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.
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Evaluation of the INSPIRE Trial and Its Implications for Lung Transplantation With Normothermic Portable Ex Vivo Lung Perfusion
October 30, 2019
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.
August 21, 2019
An interesting discussion in this manuscript of a case-control study of 666 subjects.
February 20, 2019
Flynn and colleagues evaluated their center’s implementation of a protocol for extubation within six hours after cardiac surgery, focusing on the rate of adverse events before and after protocol implementation particularly for those patients at highest surgical risk.
January 9, 2019
Diwan and colleagues retrospectively compared daytime to nighttime extubation for patients after cardiac surgery, considering outcomes for patients who were extubated early and patients who had longer intubation times.
September 13, 2018
Exciting debate on the EOLIA trial! https://www.ctsnet.org/jans/extracorporeal-membrane-oxygenation-severe-a...
June 28, 2018
Chan and colleagues describe a stepwise approach to reducing the time to extubation after cardiac surgery, driven primarily by bedside providers as opposed to a conventional physician-directed approach.
May 24, 2018
A severe blow to the concept of venovenous extracorporeal membrane oxygenation for acute respiratory distress syndrome in the form of a well-executed randomized controlled trial.
Discussion of "Intraoperative Extracorporeal Membrane Oxygenation and the Possibility of Postoperative Prolongation Improve Survival in Bilateral Lung Transplantation"
May 3, 2018
A stimulating discussion of the Vienna paper that advances elective ECMO support for bilateral pulmonary transplantation.
March 27, 2018
A brief readable editorial on a retrospective analysis of the costs of coronary artery bypass grafting in Virginia, USA, which suggests the value of enhanced recovery in coronopathy.