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Beyond Anemia and Transfusion of Red Blood Cells: Further Perspectives on Sex-based Biological Differences and Vascular Inflammation J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-03-12 Hisako Okada MD PhD, Leslie L. Shultz, Kenneth E. Stewart PhD, Kenichi A. Tanaka MD MSc
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Outcomes of vasopressin receptor agonists versus norepinephrine in adults with perioperative hypotension: A systematic review J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-03-12 Kiyan Heybati BHSc, Guozhen Xie BSc, Luqman Ellythy BSc, Keshav Poudel BSc, Jiawen Deng BHSc, Fangwen Zhou BHSc, Cynthia J. Chelf MLIS AHIP, Juan G. Ripoll MD, Harish Ramakrishna MD
Consensus statements recommend the use of norepinephrine and/or vasopressin for hypotension in cardiac surgery. However, there is a paucity of data among other surgical subgroups and vasopressin analogues. Therefore, we conducted a systematic review of randomized controlled trials (RCTs) to compare vasopressin receptor agonists with norepinephrine for hypotension among those undergoing surgery with
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Ischemic Stroke in the Cardiac Surgery ICU: A Quality Improvement Study J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-03-12 Abobakr Al-Amoodi, Derek Debicki, Osama Sefien, Daniel Bainbridge
To investigate the frequency of stroke and code stroke activation, and the factors influencing code stroke management in postoperative cardiac surgical patients. A retrospective quality improvement study conducted between January 1st, 2016, and December 31st, 2021. Cardiac Surgery Recovery Unit (CSRU) at London Health Sciences Centre (LHSC) in London, Ontario, Canada. Post-cardiac surgery patients
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Methodological quality and pharmacotherapy recommendations of patient blood management guidelines for cardiac surgery on cardiopulmonary bypass J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-03-12 Xiaojing Huang MD, Pengqiang Du MD, Haipan Jia MD, Aifeng Wang MD, Ying Hua MD, Xuelan Liu MD, Kaiyuan Wu MD, Bin Li MD, Hongwei Zhao PhD
Patient blood management (PBM) guidelines for patients undergoing cardiac surgery under cardiopulmonary bypass (CPB) have been increased during the past decade and pharmacotherapy plays an important role in PBM. In the face of the undefined consistency of the methodological quality and pharmacotherapy recommendations across multiple guidelines, this study exclusively evaluates methodologies of the
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Normothermic Regional Perfusion – a case for worth defending. J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-03-11 Dr. Gillian Crowe MB BAO BCh MSc. FCAI MRCPI, Dr James O'Rourke MB BCh BAO FFARCSI DIBICM BSc
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Between a Rock and Hard Place: The Aortomitral Continuity Dilemma J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-03-11 Richa Dhawan MD MPH, Mark A. Chaney MD
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Treatment Effect Heterogeneity in Hemodynamic Responses to Hydroxocobalamin J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-03-09 Luai Zakaria MD, Daniel I Sessler MD, Andrew D Shaw MD, Bruce D Spiess MD
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Catching strokes; are we using the right bait? J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-03-09 Miguel Abalo, Joni M. Maga, Michael Fabbro II
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Intraoperative and intraprocedural use of three-dimensional transesophageal echocardiography: An international EACTAIC survey of cardiac surgical centers J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-03-09 Mathias Schemberg, Joerg Ender MD, Johan Bence MBChB M. Med (Anaesth.) FRCP (Edin), Joost van der Maaten MD, Gudrun Kunst MD PhD EDAIC FRCA FFICM, Chirojit Mukherjee MD MBA PhD FASE, Massimiliano Meineri MD FASE
To assess the intraoperative use of three-dimensional transesophageal echocardiography (3D TEE) in cardiac surgical centers, we created a survey aimed at evaluating the availability of equipment, the use of 3D TEE for specific surgical and interventional procedures and single image modalities. Finally, we asked to identify the perceived impact on patient's management and current limitations to its
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The Relationship Between Transfusion in Cardiac Surgery Patients and Adverse Outcomes J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-03-08 Eric Lee MD, Daniel Hart MD, Andrea Ruggiero MS, Oonagh Dowling PhD, Gavriel Ausubel DO, Jonathan Preminger MD, Chad Vitiello BS, Linda Shore-Lesserson MD
