Seminars in Cardiothoracic and Vascular Anesthesia This 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.

Noteworthy Articles in 2015 for Cardiothoracic Critical Care
This article is the first in this annual series to review relevant contributions in postoperative cardiac critical care that may influence the cardiac anesthesiologist. We explore the use of extracorporeal membrane oxygenation, management of postoperative atrial fibrillation and coagulopathy, metabolic support of the critically ill cardiothoracic surgical patient, and new insights into delirium and acute kidney injury. (Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - February 11, 2016 Category: Anesthesiology Authors: Evans, A. S., Mazzeffi, M., Ivascu, N. S., Dickerson, S., Gutsche, J. T. Tags: Noteworthy Literature Series 2015 Source Type: research

Noteworthy Literature in 2015: Anesthesia for Congenital Heart Disease
This article is a review of the literature published during the 12 months of 2015, which is of interest to the congenital cardiac anesthesiologist. While the review is not exhaustive, it identifies 7 themes in the literature for 2015 and cites 78 peer-reviewed publications. (Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - February 11, 2016 Category: Anesthesiology Authors: Twite, M., Ing, R. J. Tags: Noteworthy Literature Series 2015 Source Type: research

Noteworthy Articles in 2015 for the Cardiothoracic Anesthesiologist
Large multicenter, randomized controlled trials published in reputable journals had a large impact on the world of cardiothoracic anesthesia in 2015. We as cardiac anesthesiologists pride ourselves as being experts in applied physiology, physics, ultrasonography, and pharmacology/pharmacotherapy. The selected studies added to our knowledge in the fields of echocardiography, pharmacology, molecular biology, and genetics. Outcome studies shine a light on important topics that are relevant to all cardiac anesthesiologists: does surgical atrial fibrillation ablation during mitral valve surgery reduce the recurrence of atrial f...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - February 11, 2016 Category: Anesthesiology Authors: Varelmann, D. J., Muehlschlegel, J. D. Tags: Noteworthy Literature Series 2015 Source Type: research

Realizing a Vision and Moving Forward
(Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - February 11, 2016 Category: Anesthesiology Authors: Weitzel, N. S. Tags: Editorial Source Type: research

Cardiac Calendar 2015 - 2020
(Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - December 8, 2015 Category: Anesthesiology Tags: Cardiac Calendar 2015 - 2020 Source Type: research

Extracorporeal Membrane Oxygenation Applications in Cardiac Critical Care
The use of extracorporeal membrane oxygenation therapy (ECMO) in cardiac critical care has steadily increased over the past decade. Significant improvements in the technology associated with ECMO have propagated this recent resurgence and contributed to improved patient outcomes in the fields of cardiac and transplant (heart and lung) surgery. Specifically, ECMO is being increasingly utilized as a bridge to heart and lung transplantation, as well as to ventricular assist device placement. ECMO is also employed during the administration of cardiopulmonary resuscitation, known as extracorporeal life support. In this review, ...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - December 8, 2015 Category: Anesthesiology Authors: Raleigh, L., Ha, R., Hill, C. Tags: Articles Source Type: research

Intensive Care Management of Thoracic Aortic Surgical Patients, Including Thoracic and Infradiaphragmatic Endovascular Repair (EVAR/TEVAR)
The patient with thoracic aortic disease can present for open or endovascular repair. Thoracic endovascular aortic repair (TEVAR) has emerged as a minimally invasive option for a multitude of aortic pathology, including dissections, aneurysms, traumatic injuries, and ulcers. Postoperative management of these patients depends on the extent of procedure, whether it was open or endovascular, and, finally, on the preoperative comorbidities present. While procedural success has catapulted TEVAR to popularity, midterm results have been mixed. Additionally, periprocedural complications such as paraplegia and renal failure remain ...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - December 8, 2015 Category: Anesthesiology Authors: Pai Cole, S. Tags: Articles Source Type: research

Postoperative Management for Patients With Durable Mechanical Circulatory Support Devices
Mechanical circulatory support devices have been approved as bridge to transplantation, as bridge to recovery, or as destination therapy to treat end-stage heart failure. The perioperative challenges for the anesthesiologist and the intensivist caring for these patients include device-related complications, hemodynamic instability, arrhythmias, right ventricular failure, and coagulopathy. Perioperative management in this high-risk population has a significant impact on patient outcomes. This review focuses immediate postoperative intensive care unit management of device-related complications. (Source: Seminars in Cardiotho...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - December 8, 2015 Category: Anesthesiology Authors: Blum, F. E., Weiss, G. M., Cleveland, J. C., Weitzel, N. S. Tags: Articles Source Type: research

