Journal of cardiothoracic and vascular anesthesia最新文献_第2页

Utility of High-Sensitivity Cardiac Troponin Monitoring in Thoracic Surgery for Predicting Severe Postoperative Complications. 高灵敏度心肌肌钙蛋白监测在胸外科手术中预测严重术后并发症的应用。

IF 2.3 4区医学

Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-15 DOI: 10.1053/j.jvca.2025.03.023

Javier J Mateos, Elena De la Fuente, Pablo Valero, David Martínez, Francisco De la Gala, Jose M Bellón, Patricia Duque, Patricia Piñeiro, Alberto Calvo, Almudena Reyes, Carlos Simón, Francisco J Hortal, Ignacio Garutti

{"title":"Utility of High-Sensitivity Cardiac Troponin Monitoring in Thoracic Surgery for Predicting Severe Postoperative Complications.","authors":"Javier J Mateos, Elena De la Fuente, Pablo Valero, David Martínez, Francisco De la Gala, Jose M Bellón, Patricia Duque, Patricia Piñeiro, Alberto Calvo, Almudena Reyes, Carlos Simón, Francisco J Hortal, Ignacio Garutti","doi":"10.1053/j.jvca.2025.03.023","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.03.023","url":null,"abstract":"Objectives: To evaluate the utility of high-sensitivity cardiac troponin (hs-cTn) monitoring in thoracic surgery to predict severe postoperative complications (sPOCs) according to the Clavien-Dindo classification.Design: Retrospective, observational cohort study.Setting: Tertiary-level hospital involving multiple departments.Participants: A total of 220 patients who underwent lung resection surgery between November 2018 and October 2021, with preoperative and postoperative troponin measurements.Interventions: hs-cTnI levels (Abbott Alinity) were measured before surgery and within the first 24 hours postoperatively. Myocardial injury (MI) was defined as hs-cTnI greater than 26.2 ng/L postoperatively. In addition, the impact of a postoperative cTnI elevation greater than 20% or a preoperative value below 1.6 ng/L on the occurrence of sPOCs is analyzed. Postoperative complications were recorded for the first 30 days and classified using the Clavien-Dindo classification.Main measurements and results: Patients with sPOCs had higher pre- and postoperative hs-cTnI levels compared to those without complications. Patients with MI had a higher incidence of POCs than those without MI. Additionally, undetectable preoperative hs-cTnI levels were associated with better survival.Conclusions: Perioperative troponin elevation is associated with worse short-term postoperative outcomes, including a higher incidence of sPOCs and prolonged hospital stays. Preoperative hs-cTnI levels correlate with preoperative morbidity (frailty) in patients.","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795539","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}

引用次数: 0

Atrial Fibrillation, Coronary Artery Disease, and Anticoagulation: Is Two a Crowd? 房颤、冠状动脉疾病和抗凝：两个是一个群体吗？

IF 2.3 4区医学

Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-13 DOI: 10.1053/j.jvca.2025.03.012

Kelly Byrne, Philip Sugden

引用次数: 0

Cerebral Autoregulation Monitoring: Time to Prioritize the Brain? 大脑自动调节监测：是时候优先考虑大脑了？

IF 2.3 4区医学

Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-13 DOI: 10.1053/j.jvca.2025.03.011

Nuno V Gomes, Daniel Bolliger

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Pro: All Cardiac Arrest Patients Should Be Transferred To a Cardiac Arrest Center. 专业：所有心脏骤停患者都应转至心脏骤停中心。

IF 2.3 4区医学

Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-12 DOI: 10.1053/j.jvca.2025.03.019

