Tag Archives for cardiac surgery
Blood use for cardiac surgery is less when point-of-care testing is used
Point-of-of-care testing for the purpose of coagulation management is in widespread use for blood loss cases such as cardiac surgery and liver transplant surgery. Is it any better than conventional laboratory testing? In their article “Point-of-Care Testing: A Prospective, Randomized … Continue reading
Endoscopic vein-graft harvest is safe
Before the mid-1990s, open vein-graft harvesting was the norm for patients undergoing coronary artery bypass graft (CABG) surgery. Once endoscopic vein-graft harvesting was developed, this procedure displaced open vein-graft harvesting as the method of choice and is now used for … Continue reading
Mind-to-mind: Author reads “Remodel”
In this month’s issue of the Journal, Ms. Mary Oak’s “Remodel” is published. This week, she reads the story, part of a much larger one that is available soon on Goldenstone Press. Previously she described the basis for the story. Having … Continue reading
Less rather than more volume is better when ventilating patients after cardiac surgery
Most would agree that for patients with acute lung injury, tidal volumes should be low since higher tidal volumes can lead to lung trauma. Ventilation with high tidal volumes has also been shown to be a risk for lung injury. … Continue reading
Treatment of delirium after cardiac surgery: risperidone
Moving forward, it is quite likely that we will see more patients with postoperative delirium. This is because the population is aging, older patients undergo more surgery (particularly cardiac surgery) than their younger counterparts, and delirium is common after cardiac … Continue reading
Use of a coagulation management algorithm is associated with less use of blood for cardiac surgery patients
No one would deny that blood transfusions may be necessary, but if they can be avoided, that represents the ideal situation. Patients who undergo cardiac surgery frequently need transfusion. The authors previously developed an algorithm for managing transfusion for patients undergoing … Continue reading
Anemia, transfusion, and the risk of acute kidney injury
Anemic patients have a higher risk of postoperative complications than non-anemic patients. Karkouti and colleagues, using a nuanced analytical approach, further explore this seemingly obvious statement in their article, “Influence of Erythrocyte Transfusion on the Risk of Acute Kidney Injury … Continue reading
Blood cell transfusion, kidney injury and cardiac surgery: what’s the relationship?
Acute kidney injury (AKI) is a complication of cardiac surgery and preoperative anemia and perioperative red cell transfusion are known risk factors. The authors retrospectively studied patients who underwent cardiac surgery with cardiopulmonary bypass at their institution in order to … Continue reading
Proper Ventilation of Patients During Cardiac Surgery
Intraoperatively, many ventilate patients using 10 ml/kg tidal volume. Lower tidal volumes are used to ventilate patients with acute lung injury. Does low tidal volume ventilation for patients during cardiac surgery make any difference in terms of either ventilator-associated lung … Continue reading
Ahead of print: appropriate ventilation during cardiac surgery
Posted by J. Lance Lichtor, M.D. Articles are published 1-3 months in advance of when they will appear in print. Â For some of these articles the discussion shouldn’t wait until the article is in print. Â Each week, we present the … Continue reading