Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Apr 1997
Somatosensory evoked potential monitoring during cardiac surgery: an examination of brachial plexus dysfunction.
To observe the effects of the Favoloro and sternal retractors on the ulnar and median nerve somatosensory evoked potentials (SSEPs) and to identify any relationship with postoperative brachial plexus injury. ⋯ SSEP changes correlate with the use of the sternal retractor but not the Favoloro retractor. It was not possible to replicate the results of previous investigators in predicting postoperative neurological deficits based on the SSEP changes, and therefore the routine application of SSEP as a monitor cannot be recommended on the basis on these data.
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J. Cardiothorac. Vasc. Anesth. · Feb 1997
Randomized Controlled Trial Clinical TrialIntraoperative plasmapheresis in cardiac surgery.
To determine the effects of intraoperative plasmapheresis on total transfusion requirements, mediastinal drainage, and coagulation. ⋯ After cardiac surgery, intraoperative plasma-pheresis reduces early postoperative bleeding and decreases the need for homologous transfusions.
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J. Cardiothorac. Vasc. Anesth. · Feb 1997
Randomized Controlled Trial Clinical Trial Controlled Clinical TrialA placebo-controlled trial verifying the efficacy of milrinone in weaning high-risk patients from cardiopulmonary bypass.
To establish the efficacy of the phosphodiesterase inhibitor milrinone in facilitating weaning from cardiopulmonary bypass of high-risk patients with left ventricular dysfunction and/or pulmonary hypertension. ⋯ This placebo-controlled, double-blind study has conclusively demonstrated the benefits of milrinone in facilitating weaning of high-risk patients from cardiopulmonary bypass.
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J. Cardiothorac. Vasc. Anesth. · Feb 1997
Randomized Controlled Trial Comparative Study Clinical TrialEffects of desflurane and isoflurane on systemic vascular resistance during hypothermic cardiopulmonary bypass.
The objective of this study was to examine the dose-related effects of desflurane and isoflurane on systemic vascular resistance during hypothermic cardiopulmonary bypass. ⋯ Equi-MAC concentrations of desflurane and isoflurane had similar effects on systemic vascular resistance; 0.5 MAC maintained systemic vascular resistance; 1.0 MAC decreased systemic vascular resistance during hypothermic cardiopulmonary bypass.