Showing papers in "Journal of Cardiothoracic and Vascular Anesthesia in 2017"

TL;DR: Authors/Task Force Members: Christa Boer (EACTA Chairperson) and Michael I. Meesters (Netherlands), Milan Milojevic (N Netherlands), Umberto Benedetto (UK), Daniel Bolliger (Switzerland), Christian von Heymann (Germany), Anders Jeppsson (Sweden), Andreas Koster (Germany).

TL;DR: SAPB appeared to be a safe and effective alternative for postoperative analgesia after thoracotomy and compared with preoperative values, the mean arterial pressure in the SAPB group did not change significantly, whereas it decreased significantly in the TEA group.

TL;DR: From the *Department of Anesthesiology and Intensive Care, Research Institute of Circulation Pathology, Novosibirsk, Russia; and ‡Department of Cardiac Surgery, research Institute ofcirculation Pathologists, Octavian, Russia.

TL;DR: This review focuses on the perioperative management of pheochromocytoma/paragangliomas, initially summarizing the clinical aspects of the disease and then highlighting the current evidence available for preoperative, intraoperative, and postoperative anesthetic management.

TL;DR: Existing evidence demonstrates noninferiority of thoracic PVB compared with TEA for postoperative analgesia, with fewer side effects for unilateral and bilateralThoracic surgery, including video-assisted thoracoscopy.

TL;DR: Alternative agents, including methylene blue, hydroxocobalamin, corticosteroids, and angiotensin II, also are capable of restoring vascular tone and improving vasoplegia, but their effect on patient outcomes is unclear.

TL;DR: Pooled data showed that VA-ECMO may salvage one-third of patients unresponsive to any other resuscitative treatment after adult cardiac surgery, which is more than double the level of the previous analysis.

TL;DR: ECMO can be lifesaving and is being used increasingly for severe respiratory and/or cardiac failure, however, it remains associated with significant neurologic morbidity and mortality.

TL;DR: Right ventricular function is associated independently with 2-year all-cause mortality in a heterogenic cardiac surgery population of 1,109 patients in a 4-year period.

TL;DR: It is established that reference values for baseline NIRS-derived SctO2 in cardiac surgery patients are varied and interventions that modulate SCTO2 are identified, which opens the door to standardized research and interventional studies in this field.

TL;DR: Advances in understanding the physiology of extravascular lung water accumulation in health and in disease and the various mechanisms that protect against the development of pulmonary edema under physiologic conditions are discussed.

TL;DR: In patients waiting to undergo cardiac surgery, both fear of the unknown and lack of information, especially related to the surgery, are crucial factors in high levels of preoperative anxiety in cardiac surgery.

TL;DR: The authors summarize the available literature to address common issues related to patients with ESRD and discuss the best perioperative approach for this patient subgroup.

TL;DR: 13 nonsurgical interventions that may decrease or increase perioperative mortality, with variable agreement by clinicians, are identified and may be optimal candidates for investigation in high-quality trials and discussion in international guidelines to reduce peri operative mortality.

TL;DR: Assessment of portal flow using Doppler ultrasound at the bedside might be a promising tool to detect patients at risk for AKI due to cardiogenic venous congestion.

TL;DR: AKI diagnosed using only the urine output criterion without fulfilling the creatinine criterion and all stages of AKI were associated with long-term mortality, even after adjusting for mortality risk assessed using EuroSCORE II and risk factors for AKI.

TL;DR: Among patients affected by POD, older age, perioperative stroke, longer procedure time, and increased postoperative C-reactive protein were consistently predictive of longer duration of POD and greater area under the curve.

TL;DR: A significant association between transfusion of blood products in neonates and young infants undergoing cardiac surgery and an increased incidence of thrombotic complications in the absence of intraoperative coagulation monitoring is reported.

TL;DR: Improved recognition and understanding of the predisposing risk factors and complications elucidated in this study could serve to increase the necessity for timely diagnosis and treatment of patients at high risk for GI complications after cardiac surgery.

TL;DR: The BPS and CPOT are reliable and valid pain assessment tools in a daily clinical setting, however, the discriminant validation of both scores seems less satisfactory in sedated or agitated patients and this topic requires further investigation.

TL;DR: The N/LP ratio may assist with the the prediction of AKI and mortality in high-risk cardiovascular surgery in adults who underwent cardiovascular surgeries with cardiopulmonary bypass.

TL;DR: Reducing intubation times to <6 hours in postsurgical cardiac patients is obtainable with implementation of a multidisciplinary rapid weaning protocol, however, patients extubated within 6 hours had increased ICU length of stay and no difference in hospital length ofStay with this intervention.

TL;DR: Anesthetic Evolution In Transcatheter Aortic Valve Replacement: Expert Perspectives From High-Volume Academic Centers In Europe and The United States, Journal of Cardiothoracic and Vascular Anesthesia, http://dx.doi.org/10.1053/j.jvca.2017.051.

TL;DR: Postoperative delirium is common after cardiac surgery, and it is associated with the duration of mechanical ventilation, and the length of intensive care unit length of stay was longer in the group of patients withDelirium.