Seminars in Cardiothoracic and Vascular Anesthesia Seminars in Cardiothoracic and Vascular Anesthesia RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Delirium: Past, Present, and Future
Delirium was described by Hippocrates over 2500 years ago and it remains an important clinical problem today. Work continues to improve definition, prevention, diagnosis, and treatment, but relatively young science remains. Delirium affects 12 500 000 patients and costs $152 000 000 000 every year. Up to 80% of mechanically ventilated patients experience delirium, which exists as a spectrum of acute brain organ dysfunction. Multiple theories exist, including contribution from baseline pathology, medications, surgical inflammation, and environment. Biochemical models point to pathophysiology. Delirium remains largely preven...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - August 18, 2013 Category: Anesthesiology Authors: Field, R. R., Wall, M. H. Tags: Reviews Source Type: research

Perioperative Medicine
(Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - August 18, 2013 Category: Anesthesiology Authors: Weitzel, N. S. Tags: Editorial Source Type: research

Cardiac Calendar 2012-2020
(Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - May 27, 2013 Category: Anesthesiology Authors: Silvay, G. Tags: Cardiac Calendar 2012-2020 Source Type: research

Treatment of Acute Silicoproteinosis by Whole-Lung Lavage
We describe a patient with biopsy-confirmed acute silicoproteinosis whose course was complicated by acute hypoxemic respiratory failure requiring mechanical ventilation. Without clinical improvement despite antibiotic and steroid treatment, the patient was scheduled for whole-lung lavage under general anesthesia. Anesthetic challenges included double-lumen tube placement and single-lung ventilation in a hypoxic patient, facilitating lung lavage, and protecting the contralateral lung from catastrophic spillage. (Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - May 27, 2013 Category: Anesthesiology Authors: Stafford, M., Cappa, A., Weyant, M., Lara, A., Ellis, J., Weitzel, N. S., Puskas, F. Tags: Clinical Challenges Source Type: research

One-Lung Ventilation for Surgical Repair of Thoracic Aortic Aneurysm
Advances in the surgical approach to thoracic aortic aneurysm repairs have led to the increasing use of one-lung ventilation. Today’s practice of cardiothoracic and vascular anesthesia requires a clear understanding of the techniques available for lung separation and the technical skills necessary to employ them. In this article, we discuss and evaluate the options for one-lung ventilation in thoracic aortic aneurysm repair with regard to preoperative, intraoperative, and postoperative management. (Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - May 27, 2013 Category: Anesthesiology Authors: Goodwin, M. R., Blasius, K. R., Brand, J., Silvay, G. Tags: Clinical Challenges Source Type: research

Anesthetic Considerations in Infants With Hypoplastic Left Heart Syndrome
Hypoplasia of the left ventricle is a congenital cardiac lesion that is almost universally fatal if left untreated. Six decades of improved diagnostic modalities, greater understanding of single ventricle physiology, and earlier surgical and palliative options have given many of these patients an opportunity of surviving well into adulthood. This review will summarize these advances and focus on the anesthetic implications of this challenging disease from diagnosis to beyond the first palliative surgery. (Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - May 27, 2013 Category: Anesthesiology Authors: Twite, M. D., Ing, R. J. Tags: Congenital Cardiac Forum Source Type: research

Surgical Considerations in the Management of Hypoplastic Left Heart Syndrome
Hypoplastic left heart syndrome is a congenital heart defect characterized by hypoplasia of left heart structures. Over the past 3 decades, there have been advances in techniques and management in the care of these patients. We discuss shunt selection, operative strategies, transplantation, and outline various facets of management at the University of Florida. This is a review of the literature highlighting some of the technical aspects of the preoperative, operative, and postoperative care that are important in today’s management of hypoplastic left heart syndrome. (Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - May 27, 2013 Category: Anesthesiology Authors: Shillingford, M., Ceithaml, E., Bleiweis, M. Tags: Congenital Cardiac Forum Source Type: research

