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Extracorporeal Circulation

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.
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.
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.
April 29, 2019
The authors prospectively analyzed right ventricular (RV) function in 109 patients undergoing a broad range of cardiac surgeries. RV function was assessed at several time points by evaluating TAPSE and 2D longitudinal RV strain to evaluate long axis RV function, and fractional area exchange to evaluate global RV function.
March 1, 2019
Abdelhadi Ismail of the Southampton University Hospitals Trust in the UK presents an educational series on cardiopulmonary bypass in which he discusses some of the fundamental concepts underlying cardiopulmonary bypass and reviews techniques.

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