A succinct comment with a wealth of up-to-date references vis-a-vis the SARS-CoV-2 pandemic.
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December 4, 2019
Succinct commentary on the challenge of vascular access in ECMO circuits on the occasion of a manuscript on a novel design of a multi-access adaptor.
Surgery for Type A Aortic Dissection in Patients with Cerebral Malperfusion: Results From the International Registry of Acute Aortic Dissections
November 15, 2019
The International Registry of Acute Aortic Dissection investigators analyzed the impact of cerebral malperfusion (CM) on the surgical outcomes of acute type A dissection in 2402 patients. The incidence of CM and neurologic deficit was 15.1% (362/2402).
November 14, 2019
Interesting succinct note on a major issue, noting a possible association between cardiopulmonary bypass and this common complication.
Evaluation of the INSPIRE Trial and Its Implications for Lung Transplantation With Normothermic Portable Ex Vivo Lung Perfusion
October 30, 2019
A balanced appraisal of last year's manuscript from the Lancet Group on a relatively novel portable Organ Care System for donor lungs. The analysis of the technical complications, especially organ damage from overenthusiastic revving of the pump, is particularly sobering.
October 14, 2019
A narrative review offering an intensivists' viewpoint on specific cardiovascular sequela of double-lumen anaesthesia for pulmonary resections (and by extension, implantation of donor lungs) and other cardiothoracic and vascular operations.
Effect of Targeting Mean Arterial Pressure During Cardiopulmonary Bypass by Monitoring Cerebral Autoregulation on Postsurgical Delirium Among Older Patients
September 19, 2019
In this randomized trial, the authors studied the use of cerebral autoregulation monitoring to target mean arterial pressure during CPB. The outcome of interest was postopertive delirium. The incidence of delirium was 53% in the usual care group compared to 38% in the intervention group, with a reduction in the odds of delirium of 45% (p=0.04).
August 13, 2019
A most educative cross-Atlantic retrospective study on an always important question. The short accompanying video is also valuable!
May 14, 2019
Abdelhadi Ismail of the Southampton University Hospitals Trust in the UK presents an educational series on cardiac anatomy in which he discusses some of the fundamental concepts.
May 3, 2019
The US FDA approved the Xvivo device for maintaining or resuscitating donor lungs prior to transplant. Interesting very high survival is reported in the control group at one year.