The latest medical research on Adult Cardiothoracic Anesthesiology

The research magnet gathers the latest research from around the web, based on your specialty area. Below you will find a sample of some of the most recent articles from reputable medical journals about adult cardiothoracic anesthesiology gathered by our medical AI research bot.

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Cefazolin-Induced Thrombocytopenia in a Patient with Polycythemia Vera Following Coronary Artery Bypass.

Seminars in Cardiothoracic and Vascular

Cefazolin is an antibiotic that is commonly administered perioperatively to reduce the risk of surgical site infections. Cephalosporins have a well...

Unanticipated Profound Paralysis and Sugammadex Dosing Implications After Videoscopic Thoracic Surgery.

Seminars in Cardiothoracic and Vascular

A bedridden patient with empyema presented for thoracoscopic decortication. During the procedure, despite a post-tetanic count (PTC) of 0 via calib...

The Anesthesiologist's Perspective and Experience in Global Congenital Cardiac Surgery: Results of a Survey of the Congenital Cardiac Anesthesia Society Membership.

Seminars in Cardiothoracic and Vascular

Anesthesiologists are important components of volunteer teams which perform congenital cardiac surgery in low-resource settings throughout the worl...

Anesthetic Considerations in Pediatric Patients With Acute Decompensated Heart Failure.

Seminars in Cardiothoracic and Vascular

Acute decompensated heart failure (ADHF) in pediatrics is a significant cause for morbidity and mortality in children. Congenital heart disease and...

Low Mean Arterial Pressure During Cardiopulmonary Bypass and the Risk of Acute Kidney Injury: A Propensity Score Matched Observational Study.

Seminars in Cardiothoracic and Vascular

Low mean arterial pressure (MAP) periods occur frequently during cardiopulmonary bypass (CPB), and their management remains controversial. Our aim was to correlate MAP during CPB with the occurrence of post-operative acute kidney injury (AKI), considering two different parameters: consecutive and cumulative low MAP periods.

Single-centre observational retrospective study including 250 patients submitted to non-emergent aortic valve replacement, with tepid to mild hypothermia (not below 32°C). The primary outcome was the occurrence of AKI. A propensity scored matching of 43 patients was used to adjust both populations (AKI and No AKI). MAP measures were automatically and continuously recorded during CPB. Low MAP periods were analysed employing two parameters: consecutive and the cumulative sum of time.

Patients who experienced at least 5 min with MAP <50 mmHg had an increased risk of post-operative AKI (OR infinity; 95% CI, 1.47 to infinity; P = .026). The risk is also significant with MAP <40 mmHg (OR 2.78; 95% CI 1.1-6.9; = .044) and <30 mmHg (OR 3.36; 95% CI 1.2-9.2; P = .029). Post-operative AKI was associated with cumulative and consecutive periods of low MAP. Patients with periods of low MAP had higher levels of post-operative creatinine and reduced glomerular filtration rate (GFR). Patients with AKI had prolonged endotracheal ventilation time, and ICU and ward lengths of stay.

Low MAP periods during CPB are associated with an increased occurrence of post-operative AKI, leading to 1) higher creatinine levels; 2) decreased GFR and 3) longer ICU and ward lengths of stay. Both consecutive and cumulative periods of low MAP are associated with an increased risk of AKI. MAP appears to be an important contributor to post-operative AKI and should be carefully managed during CPB. Further studies must address if MAP variations lead to definitive and long-term consequences.

Transesophageal Echocardiographic Assessment of the Repaired Mitral Valve: A Proposed Decision Pathway.

Seminars in Cardiothoracic and Vascular

The indications for mitral valve repair extend across the entire spectrum of degenerative mitral valve disease, ranging from fibroelastic degenerat...

Mitral Regurgitation in Patients Undergoing Noncardiac Surgery.

Seminars in Cardiothoracic and Vascular

Mitral regurgitation (MR) is one of the most frequently encountered types of valvular heart disease in the United States. Patients with significant...

Persistent Pain After Cardiac Surgery: Prevention and Management.

Seminars in Cardiothoracic and Vascular

Persistent postoperative pain (PPP) after cardiac surgery is a significant complication that negatively affects patient quality of life and increas...

Perioperative and Anesthetic Considerations in Tetralogy of Fallot With Pulmonary Atresia.

Seminars in Cardiothoracic and Vascular

Tetralogy of Fallot with pulmonary atresia (ToF-PA) is a rare diagnosis that includes an extraordinarily heterogeneous group of complex anatomical ...

Current Status of Neuraxial and Paravertebral Blocks for Adult Cardiac Surgery.

Seminars in Cardiothoracic and Vascular

Cardiac surgeries are known to produce moderate to severe pain. Pain management has traditionally been based on intravenous opioids. Poorly control...

The Year in Review: Anesthesia for Congenital Heart Disease 2020.

Seminars in Cardiothoracic and Vascular

This review focuses on the literature published during the calendar year 2020 that is of interest to anesthesiologists taking care of children and ...