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About 98 results
Drug, devices, technologies, and techniques for blood management in minimally invasive ...
https://doi.org/10.1097/IMI.0b013e3182747699
Innovations (Philadelphia, Pa.); Menkis AH, Martin J et. al.

Nov 5th, 2012 - The objectives of this consensus conference were to evaluate the evidence for the efficacy and safety of perioperative drugs, technologies, and techniques in reducing allogeneic blood transfusion for adults undergoing cardiac surgery and to develop evidence-based recommendations for comprehensive perioperative blood management in cardiac surgery, with emphasis on minimally invasive cardiac surg...

Use of N-acetylcysteine to reduce post-cardiothoracic surgery complications: a meta-ana...
https://doi.org/10.1016/j.ejcts.2008.11.027
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery; Baker WL, Anglade MW et. al.

Jan 16th, 2009 - Post-cardiothoracic surgery (CTS) complications (e.g. myocardial injury, renal dysfunction, atrial fibrillation) may occur as a result of enhanced systemic inflammation, perhaps provoked by an oxidative stress response. N-acetylcysteine (NAC) is a free radical scavenger antioxidant agent that may attenuate this physiologic response and reduce post-CTS complications. Thus, a meta-analysis was pe...

Large-vessel occlusion stroke after cardiothoracic surgery: Expanding time windows offe...
https://doi.org/10.1016/j.jtcvs.2018.11.106
The Journal of Thoracic and Cardiovascular Surgery; Sheriff F, Hirsch J et. al.

Jan 27th, 2019 - Ischemic stroke due to large-vessel occlusion (LVO) is a complication after cardiothoracic surgery (CTS). Recently published endovascular stroke trials have major implications for treating LVO strokes; we evaluated our experience in patients undergoing CTS. Our prospective institutional CTS database was reviewed between July 2013 and April 2018 for ischemic strokes. Patients with LVO were ident...

Noninvasive Cardiac Output Monitoring in Cardiothoracic Surgery Patients: Available Met...
https://doi.org/10.1053/j.jvca.2018.06.012
Journal of Cardiothoracic and Vascular Anesthesia; Saugel B, Cecconi M et. al.

Oct 15th, 2018 - The monitoring and optimization of cardiac output (CO) are central components of perioperative hemodynamic management in patients undergoing cardiothoracic surgery. Until recently, echocardiography and invasive indicator dilution methods have been the mainstays of CO monitoring in these patients. However, completely noninvasive methods to estimate CO have become available during recent years. I...

Risks and Rewards of Advanced Practice Providers in Cardiothoracic Surgery Training: Na...
https://doi.org/10.1016/j.athoracsur.2018.08.035
The Annals of Thoracic Surgery; Blitzer D, Stephens EH et. al.

Oct 12th, 2018 - Changes in healthcare have led to increasing use of advanced practice providers (APPs), but their role in cardiothoracic surgery (CTS) education remains undefined. This study aimed to analyze the extent of APP use on the CTS team, their role within the hierarchy of clinical care, and the impact of physician extenders on CTS training from the resident perspective. CTS residents' responses to the...

Early postoperative change in serum creatinine predicts acute kidney injury after cardi...
https://doi.org/10.1007/s10157-018-1638-3
Clinical and Experimental Nephrology; Oka H, Yamada S et. al.

Aug 30th, 2018 - Acute kidney injury (AKI) is one of the most severe complications after cardiothoracic surgery (CTS). However, diagnosis of AKI by elevation of serum creatinine (SCr) misses a critical time period for prevention and treatment of AKI. We have observed that patients who develop AKI show a smaller SCr decrease after CTS than those without AKI. Hence, we hypothesized that the magnitude of the SCr c...

Development of a 3-D printing-based cardiac surgical simulation curriculum to teach sep...
https://doi.org/10.1016/j.jtcvs.2017.09.136
The Journal of Thoracic and Cardiovascular Surgery; Hermsen JL, Yang R et. al.

Jul 21st, 2018 - We sought to develop a 3-D printing-based simulator for teaching extended septal myectomy to trainees in cardiothoracic surgery (clinical postgraduate year 4-7). This procedure is difficult to teach because of generally unfamiliar and highly variable anatomy, limited visibility for the assistant, and significant potential complications. A curriculum using multimedia didactics and 3-D print-base...

Pilot Testing a Home-Based Rehabilitation Intervention Designed to Improve Outcomes of Frail Veterans Following Cardiothoracic Surgery
https://clinicaltrials.gov/ct2/show/NCT03299101

May 30th, 2018 - Background: Frail Veterans are at increased risk for poor surgical outcomes. Although surgical techniques have advanced to a level where surgery on very old adults is feasible, if a patient is also frail, the stress of surgery may overwhelm their adaptive capacities, placing them at increased risk of mortality, morbidity, and institutionalization even if surgery is technically successful. Frail...

Unmatched Integrated Cardiothoracic Surgery Program Applicants: Where Do They End Up?
https://doi.org/10.1016/j.athoracsur.2018.03.046
The Annals of Thoracic Surgery; Davis TA, Yang SC

Apr 24th, 2018 - With the recent introduction of Integrated Cardiothoracic Surgery Residency Programs (IPs), limited data exist on unmatched applicants. We aimed to determine the dropout rate in individuals who applied for IP but did not match. An online Institutional Review Board-approved survey was sent to current residents (n = 409), provided by the Thoracic Surgery Directors Association, to evaluate prefere...

Bloodtranfusions After Aortic Surgery
https://clinicaltrials.gov/ct2/show/NCT02299947

Mar 5th, 2018 - Cardiothoracic surgery (CTC) is associated with blood loss and an increased risk for impaired coagulation by the use of a CBP. Coagulation is a process of primary hemostasis by adhesion of trombocytes and aggregation, followed by secondary coagulation and fibrin formation. During CTC fibrinogen is the first coagulation factor which reaches critical concentration necessary for clotting. Point of...

