Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Feb 2011
Comment Letter Case ReportsSevere pulmonary artery hypertension caused by hypoglycemia after cardiac surgery.
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J. Cardiothorac. Vasc. Anesth. · Feb 2011
Transfusion requirements in 811 patients during and after cardiac surgery: a prospective observational study.
To identify patients at risk for intra- and postoperative blood product transfusion in a mixed adult cardiac surgical patient population. ⋯ The identification of high-risk patients is necessary to optimize the perioperative management of bleeding complications. Because of the high variability in transfusion requirements, a specifically tailored patient intervention based on the individual's risk profile appears more likely to improve patient outcome compared with general interventions given to the entire patient group.
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J. Cardiothorac. Vasc. Anesth. · Feb 2011
Randomized Controlled TrialThe effect of nasogastric tube application during cardiac surgery on postoperative nausea and vomiting--a randomized trial.
Postoperative nausea and vomiting (PONV) are significant morbidities following cardiac surgery. The purpose of this study was to determine if application of a nasogastric (NG) tube during cardiac surgery can reduce the prevalence of postoperative PONV. ⋯ Use of an NG tube during cardiac surgery may reduce the incidence of postoperative vomiting.
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J. Cardiothorac. Vasc. Anesth. · Feb 2011
Review Meta AnalysisTranexamic acid is associated with less blood transfusion in off-pump coronary artery bypass graft surgery: a systematic review and meta-analysis.
Tranexamic acid reduces blood loss and transfusion in on-pump coronary artery bypass graft (CABG) surgery. Compared with on-pump, off-pump surgery is associated with less blood loss and transfusion. Therefore, tranexamic acid may be less effective for off-pump surgery, and its safety profile may be different in this setting. The aim of this study was to determine the efficacy and safety of tranexamic acid for off-pump CABG surgery. ⋯ Tranexamic acid reduces blood transfusion after off-pump surgery. Although no association with adverse events was found, the population sample size was too small to detect rare but clinically significant adverse events. A well-designed randomized controlled trial with an appropriate sample size is required to confirm tranexamic acid effectiveness and safety in off-pump CABG surgery.