Intensive Care Guidelines

JANS Article

Perioperative Care in Cardiac Surgery: A Joint Consensus Statement by the Enhanced Recovery After Surgery (ERAS) Cardiac Society, ERAS International Society, and The Society of Thoracic Surgeons (STS)

February 1, 2024 | Cameron LindSilver Contributor

In this joint statement, ERAS and STS present a list of potential program elements, literature review, and a consensus on ERAS clinical practice. The statement is an update to the 2019 guidance and includes new...

JANS Article

Shear Force-Induced Platelet Clearance is a New Mechanism of Thrombocytopenia

November 6, 2023 | Aristotle ProtopapasGold Commentor

The clinical problem addressed in this study is bleeding in patients who undergo ECMO. The authors endeavor to address the issue through a quantitative cohort study by reflecting on how...

JANS Article

Topical Vancomycin and Risk of Sternal Wound Infections: A Double-Blind Randomized Controlled Trial

October 28, 2022 | Cameron LindSilver Contributor

A study was performed to assess the efficacy of topical vancomycin in the reduction of sternal wound infection (SWI), as this topic has become a point of contention. There was...

JANS Article

Efficacy of Primary Closure Technique in Treatment of Post-Sternotomy Mediastinitis in Pediatric Group: A Randomized Controlled Trial

October 28, 2022 | Cameron LindSilver Contributor

This randomized trial assessed the efficacy of vacuum-assisted sternal closure as compared to primary closure technique in the treatment of post-cardiac surgery mediastinitis in a pediatric age group. Out of...

JANS Article

The Right Ventricle During Veno-Venous Extracorporeal Membrane Oxygenation in Acute Respiratory Distress Syndrome: Can We Protect the Injured Ventricle?

January 21, 2022 | Aristotle ProtopapasGold Commentor

An editorial with some interest for the cardiothoracic surgeon, in particular the awareness of changes in the right vantricle during ECMO support , mostly drawn from the recent Covid experiences,...

JANS Article

Defining Right Ventricular Dysfunction in Acute Respiratory Distress Syndrome

October 1, 2021 | Aristotle ProtopapasGold Commentor

A scholarly narrative on the utility of quantifying the performance of the right ventricle: the RV has been hitherto empirically assessed in many clinical setups.

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JANS Article

Ultrasound- Versus Fluoroscopy-Guided Strategy for Transfemoral Transcatheter Aortic Valve Replacement Access: A Systematic Review and Meta-Analysis

September 27, 2021 | Aristotle ProtopapasGold Commentor

A small meta-analysis suggesting a bemefit of vascular ultrasound for access to the groin vessels in TAVI. The utility of ultrasonography may be extended in access for groin cannulation in...

JANS Article

New-Onset Postoperative Atrial Fibrillation Impact on 5-Year Clinical Outcomes and Costs

May 27, 2021 | Aristotle ProtopapasGold Commentor

This month’s update on the economical and general aspects of the ROOBY-FS trial. The conclusion (on no impact of de novo post-CABG AF on the incidence of stroke nor the...

JANS Article

Editor’s Choice – European Society for Vascular Surgery (ESVS) 2021 Clinical Practice Guidelines on the Management of Venous Thrombosis

January 16, 2021 | Aristotle ProtopapasGold Commentor

A recent European consensus paper. Relatively easily read, and favouring meta-analyses over randomised trials. The bulk of the manuscript is of interest to all healthcare providers. The chapters 2.8.1 and...

JANS Article

Combined Antiplatelet/Anticoagulant Drug for Cardiac Ischemia/Reperfusion Injury

August 18, 2020 | Aristotle ProtopapasGold Commentor

A review that may affect pharma strategy in the immediate future.

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JANS Article

Graduated Compression Stockings as Adjuvant to Pharmaco-Thromboprophylaxis in Elective Surgical Patients (GAPS Study): Randomised Controlled Trial

May 15, 2020 | Aristotle ProtopapasGold Commentor

A medium-sized RCT from the Imperial College. The research question are of interest for all cardiovascular, thoracic, and general surgeons as well as all healthcare professionals.

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JANS Article

Fair Allocation of Scarce Medical Resources in the Time of Covid-19

March 25, 2020 | Mark FergusonBronze Contributor

A frank, eye opening discussion with specific recommendations about allocating scarce resources in a time of pandemic.

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JANS Article

Diagnosis of Pulmonary Embolism with d-Dimer Adjusted to Clinical Probability

December 4, 2019 | Aristotle ProtopapasGold Commentor

Well-presented Canadian prospective study juxtaposing a combination of Wells scoring and dimers to the imaging gold standard. It was particularly fascinating to read the referenced assertion that: …..the prevalence of...

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