This multicenter randomized trial examined restrictive versus liberal threshold in red-cell transfusion in patients after cardiac surgery. The results were provocative, with more deaths in the restrictiv group compared to the liberal transfusion group. Posoperative complications were also slightly higher in the restrictive group.
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April 4, 2015
January 21, 2015
In this comprehensive article the author describes the potential harmful effects of peri-operative allogeneic transfusions during cardaic surgery employing the CPB circuit. The author also describes potenital risks of low hematocrits during CPB as would be seen when employing Acute Normovolemic Hemodilution technique for blood conservation.
January 17, 2015
Guidelines advocate changes in fatty acid consumption to promote cardiovascular health. This papers summarizes evidence about associations between fatty acids and coronary disease.
Internet Video of the Week: dental antibiotic prophylaxis controversy reignited as endocarditis incidence rises in UK
January 12, 2015
The incidence of bacterial endocarditis has significantly increased in the UK and this coincides with a 90% reduction of antibiotic prophylaxis for dental work according to the 2008 NICE guidance which recommended against its use. This video from the AHA describes the study and implications for the future.
October 9, 2014
Fifty years after the first coronary artery bypass grafting, the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) issued together guidelines for myocardial revascularization.
2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery
August 2, 2014
2014 consensus guidelines on the perioperative evaluation and management of patients undergoing NONCARDIAC surgery.
June 16, 2014
Using data from the Australian Cardiac Surgical Database, the authors provide further information regarding acute kidney damage after cardiac surgery. This study has added to the evidence that preoperative impairment, IABP use, red cell transfusion and infective endocarditis are predictive factors.
Surgery for infective endocarditis complicated by cerebral embolism: A consecutive series of 375 patients
June 16, 2014
The rate of cerebral embolism in patients with acute infective endocarditis (AIE) was about one quarter on CT scanning, with about one third having silent emboli. This had an adverse impact on survival. Haemorrhagic transformation was low. The authors indicate CT scanning should be routine for all patients with AIE.
June 1, 2014
This is a nice video that demonstrates what items are required to safely perform an emergency resternotomy. Might be a nice video to show to your ICU nurses or those who might be required to assist in an emergency resternotomy.
Effect of the World Health Organization Checklist on Patient Outcomes: A Stepped Wedge Cluster Randomized Controlled Trial.
May 23, 2014
Stepped wedged cluster randomized control trial from the World Health Organization comparing outcomes in those who received a Checklist. Implementation of the WHO Surgical Safey Checklist decreased morbidty and hospital length of stay.