Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Aug 2009
Review Meta AnalysisLevosimendan reduces cardiac troponin release after cardiac surgery: a meta-analysis of randomized controlled studies.
The authors performed a meta-analysis to investigate the effects of levosimendan in cardiac surgery. Inotropic drugs have never shown beneficial effects on outcome in randomized controlled studies, with the possible exception of levosimendan. ⋯ Levosimendan has cardioprotective effects, resulting in reduced postoperative cardiac troponin release.
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J. Cardiothorac. Vasc. Anesth. · Aug 2009
Randomized Controlled Trial Comparative StudyA comparison of the deflecting-tip bronchial blocker with a wire-guided blocker or left-sided double-lumen tube.
To compare a new bronchial blocker, the Cohen blocker, with the Arndt blocker and a left double-lumen tube (DLT). ⋯ There was a trend toward a difference between times to place a bronchial blocker and the DLT. The Cohen blocker is more difficult to position in the left main bronchus than in the right one.
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J. Cardiothorac. Vasc. Anesth. · Aug 2009
Comparative StudyTwo-lung high-frequency jet ventilation as an alternative ventilation technique during transthoracic esophagectomy.
The aim of this study was to evaluate two-lung high-frequency jet ventilation during esophagectomy and evaluate the influence of high-frequency jet ventilation on pulmonary complications as compared with one-lung ventilation. ⋯ High-frequency jet ventilation to 2 lungs, using a single-lumen tube, is a safe and adequate ventilation technique for use during esophagectomy. High-frequency jet ventilation had no influence on the incidence of postoperative pulmonary complications but reduced perioperative blood loss and led to a decreased need for fluid replacement.