Journal of cardiothoracic and vascular anesthesia最新文献

{"title":"Articles to Appear in Future Issues","authors":"","doi":"10.1053/S1053-0770(25)00153-3","DOIUrl":"10.1053/S1053-0770(25)00153-3","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 4","pages":"Page xii"},"PeriodicalIF":2.3,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680041","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":"Extracorporeal Membrane Oxygenation in Pulmonary Embolism: Current Evidence and Evolving Data.","authors":"Omar Elmadhoun, Sarvie Esmaeilzadeh, Michael P Merren, Juan G Ripoll, Patrick M Wieruszewski, Harish Ramakrishna","doi":"10.1053/j.jvca.2025.02.052","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.02.052","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691846","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":"Pan-Immune-Inflammation Value: A Novel Biomarker for Predicting Postoperative Atrial Fibrillation in Young Patients Undergoing Off-Pump CABG.","authors":"Mustafa Selcuk Atasoy, Hakan Guven","doi":"10.1053/j.jvca.2025.02.050","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.02.050","url":null,"abstract":"<p><strong>Objectives: </strong>To the best of our knowledge, the possible predictive relationship between pan-immune-inflammation value (PIV) and new-onset atrial fibrillation (AF) following off-pump coronary artery bypass grafting (CABG) has not yet been examined in the literature. Therefore, we aimed to examine whether there was a predictive relationship of PIV with new-onset AF in young patients undergoing off-pump CABG.</p><p><strong>Design: </strong>A retrospective observational cohort study.</p><p><strong>Setting: </strong>Tertiary referral hospital in Turkey.</p><p><strong>Participants: </strong>A total of 223 young patients (age ≤50 years) undergoing off-pump CABG.</p><p><strong>Interventions: </strong>The patients were categorized into two groups as AF group (n = 31) and non-AF group (n = 192). The groups were compared with regard to preoperative basic clinical features, laboratory parameters, and operative and postoperative data of patients. Following univariate analyses, logistic regression analysis was conducted to identify independent predictors of postoperative new-onset AF, and receiver-operating characteristic curve analyses were conducted to determine the optimum cut-off values of identified independent predictors. PIV measurement was the primary outcome of the study.</p><p><strong>Measurements and main results: </strong>No significant differences were found between the groups with regard to preoperative basic clinical features and operative and postoperative data, except for length of hospital stay. There were statistically significant differences between the groups in terms of platelet, neutrophil, lymphocyte, and monocyte counts as well as neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio, systemic immune-inflammation index, systemic inflammation response index, and PIV. In logistic regression analysis, PIV and NLR were detected to be significant hematological variables, and thus these indices were considered independent predictors of postoperative new-onset AF (odds ratio 1.001, 95% CI 1.000-1.002 for PIV). Receiver-operating characteristic analysis revealed that for predicting postoperative AF, PIV of 307.9 constituted the optimum cut-off value with 93.5% sensitivity and 71.4% specificity rates.</p><p><strong>Conclusion: </strong>Our study demonstrated for the first time in the literature that the PIV and the NLR significantly and independently predicted new-onset AF following off-pump CABG.</p>","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709870","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":"Preoperative Femoral Extracorporeal Membrane Oxygenation Cannulation Using an Ilioinguinal Block for Lung Transplantation Recipients With Severe Pulmonary Hypertension.","authors":"J J Duijghuisen, M E Hellemons, M Ter Horst","doi":"10.1053/j.jvca.2025.03.007","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.03.007","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691851","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":"Mediastinal Radiographic Contrast After Nasogastric Tube Placement in a Premature Neonate With a \"Double-Bubble\" Sign.","authors":"Barbara J Meinecke, William R Clarke, Paul S Pagel","doi":"10.1053/j.jvca.2025.02.054","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.02.054","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691848","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":"Standardizing Protamine Dosage in Cardiac Surgery.","authors":"Ravi Taneja","doi":"10.1053/j.jvca.2025.02.039","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.02.039","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691902","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":"Analgesic Efficacy of Bilateral Ultrasound-Guided Transversus Thoracic Muscle Plane Block Versus Erector Spinae Plane Block in Pediatric Patients Undergoing Corrective Cardiac Surgeries: A Randomized Controlled Study.","authors":"Mai Abdel Fattah Ahmed Madkour, Engy Ibrahim Barsoum Abueldahab, Amel Hanafy Abo Elela, Mohamed Farouk Youssef, Ahmed Ali Gado","doi":"10.1053/j.jvca.2025.03.001","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.03.001","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;Transversus thoracic plane block (TTPB) and erector spinae plane block (ESPB) are gaining popularity in cardiac surgeries to avoid excessive narcotic use and achieve fast-track extubation This study was performed to compare the analgesic efficacy of TTPB to that of ESPB in pediatric patients undergoing cardiac surgeries. The study was conducted in a university pediatric hospital (ClinicalTrials.gov NCT05559684).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;Single-center prospective randomized controlled study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Setting: &lt;/strong&gt;Tertiary referring pediatric university hospital.