Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Dec 2016
Meta AnalysisImpact of Milrinone Administration in Adult Cardiac Surgery Patients: Updated Meta-Analysis.
To determine the effects of milrinone on short-term mortality in cardiac surgery patients with focus on the presence or absence of heterogeneity of the effect. ⋯ Among RCTs to assess the effect of milrinone administration in adult cardiac surgery patients, there are wide variations of the odds ratios of administration of milrinone for short-term mortality according to the comparators and the timing of administration. This fact may suggest that a simple pooling meta-analysis is not applicable for assessing the risk and benefit of milrinone administration in an adult cardiac surgery cohort.
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J. Cardiothorac. Vasc. Anesth. · Dec 2016
Randomized Controlled Trial Comparative StudyDexmedetomidine Versus Propofol Sedation Improves Sublingual Microcirculation After Cardiac Surgery: A Randomized Controlled Trial.
To compare the effects of dexmedetomidine and propofol on sublingual microcirculation in patients after cardiac surgery. ⋯ This trial demonstrated that dexmedetomidine sedation may be better able to improve microcirculation in cardiac surgery patients during the early postoperative period compared with propofol.
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J. Cardiothorac. Vasc. Anesth. · Dec 2016
Review Comparative StudyMobile Extracorporeal Membrane Oxygenation Teams: The North American Versus the European Experience.
To evaluate differences in the inclusion of anesthesiologists in mobile extracorporeal membrane oxygenation (ECMO) teams between North American and European centers. ⋯ This study demonstrated significant geographic discrepancies in the inclusion of anesthesiologists on mobile ECMO teams, with European centers more likely to incorporate an anesthesiologist into the mobile ECMO process compared with North American centers.
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J. Cardiothorac. Vasc. Anesth. · Dec 2016
Randomized Controlled Trial Comparative StudyEfficacy of Different Perioperative Statin Regimens on Protection Against Post-Coronary Artery Bypass Grafting Major Adverse Cardiocerebral Events.
Comparing different perioperative statin regimens for the prevention of post-coronary artery bypass grafting adverse events. ⋯ The 3 regimens did not result in any significant difference in outcomes, but only simple trends. The higher-dose regimen resulted in a significant reduction in the CRP level. Thus, more studies are needed to confirm the benefit of higher-dose statins for the protection from post-coronary artery bypass grafting adverse events.