Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Dec 2016
Retraction Of PublicationWITHDRAWN: Cardiac Calendar 2016-2020.
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J. Cardiothorac. Vasc. Anesth. · Dec 2016
Meta Analysis Comparative StudyShort- and Medium-Term Effects of Combined Mitral Valve Surgery and Coronary Artery Bypass Grafting Versus Coronary Artery Bypass Grafting Alone for Patients with Moderate Ischemic Mitral Regurgitation: A Meta-Analysis.
To investigate the short- and medium-term effects of combined mitral valve surgery (MVS) and coronary artery bypass grafting (CABG) versus CABG alone for patients with moderate ischemic mitral regurgitation (IMR). ⋯ The potential benefits of combined MVS and CABG could outweigh its risks for patients with moderate IMR.
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J. Cardiothorac. Vasc. Anesth. · Dec 2016
High Postoperative Blood Pressure After Cardiac Surgery Is Associated With Acute Kidney Injury and Death.
Gaps and uncertainty exist regarding the understanding of optimal clinical goals for perioperative (ie, preoperative, intraoperative, and postoperative) blood pressure (BP) management in patients undergoing cardiac surgery and the consequences of achieving or failing to achieve those goals. In this setting, it is understood that preoperative hypertension is predictive of poor postoperative outcomes, with a growing appreciation that current, clinically acceptable changes in intraoperative BP also may be associated independently with adverse short- and long-term outcomes. In contrast, the impact of postoperative BP on outcomes after cardiac surgery remains less clear. ⋯ Postoperative hypertension is associated with compromised outcome as reflected by higher mortality, longer length of stay, and higher incidence of renal dysfunction.
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J. Cardiothorac. Vasc. Anesth. · Dec 2016
Outcomes of Patients with Prolonged Intensive Care Unit Length of Stay After Cardiac Surgery.
To determine in-hospital and post-discharge long-term survival in patients with prolonged intensive care unit (ICU) stays after cardiac surgery. ⋯ In-hospital mortality rates post-cardiac surgery correlate with length of ICU stay but appear to plateau after 4 weeks. However, a>4 week ICU length of stay confers a worse long-term outcome post-hospital discharge, especially in patients with postoperative stroke.