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ThoracicSurgery

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CICM Second Part Exam Practice SAQs 11112015 - INTENSIVE

CICM Second Part Exam Practice SAQs: tumour lysis syndrome data interpretation, haematological malignancy, ammonia and hyperammonaemia, cardiac arrest post-cardiac surgery  
intensiveblog.com
almost 5 years ago
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Death after cardiac surgery is chiefly due to patient risk factors, study finds

Mortality after cardiac surgery in UK specialist centres is determined overwhelmingly by patient risk factors rather than by which health professionals or hospitals provide their care, research findings have shown.  
feeds.bmj.com
almost 5 years ago
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Heart Disease and Diabetes Trials Anticipated at Kidney Week

New data will be presented on empagliflozin in patients with diabetes, and results from trials of atorvastatin and kidney injury after cardiac surgery will be released.  
medscape.com
almost 5 years ago
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Critical Care

In a recent article, Balzer et al. [1] reported an unexpected relationship between an initial central venous oxygen saturation (ScvO2) >80 % on ICU admission and increased morbidity and mortality in cardiac surgery patients. Interestingly, as compared with low (<60 %) or normal (60–80 %) ScvO2 levels, values above 80 % were associated with more acute kidney injury (AKI) and a higher hemodialysis need. This goes against common belief that a higher ScvO2 is a prerequisite for more optimal organ, and in particular kidney, protection.  
ccforum.com
almost 5 years ago
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Critical Care

Cardiac surgery encompasses various stimuli that trigger pro-inflammatory mediators, reactive oxygen species and mobilization of leucocytes. The aim of this study was to evaluate the effect of xenon on the inflammatory response during cardiac surgery.  
ccforum.com
almost 5 years ago
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Beta blockers are associated with increased risk of cardiovascular events after surgery

A large Danish study, published in JAMA Internal Medicine, has found that treatment with beta blockers was associated with a statistically significant increase in the rate of major adverse cardiovascular events and death within 30 days of non-cardiac surgery.1  
feeds.bmj.com
almost 5 years ago
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No Benefit From Ischemic Preconditioning at Cardiac Surgery

It may fascinate, but two large randomized trials say it doesn't work. In them, remote ischemic preconditioning prior to on-pump cardiac surgery made no clinical difference compared with a sham procedure.  
medscape.com
almost 5 years ago
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New Self-Positioning Transcatheter Mitral Valve Developed by National University of Singapore |

Transcatheter heart valve replacements have become life savers for many frail patients who are unsuitable for open heart surgery. While many benefit from i  
medgadget.com
almost 5 years ago
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SGEM#129: That Chest Tube…She’s a Beauty

Guest Skeptics: Dr. Rick Malthaner is the Director of Thoracic Surgery Research, Professor of Surgery, Epidemiology and Biostatistics at the Schulich School of Medicine and Dentistry, Western University, Canada.  
thesgem.com
almost 5 years ago
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Guiding Fluid Therapy in High-Risk Thoracic Surgery

In 2009 the institutional guidelines changed for perioperative fluid therapy in patients undergoing extrapleural pneumonectomy. This study assesses the consequences of those changes.  
medscape.com
about 5 years ago
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Critical Care

As evidence-based effective treatment protocols for delirium after cardiac surgery are lacking, efforts should be made to identify risk factors for preventive interventions. Moreover, knowledge of these risk factors could increase validity of etiological studies in which adjustments need to be made for confounding variables. This review aims to systematically identify risk factors for delirium after cardiac surgery and to grade the evidence supporting these associations.  
ccforum.com
about 5 years ago
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CCC Update 012 | LITFL: Life in the Fast Lane Medical Blog

The 12th update to the Critical Care Compendium, with ECMO, cardiac arrest after cardiac surgery, gas embolism, apnoeic oxygenation, & more!  
lifeinthefastlane.com
about 5 years ago
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Critical Care

Microvascular reactivity is decreased in patients with septic shock; this is associated with worse clinical outcomes. The objectives of the present study were to investigate microvascular reactivity in cardiac surgery patients and to assess any association with clinical outcomes.  
ccforum.com
about 5 years ago
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Preoperative statin therapy for patients undergoing cardiac surgery | Cochrane

Cardiac surgery can effectively treat patients with heart disease but is associated with a risk ratio for adverse events at the same time. Despite the increasing proportion of patients undergoing cardiac surgery with major co-morbidities, operative results have remained stable during past decades, which may be related to advancements in surgical techniques. Nonetheless, perioperative care of these patients remains to be optimised.  
cochrane.org
about 5 years ago
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Surgery Research — Pediatric and General Thoracic

The research projects by the Division of Pediatric General and Thoracic Surgery at Children’s Hospital of Pittsburgh of UPMC include a variety of significant lab- and clinic-based initiatives.  
chp.edu
about 5 years ago
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New standards to try to resolve heart surgery row - BBC News

New proposals have been put forward in an effort to resolve a long-running row about the congenital heart surgery in England.  
bbc.co.uk
about 5 years ago
Www.bmj
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Cognitive decline after heart surgery is uncommon, review finds

Cognitive impairment after cardiovascular surgery is uncommon in older people, a systematic evidence review published in the Annals of Internal Medicine has concluded.1 However, the researchers said that the evidence was limited and that the individual study quality was low.  
feeds.bmj.com
about 5 years ago
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Fresh frozen plasma for patients undergoing surgery on the heart or blood vessels | Cochrane

Fresh frozen plasma is obtained from whole blood from blood donors. It contains a number of factors that help blood to clot. The risk of bleeding in open heart surgery or surgery on the main blood vessels in the body is high. Fresh frozen plasma is sometimes administered to these patients to reduce bleeding. It can be administered prophylactically (to prevent bleeding) or therapeutically (to treat bleeding). However, there are risks of side effects from fresh frozen plasma, such as severe allergic reactions or breathing problems.  
cochrane.org
about 5 years ago
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UCLA Clinicians 3D Print Heart Models to Prepare for Transcatheter Valve Replacements (VIDEO) |

Patients receiving transcatheter cardiac valve replacements tend to be more fragile than those getting open heart surgery. It is particularly important to  
medgadget.com
about 5 years ago
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The TITRe2 trial - INTENSIVE

Jake Barlow critically appraises the TITRe2 trial, assessing transfusion thresholds following non-emergency cardiac surgery  
intensiveblog.com
about 5 years ago