Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Aug 2009
Predictors of prolonged mechanical ventilation after aortic arch surgery with deep hypothermic circulatory arrest plus antegrade selective cerebral perfusion.
The predictors of prolonged mechanical ventilation after aortic arch surgery with deep hypothermic circulatory arrest have not been comprehensively evaluated. The present study was designed to identify variables associated with prolonged ventilation in a group of aortic arch surgery patients from a single center. ⋯ The authors identified 4 preoperative and intraoperative predictors associated with increased risk of prolonged mechanical ventilation. This is helpful to identify patients with increased risk for prolonged ventilation, develop preemptive strategies, and allocate medical resources.
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J. Cardiothorac. Vasc. Anesth. · Aug 2009
Preoperative statin administration is associated with lower mortality and decreased need for postoperative hemodialysis in patients undergoing coronary artery bypass graft surgery.
The purpose of this study was to examine the effect of perioperative statin administration on renal outcomes after cardiac surgery. ⋯ The preoperative use of statins is associated with decreased in-hospital mortality and a reduction in the need for RRT.
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J. Cardiothorac. Vasc. Anesth. · Aug 2009
The impact of lung recruitment on hemodynamics during one-lung ventilation.
The objective of the present study was to investigate respiratory and hemodynamic changes by measuring continuous cardiac output, cardiac filling, and stroke volume variation after lung recruitment in thoracic surgery. ⋯ The authors concluded that during open-chest surgery with OLV, an ARM effectively improved oxygenation without inducing important circulatory changes.
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J. Cardiothorac. Vasc. Anesth. · Aug 2009
Increased preoperative white blood cell count predicts postoperative atrial fibrillation after coronary artery bypass surgery.
To better understand the relationship between humoral and cellular markers of inflammation and postoperative atrial fibrillation (AF). ⋯ In this cohort of patients undergoing CABG surgery, preoperative leukocytosis was a significant predictor of AF independent of CRP.