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Participants: &lt;/strong&gt;Sixty pediatric patients undergoing corrective cardiac surgeries during the period from November 2022 to August 2023.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Interventions: &lt;/strong&gt;Randomization was done using a sealed envelope technique that contained 20 labels of (control), 20 labels of (ESPB), and another 20 labels of (TTPB). Patients in the control group (n = 20) were given fentanyl infusion at a dosage of 0.5 µg/kg/h throughout the whole operation, in addition to 1 µg/kg during skin incision, sternotomy, and aortic cannulation. Patients in the ESPB group (n = 20) were given fentanyl infusion at a dose of 0.5 µg/kg/h all through the whole operation plus ultrasound-guided ESPB done bilaterally by injecting 0.4 mL/kg (1:1 solution of Bupivacaine25 % and lidocaine 1%) on each side. Patients in the TTPB group were given fentanyl infusion at a dose of 0.5 µg/kg/h throughout the operation plus ultrasound-guided TTPB done bilaterally by injecting 0.4 mL/kg on each side (1:1 solution of bupivacaine 0.25 % and lidocaine 1%).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Measurements and main results: &lt;/strong&gt;Primary outcome was the total intraoperative fentanyl consumption; secondary outcomes included hemodynamics and time to first analgesic request (which is the elapsed time between giving the block and the patient's FLACC score ≥4), postoperative fentanyl consumption, extubation time, and adverse events. Intraoperative fentanyl consumption was significantly decreased in the TTPB group (3.4 ± 2.9) compared with the control group (6.7 ± 4.2), mean difference = 3.35, 95% CI (0.84, 5.86), p = 0.006. It was comparable between the ESPB group and the control group. Also, the TTPB and ESPB groups were comparable regarding the primary outcome, mean difference 1.2, 95% CI (-1.31, 3.71), p = 0.486. Total fentanyl consumption in the intensive care unit was significantly decreased in the TTPB group (1.1 ± 1.54) than in the control group (4.6 ± 4.25), mean difference 3.55, 95% CI (1.5, 5.6) with p = 0.001. Other pairwise comparisons were comparable between the groups. The time to first rescue analgesia was significantly longer in TTPB group (5.15 ± 4.21) compared to the control group (1.95 ± 3.5), mean difference -3.2, 95% CI (-5.68, -0.72), p = 0.04. Patients in ESPB needed first rescue analgesia slightly earlier (4.9 ± 4.4) than patients in TTPB group, mean difference -0.25, ","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691937","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":"Effect of Dexmedetomidine on Cerebrovascular Carbon Dioxide Reactivity During Pediatric Cardiac Surgery With Cardiopulmonary Bypass.","authors":"Liping Sun, Kan Zhang, Hong Wang, Wei Ji, Yue Huang, Jie Bai, Jijian Zheng","doi":"10.1053/j.jvca.2025.03.002","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.03.002","url":null,"abstract":"<p><strong>Objective: </strong>To assess the effects of dexmedetomidine (DEX) on cerebrovascular autoregulation in children with congenital heart disease (CHD) using transcranial color-coded duplex sonography (TCCD).</p><p><strong>Design: </strong>Randomized controlled trial.</p><p><strong>Setting: </strong>This single-center study was conducted at a tertiary care center in Shanghai, China.</p><p><strong>Patients: </strong>Fifty-nine children aged 0 to 6 years with CHD who underwent cardiac surgery with cardiopulmonary bypass were enrolled.</p><p><strong>Intervention: </strong>Children were randomly assigned to receive either DEX (DEX group) or normal saline (control group) for 10 minutes following anesthetic induction. Cerebrovascular carbon dioxide reactivity (CVR-CO₂) was assessed by adjustment of lung ventilation.</p><p><strong>Measurements and main results: </strong>Patients underwent TCCD before and after surgery. CVR-CO₂, resistance index (RI), pulsatility index (PI), mean blood flow velocity (V_mean) of the right middle cerebral artery, and regional cerebral oxygen saturation (ScrO₂) of the right frontal lobe were measured and analyzed at three distinct time points, resulting in six measurements. Hemodynamic parameters, including heart rate (HR) and mean arterial pressure (MAP), were recorded at each time point. The parameters CVR-CO₂ (p = 0.402), PI (p = 0.203), RI (p = 0.290), V_mean (p = 0.290), ScrO₂ (p = 0.426), HR (p = 0.522), and MAP (p = 0.236) were comparable between the two groups. In the control group, PI, RI, and HR significantly differed before and after surgery. In the DEX group, RI, V_mean, ScrO_2, and HR significantly differed before and after surgery.</p><p><strong>Conclusions: </strong>A low loading dose of DEX did not compromise CVR-CO₂ in children with CHD undergoing cardiac surgery with cardiopulmonary bypass.</p>","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691840","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":"Limitations of Intraoperative Neuromonitoring for Detection of Cerebral Ischemia","authors":"Bhav Jain BS ,&nbsp;Parthasarathy D. Thirumala MD, MS","doi":"10.1053/j.jvca.2024.12.032","DOIUrl":"10.1053/j.jvca.2024.12.032","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 3","pages":"Pages 852-854"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949342","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":"Echogenicity Following Device Closure of a Ventricular Septal Defect: A Diagnostic Dilemma","authors":"Madan Mohan Maddali MD ,&nbsp;Khalid Al Alawi MRCPCH, FRCPI ,&nbsp;Abdullah Mohammed Al Farqani MRCPCH ,&nbsp;Salim Nasser Al Maskari FRCPCH","doi":"10.1053/j.jvca.2024.10.002","DOIUrl":"10.1053/j.jvca.2024.10.002","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 3","pages":"Pages 855-857"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557899","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}