Journal of cardiothoracic and vascular anesthesia
-
J. Cardiothorac. Vasc. Anesth. · Aug 2014
Observational StudyAcute Kidney Injury Within 72 Hours after Lung Transplantation: Incidence and Perioperative Risk Factors.
To define the incidence and perioperative risk factors of acute kidney injury (AKI) within 72 hours after lung transplantation and clarify the relationship between postoperative AKI and outcome in patients undergoing lung transplantation. ⋯ AKI based on the RIFLE criteria following lung transplantation is common. Patients who developed AKI were more likely to have an episode of intraoperative hypoxemia and undergo a double-lung transplantation. Contrary to other published studies, patients with a higher preoperative eGFR were more likely to develop AKI in the authors' cohort.
-
J. Cardiothorac. Vasc. Anesth. · Aug 2014
Perioperative Management of Patients with DiGeorge Syndrome Undergoing Cardiac Surgery.
DiGeorge syndrome is a genetic disorder with multisystem involvement resulting in craniofacial and cardiac anomalies and parathyroid and immune system dysfunction. This study describes perioperative management of a large cohort of patients with DiGeorge syndrome undergoing cardiac surgery. ⋯ Patients with DiGeorge syndrome often have complex cardiac anomalies that require surgical repair. The postoperative course is notable for the frequent need for prolonged respiratory and hemodynamic support. Patients can develop hypocalcemia and may require calcium supplementation. Immunodeficiencies may be associated with the increased rate of postoperative infections and may dictate the need for specific transfusion management practices.
-
J. Cardiothorac. Vasc. Anesth. · Aug 2014
Drainage of Large Pleural Effusions Increases Left Ventricular Preload.
The aim of the study was to investigate if pleurocentesis in patients with pleural effusion would lead to changes in systolic and diastolic function of the left ventricle. ⋯ Pleurocentesis increased left ventricular preload and improved respiratory function.