Intensive Care

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

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

Multi-Institutional Analysis of 200 COVID-19 Patients Treated With ECMO: Outcomes and Trends

July 12, 2021 | Jessica Luc

In this article, Jacobs et al. provide a multi-institutional outcomes review of 200 consecutive patients with confirmed COVID-19 supported with ECMO. The mean time on ECMO was 15 days with...

JANS Article

Extracorporeal Life Support in COVID‐19‐Related Acute Respiratory Distress Syndrome – A EuroELSO International Survey

February 21, 2021 | Jessica Luc

In this article by the COVEC Study Group, they conducted a EuroELSO international survey investigating the clinical outcomes of extracorporeal membrane oxygenation (ECMO) on patients with COVID-19 Acute Respiratory Distress...

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

Methylene blue for postcardiopulmonary bypass vasoplegic syndrome: A cohort study

May 23, 2017 | Arie BlitzBronze ContributorSilver Commentor

The authors conducted a retrospective cohort study of 88 patients that received methylene blue (MB) for refractory vasoplegia following cardiopulmonary bypass. Administration of MB was associated with an 8 mmHg...

JANS Article

Healthcare-Associated Infections in Cardiac Surgery Patients With Prolonged Intensive Care Unit Stay

April 17, 2017 | Mark FergusonBronze Contributor

Cardiac surgery patients with ICU stays of more than 7 days were evaluated for the incidence of healthcare-associated infections (HAI) over a 3-year period. 15% of over 2,500 pts had...

JANS Article

Temporary Mechanical Circulatory Support in Cardiac Critical Care: A State of the Art Review and Algorithm for Device Selection

January 31, 2017 | Rakesh Arora

The authors of this review article offer an approach to the utilization of a contempory mechanical circulatory support devices. They further provide insights of the key role that well-functioning interdisciplinary...

JANS Article

Extracardiac Signs of Fluid Overload in the Critically Ill Cardiac Patient: A Focused Evaluation Using Bedside Ultrasound

January 31, 2017 | Rakesh Arora

Appropriate perioperative fluid management is of increasing interest for the team caring for the critically ill cardiac patient as fluid overload has been shown to have negative effects on organ...

JANS Article

Detection, Prevention, and Management of Delirium in the Critically Ill Cardiac Patient and Patients Who Undergo Cardiac Procedures

January 31, 2017 | Rakesh Arora

In this is review article the authors have proposed a “3-strike” model of risk that increases the likelihood of experiencing postoperative delirium in older adults undergoing cardiac surgery. The 3...

JANS Article

Contemporary extracorporeal membrane oxygenation therapy in adults: Fundamental principles and systematic review of the evidence.

July 18, 2016 | Aristotle ProtopapasGold Commentor

A handy mini-textbook on ECMO

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JANS Article

Acute kidney injury following cardiac surgery: current understanding and future directions

July 5, 2016 | Rakesh Arora

Acute kidney injury (AKI) complicates recovery from cardiac surgery in up to 30% of patients, injures and impairs the function of the brain, lungs, and gut, and places patients at...

JANS Article

Transfusion of sex-mismatched and non–leukocyte-depleted red blood cells in cardiac surgery increases mortality

June 4, 2016 | Mark FergusonBronze Contributor

The authors analyzed long-term outcomes after cardiac surgery in nearly 10,000 patients to evaluate the mortality risk of blood transfusion. Sex-mismatched transfusion increased mortality, and use of non-leukocyte-depleted blood was...

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