Showing papers in "Journal of Cardiothoracic and Vascular Anesthesia in 2019"

TL;DR: ESP block safely provided significantly better pain relief at rest for longer duration as compared to intravenous paracetamol and tramadol.

TL;DR: The authors report for the first time that the use of a bundle of care including a continuous bilateral ESPB is associated with a significant decrease in intraoperative and postoperative opioid consumption, optimized rapid patient mobilization, and chest tube removal after open cardiac surgery.

TL;DR: The overall goal is creating a dynamic resource of easily accessible educational material that will help to increase and improve compliance with the existing evidence-based best practices of patient blood management by cardiac surgery care teams.

TL;DR: SAPB and Pecs II fascial plane blocks are equally efficacious in post-thoracotomy pain management compared with ICNB, but they have the additional benefit of being longer lasting and are as easily performed as the traditional ICNB.

TL;DR: The objective of the task force from the Network for the Advancement of Patient Blood Management, Haemostasis and Thrombosis is to provide evidence-based recommendations regarding anemia management and blood transfusion practices in the perioperative care of neonates and children undergoing cardiac surgery, and to highlight potential areas where additional research is urgently required.

TL;DR: The purposes of this review are to explore which US method is best for evaluating diaphragm function in the intensive care unit and how and when it should be used, and to discuss which diseases may involve the diaphRAGm, and what therapies should been used.

TL;DR: A narrative review assesses the pathophysiology of AKI, role of biomarkers, risk assessment, and management in cardiac surgical patients, and the optimal modality and dose in severe AKI.

TL;DR: ESB provided superior analgesia and longer time to first required analgesic than did SPB and no major side effects were observed in either of the study groups.

TL;DR: Patients cared for after the initiation of an ECMO team showed improved survival compared to patients cared for prior to the creation of the EC MO team.

TL;DR: The clinical signs of SirS were detected in a substantial percentage of patients who underwent cardiac surgery, and the postoperative SIRS criteria were associated with a more complicated postoperative course and higher postoperative morbidity.

TL;DR: There is no apparent difference in the incidence rate of bleeding or thrombosis between VA ECMO patients managed with an ACT- or aPTT-guided heparin anticoagulation protocol, which could reflect greater total bleeding.

TL;DR: A multidisciplinary Atrial Fibrillation Working Group was developed that created a summary of current best practices based on distillation of recent guidelines from professional societies involved in the care of cardiac surgical patients and a graphical advisory tool was created with the goal of improving adherence.

TL;DR: Fibr inogen-dependent clot stiffness properties are well-reflected by the Quantra fibrinogen contribution to stiffness parameter, and PCS incorporates platelet count and function.

TL;DR: Although regenerative biology might not help the cardiovascular patient in the near term, it is destined to do so over the next several decades.

TL;DR: This study demonstrated that the use of VE assays in cardiac surgical patients is effective in reducing allogenic blood products exposure, postoperative bleeding at 12 and 24 hours after surgery, and the need for redo surgery unrelated to surgical bleeding.

TL;DR: This is a narrative review of recent articles related to the conduct of cardiopulmonary bypass (CPB) that should be of interest to the cardiac anesthesiologist.

TL;DR: An ERAS pathway planned for MIAVR seems feasible and was associated with a shorter length of hospital stay with trends toward both less opioid consumption and less postoperative complications.

TL;DR: A history of the use of opioids in cardiothoracic anesthesia is presented, followed by an examination of the differences among current opioids in use and of outcome variables important in cardiac anesthesia.

TL;DR: The transpulmonary thermodilution method, in addition to accurately measuring CO, provides the user with some additional helpful variables, of which extravascular lung water is the most interesting.

TL;DR: Implementation of a ROTEM-guided transfusion algorithm in cardiac surgery patients reduced the use of blood products and hemostatic medication, hereby saving costs.

TL;DR: Ultimately, OPCAB is associated with less effective myocardial revascularization and does not entirely prevent complications traditionally associated with cardiopulmonary bypass.

TL;DR: The authors describe how RV pressure waveform analysis can facilitate the diagnosis of systolic and diastolic RV dysfunction, the evaluation of RV-arterial coupling, and help diagnose RV outflow tract obstruction.

TL;DR: There is some evidence across both emergency and elective settings to suggest that mode of anesthesia may be associated with improved outcomes, and in particular, LA appears to have a positive effect on outcome after emergency EVAR.

TL;DR: The results from this study showed no inferiority of using LA to GA in patients undergoing CEA, and anesthetic choice in CEA should be individualized and encouraged where applicable.

TL;DR: Providing video games and toys preoperatively reduced postoperative stress and anxiety and improved mood in children undergoing congenital cardiac surgery and parents were relieved of anxiety and stress with proper counseling and information.

TL;DR: A narrative review of the Expert Consensus Decision Pathway dedicated specifically to the management of bleeding in patients on anticoagulants highlights the salient points within the expert consensus for perioperative physicians.