Journal of cardiothoracic and vascular anesthesia
-
J. Cardiothorac. Vasc. Anesth. · Dec 2013
Methylene Blue is Associated with Poor Outcomes in Vasoplegic Shock.
The purpose of this study was to investigate whether patients who received methylene blue as treatment for vasoplegia during cardiac surgery with cardiopulmonary bypass had decreased morbidity and mortality. ⋯ The current study identified the use of methylene blue as treatment for vasoplegia to be independently associated with poor outcomes. While further studies are required, a thorough risk-benefit analysis should be applied before using methylene blue and, perhaps, it should be relegated to rescue use and not as first-line therapy.
-
J. Cardiothorac. Vasc. Anesth. · Dec 2013
Observational StudyMyofascial Involvement of Supra- and Infraspinatus Muscles Contributes to Ipsilateral Shoulder Pain After Muscle-Sparing Thoracotomy and Video-Assisted Thoracic Surgery.
This study examined the hypothesis that ipsilateral upper extremity elevation for muscle-sparing thoracotomy procedures contributes to the postoperative shoulder pain. ⋯ These results supported the hypothesis that myofascial involvement contributed, to some extent, to shoulder pain after muscle-sparing thoracotomy with ipsilateral upper extremity elevation.
-
J. Cardiothorac. Vasc. Anesth. · Dec 2013
Randomized Controlled TrialOutcomes and Biochemical Parameters Following Cardiac Surgery: Effects of Transfusion of Residual Blood Using Centrifugation and Multiple-Pass Hemoconcentration.
To determine whether or not there was a significant difference between the methods of centrifugation (CF) and multiple-pass hemoconcentration (MPH) of the residual cardiopulmonary-bypass volume in relation to biochemical measurements and patient outcomes. ⋯ Although the CF method provided a product in a shorter turnaround time, with consistent clearance of heparin, the MPH method trended towards enhanced biochemical and clinical patient outcomes over the 12-hour postoperative period.
-
The object of this study was to conduct and analyze the output of a survey involving a cohort of all Italian hospitals performing thoracic surgery to gather data on anesthetic management, one-lung ventilation (OLV) management, and post-thoracotomy pain relief in thoracic anesthesia. ⋯ The results of this survey showed that Italian anesthesiologist follow the recommended standard of care for anesthetic management during OLV.
-
J. Cardiothorac. Vasc. Anesth. · Dec 2013
Review Comparative StudyGeneral Versus Regional Anesthesia for Carotid Endarterectomy.