Cognitive Dysfunction, Delirium, and Stroke in Cardiac Surgery Patients
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 after cardiac surgery, in spite of improvements in mortality and and improved surgical and anesthetic techniques. These complications lead to a significant increase in length of stay in the intensive care unit, increased length of hospital admission, and functional impairment, resulting in not only profound negative effects on patients who experience these complications, but also to increased costs of medical care and delivery. We discus...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - December 8, 2015 Category: Anesthesiology Authors: Cropsey, C., Kennedy, J., Han, J., Pandharipande, P. Tags: Articles Source Type: research

Postoperative Noninvasive Ventilation Following Cardiothoracic Surgery: A Clinical Primer and Review of the Literature
Postoperative pulmonary complications following cardiac and thoracic surgery are common and associated with significant morbidity and mortality. Noninvasive ventilation has emerged as a successful and well-validated strategy to treat various acute medical conditions. More recently, noninvasive ventilation has been studied in selective surgical patient populations with the goal of preventing postoperative complications and treating acute respiratory failure. In this clinical review, we will briefly examine the incidence of pulmonary complications following cardiothoracic surgery and the physiology and mechanics of acute res...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - December 8, 2015 Category: Anesthesiology Authors: Gilliland, S., Brainard, J. Tags: Articles Source Type: research

Blood Conservation in Cardiac Surgery: In Need of a Transfusion Revolution
Blood transfusion is the most common procedure in cardiac surgery. Increasing evidence exists that excess transfusions are harmful to patients. Transfusion reactions and complications, including infection, immune modulation, and lung injury, are known complications but underreported; hence, their significance is often disregarded. Furthermore, a number of randomized trials have shown that a restrictive transfusion strategy is equal to if not better than a liberal transfusion strategy. Despite the evidence for the use of restrictive transfusion triggers, its dissemination in the cardiac surgical community has met with resis...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - December 8, 2015 Category: Anesthesiology Authors: Varghese, R., Jhang, J. Tags: Articles Source Type: research

Risks of Anemia in Cardiac Surgery Patients
Anemia is an common condition in patients undergoing cardiac surgery, and it is often present in one quarter to half of patients at admission. Several studies have indicated that anemia is a major risk factor for worse outcomes, including increased risk of mortality and major morbidity and prolonged hospitalization. Anemia is a leading reason for use of allogeneic blood transfusions. Harmful effects of anemia are often attributed to the reduced oxygen carrying capacity of blood, reduced viscosity and the resulting impaired rheologic characteristics of blood, underlying comorbidities, and the side effects of treatments give...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - December 8, 2015 Category: Anesthesiology Authors: Lobel, G. P., Javidroozi, M., Shander, A. Tags: Articles Source Type: research

Acute Kidney Injury in Cardiac Surgery and Cardiac Intensive Care
Acute kidney injury (AKI) is a serious postoperative complication following cardiac surgery. Despite the incidence of AKI requiring temporary renal replacement therapy being low, it is nonetheless associated with high morbidity and mortality. Therefore, preventing AKI associated with cardiac surgery can dramatically improve outcomes in these patients. The pathogenesis of AKI is multifactorial and many attempts to prevent or treat renal injury have been met with limited success. In this article, we will discuss the incidence and risk factors for cardiac surgery associated AKI, including the pathophysiology, potential biomar...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - December 8, 2015 Category: Anesthesiology Authors: Lau, G., Wald, R., Sladen, R., Mazer, C. D. Tags: Articles Source Type: research

Intensive Care of Cardiac Patients, the Evolution Continues
(Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - December 8, 2015 Category: Anesthesiology Authors: Lighthall, G. K. Tags: Editorial Source Type: research

Continuous Right Radial Arterial Pressure Monitoring as a Guide to Dissection of a Thoracic Inlet Neurofibroma
We describe a case of thoracic inlet tumor in a 12-year-old child, wherein the use of radial artery pressure monitoring guided the surgeon to separate the subclavian artery from the tumor to which it was adherent. (Source: Seminars in Cardiothoracic and Vascular Anesthesia)
Source: Seminars in Cardiothoracic and Vascular Anesthesia - August 18, 2015 Category: Anesthesiology Authors: Ravindra, M. N. Tags: Letter to the Editor Source Type: research