Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Apr 2002
Comment Letter Comparative StudyIntraoperative aprotinin use in arterial switch operations.
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J. Cardiothorac. Vasc. Anesth. · Apr 2002
Comparative StudyPostoperative atrial fibrillation: a comparison of off-pump coronary artery bypass surgery and conventional coronary artery bypass graft surgery.
To compare the incidence and pattern of onset of postoperative atrial fibrillation (AF) in patients undergoing coronary artery bypass graft (CABG) surgery with and without cardiopulmonary bypass (CPB). ⋯ Avoiding CPB does not seem to reduce the incidence of postoperative AF in CABG surgery. The similar time distribution of onset of AF in OP-CAB surgery patients and CABG surgery patients may point toward a common cause.
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J. Cardiothorac. Vasc. Anesth. · Apr 2002
Intrathoracic blood volume index measured by thermodilution for preload monitoring after cardiac surgery.
To investigate the accuracy of measurement of intrathoracic blood volume index by single thermodilution (ITBVI*) and its sensitivity to detect changes in preload after cardiac surgery compared with conventional transpulmonary arterial dye dilution ITBVI and with conventional monitoring (central venous pressure [CVP] and left ventricular end-diastolic area index [EDAI] by transesophageal echocardiography). ⋯ In patients undergoing cardiac surgery, determination of ITBVI* revealed close agreement with measurements derived by ITBVI. Enhancement in cardiac preload was adequately detected by ITBVI*.
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J. Cardiothorac. Vasc. Anesth. · Apr 2002
Retraction Of PublicationRetracted: Considerations in patients undergoing implantation of a biventricular pacemaker.
To compare hemodynamics and oxygenation in patients with congestive heart failure and broad QRS complexes before and with biventricular DDD pacing and to report experience with this new procedure. ⋯ There was no acute intraoperative improvement of hemodynamics except increased mean arterial pressure with biventricular pacing. Left ventricular performance seemed to improve with biventricular pacing in some patients. These results might be due to a nonoptimized atrioventricular delay. Postoperatively, atrioventricular delay was individually programmed for each patient by Doppler transmitral flow patterns.
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J. Cardiothorac. Vasc. Anesth. · Apr 2002
Randomized Controlled Trial Clinical TrialGlucocorticoid effects on the inflammatory and clinical responses to cardiac surgery.
To measure the effects of glucocorticoids on the systemic inflammatory response and clinical recovery after cardiac surgery. ⋯ This study shows significant effects of glucocorticoids on the production of IL-6 and IL-10 in response to cardiac surgery but only minor effects on clinical recovery.