Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Jun 2014
Type of Anesthesia and Postoperative Delirium After Vascular Surgery.
The purpose of this study was to investigate the association between general (GA), regional (RA), and local (LA) anesthetic techniques with respect to the development of delirium after vascular surgery. The authors hypothesized that patients undergoing GA for vascular surgery would have a higher incidence of postoperative delirium. The role of LA with respect to postoperative delirium in vascular surgery patients previously has not been reported. ⋯ Delirium rates after vascular surgery were similar with local, regional, or general anesthesia techniques. The presence of risk factors for the development of postoperative delirium should not influence the type of anesthesia provided.
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J. Cardiothorac. Vasc. Anesth. · Jun 2014
Observational StudyExtubation in the Operating Room After Cardiac Surgery in Children: A Prospective Observational Study With Multidisciplinary Coordinated Approach.
This prospective observational study was undertaken to determine the feasibility of extubation of children in the operating room after cardiac surgery. ⋯ Extubation in the operating room was successful in 87.1% of the patients without any increase in mortality and morbidity, but with a decrease in ICU length of stay and less use of hospital resources.
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J. Cardiothorac. Vasc. Anesth. · Jun 2014
Observational StudyCardiac Output Calculation and Three-Dimensional Echocardiography.
To compare the determination of stroke volume (SV) and cardiac output (CO) using 2-dimensional (2D) versus 3-dimensional (3D) transesophageal echocardiography (TEE). ⋯ LVOT area is underestimated with the single- axis 2D method when compared with 3D planimetered area. This results in a CO that is approximately 10% lower with the 2D method.
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J. Cardiothorac. Vasc. Anesth. · Jun 2014
United States Practice Patterns in the Use of Transesophageal Echocardiography During Adult Liver Transplantation.
To characterize contemporary practice patterns in the use of transesophageal echocardiography during adult liver transplantation and to identify factors preventing more frequent use. ⋯ Transesophageal echocardiography during adult liver transplantation in the United States has become widely prevalent, with notable growth in its use as a routine diagnostic and monitoring modality. Almost all institutions now use the technology at least occasionally, with the participation of cardiac anesthesiologists being predictive of a center's routine use.