To understand if RBC transfusions are independently associated with a risk of mortality, prolonged intubation, or infectious, cardiac, or renal morbid outcomes. Retrospective review. Single-institution, university hospital. 2458 Patients undergoing CABG and/or valvular surgery from July 2014 through January 2018. No interventions were done. Our primary outcome was the occurrence of the adverse event
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Misidentification of the True Aortic Annulus with 2-dimensional Echocardiography: A Critical Appraisal Using 3-dimensional Imaging J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-03-08 Aidan Sharkey MD, Adnan A. Khan MD, Rayaan Yunus MD, Taha Rehman MD, Yifan Bu MD, Shirin Saeed MD, Robina Matyal MD, Feroze Mahmood MD FASE
This study aimed to evaluate the accuracy of identifying the 'true aortic valve (AV) annulus' using 2-dimensional (2D) echocardiography with the aim of highlighting potential misidentification issues in clinical practice. An observational study employing 3-dimensional (3D) datasets to generate 2D images of the AV annulus for analysis. The study was conducted in an academic medical center. Three-dimensional
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Prolonged postoperative euglycemic diabetic ketoacidosis in a lung transplant recipient with preoperative SGLT2 inhibitor use J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-03-07 Christine H. Choi MD, Shivani Singh MD, Albert T. Cheung MD, Matthew Vanneman MD, Jai Madhok MD MSE
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Critical Care Billing in 2023 J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-03-07 Vivek K. Moitra MD
Because of changing rules and regulations in insurance and reimbursement, critical care physicians must adapt their billing practices to meet the challenges of these complex changes. Reimbursement for critical care billing varies substantially across the country and staffing models must consider this heterogeneity. This article summarizes the current state of critical care billing and addresses the
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Myocardial Work: Going Down A Rabbit Hole? J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-03-07 Vivian Doan M.D., Mark Chaney M.D.
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The Minimum Requirements for a Pediatric Cardiac Surgical Site: What is Needed? J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-03-07 Morgan L Brown, Viviane G Nasr
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It's time for effective and affordable therapies for cardiac amyloidosis: lessons from Patisiran J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-03-07 Tiffany M. Williams M.D. Ph.D., Reed Harvey M.D., Matthew A. Fischer M.D., Jacques Neelankavil M.D.
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2023 Clinical Updates in Liver Transplantation J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-24 Chantal C. Mercier Laporte, Brittany Brown, Trevor J. Wilke, Cale A. Kassel
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Beyond the Beat: A Cardiac Anesthesiologist's Perspective on Cardiovascular-Kidney-Metabolic Health in Perioperative Care J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-24 Brian Gebhardt MD MPH FASE, Ankit Jain MBBS FASE FASA MBA
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Transversus thoracic muscle plane block for postoperative pain in pediatric cardiac surgery: a systematic review and meta-analysis of randomized and observational studies J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-23 Yi-yang Cui, Zi-qing Xu, Huai-jing Hou, Jie Zhang, Jian-jun Xue
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Diagnosis and Management of Vasoplegia in Temporary Mechanical Circulatory Support: A Narrative Review J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-23 Jamel Ortoleva, Adam A. Dalia, Dominic V. Pisano, Alexander Shapeton
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Thyroid Hormone Supplementation in Heart Transplantation: Who's on First? J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-23 Jenny Kwak, Rebecca Lee, Eric Pedone
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Aviptadil as a Promising Intervention: A Case Study for Transfusion-Related Acute Lung Injury Treatment in a Cardiac Patient J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-22 Chinmaya Nanda MD, Chitra Mehta MD, Yatin Mehta MD MNAMS FRCA, Swati Joshi MD, Anmol Bhan MBBS, Anil Bhan MS MCh
