Có 20+ tài liệu thuộc chủ đề "Cardiac surgery"
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Effectiveness of securing central venous catheters with topical tissue adhesive in patients undergoing cardiac surgery: a randomized controlled pilot study. Topical tissue. adhesives form a thin film of coating that becomes bound to keratin in the epidermis. This study aimed to evaluate fixation of CVCs with topical tissue adhesive in patients (prone to bleed) undergoing cardiac surgery regarding its ability...
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Dexmedetomidine reduces the incidence of postoperative delirium after cardiac. surgery: a meta-analysis of randomized controlled trials. Background: The role of dexmedetomidine in preventing postoperative delirium (POD) after cardiac surgery remains controversial because of several recent trials with negative results. We aimed to perform an updated meta- analysis of randomized controlled trials (RCTs) to clarify this controversy.. Methods: RCTs investigating the...
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Prevention of postoperative bleeding after complex pediatric cardiac surgery by early administration of fibrinogen, prothrombin complex and platelets: a prospective. observational study. Background: Postoperative bleeding is a major problem in children undergoing complex pediatric cardiac surgery.. The primary aim of this prospective observational study was to evaluate the effect of an institutional approach consisting of early preventive fibrinogen, prothrombin complex...
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Cephalad misplacement of a pulmonary artery catheter in a patient with a. Background: Pulmonary artery catheter insertion is a routine practice in high-risk patients undergoing cardiac surgery. However, pulmonary artery catheter insertion is associated with numerous complications that can be devastating to the patient. The patient had a history of synovial sarcoma, and Hickman catheter had been inserted in the...
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Feasibility and postoperative opioid sparing effect of an opioid-free anaesthesia in adult cardiac surgery: a retrospective study. Background: No previous study investigated the dexmedetomidine-based opioid-free anesthesia (OFA) protocol in cardiac surgery. The main objective of this study was to evaluate the feasibility and the postoperative opioid- sparing effect of dexmedetomidine-based OFA in adult cardiac surgery patients.. Methods: We conducted a...
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Severe low cerebral oximetry in difficult cardiopulmonary bypass weaning of low body-weight infant: a case report and literature review. Case presentation: This is a case of severe hypotension and non-detectable pulse oxygen saturation (SpO 2 ) after CPB in a low-weight infant who had normal blood pressure and oxygen saturation before surgery. Epinephrine and milrinone were administered with cerebral oximetry...
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Blood management in a patient with anti- Ok a antibody who underwent cardiac. surgery using cardiopulmonary bypass: a case report. Background: Cardiac surgery under cardiopulmonary bypass (CPB) is often associated with massive bleeding and blood transfusion. For patients requiring specific blood products, meticulous blood management is critical to reduce blood loss, as well as the need for transfusion. Here, we...
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The relationship between intraoperative cerebral oximetry and postoperative. Background: Cerebral oximetry has been widely used to measure regional oxygen saturation in brain tissue, especially during cardiac surgery. Methods: To evaluate the relationship between intraoperative cerebral oximetry and postoperative delirium in patients who underwent OPCAB, we included 1439 patients who underwent OPCAB between October 2004 and December 2016 and among them,...
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Preservation of renal function in cardiac surgery patients with low cardiac output syndrome: levosimendan vs beta agonists. Background: Some studies have been performed to assess the effects of levosimendan on cardiac function when administered to cardiac surgery patients with low cardiac output syndrome (LCOS) in the immediate postoperative period. A total of 100 patients with LCOS received either beta-agonists or...
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Background: Cardiac surgery with extracorporeal circulation (ECC) can induce microvascular dysfunction and tissue hypoperfusion. We hypothesized that the alterations in near-infrared spectroscopy (NIRS)-derived parameters would be associated with post-operative complications in cardiac surgery patients.. Ninety patients undergoing cardiac surgery with ECC were enrolled. Results: In the first hours after cardiac surgery, StO 2 tended to increase at T3 versus at...
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Cardiac surgical outcome prediction by blood pressure variability indices Poincaré plot and coefficient of variation: a. Background: Recent literature suggests a significant association between blood pressure variability (BPV) and postoperative outcomes after cardiac surgery. Blood pressure variability was computed by Poincare plots and CV. The outcomes analyzed were the 30-day mortality and postoperative renal failure. Results: Analysis found that patients...
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Mortality prediction by SOFA score in ICU- patients after cardiac surgery. The SOFA score on the other hand is a simpler system, has been widely used in ICUs and could be a good alternative.. The goal of the study was to compare the SOFA score with the APACHE-IV and other ICU prediction models.. Methods: We investigated, in a large cohort...
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Intra-operative red blood cell transfusion and mortality after cardiac surgery. Background: Anemia in cardiac surgery patients has been associated with poor outcomes. Little is known about the association between intra-operative transfusion and mortality in patients undergoing cardiac surgery.. Results: Intra-operative transfusion was associated with a more than three-fold increased risk of 30-day mortality.. Conclusions: Intra-operative transfusion of red blood cells...
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Different dose regimes and administration methods of tranexamic acid in cardiac. Background: The efficacy of tranexamic acid (TXA) to reduce perioperative blood loss and allogeneic blood transfusion in cardiac surgeries has been proved in previous studies, but its adverse effects especially seizure has always been a problem of concern. 4408) for patients in the control group. Intravenous high-dose TXA didn...
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Effect of opioid-free anaesthesia on post- operative period in cardiac surgery: a. Background: No study has been conducted to demonstrate the feasibility of an opioid-free anesthesia (OFA) protocol in cardiac surgery to improve patient care. The aim of the present study was to evaluate the effect of OFA on post-operative morphine consumption and the post-operative course.. Methods: After retrospectively registering...
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component therapy after cardiac surgery: a randomized study. Thrombelastometry (ROTEM®) allows point-of-care testing of the coagulation status but only limited data is available yet. The aim was to evaluate the ROTEM®-guided blood component therapy in a randomized trial.. However, there was a trend towards less 24-h drainage loss visible in the ROTEM®-group (ROTEM ml vs. In the subgroup of patients...
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Evaluation of risk factors for a fulminant Clostridium difficile infection after cardiac surgery: a single-center, retrospective. Background: Clostridium difficile (CD) is the most common pathogen causing nosocomial diarrhea. A fulminant CDI occurred in 153 of these patients (12.2. Demographic, peri-operative, and survival data were analyzed, and predictors of a fulminant CDI were assessed by binary logistic regression analysis.. n =...
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Risk scores for predicting dysphagia in critically ill patients after cardiac surgery. Background: This study aimed at developing and validating a scoring model to stratify critically ill patients after cardiac surgery based on risk for dysphagia, a common but often neglected complication.. Methods: Data were prospectively collected and analyzed from January 2016 to June 2017 from 395 consecutive post cardiac...
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Intraoperative hyperglycemia is. independently associated with infectious complications after non-cardiac surgery. Background: Perioperative hyperglycemia and its associated increase in morbidity and mortality have been well studied in the critical care and cardiac surgery literature. However, there is little data regarding the impact of intraoperative hyperglycemia on post-operative infectious complications in non-cardiac surgery.. Methods: All National Surgery Quality Improvement Program patients...
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Randomized comparison of sevoflurane versus propofol-remifentanil on the. cardioprotective effects in elderly patients with coronary heart disease. Background: It is skeptical about cardioprotective property of sevoflurane in patients undergoing noncardiac surgery, especially in the elderly patients with coronary heart disease. We hypothesized that long duration of sevoflurane inhalation in noncardiac surgery could ameliorate myocardial damage in such patients.. One hundred...