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).
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Effect of Targeting Mean Arterial Pressure During Cardiopulmonary Bypass by Monitoring Cerebral Autoregulation on Postsurgical Delirium Among Older Patients
September 19, 2019
August 13, 2019
A most educative cross-Atlantic retrospective study on an always important question. The short accompanying video is also valuable!
August 9, 2019
The authors in this study performed a post-hoc analysis of the coronary artery bypass grafting (CABG) cohort in the multicenter randomized EXCEL trial, comparing patients undergoing on-pump versus off-pump procedures for left main disease. Of note, in both groups some of the most experienced CABG surgeons in the world participated.
July 8, 2019
The authors provide a step-by-step tutorial about how to perform a proper epiaortic scan.
Differential Outcomes of Open and Clamp-On Distal Anastomosis Techniques in Acute Type A Aortic Dissection
June 11, 2019
Food for thought from a retrospective non-randomized study on the Scandinavian experience with acute aortic dissection. The reader may find outcomes that will surpise them.
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 9, 2019
Fuhrman and colleagues investigated the occurrence of acute kidney injury (AKI) in young adults with congenital heart disease undergoing a surgical procedure, a group of patients that is increasing in number.
In Global News: Roadside Thoracotomy, Recalled Atrioseptostomy Catheters, and Lung Cancer in Nonsmokers
May 3, 2019
Patient Care and General Interest A roadside thoracotomy was performed in the UK to control severe bleeding for a man who was stabbed, and the procedure was captured on video.
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.
Right Ventricular Function is Reduced During Cardiac Surgery Independent of Procedural Characteristics, Reoperative Status, or Pericardiotomy
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.