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 LindGold 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

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 LindGold 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...

JANS Article

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

November 6, 2023 | Aristotle ProtopapasGold ContributorGold 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 LindGold 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 LindGold 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

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

December 4, 2019 | Aristotle ProtopapasGold ContributorGold 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...

JANS Article

The Effects of Escalation of Respiratory Support and Prolonged Invasive Ventilation on Outcomes of Cardiac Surgical Patients: A Retrospective Cohort Study

December 4, 2019 | Aristotle ProtopapasGold ContributorGold Commentor

Cohort study from the UK, fuelling the escalating debate on blood management in perioperative cardiovascular care.

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JANS Article

Therapy for Pulmonary Arterial Hypertension in Adults: Update of the CHEST Guideline and Expert Panel Report

September 5, 2019 | Aristotle ProtopapasGold ContributorGold Commentor

The January update of an expert panel from the American College of Chest Physicians on the expanding clinical entity of pulmonary hypertension, especially pertinent to the transplant community.

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Video

ERAS Guidelines for Perioperative Care in Cardiac Surgery

July 3, 2019 | Daniel Engelman…

Filmed at the 2019 AATS Annual Meeting in Toronto, Canada, Daniel Engelman of Baystate Medical Center in Springfield, Massachusetts, USA, moderates a discussion on enhanced recovery after surgery (ERAS) for...

Video

Enhanced Recovery After Surgery Cardiac Panel Part II: Intraoperative and Postoperative

June 6, 2019 | Daniel Engelman…

Filmed at the 2019 STS Annual Meeting in San Diego, California, Daniel Engelman of Baystate Medical Center in Springfield, Massachusetts, USA, moderates a discussion on enhanced recovery after surgery (ERAS)...

JANS Article

Cochrane Collaboration in Crisis as Half of its Governing Board Resigns After a Member is Expelled

September 16, 2018 | Joel DunningGold ContributorSilver Commentor

The highly respected Cochrane Collaboration is in crisis today at its 25th annual meeting in Edinburgh as one board member is expelled and six more resign. There are more links...

JANS Article

Testing Epinephrine for Out-of-Hospital Cardiac Arrest

August 31, 2018 | Aristotle ProtopapasGold ContributorGold Commentor

A balanced editorial discussing the relevant RCT from Britain. The esteemed authors are correct to highlight the overall discouraging survival from out-of-hospital cardiac arrest WITHOUT NEUROLOGICAL DEFICIT. What does need...

JANS Article

A Multidisciplinary Protocol-Driven Approach to Improve Extubation Times After Cardiac Surgery

June 28, 2018 | Claire VernonGold Contributor

Chan and colleagues describe a stepwise approach to reducing the time to extubation after cardiac surgery, driven primarily by bedside providers as opposed to a conventional physician-directed approach. The authors...

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