulmonary bypass (CPB) have been suggested to reduce thrombin activation and consumption coagulopathy and consequently bleeding complications. The authors investigated the effect of a high heparin dose during CPB on point-of-care measurements of coagulation. The authors hypothesized that during CPB a high heparin dos...
Published in Journal of cardiothoracic and vascular anesthesia
This study describes the largest North American single-institution experience with adult patients requiring multiple extracorporeal membrane oxygenation (ECMO) runs in the same admission and aims to describe outcomes of survival and complication rates in this patient population. A retrospective chart review-based study in a single quaternary care c...
