Cognitive Dysfunction, Delirium, and Stroke in Cardiac Surgery Patients.
Abstract Neurologic injury in the form of cognitive decline, delirium, and stroke are common phenomena in patients undergoing cardiac surgery and continues to be one of the most common complication...
View ArticleA liberal strategy of red blood cell transfusion reduces cardiogenic shock in...
Abstract OBJECTIVE: The aim of this study was to compare outcomes in patients undergoing cardiac surgery who are aged 60 years or more or less than 60 years after implementation of a restrictive or a...
View ArticleIntravascular Complications of Central Venous Catheterization by Insertion Site.
Abstract BACKGROUND: Three anatomical sites are commonly used to insert central venous catheters, but insertion at each site has the potential for major complications. METHODS: In this multicenter...
View ArticlePerioperative Bridging Anticoagulation in Patients with Atrial Fibrillation
Abstract BACKGROUND: It is uncertain whether bridging anticoagulation is necessary for patients with atrial fibrillation who need an interruption in warfarin treatment for an elective operation or...
View ArticleState-of-the-Art Surgical Management of Acute Type A Aortic Dissection
Abstract Acute type A aortic dissections still present a major challenge to cardiac surgeons. Although surgical management remains the gold standard, operative mortality remains high, including in...
View ArticleRelationship between a perioperative intravenous fluid administration...
Abstract Introduction Saline-based and hydroxyethyl starch solutions are associated with increased risk of renal dysfunction. In the present study, we tested the hypothesis that balanced solutions and...
View ArticleAcute kidney injury treated with renal replacement therapy and 5-year...
Abstract BACKGROUND: Myocardial infarction-related cardiogenic shock is frequently complicated by acute kidney injury. We examined the influence of acute kidney injury treated with renal replacement...
View ArticlePersistent Postoperative Cognitive Decline?: The Pyramid of Evidence
The hierarchy of evidence showing studies that have found a link (top right) and have not found a link (top left) between surgery or anesthesia and dementia or postoperative cognitive decline (POCD)...
View ArticleMuscle mass, strength and functional outcomes in critically ill patients...
Abstract BACKGROUND: The effects of neuromuscular electrical stimulation (NMES) in critically ill patients after cardiothoracic surgery are unknown. The objectives were to investigate whether NMES...
View ArticleTamponade Relief by Active Clearance of Chest Tubes
Abstract PURPOSE: Chest tubes are used in every case of cardiac surgery to evacuate shed blood from around the heart and lungs. Chest tubes can become partially or totally occluded, leading to...
View ArticleApplying the termination of resuscitation rules to out-of-hospital cardiac...
Abstract Background The 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation recommend Basic Life Support (BLS) and Advanced Life Support (ALS) rules for termination of...
View ArticleStopping vs. Continuing Aspirin before Coronary Artery Surgery.
Stopping vs. Continuing Aspirin before Coronary Artery Surgery In this trial 2100 undergoing coronary surgery were randomized to aspirin 100mg or placebo. The primary outcome was defined as a composite...
View ArticleTiming of tracheotomy in ICU patients: a systematic review of randomized...
Abstract Introduction The optimal timing of tracheotomy in critically ill patients remains a topic of debate. We performed a systematic review to clarify the potential benefits of early versus late...
View ArticleLiver function predicts survival in patients undergoing extracorporeal...
Abstract BACKGROUND: Extracorporeal membrane oxygenation (ECMO) represents a valuable and rapidly evolving therapeutic option in patients with severe heart or lung failure following cardiovascular...
View ArticleEffects of remote ischemic preconditioning in high-risk patients undergoing...
Abstract BACKGROUND: Remote ischemic preconditioning is a simple therapy that may reduce cardiac and kidney injury. We undertook a randomized controlled trial to evaluate the effect of this therapy on...
View ArticleMechanical circulatory support in the new era: an overview.
Abstract This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency medicine 2016. Other selected articles can be found online at...
View ArticleHigh-Dose Perioperative Atorvastatin and Acute Kidney Injury Following...
Abstract IMPORTANCE: Statins affect several mechanisms underlying acute kidney injury (AKI). OBJECTIVE: To test the hypothesis that short-term high-dose perioperative atorvastatin would reduce AKI...
View ArticleHigh Spinal Anesthesia Enhances Anti-Inflammatory Responses in Patients...
Abstract BACKGROUND: Cardiac surgery induces many physiologic changes including major inflammatory and sympathetic nervous system responses. Here, we conducted a single-centre pilot study to generate...
View ArticleCommunication tools for end-of-life decision-making in the intensive care...
Abstract BACKGROUND: For many patients admitted to the intensive care unit (ICU), preferences for end-of-life care are unknown, and clinicians and substitute decision-makers are required to make...
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