Landmark lecture on surgery: paediatric cardiothoracic surgery - training the next gene...
https://doi.org/10.1017/S1047951117002153
Cardiology in the Young; Starnes VA, Sullivan ME

Dec 29th, 2017 - Introduction Recent changes in surgical education have had an impact on our congenital training programmes. The mandate of the 8-hour workweek, a rapidly expanding knowledge base, and a host of other mandates has had an impact on the readiness of the fellows who are entering congenital programmes. To understand these issues completely, we interviewed the top congenital experts in the United Sta...

BRS and Outcomes in Cardiothoracic Surgery
https://clinicaltrials.gov/ct2/show/NCT03243279

Sep 18th, 2017 - The purpose of this study is to determine if preoperative baroreceptor sensitivity (BRS) correlates with major outcomes after cardiac and thoracic surgery, including acute and chronic pain, atrial arrhythmias, and cognitive function. To test this hypothesis, approximately 95 patients will be enrolled, and spontaneous baroreceptor sensitivity will be measured prior to surgery as well as immediat...

Effectiveness of BoneSeal® on Bone Hemostats in Patients Undergoing Cardiothoracic Surgery
https://clinicaltrials.gov/ct2/show/NCT03085017

Jun 8th, 2017 - A prospective randomized open-label study that will evaluate the effectiveness of the pliable and absorbable bone hemostats (BoneSeal®) composed of synthetic materials and hydroxyapatite on the reduction of bleeding from the sternal bone marrow in patients undergoing Coronary Artery Bypass Grafting, with or without valve replacement or repair. This product will be compared to the similar, curre...

Comparison of Frequency of Referral to Cardiothoracic Surgery for Aortic Valve Disease ...
https://doi.org/10.1016/j.amjcard.2017.04.048
The American Journal of Cardiology; Cruz Rodriguez B, Acharya P et. al.

Jun 6th, 2017 - Racial differences in prevalence and in intervention rate of those with severe aortic stenosis have been reported. Our objective was to evaluate health disparities in referral to cardiothoracic surgery (CTS) for aortic stenosis in black and Hispanic compared with white patients before the transcatheter aortic valve replacement program was started in our community. Using a retrospective cohort d...

Continuous Infusion Versus Bolus Dosing for Pain Control After Pediatric Cardiothoracic Surgery
https://clinicaltrials.gov/ct2/show/NCT02112448

Jun 1st, 2017 - Prior to surgery, eligible patients scheduled for surgery will be sent our standard surgery letter (Attachment A) along with our study informational sheet (Attachment B) describing our study. The study informational sheet will have a telephone number to call to set up a phone appointment to discuss the study with the PI should parents have questions not answered on the sheet. During the pre-ope...

Impact of a Perioperative Prophylaxis Guideline on Post-Cardiothoracic Surgery Atrial F...
https://doi.org/10.1177/1060028017709290
The Annals of Pharmacotherapy; Li R, White CM et. al.

May 17th, 2017 - National practice guidelines do not provide clear recommendations on combination pharmacological regimens to reduce cardiothoracic surgery (CTS) postoperative atrial fibrillation (POAF). This study examines if there is a reduction in POAF rates after implementing a perioperative prophylaxis guideline that includes amiodarone, β-blockers, and high-intensity statins. Data were retrospectively col...

Monitoring in Intensive Care Unit of Neuromuscular Blocking Agents Used for Acute Respiratory Distress Syndrome After Cardiothoracic Surgery
https://clinicaltrials.gov/ct2/show/NCT02546947

Feb 26th, 2017 - Mortality in Acute Respiratory Distress Syndrome (ARDS) is high (40 to 60 %). Protective mechanical ventilation is the cornerstone of the ARDS therapeutic strategies. Recently, a prospective multicenter study demonstrates that short-term infusion of neuromuscular blocking agents (NMBA) reduces hospital mortality. However, the mechanisms through which NMBAs could improve survival remain speculat...

Objective Assessment of Technical Skills in Cardiothoracic Surgery
https://clinicaltrials.gov/ct2/show/NCT01433029

Jan 29th, 2017 - The goal of this research study is to develop a method of rating videos of CAB procedures that will produce a reliable assessment of a cardiothoracic surgical trainee's technical proficiency. In addition, researchers also want to learn if using a video manual to train raters can help improve rater reliability.

Surgical Site Infection After Pediatric Cardiothoracic Surgery.
https://doi.org/10.1177/2150135116674467
World Journal for Pediatric & Congenital Heart Surgery; Sochet AA, Cartron AM et. al.

Dec 29th, 2016 - Surgical site infection (SSI) occurs in 0.25% to 6% of children after cardiothoracic surgery (CTS). There are no published data regarding the financial impact of SSI after pediatric CTS. We sought to determine the attributable hospital cost and length of stay associated with SSI in children after CTS. We performed a retrospective, matched cohort study in a 26-bed cardiac intensive care unit (CI...

The heart of the matter: Outcome reporting bias and registration status in cardio-thora...
https://doi.org/10.1016/j.ijcard.2016.11.098
International Journal of Cardiology; Wiebe J, Detten G et. al.

Nov 14th, 2016 - Our objective is to compare registered outcomes to published reports; to evaluate for discrepancies favoring statistically significant outcomes; to examine funding source and likelihood of outcome reporting bias; and to evaluate for any temporal trends in outcome reporting bias. PubMed was searched for randomized controlled trials published between 2008 and 2015 from 4 high impact cardio-thorac...