Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Jun 2014
Comparative StudyUncalibrated Continuous Cardiac Output Measurement in Liver Transplant Patients: LiDCOrapid™ System versus Pulmonary Artery Catheter.
The aim of the study was to assess the level of agreement between continuous cardiac output estimated by uncalibrated pulse-power analysis (PulseCOLiR) and intermittent (ICO) and continuous cardiac output (CCO) obtained using a pulmonary artery catheter (PAC). ⋯ In conclusion, the uncalibrated PulseCOLir method should not be used as a substitute for the thermodilution technique for the monitoring of cardiac output in liver transplant patients.
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J. Cardiothorac. Vasc. Anesth. · Jun 2014
Observational StudyDiastolic Dysfunction in Patients Undergoing Cardiac Surgery: The Role of Gender and Age-Gender Interaction.
To test the hypothesis that females presenting for coronary artery bypass graft (CABG) surgery are at a higher risk of left ventricular diastolic dysfunction (LVDD) and that age and gender interact to influence this risk. ⋯ The authors confirmed that women undergoing CABG surgery are at higher risk of LVDD compared to men with a significant age-gender interaction suggesting a possible age-related differential effect on LVDD between the genders, a phenomenon previously demonstrated in preclinical studies. Therapies aimed at amelioration of diastolic dysfunction additionally should consider the higher risk in females, especially within the older subset of the patient population.
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J. Cardiothorac. Vasc. Anesth. · Jun 2014
Observational StudyReassessment of the Natural Evolution and Complications of Temporary Epicardial Wires after Cardiac Surgery.
The aim of this study was to prospectively reassess the natural evolution and complications of temporary epicardial wires (TEW) after cardiac surgery. ⋯ Despite widespread use, the natural history of TEW is still a major concern. Pacing with high-energy output is a possible factor leading to capture dysfunction that must be avoided. Education of all operators is needed.
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J. Cardiothorac. Vasc. Anesth. · Jun 2014
Observational StudyLung Reperfusion Injury in Patients after Balloon Angioplasty for Pulmonary Artery Stenosis.
To determine the incidence and degree of acute lung reperfusion injury (ARI) in patients undergoing balloon angioplasty of branch pulmonary artery stenosis and to evaluate the correlation and efficacy of an oxygenation index in confirming the clinical diagnosis. ⋯ ARI often can occur after pulmonary artery interventions. The PaO2/FIO2 is a valuable test for identifying patients at risk of developing ARI and can help guide the care of these patients in the postintervention period.