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Mashup Score: 1
NEUROLOGIC COMPLICATIONS from cardiac surgeries with cardiopulmonary bypass (CPB) affect further outcomes, including length of hospital stay, survival, healthcare costs, and quality of life. Stroke is the most obvious manifestation among neurologic complications, reported in 1%-to-3% of patients.1 Although not as clinically significant as stroke, cognitive impairment occurs in about 50% of…
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#Cognitive function in patients undergoing CPB declined at POD7, recovered by POD60. Lower baseline #cerebraloxygenation rSO2 indicated a higher potential for cognitive decline at POD60. https://t.co/l6AAsEMo7n https://t.co/Cz7WNHlq8a
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Mashup Score: 2Sternotomy Wound Infiltration With Liposomal Versus Plain Bupivacaine for Postoperative Analgesia After Elective Cardiac Surgery - 2 year(s) ago
Poor pain control after cardiac surgery can be associated with postoperative complications, longer recovery, and development of chronic pain. The authors hypothesized that adding liposomal bupivacaine (LB) to plain bupivacaine (PB) will provide better and long-lasting analgesia when used for wound infiltration in median sternotomy.
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No improvement in the quality of postoperative analgesia in #sternotomy wound infiltration with #LiposomalBupivacaine Versus Plain Bupivacaine after elective cardiac surgery in a randomized trial with 79 patients. https://t.co/BYeBPxAPdD https://t.co/9PyaNWLfq3
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Mashup Score: 7Dexmedetomidine Sedation Combined With Remifentanil in MitraClip Procedures is Feasible and Improves Hemodynamics - 2 year(s) ago
The objective of the study was to compare the overall feasibility, respiratory and hemodynamic stability, as well as process times of a dexmedetomidine-based sedative regimen compared with general anesthesia among patients undergoing MitraClip procedures.
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A retrospective cohort study in 79 patients showed that #Dexmedetomidine sedation combined with #Remifentanil in #MitraClip Procedures is feasible and provides better hemodynamic stability with faster emergence times compared with general anesthesia. https://t.co/smJDVyyW0U https://t.co/oZYQnynHTM
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Mashup Score: 2
To evaluate whether enhanced recovery after surgery (ERAS) was associated with reduced length of stay (LOS) after urgent or emergency coronary artery bypass graft surgery (CABG).
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Enhanced recovery after surgery is associated with reduced hospital #lengthofstay without adverse effects after urgent/emergency isolated #CABG at tertiary hospital in 1,012 patients: interrupted time series analysis with propensity score matching #ERAS https://t.co/lU572hzHH7 https://t.co/GTOLOv6CDX
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Mashup Score: 0Review of Postoperative Care for Heart Transplant Recipients - 2 year(s) ago
The early postoperative management strategies after heart transplantation include optimizing the function of the denervated heart, correcting the causes of hemodynamic instability, and initiating and maintaining immunosuppressive therapy, allograft rejection surveillance, and prophylaxis against infections caused by immunosuppression. The course of postoperative support is influenced by the…
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👉Discuss how to manage preoperative condition, denervated heart, and immunosuppression 👉Overviews donor-recipient heart size matching, surgical aspects, reperfusion, pulmonary vascular hypertension, pulmonary function, early postoperative care. https://t.co/ezotfx7uiQ https://t.co/zsD8jriT6W
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Mashup Score: 3Anesthetic Considerations in the Electrophysiology Laboratory: A Comprehensive Review - 2 year(s) ago
Catheter ablation procedures for arrhythmias or implantation and/or extraction of cardiac pacemakers can present many clinical challenges. It is imperative that there is clear communication and understanding between the anesthesiologist and electrophysiologist during the perioperative period regarding the mode of ventilation, hemodynamic considerations, and various procedural complications. This…
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✅ Review comprehensively #anesthetic considerations for catheter ablation procedures for arrhythmias or cardiac pacemaker implantation or insertion. ✅ It provides the essential background for aware communication with #electrophysiology physician. https://t.co/JlbUs1TFmL https://t.co/UogN9gfv8K
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Mashup Score: 1
ALTHOUGH THE use of transesophageal echocardiography (TEE) for the diagnosis and management of patients outside of the cardiac operating room has gained increased application and importance in recent years, there remains a significant barrier in accessing the training required to widely implement its use. 1 The American Society of Echocardiography and the Society of Cardiovascular…
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RT @AugoustidesJohn: Welcome to the Machine: The Role of Online Simulation in TEE Training #JCVATEEteach23 https://t.co/6T0GDmHV8W
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Mashup Score: 0Evaluation of Mitral-Aortic Flow Velocity Integral Ratio as a Tool to Differentiate Between Severe and Nonsevere Mitral Regurgitation - 2 year(s) ago
To evaluate mitral-aortic flow velocity integral ratio (MAVIR) as an echocardiographic tool to differentiate between severe and nonsevere mitral regurgitation (MR), compared with regurgitant volume (RVol) and effective regurgitant orifice area (EROA), with subgroup analysis in patients with calcific mitral valve, both by transthoracic (TTE) and transesophageal (TEE) echocardiography. Also,…
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Mitral-Aortic Flow Velocity Integral Ratio 👉 A strong correlation between MAVIR (velocity-time integral (VTI) #Mitral /VTIAortic), EROA, regurgitant volume (RVol) #EchoFirst 👉 Severe mitral regurgitation with MAVIR >1, RVol>60 mL & EROA >0.4 cm2. https://t.co/c6vSCVuzRy https://t.co/OCZlH9dnup
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Mashup Score: 2D-Transposition of the Great Arteries, the Rastelli Procedure, and its Complications: Management of a Complex Reoperation - 2 year(s) ago
DEXTRO-TRANSPOSITION OF the Great Arteries (D-TGA) is the second most common cyanotic heart disease,1 with an incidence of 20-to-30 cases per 100,000 live births, amounting to 5%-to-7% of all congenital heart diseases.2 Advances in surgical techniques now permit these patients to survive into adulthood and live a normal life.3 Before the advent of the modern arterial switch surgery and in some…
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A 38-year-old woman with complex D-#TGA presented with fatigue and dyspnea for a surgical consultation for ventricular septal defect closure and right ventricle-to-pulmonary artery conduit replacement after an #Rastelli Procedure. https://t.co/g3Co5W41md https://t.co/Xzd8r8D5qv
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Mashup Score: 4Renal Dysfunction and Arrhythmia Association in Patients Receiving Milrinone After Cardiac Surgery - 2 year(s) ago
PATIENTS WHO REQUIRE cardiac surgery are at an increased risk of developing low-cardiac-output syndrome that can continue for days after surgery, potentially leading to critical organ hypoperfusion and cardiogenic shock.1 Treatment options to reverse this acute low-output state include volume expansion, vasopressors, inodilators, and mechanical circulatory support devices.2 Milrinone is a type…
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There was no association between new #arrhythmias, #milrinone, and #renal impairment in patients postcardiac surgery. https://t.co/O4z1zRr7cY https://t.co/prJizeDic9
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Inferior intraoperative mean #rSO2 was related to higher postoperative relative theta activity and theta-gamma ratio, implying subclinical or further #cognitive impairment. https://t.co/l6AAsEMo7n https://t.co/XYqzIXZb6X