Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Jun 2012
Editorial CommentGoing with the flow: the dilemma of a laminar jet.
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J. Cardiothorac. Vasc. Anesth. · Jun 2012
Randomized Controlled TrialImpact of patients' positions on the incidence of arrhythmias during pulmonary artery catheterization.
The complication of cardiac arrhythmias during pulmonary artery catheterization (PAC) may be related to the position of the patient. Therefore, the purpose of this study was to determine the effects of patients' positions on incidence of arrhythmias and the time required to place the pulmonary artery catheter. ⋯ Adjusting patients in the head-up and right lateral position while passing the PAC can reduce the incidence of severe arrhythmias, but not in the time taken to place it. This position may have clinical implications, particularly in high-risk patients.
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J. Cardiothorac. Vasc. Anesth. · Jun 2012
Meta AnalysisFenoldopam and acute renal failure in cardiac surgery: a meta-analysis of randomized placebo-controlled trials.
Because at present no pharmacologic prevention or treatment of acute kidney injury seems to be available, the authors updated a meta-analysis to investigate the effects of fenoldopam in reducing acute kidney injury in patients undergoing cardiac surgery, focusing on randomized placebo-controlled studies only. ⋯ This analysis suggests that fenoldopam reduces acute kidney injury in patients undergoing cardiac surgery. Because the number of the enrolled patients was small and there was no effect on renal replacement therapy or survival, a large, multicenter, and appropriately powered trial is needed to confirm these promising results.