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Sex-Based Differences in Opioid Administration: A Puzzle Yet to Be Solved J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-22 Aimee Pak MD, Hannah Smith BSc, Hisako Okada MD PhD, Amir L. Butt MD MPH
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Methadone should not be used in cardiac surgery as part of Enhanced Recovery after Cardiac Surgery (ERACS) protocol J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-22 Stephanie O. Ibekwe, Lauren Everett, Samhati Mondal
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Carbon footprint of total intravenous and inhalational anesthesia in the transcatheter aortic valve replacement procedure J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-22 Lei Yang, Joshua Hubert, Samwel Gitundu, Ethan Brovman, Frederick Cobey
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Development of a Low-Cost Medium-Fidelity On-Site Cardiothoracic Anesthesia Simulation Program J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-22 Elisheva Fiszer MD, Ruth Shaylor BMBS BMedSci DESA, Dana Karol MD, Jonathan Rozeznic MD, Gaby Kaplan MD, Carolyn F. Weiniger MBChB, Yitzhak Brzezinski Sinai MD
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Invasive Cardiac Therapies in the Elderly – Can We Raise the Bar? J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-22 S. Michael Roberts, Anita Malhotra, Theodore J. Cios
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Challenges and Perioperative Implications of Anomalous Aortic Origin of the Coronary Arteries J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-22 Bryan E. Marchant, Rohesh J. Fernando
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Commentary on an Intracardiac Shunt in a Patient Undergoing Left Ventricular Assist Device Implantation J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-21 Amrita Sukhavasi MD, Aurelie Merlo MD
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Pro: Methadone Should Be Used as a Part of Enhanced Recovery After Cardiac Surgery Protocol J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-21 Shelby Garcia MD, Mitali Mali MD, Ashanpreet Grewal MD
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Pro/Con: Should patients taking SGLT2 inhibitors be dropped from the elective surgical program? J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-19 Sylvia Ryz, Clara Castellucci
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Should Patients Taking Sodium-Glucose Cotransporter 2 Inhibitors Be Dropped From the Elective Surgical Program? J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-19 Peter Wohlrab MD, Martin H. Bernardi MD PhD
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Relationship Between Computed Tomography–Derived Left Bronchial Diameter and Double- Lumen Endotracheal Tube Size Selection J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-17 Alan M. Smeltz MD FASE, Ashley B. Wicker MD, Dustin J. Belliston-Fowkes BS, Linh N. Tran BS, Emmaline J. Smith BS, Xinming An PhD, Bridget I. Lin, Emily G. Teeter MD FASE
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Can Lightning Strike Twice? Double Sequential External Defibrillation, Extracorporeal Cardiopulmonary Resuscitation, and the International Liaison Committee on Resuscitation Guidelines J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-17 Kelly Byrne MBChB FANZCA, Mikaela Garland MBChB, Elizabeth Turner MBChB FRCA
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Overview and Clinical Applications of Artificial Intelligence and Machine Learning in Cardiac Anesthesiology J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-15 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
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Early Surgery for Infective Endocarditis Complicated With Neurologic Injury J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-15 Sing-Siou Tsai MD, Victor Chien-Chia Wu MD, Yi-Hsin Chan MD, Dong-Yi Chen MD, Yu-Ting Cheng MD, Kuo-Chun Hung MD, Fu-Chih Hsiao MD, Ying-Chang Tung MD, Chia-Pin Lin MD, Pao-Hsien Chu MD, Yen Chu DVM PhD, Shao-Wei Chen MD PhD
To estimate the association between early surgery and the risk of mortality in patients with left-sided infective endocarditis in the context of stroke. Retrospective cohort study. This study was a multiinstitution study based on the Chang Gung Research Database, which contains electronic medical records from 7 hospitals in northern and southern Taiwan; these include 2 medical centers, 2 regional hospitals
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Selecting the Optimal Anesthetic Management for Ventricular Tachycardia Ablation J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-14 Naoya Kataoka MD, Teruhiko Imamura MD
