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 ICU stays of more than 7 days, of whom more than 48% had at least 1 HAI. Mortality in those with HAI was more than twice as high as for those without (29% vs13%).
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Healthcare-Associated Infections in Cardiac Surgery Patients With Prolonged Intensive Care Unit Stay
April 17, 2017
Temporary Mechanical Circulatory Support in Cardiac Critical Care: A State of the Art Review and Algorithm for Device Selection
January 31, 2017
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 teams contribute to the success of a MCS program and future directions to consider as this field continues to rapidly evolve.
Extracardiac Signs of Fluid Overload in the Critically Ill Cardiac Patient: A Focused Evaluation Using Bedside Ultrasound
January 31, 2017
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.
Detection, Prevention, and Management of Delirium in the Critically Ill Cardiac Patient and Patients Who Undergo Cardiac Procedures
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.
December 22, 2016
This single institution retrospective study analyzed the effects of single vs multiple complications on acute outcomes to help identify interactions among complications that might predict outcomes. Over a 4 year period 366 pts experienced a complication and 102 of these had 2 or more complications. Multiple complications were associated with mortal
Contemporary extracorporeal membrane oxygenation therapy in adults: Fundamental principles and systematic review of the evidence.
July 18, 2016
A handy mini-textbook on ECMO
July 5, 2016
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 a 5-fold increased risk of death during hospitalization.
Transfusion of sex-mismatched and non–leukocyte-depleted red blood cells in cardiac surgery increases mortality
June 4, 2016
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 associated with increased mortality. The age of the blood productes was not related to mortality.
May 5, 2016
The author summarizes the challenges but tremendous potential of mechanical circulatory support for infants and children undergoing heart surgery.
March 27, 2016
Norepinephrine is often used to maintain the mean pressure during open heart surgery but it is said that it could constrict cerebral arteries, reducing cerebral blood flow. Is it true? The authors explored the association of Norepi doses and rSO2 measured using near-infrared spectroscopy.