Journal of cardiothoracic and vascular anesthesia最新文献

{"title":"In the Era of Sugammadex, Succinylcholine Still Fills an Important Role.","authors":"Zoe Zhang, Lisa Gu","doi":"10.1053/j.jvca.2025.06.021","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.06.021","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic Thromboembolic Pulmonary Hypertension-An Update for the Anesthesiologist.","authors":"Timothy Maus, Swapnil Khoche","doi":"10.1053/j.jvca.2025.06.022","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.06.022","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expert Consensus on the Multidisciplinary Management and Resectability of Locally Advanced Non-Small Cell Lung Cancer.","authors":"Javier H Campos, Lovkesh Arora","doi":"10.1053/j.jvca.2025.06.018","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.06.018","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scoping Reviews-Understanding their Evolution, Methodology, Context, and Contributions to Systematic Reviews and Meta-Analyses.","authors":"John G Augoustides","doi":"10.1053/j.jvca.2025.06.020","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.06.020","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Articles to Appear in Future Issues","authors":"","doi":"10.1053/S1053-0770(25)00419-7","DOIUrl":"10.1053/S1053-0770(25)00419-7","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 7","pages":"Page xiv"},"PeriodicalIF":2.3,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144270415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emerging Therapeutics in Perioperative Analgesia With Suzetrigine-A Novel Nonopioid Analgesic That Blocks Voltage-gated Sodium Channels in Peripheral Sensory Nerves.","authors":"John G Augoustides","doi":"10.1053/j.jvca.2025.06.016","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.06.016","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Discharge to Nonhome Locations and Association With Long-term Survival After Cardiac Surgery in Australia and New Zealand Intensive Care Units: A Retrospective Multicenter Cohort Study.","authors":"Catherine Bartlett, Ryan Ruiyang Ling, Ashwin Subramaniam, David Pilcher, Mahesh Ramanan","doi":"10.1053/j.jvca.2025.06.017","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.06.017","url":null,"abstract":"<p><strong>Objectives: </strong>Nonhome discharge (NHD) after cardiac surgery has increased in Australia and New Zealand, but its effect on long-term survival is unclear. This study aimed to assess whether NHD, compared with home discharge (HD), was associated with decreased survival up to 4 years after surgery. Additional objectives included evaluating the effects of discharge location, age, surgery types, and emergency status on long-term survival.</p><p><strong>Design: </strong>We conducted a retrospective, multicenter, registry-based study (2018-2023).</p><p><strong>Setting: </strong>We included 74 intensive care units (ICUs) across Australia and New Zealand that submitted data to the Australia New Zealand Intensive Care Society Adult Patient Database.</p><p><strong>Participants: </strong>Adults (≥16 years) who underwent valvular surgery, coronary artery bypass grafting, or both and survived hospital discharge.</p><p><strong>Interventions: </strong>None.</p><p><strong>Measurements and main results: </strong>The study involved 92,865 patients, of whom 13,444 (14.5%) experienced NHD. NHD locations comprise rehabilitation centers, aged care facilities, mental health units, acute hospitals, and other settings. Survival up to 4 years was analyzed using Cox proportional hazards models. NHD was associated with reduced survival compared with HD (hazard ratio, 1.91; 95% confidence interval, 1.75-2.09), with the strongest association within the first 12 months after discharge. The association between NHD and reduced survival was notably greater for patients younger than 65 years (hazard ratio, 2.58; 95% confidence interval, 2.20-3.03) compared with those 65 years or older (hazard ratio, 1.71; 95% confidence interval, 1.54-1.89; p_interaction < 0.001). No significant differences existed between the NHD locations. Survival rates after NHD, compared with HD, were lower across all included surgery types, including emergency and elective procedures.</p><p><strong>Conclusions: </strong>NHD after cardiac surgery is associated independently with decreased long-term survival, with the highest risk observed within the first year.</p>","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Effect of Pulmonary Thromboendarterectomy on Right Ventricular-to-Pulmonary Artery Coupling.","authors":"Andrej Alfirevic, Mariya Geube, Junhui Mi, Haytham Elgharably, Michael Tong, Andra E Duncan","doi":"10.1053/j.jvca.2025.06.011","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.06.011","url":null,"abstract":"<p><strong>Objectives: </strong>To assess intraoperative changes in the right ventricular-pulmonary artery coupling ratio, derived using right ventricular free wall strain and invasive pulmonary artery systolic pressure, following pulmonary thromboendarterectomy (PTE).