Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Dec 2024
ReviewRemimazolam Use in Cardiac Anesthesia: A Narrative Review.
Remimazolam, a novel ultra-short-acting intravenous benzodiazepine, has garnered recent attention for its use as a general anesthetic. This narrative review aims to summarize and analyze the available literature on the effects of remimazolam use in cardiac surgical patients, including its effects on hemodynamics, safety in patients with baseline myocardial dysfunction, and impact on postoperative management including time to emergence and extubation. Finally, there is discussion regarding potential drawbacks of adopting remimazolam as a routine anesthetic for cardiac surgery.
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J. Cardiothorac. Vasc. Anesth. · Dec 2024
Randomized Controlled TrialClinical Utility of Ultrasonographic Guidance for Arterial Catheterization in Patients with Obesity: A Randomized Controlled Trial.
To compare the success and complication rates of radial artery catheterization using ultrasound guidance versus the conventional palpation technique in obese patients by anesthesia residents with similar levels of experience in both methods, and to measure the skin-to-artery distance of radial, brachial, and dorsalis pedis arteries using ultrasound with standardized anatomic landmarks. ⋯ The results of this study do not support the routine use of ultrasonography during radial arterial catheterizations for obese adults when junior practitioners perform the procedure.
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J. Cardiothorac. Vasc. Anesth. · Dec 2024
Multicenter Study Observational StudySex Differences in Chronic Postsurgical Pain after Open Thoracotomy.
To determine the incidence of chronic postsurgical pain (CPSP) in women after open thoracotomy. Secondary objectives were to compare relevant patient and procedural variables between women and men. ⋯ These findings show that the incidence of physician-diagnosed chronic postsurgical pain is higher in women than in men after surgeries involving thoracotomy. Sex and gender should be included in future clinical research on pain in surgical settings.
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J. Cardiothorac. Vasc. Anesth. · Dec 2024
ReviewThe Year in Cardiothoracic Critical Care: Highlighted Publications From 2023.
There were several noteworthy articles published in 2023 affecting the practice of critical care anesthesiology, summarized in this year's "The Year in Cardiothoracic Critical Care: Highlighted Publications From 2023." While many articles published in 2023 were notable and modified practices, the authors have highlighted a broad selection of papers. The selection of papers reviewed for 2023 includes studies demonstrating the noninferiority of organ donation after circulatory death, the immune response to blood administration in lung transplantation recipients, the lack of need for prescribing antiplatelet therapy in Heartmate 3 patients, outcomes following extracorporeal CPR, and evidence contradicting tight glycemic control in the intensive care unit. It is anticipated that all these topics will have further research in 2024 and beyond.