Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Apr 2018
Letter Case ReportsDifficult Removal of a Kinked Swan-Ganz Catheter.
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J. Cardiothorac. Vasc. Anesth. · Apr 2018
Review Meta AnalysisPhosphocreatine in Cardiac Surgery Patients: A Meta-Analysis of Randomized Controlled Trials.
There is experimental evidence that phosphocreatine (PCr) can decrease ischemia/reperfusion injury of the heart. The authors investigated if PCr would improve heart performance as compared with standard treatment in cardiac surgery. ⋯ In randomized trials, PCr administration was associated with reduced rates of intraoperative inotropic support and major arrhythmias, and increased spontaneous recovery of the cardiac rhythm after aortic declamping. Large multicenter evidence is needed to validate these findings.
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J. Cardiothorac. Vasc. Anesth. · Apr 2018
Observational StudyPrognostic Value of Hyperlactatemia and Lactate Clearance After Mitral Valve Surgery.
Blood lactate is frequently used to guide management in critically ill patients. In patients undergoing mitral valve surgery, an elevated lactate level is frequently observed; however, overall mortality is low. The authors hypothesized that hyperlactemia is not a useful predictor of poor outcomes in this patient population. The main aim of this study was to explore how blood lactate level and lactate clearance are associated with 30-day mortality and major adverse events in patients undergoing mitral valve surgery. ⋯ An elevated blood lactate level is common after mitral valve surgery and is well-tolerated in the majority of patients. Adding lactate clearance improved the predictive value of the blood lactate level.