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PRO: Vasopressors can be safely administered via a peripheral intravenous catheter J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-14 Dana Darwish, Kunal Karamchandani
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Hemodynamic Monitoring In The Cardiac Surgical Patient: Comparison of Three Arterial Catheters J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-13 Danny Bui MD, Geoffrey Hayward MD, Tzong Huei Chen MD, Patricia Apruzzese MS, Shyamal Asher MD, Matthew Maslow, Michelle Gorgone MD, Caroline Hunter MD, Devon Flaherty MD, Mark Kendall MD, Andrew Maslow MD
Systemic systolic (SAP) and mean (MAP) arterial pressure monitoring is the cornerstone in hemodynamic management of the cardiac surgical patient, and the radial artery is the most common site of catheter placement. The present study compared 3 different arterial line procedures. It is hypothesized that a 20-G 12.7- cm catheter inserted into the radial artery will be equal to a 20-G 12.7- cm angiocath
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Reliability of bioreactance and pulse power analysis in measuring cardiac index during open abdominal aortic surgery. J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-12 Heikki Pekka Oskari Ronkainen, Laura Anneli Ylikauma, Mari Johanna Pohjola, Pasi Petteri Ohtonen, Tiina Maria Erkinaro, Merja Annika Vakkala, Janne Henrik Liisanantti, Tatu Sakari Juvonen, Timo Ilari Kaakinen
To investigate the accuracy, precision, and trending ability of non-invasive bioreactance-based Starling SV and the mini-invasive pulse power device LiDCOrapid as compared to the bolus thermodilution technique with pulmonary artery catheter (TDCO) when measuring cardiac index (CI) in the setting of elective open abdominal aortic (AA) surgery. A prospective method-comparison study. Oulu University Hospital
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Initiation of ECMO in patients with COVID-19- related ARDS does not increase blood markers of neutrophil extracellular traps (NETs) or IL-8 J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-10 Mazen F. Odish MD, Jorge A. Masso-Silva PhD, Travis L. Pollema DO, Robert L. Owens MD, Laura E. Crotty Alexander MD, Angela Meier MD PhD
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Unravelling the Impact of Gender Disparities in Cardiac Surgery J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-10 Daniel Bolliger, Caroline E. Gebhard
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European Pediatric Cardiac Anesthesia Fellowship Program: A First Proof of Concept. J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-08 Gabor Erdoes, Ehrenfried Schindler, Andreas Koster, Vera von Dossow, Ioana Maria Belciu, Sascha Meier, Mohammed R. El-Tahan, Viviane G. Nasr
The Pediatric Cardiac Anesthesia Fellowship is a demanding training program in Europe and the United States. Successful completion of the program requires years of training in anesthesiology, a thorough understanding of cardiovascular anatomy and physiology, and extensive experience in the perioperative management of neonates and children with heart disease. In the context of the first candidate to
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Intraoperative Prophylaxis with Palonosetron for Postoperative Nausea and/or Vomiting in Adults Undergoing Cardiothoracic Surgery Under General Anesthesia: A Single-Center Retrospective Study J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-08 Carlos E. Estrada Alamo MD MBA, Suejean Hwangpo PharmD, Lisa Chamberlain PharmD, Connie Chon MD, Bala Nair PhD, Vikas O'Reilly-Shah MD PhD, Sarah E. Bain MD, Justin S. Liberman MD
This study assessed the efficacy of palonosetron, alone or with dexamethasone, in reducing postoperative nausea and/or vomiting (PONV) and its impact on hospitalization duration in patients who undergo adult cardiothoracic surgery (CTS) under general anesthesia. This retrospective analysis involved 540 adult patients who underwent CTS from a single-center cohort, spanning surgeries between September
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Morbidity Following Pulmonary Embolism Hospitalization- Contributing Factors and Outcomes J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-07 Carson Welker, Jeffrey Huang, Omar Elmadhoun, Sarvie Esmaeilzadeh, Farouk Mookadam, Harish Ramakrishna
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Virtual Reality as Anesthetic Alternative for Ablation of Non-inducible Ventricular Arrhythmia J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-01 Andrea Rivero, Klaus Torp, Rebecca Klingbeil, Fred Kusumoto
Abstract not available
