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 function.
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Critical Care
January 31, 2017
January 31, 2017
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.
January 26, 2017
This New STS Expert Consensus Statement is now available to download.
For the first time this protocol gives units who look after patients after cardiac surgery a complete guide for the management for patients who arrest.
November 23, 2016
An institutional registry of ECMO patients was surveyed to determine predictors of survival among patients receiving ECMO in the presence of sepsis. Among 151 studied patients, pneumonia was the most common cause of sepsis. Mortality was predicted by advanced age, longer door-to ECMO times, gram-negative sepsis, and sepsis due to infections other t
October 31, 2016
This database study evaluated outcomes of delayed sternal closure for infants undergoing surgery on cardiopulmonary bypass. Delayed closure was associated with a 3-fold increase in infectious complications. Time to closure was associated with an increasing rate of infectious complications. Location of closure (OR, ICU) was not associated with adve
October 13, 2016
This single-center study explored the relationship between spontaneous echo contrast (SEC) and the incidence of thromboembolism and CVA in 98 patients undergoing peripheral VA ECMO. Twenty-two percent of patients had SEC while they were on ECMO. Those exhibiting SEC had significantly higher rates of intracardiac thrombus (46% v.
October 2, 2016
Ruben Osnabrugge interviews EACTS Secretary General and CTSNet President Pieter Kappetein about the highlights of the 2016 EACTS Annual Meeting.
September 27, 2016
This erudite publication by Dr. Engelman explores the alphabet soup of the new payment models already upon us and sure to be central to our future. If you are not well-versed in acronyms such as MACRA, MIPS, BPCI and so forth, this is a must-read. Dr.
September 19, 2016
It’s well known that VAD and ECMO are associated with bleeding and decreased platelet activity. This study investigated whether loss of platelet receptors occurred in 21 VAD patients and 20 ECMO patients.
August 2, 2016
This randomized trial evaluated the efficacy of postoperative metoprolol or losartan in preventing atrial fibrillation in patients with elevated N-terminal pro-brain natriuretic peptide who were undergoing lung resection for cancer. Among candidates, 29% (320) of patients had elevated NT-proBNP and were randomized. Both metoprolol and losartan redu