Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Oct 2015
Obstructive Sleep Apnea Is an Independent Predictor of Postoperative Atrial Fibrillation in Cardiac Surgery.
To test the hypothesis that obstructive sleep apnea (OSA) is a risk factor for development of postoperative atrial fibrillation (POAF) after cardiac surgery. ⋯ OSA is significantly associated with POAF in cardiac surgery patients. Further investigation is needed to determine whether or not use of positive airway pressure in OSA patients reduces the risk of POAF.
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J. Cardiothorac. Vasc. Anesth. · Oct 2015
Observational StudyInadvertent Hypothermia After Procedural Sedation and Analgesia in a Cardiac Catheterization Laboratory: A Prospective Observational Study.
To identify the prevalence of and risk factors for inadvertent hypothermia after procedures performed with procedural sedation and analgesia in a cardiac catheterization laboratory. ⋯ A moderate prevalence of hypothermia was observed. The small absolute change in temperature observed may not be a clinically important amount. More research is needed to increase confidence in the authors' estimates of hypothermia in sedated patients and its impact on clinical outcomes.
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J. Cardiothorac. Vasc. Anesth. · Oct 2015
Pre- and Post-Bypass Platelet Function Testing With Multiple Electrode Aggregometry and TEG Platelet Mapping in Cardiac Surgery.
To investigate the differences between pre- and post-cardiopulmonary bypass platelet function tests and to examine whether post-bypass tests could predict postoperative bleeding. ⋯ Post-bypass platelet function testing showed reductions in ADP and arachidonic acid-triggered aggregation but not in TRAP-triggered aggregation compared with pre-bypass testing. There was no relationship between the post-bypass tests and bleeding.
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J. Cardiothorac. Vasc. Anesth. · Oct 2015
Predictors of Permanent Pacemaker Implantation After Transcatheter Aortic Valve Replacement.
Determine predictors of permanent pacemaker (PPM) implantation after transcatheter aortic valve replacement (TAVR). ⋯ The authors found VIV placement, and likely degree of paravalvular leak, to be predictors of PPM placement. VIV and the degree of leak may be useful markers for postoperative prophylactic pacemaker placement.