Perioperative Imaging in Hypoplastic Left Heart Syndrome
Hypoplastic left heart syndrome is a constellation of left-sided congenital heart defects that result in variable hypoplasia of the left ventricle, left ventricular outflow tract, and aorta. Perioperative imaging with echocardiography, cardiac magnetic resonance imaging, and cardiac catheterization is vital for diagnosis, surgical planning, prognosis, and postoperative management. (Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - May 27, 2013 Category: Anesthesiology Authors: Fonseca, B. M. Tags: Congenital Cardiac Forum Source Type: research

The Pathological Spectrum of Left-Ventricular Hypoplasia
Left-ventricular (LV) hypoplasia encompasses a range of LV sizes, varying from a mildly underdeveloped, but functionally adequate, chamber to the miniscule, barely perceptible LV cavity seen in hypoplastic left-heart syndrome. Associated malformations include obstructive lesions of LV inflow, outflow, and the aortic arch, often in combination. Repair of complex combinations and/or severe LV hypoplasia usually results in a single-ventricle anatomy with the right ventricle serving as the systemic ventricle. New therapeutic interventions, including fetal procedures, are expanding the spectrum of lesions and LV sizes that may ...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - May 27, 2013 Category: Anesthesiology Authors: Kearney, D. L. Tags: Congenital Cardiac Forum Source Type: research

Regional Anesthesia for Vascular Surgery
Vascular surgical patients are a diverse group of patients who tend to be elderly, with multiple comorbidities, while vascular procedures may involve significant blood loss and ischemia of tissues beyond the arterial obstruction. Regional anesthesia techniques may offer benefits to patients undergoing vascular surgery because of their cardiorespiratory comorbidities. However, this group of patients is commonly receiving multiple medications, including anticoagulants, so regional techniques are not without risks. This review will discuss this topic based around 3 fundamental revascularization procedures, carotid, abdominal ...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - May 27, 2013 Category: Anesthesiology Authors: Atkinson, C. J., Ramaswamy, K., Stoneham, M. D. Tags: General Reviews Source Type: research

Congenital Cardiac Forum: Hypoplastic Left Heart Syndrome
(Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - May 27, 2013 Category: Anesthesiology Authors: Twite, M. D. Tags: Guest Editorial Source Type: research

Seminars in Cardiothoracic and Vascular Anesthesia June 2013
(Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - May 27, 2013 Category: Anesthesiology Authors: Weitzel, N. S. Tags: Editorial Source Type: research

Cardiac calendar 2012-2020
(Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - February 19, 2013 Category: Anesthesiology Authors: Silvay, G. Tags: Calendar Source Type: research

Changes in Cerebral Oxygenation in Patients With Pulmonary Dysfunction After Lung Resection
Lung resection would be associated with lower jugular bulb oxygen saturation (SjvO2) values in patients with moderate to severe pulmonary dysfunction. We aimed to study the effects of lung resections on the postoperative changes in SjvO2, incidence of SjvO2 < 50%, pulmonary functions, cerebral blood flow equivalent (CBFE), and arterial to jugular difference in oxygen content (AjvDO2) in the patients with pulmonary dysfunction. Fifty-three patients scheduled for lung resection were allocated on the basis of forced vital capacity (FVC %) and forced expiratory volume in 1 second (FEV1%) into the following: good FVC and FEV...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - February 19, 2013 Category: Anesthesiology Authors: Ghoneimy, Y. E., Regal, M., El-Tahan, M., Deria, A., Jehani, Y. A., Matthani, M. Tags: Original Research Source Type: research

The Impact of Dexmedetomidine Infusion in Sparing Morphine Consumption in Off-Pump Coronary Artery Bypass Grafting
Conclusion. Our study showed that dexmedetomidine might be an effective adjuvant in reducing both total hospital and intensive care unit length of stay in patients undergoing OPCAB. Dexmedetomidine might play a role in reducing total morphine and fentanyl consumption in OPCAB. (Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - February 19, 2013 Category: Anesthesiology Authors: Khalil, M. A., Abdel Azeem, M. S. Tags: Original Research Source Type: research