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Predictive role of preoperative nutritional status on early postoperative outcomes in different aged patients undergoing cardiac valvular surgery J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-06 Xuetao Jiang, Jie Xiang, Ming Yang, Wenjun Liu, Guoyun Lin, Fang Chen, Wei Wang, Guangyou Duan, Sheng Jing, Xiaohang Bao
The authors sought to elucidate the role and predictive effects of preoperative nutritional status on postoperative outcomes across different age groups undergoing cardiac valvular surgery. A retrospective study with intergroup comparison, receiver operating characteristic (ROC) curve analysis, and logistic regression analysis. A medical university affiliated hospital. 3905 patients undergoing cardiac
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Subxiphoid Pericardial Window Using a Combination of Recto-Intercostal Fascial Plane Block and Superficial Parasternal Intercostal Plane Block J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-04 Burhan Dost, Esra Turunc, Emine Ozdemir
Abstract not available
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The Promise of AI-assisted POCUS in Perioperative Care J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-03 Ricardo A. Serrano, Alan M Smeltz
The role of point-of-care ultrasonography (POCUS) in the perioperative setting has expanded rapidly over recent years. Revolutionizing this technology further is integrating artificial intelligence (AI) to assist clinicians in optimizing images, identifying anomalies, performing automated measurements and calculations, and facilitating diagnoses. AI can increase POCUS efficiency and accuracy, making
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Artificial Intelligence for Anesthesiology Board-style Examination Questions: Role of Large Language Models J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-01 Adnan A. Khan, Rayaan Yunus, Mahad Sohail, Taha A. Rehman, Shirin Saeed, Yifan Bu, Cullen D. Jackson, Aidan Sharkey, Feroze Mahmood, Robina Matyal
Background : New artificial intelligence tools have been developed that have implications for medical usage. Large language models such as the widely used ChatGPT, developed by OpenAI, have not been explored in the context of anesthesiology education. Understanding the reliability of various publicly available large language models for medical specialties could offer insight into their understanding
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Percutaneous Approach to Mechanical Aortic Valve Prosthesis Paravalvular Leak Closure: Lessons Learned J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-01 Lisa Huang, Feroze Mahmood, Roger Laham, Ravi K. Sharma, Kiran Belani
Abstract not available
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Pro: Early Full Nutrition is Beneficial in the Critically Ill Population J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-02 David S. Wang
Abstract not available
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Pulmonary vascular resistance-pulmonary artery compliance relationship and time constant in pulmonary hypertension due to valvular heart disease J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-02 Ajay Kumar Jha, Sundaraj Rajkumar, Satyen Parida
Abstract not available
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The adherence to an intraoperative blood product transfusion algorithm is associated with reduced blood product transfusions in cardiac surgical patients undergoing coronary artery bypass grafts and aortic and or valve replacement surgery: A single-center, observational study J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-01 Megan Lanigan, Daniel Siers, Megan Schramski, Andrew Shaffer, Ranjit John, Ryan Knoper, Stephen Huddleston, Lauren Gunn-Sandell, Alexander Kaizer, Tjorvi E Perry
Objective(s) To demonstrate the value of a viscoelastic-based intraoperative transfusion algorithm to reduce blood product administration in adult cardiac surgical patients. Design Prospective observational. Setting Quaternary academic teaching hospital. Participants Cardiac surgical patients. Interventions Viscoelastic-based intraoperative transfusion algorithm. Measurements and Main Results We compared
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Pro: You need a mentor and a sponsor J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-01 Matthew Kennedy, Lydia Miller, Vivek K. Moitra
Abstract not available
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Pro: Is Minimal Invasive Extracorporeal Circulation Superior to Conventional Cardiopulmonary Bypass in Cardiac Surgery? J. Cardiothorac. Vasc. Anesth. (IF 2.8) Pub Date : 2024-02-01 Fabrizio Monaco, Jacopo D'Andria-Ursoleo
Abstract not available