cardiac surgery



Cardiac surgery is surgery on the heart or great vessels performed by doctors.

Risk associated with preoperative anemia in cardiac surgery
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Background Preoperative anemia is an important risk factor for perioperative red blood cell transfusions, which are associated with postoperative morbidity and mortality. Whether preoperative anemia also is an independent risk factor for adverse outcomes after cardiac

Bedside tool for predicting the risk of postoperative dialysis in patients undergoing cardiac surgery
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Background Estimation of an individual patients risk for postoperative dialysis can support informed clinical decision making and patient counseling. Methods and Results To develop a simple bedside risk algorithm for estimating patients probability for dialysis after

Anticoagulation monitoring during cardiac surgery
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AFTER almost two decades of relative stability in antico- agulation practice and monitoring for cardiac surgery , recent developments call for review and reconsideration of these issues. The introduction of aprotinin in 1994 and the development and use of new thrombin (eg, hirudin

Pain after cardiac surgery
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Background: Persistent chest pain originate from car-diac surgery . Conflicting results have been reported on the incidence of persistent poststernotomy pain with considerable discrepancies between the retrospective reports and the one prospective study conducted to

Relationship between postoperative cardiac troponin I levels and outcome of cardiac surgery
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Background Cardiac surgery be associated with significant perioperative and postoperative morbidity and mortality. Underlying pathology, surgical technique, and postoperative complications all influence outcome. These factors be reflected as a

Techniques in cardiac surgery
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BioGlue Techniques in Cardiac Surgery CryoLife, Inc. The online version of Operative Techniques high quality Art of Operative Techniques Annals of Cardiothoracic Surgery Pioneering Techniques

Intensive intraoperative insulin therapy versus conventional glucose management during cardiac surgery : a randomized trial
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Background: It is not known whether rigorous intraoperative glycemic control reduces death and morbidity in cardiac surgery patients. Objective: To compare outcomes of intensive insulin therapy during cardiac surgery with those of conventional intraoperative glucose

Frail patients are at increased risk for mortality and prolonged institutional care after cardiac surgery
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Background Frailty is an emerging concept in medicine yet to be explored as a risk factor in cardiac surgery . Where elderly patients are increasingly referred for cardiac surgery , the prevalence of a frail group among these is also on the rise. We assessed frailty as a risk

Association between increases in urinary neutrophil gelatinase-associated lipocalin and acute renal dysfunction after adult cardiac surgery
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Background: Acute renal dysfunction (ARD) and subsequent acute renal failure after cardiac surgery are associated with high mortality and morbidity. Early therapeutic or preventive intervention is hampered by the lack of an early biomarker for acute renal injury. Recent

The Society of Thoracic Surgeons practice guideline series: blood glucose management during adult cardiac surgery
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The prevalence of diabetes mellitus in patients requir-ing cardiac surgery is rapidly increasing. These patients have higher perioperative morbidity and mortality, significantly reduced long-term survival, and less freedom from recurrent episodes of angina [1 3]. There

Multi-modality neurophysiologic monitoring for cardiac surgery
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Background: A high percentage of patients who undergo cardiac surgery experience persistent cognitive decline. The costs to insurers from brain injury associated with cardiac surgery is enormous. Furthermore, the same processes that injure the brain also appear to

Poor intraoperative blood glucose control is associated with a worsened hospital outcome after cardiac surgery in diabetic patients
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Background: Tight perioperative control of blood glucose im-proves the outcome of diabetic patients undergoing cardiac surgery . Because stress response and cardiopulmonary bypass can induce profound hyperglycemia, intraoperative glycemic control become difficult

8. Cardiac arrest in special circumstances: electrolyte abnormalities, poisoning, drowning, accidental hypothermia, hyperthermia, asthma, anaphylaxis, cardiac
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Worldwide, approximately 300 million people of all ages and ethnic backgrounds have asthma. 296 T he worldwide prevalence of asthma symptoms ranges from 1 to 18% of the population with a high prevalence in some European countries (United Kingdom, Ireland

Meta-analysis comparing the effectiveness and adverse outcomes of antifibrinolytic agents in cardiac surgery
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Background Since the 1980s, antifibrinolytic therapies have assisted surgical teams in reducing the amount of blood loss. To date, however, serious questions remain regarding the safety and effectiveness of these agents. Methods and Results We conducted a meta

Systemic inflammatory response syndrome after cardiac surgery under cardiopulmonary bypass
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Objective: This prospective study was designed to elucidate the duration of systemic inflammatory response syndrome (SIRS) and the mechanisms that lead to the protraction of SIRS in patients who are operated on under cardiopulmonary bypass (CPB). Methods: The

Hemostasis defects associated with cardiac surgery , prosthetic devices, and other extracorporeal circuits
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The use of prosthetic devices and various types of extracorporeal circuits, especially cardiopulmonary bypass (CPB) surgery , have become commonplace in clinical medicine. A major problem with devices and extracorporeal circuits is that most induce mild or

The Society of Thoracic Surgeons practice guideline series: antibiotic prophylaxis in cardiac surgery , part I: duration
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Prophylactic intravenous antibiotics should be routinely administered to patients undergoing cardiac surgery . Although this is a well-accepted tenet of contemporary practice, the duration during which the antibiotics should be given is far from settled. As one see from the

The Society of Thoracic Surgeons practice guideline series: antibiotic prophylaxis in cardiac surgery , part II: antibiotic choice
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The importance of prophylactic antibiotics for cardiac surgery has been clearly demonstrated in a number of placebo-controlled studies completed nearly 30 years ago [1 4]. Surgical site infections (SSIs) and particularly sternal and mediastinal infections have implications for

Quality measurement in adult cardiac surgery : part 1 conceptual framework and measure selection
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Executive Summary The Society of Thoracic Surgeons established a Quality Measurement Task Force to develop a methodology for the comprehensive assessment of adult cardiac surgery quality of care, including both individual measures and an overall composite quality

Report of the substudy assessing the impact of neurocognitive function on quality of life 5 years after cardiac surgery
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Background and Purpose The importance of perioperative cognitive decline has long been debated. We recently demonstrated a significant correlation between perioperative cognitive decline and long-term cognitive dysfunction. Despite this association, some still question the