Jacopo D'Andria Ursoleo, Fabrizio Monaco

{"title":"Pro: All Cardiac Arrest Patients Should Be Transferred To a Cardiac Arrest Center.","authors":"Jacopo D'Andria Ursoleo, Fabrizio Monaco","doi":"10.1053/j.jvca.2025.03.019","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.03.019","url":null,"abstract":"Out-of-hospital cardiac arrest (OHCA) is characterized by a high prevalence and is burdened by significant mortality and morbidity. While underlying atherosclerotic coronary artery disease accounts for the majority of the cases in the Western world owing to lifestyle and dietary customs, several other conditions and diseases can lead to OHCA. Although patient survival rates have doubled over the past 3 decades, only marginal improvements in terms of overall survival and neurologic outcomes have been observed over the last decade. A growing body of evidence suggests that regional differences in OHCA outcomes may be attributable to differences in hospital infrastructure and healthcare provider expertise, thus contributing to increased awareness of the importance of cardiac arrest centers (CACs). CACs are centers of excellence for post-cardiac arrest care, which provide dedicated, continuous access to specialized multidisciplinary facilities and expert physicians (eg, emergency department, cardiac intensive care unit, coronary angiography laboratory, rehabilitation departments), ultimately seeking to optimize patient management and improve their survival rates and functional outcomes. Here we provide an overview of the complex management of OHCA patients and outline evidence-based benefits that can result from the treatment of OHCA patients in dedicated CACs.","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752436","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}

引用次数: 0

Evaluating the Role of Right Ventricular Free Wall Longitudinal Strain as a Noninvasive Metric for Stroke Volume, Stroke Volume Index, and Right Ventricular Function. 评估右心室自由壁纵向应变作为卒中容量、卒中容量指数和右心室功能的无创指标的作用。

IF 2.3 4区医学

Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-12 DOI: 10.1053/j.jvca.2025.03.016

Samwel Gitundu, Luis F Gonzalez-Ciccarelli, Brian R Gebhardt, Frederick C Cobey

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Incremental Value of Transesophageal Echocardiographic Imaging in Durable Left Ventricular Assist Device Patients: A Novel Approach Worth Considering. 经食道超声心动图在持久左心室辅助装置患者中的增值价值：一种值得考虑的新方法。

IF 2.3 4区医学

Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-12 DOI: 10.1053/j.jvca.2025.03.015

Jordan Holloway, Aaron Guo, Saliya Ratnayaka, Paula Durbin, Bailey Drossman, Michael Essandoh

引用次数: 0

Perfusionists, Surgeons, and Anesthesiologists: A History of Successful Multidisciplinary Collaboration: What's Next? 灌注师、外科医生和麻醉师：成功的多学科合作的历史：下一步是什么？

IF 2.3 4区医学

Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-12 DOI: 10.1053/j.jvca.2025.03.013

Eugene A Hessel, Robert C Groom, Thoralf M Sundt

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The Pitfalls of Comparing Different Mechanical Circulatory Support Modalities. 比较不同机械循环支撑方式的缺陷。

IF 2.3 4区医学

Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-12 DOI: 10.1053/j.jvca.2025.03.017

Dominic V Pisano, Alexander Shapeton, Jamel Ortoleva

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Diagnostic Challenges and Associated Morbidity with Antibody-negative, Serotonin Release Assay-positive Heparin-induced Thrombocytopenia. 抗体阴性、血清素释放测定阳性肝素诱导的血小板减少症的诊断挑战和相关发病率。

IF 2.3 4区医学

Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-09 DOI: 10.1053/j.jvca.2025.03.008

Ziyad O Knio, Jordan M Stefko, Aarthi Reddy, Atul Dilawri, Cortessa L Russell

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Incidental Diagnosis of Myasthenia Gravis in an Infant Uncovered by Thymic Hyperplasia Causing Airway Complications During Cardiac Surgery. 婴儿重症肌无力的偶然诊断胸腺增生引起的气道并发症在心脏手术中。

IF 2.3 4区医学

Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-08 DOI: 10.1053/j.jvca.2025.03.009

Madan Mohan Maddali, Is'haq Al Aamri, Mohammed Hamed Al Ghafri, Thushara Dharshana Munasinghe, Mohammed Ismail Al-Yamani, Maziar Gholampour Dehaki

引用次数: 0