</p><p><strong>Design: </strong>Retrospective analysis.</p><p><strong>Setting: </strong>Tertiary academic center.</p><p><strong>Participants: </strong>Adult patients with chronic thromboembolic pulmonary hypertension.</p><p><strong>Interventions: </strong>Pulmonary thromboendarterectomy.</p><p><strong>Measurements and main results: </strong>Patients were categorized based on the change in the right ventricular-pulmonary artery coupling ratio between pre- and post-bypass assessments: (a) \"responders\"-an increase in coupling of >0.2; and (b) \"non-responders\"-either no significant change (≤0.2) or a decrease in coupling of >0.2. Paired t-tests were used to compare coupling, right ventricular free wall strain, and pulmonary artery systolic pressure before and after PTE. Of 67 identified patients, 11 (16%) were classified as responders, while 56 (84%) were classified as non-responders. No significant change in coupling was observed before and after PTE for the entire population (mean difference [95% CI]: 0.03 [- 0.02, 0.08], p = 0.28). The success of the PTE was confirmed by intraoperative reduction of pulmonary artery systolic pressure (mean difference [95% CI]: -15.5 [-19.8, -11.2] mmHg, p < 0.01), improvement in the 6-minute walk test (mean difference [95% CI]: 164 [76, 251] feet, p < 0.01), and a reduction in pulmonary vascular resistance (mean difference [95% CI]: -2.94 [-4.16, -1.71] WU, p < 0.01) at 6 months post-PTE.</p><p><strong>Conclusion: </strong>In the majority of patients, despite successful PTE, early measurement of the coupling ratio may not show improvement. Immediate intraoperative hemodynamic or echocardiographic parameters lack the predictability to detect \"responders\" to surgical success.</p>","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accidental Intrapleural Placement of a Left-Sided High-Flow Central Venous Catheter.","authors":"Maike Sammet, Carolin Torregroza, Ragnar Huhn","doi":"10.1053/j.jvca.2025.06.013","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.06.013","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Prevalence and Prognostic Implications of Elevated Pulmonary Vascular Resistance in Septic Patients.","authors":"Hongmin Zhang, Beijun Gao, Ye Liu, Xiaoting Wang, Qing Zhang","doi":"10.1053/j.jvca.2025.06.012","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.06.012","url":null,"abstract":"<p><strong>Objective: </strong>Pulmonary vascular resistance (PVR) elevation is a critical factor contributing to acute right ventricular (RV) dysfunction. This study was designed to investigate the prevalence and prognostic significance of this condition in septic patients.</p><p><strong>Design: </strong>An observational study.</p><p><strong>Setting: </strong>A tertiary hospital intensive care unit.</p><p><strong>Participants: </strong>A total of 638 septic patients.</p><p><strong>Intervention: </strong>None.</p><p><strong>Measurements and main results: </strong>Hemodynamic, echocardiographic, and prognostic data were collected. PVR was estimated using tricuspid regurgitation and RV outflow tract velocity-time integral. A PVR value exceeding 2.0 Wood units (WU) was considered abnormal. RV systolic dysfunction (RVSD) was determined by tricuspid annular plane systolic excursion, fractional area change, or RV S' velocity. Patients were categorized into four groups: (1) normal RV function (n = 205); (2) isolated RVSD (n = 76); (3) isolated PVR elevation (n = 195), and (4) RVSD + PVR elevation (n = 162). Cox regression analysis revealed that the presence of combined RVSD and PVR elevation was independently associated with 30-day mortality (hazard ratio [HR]: 2.907, 95% confidence interval [CI]: 1.385-6.100, p = 0.005). Conversely, neither isolated RVSD nor isolated PVR elevation was significantly associated with 30-day mortality (HR: 0.617, 95% CI: 0.168-2.274, p = 0.468; HR: 1.074, 95% CI: 0.469-2.461, p = 0.865, respectively). Subgroup analysis revealed that, compared with PVR ≤2.0 WU, PVR >2.0 WU was associated with 30-day mortality in patients with RVSD (HR: 3.878, 95% CI: 1.139-13.203, p = 0.030), but not in those with normal RV systolic function (HR: 1.632, 95% CI: 0.793-3.358, p = 0.183).</p><p><strong>Conclusions: </strong>In septic patients, the combination of elevated PVR and RVSD was an independent predictor of 30-day mortality. However, neither PVR elevation nor RVSD alone was significantly associated with 30-day mortality. Further studies are warranted to elucidate the complex interplay between these factors in septic patients and explore potential therapeutic interventions.</p>","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}