Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Apr 2004
Randomized Controlled Trial Comparative Study Clinical TrialComparison of epsilon aminocaproic acid and tranexamic acid in pediatric cardiac surgery.
This study compared the efficacy of aminocaproic acid and tranexamic acid in reducing postoperative blood loss, as well as blood and blood product requirements in children with cyanotic congenital heart disease. ⋯ Aminocaproic acid and tranexamic acid are equally effective in reducing postoperative blood loss, as well as blood and blood product requirements in children with cyanotic heart disease undergoing corrective surgery as compared with the control group.
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J. Cardiothorac. Vasc. Anesth. · Apr 2004
Randomized Controlled Trial Comparative Study Clinical TrialEffectiveness of a circulating-water warming garment in rewarming after pediatric cardiac surgery using hypothermic cardiopulmonary bypass.
To evaluate the effectiveness and safety of the ALLON 2001 microprocessor-based thermoregulation system in pediatric patients undergoing cardiac surgery requiring hypothermic cardiopulmonary bypass compared with the routine thermal care. ⋯ The investigated thermoregulation system was effective in preventing the after-drop of temperature that occurs after cardiopulmonary bypass in small infants compared with routine warming methods.
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J. Cardiothorac. Vasc. Anesth. · Apr 2004
Randomized Controlled Trial Clinical TrialDecreased concentration of antithrombin after preoperative therapeutic heparin does not cause heparin resistance during cardiopulmonary bypass.
To determine if preoperative heparin therapy causes an increase in the incidence of intraoperative heparin resistance by reducing the concentration of antithrombin in plasma. ⋯ Preoperative heparin causes an increased incidence of heparin resistance and reduced antithrombin concentrations. However, heparin resistance was not causally related to reduced antithrombin because antithrombin concentrations were not different between heparin-resistant and heparin-responsive patients in the POHI group.
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J. Cardiothorac. Vasc. Anesth. · Apr 2004
Comparative Study Clinical TrialWhat is the optimal device for carbon dioxide deairing of the cardiothoracic wound and how should it be positioned?
To compare recently described insufflation devices for efficient carbon dioxide (CO(2)) deairing of the cardiothoracic wound and to determine the importance of their position. ⋯ For efficient deairing, CO(2) has to be delivered from within the wound cavity. The gas-diffuser was the most efficient device. In contrast to a gas-diffuser, a multiperforated catheter or a gauze sponge is unsuitable for CO(2) deairing because they will stop functioning when they get wet in the wound.
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J. Cardiothorac. Vasc. Anesth. · Apr 2004
Comparative Study Clinical TrialA comparison of Plateletworks and platelet aggregometry for the assessment of aspirin-related platelet dysfunction in cardiac surgical patients.
To compare the assessment of aspirin-related platelet dysfunction using Plateletworks (Helena Laboratories, Beaumont, TX), a new point-of-care platelet function analyzer, with turbidometric platelet aggregometry, in cardiac surgical patients. ⋯ These findings suggest that Plateletworks is of limited use for the detection of aspirin-related platelet defects in cardiac surgical patients.