Journal of cardiothoracic and vascular anesthesia最新文献

{"title":"Use of Intraoperative Hemostatic Checklists for Blood Management in Patients Undergoing Cardiac Surgery: A Scoping Review","authors":"Biobelemoye Irabor BScN, MD ,&nbsp;Asha Kothari MD ,&nbsp;Jonathan Hong MD, PhD ,&nbsp;Bronte Chiang MLIS ,&nbsp;David Kent MSc ,&nbsp;Todd A. Duhamel PhD ,&nbsp;Mofiyinfoluwa Lawal BSc, MSc ,&nbsp;Mohammad El-Diasty MD, PhD ,&nbsp;Rakesh C. Arora MD, PhD","doi":"10.1053/j.jvca.2024.11.028","DOIUrl":"10.1053/j.jvca.2024.11.028","url":null,"abstract":"<div><h3>Background</h3><div>Using intraoperative hemostatic checklists may improve rates of surgical re-exploration and utilization of allogenic blood products in patients undergoing cardiac surgery. In this review, the authors explore the current evidence describing the impact of using intraoperative hemostatic checklists on reducing rates of surgical bleeding and perioperative blood product transfusion in this group of patients.</div></div><div><h3>Methods</h3><div>Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, electronic information was obtained via sources that included Scopus, MEDLINE, EMBASE, and the Cochrane Library. Specifically, randomized controlled and observational studies reporting on hemostatic checklists in cardiac surgery were assessed for the following inclusion criteria: adult patients undergoing cardiac surgery, use of an intraoperative hemostatic checklist, a comparative study design, and full text available in the English language. All conference abstracts, editorials, and other reviews were excluded.</div></div><div><h3>Results</h3><div>A total of 3,022 articles were retrieved. Four articles, with 19,946 patients, were ultimately included in this review. These studies showed a significant reduction in bleeding re-exploration rates after implementing an intraoperative hemostatic checklist. In addition, three studies showed lower cost per patient, less blood product transfusion, and reduced intensive care unit stay after using checklists.</div></div><div><h3>Conclusions</h3><div>These findings suggest that using intraoperative hemostatic checklists may reduce surgical re-exploration rates and improve blood product utilization after cardiac surgery. Large multicenter studies are needed to endorse the utilization of these checklists in routine clinical practice.</div></div>","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 2","pages":"Pages 501-510"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853980","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":"Prognostic Impact of Anemia and Blood Transfusions on Cardiovascular Outcomes in Patients Undergoing Vascular Surgery: A Scoping Review","authors":"Fulvio Nisi MD ,&nbsp;Luca Ratibondi MD ,&nbsp;Mattia Hagger MD ,&nbsp;Enrico Giustiniano MD ,&nbsp;Federico Piccioni MD ,&nbsp;Giovanni Badalamenti MD ,&nbsp;Sandro Lepidi MD ,&nbsp;Mario D'Oria MD","doi":"10.1053/j.jvca.2024.10.033","DOIUrl":"10.1053/j.jvca.2024.10.033","url":null,"abstract":"<div><h3>Objective</h3><div>Prior studies suggest an association of anemia and blood transfusion with increased morbidity and mortality in patients undergoing cardiac surgery. However, the impact of perioperative anemia and blood transfusion on clinical outcomes in patients undergoing major vascular surgery has been poorly defined yet. The primary objectives of this scoping review were to determine the extent of the evidence base that links anemia and blood transfusions to mortality and cardiovascular outcomes in patients undergoing major vascular surgery, and identify recurring themes or gaps in the literature to guide future research.</div></div><div><h3>Methods</h3><div>A scoping review of the literature from PubMed, Cochrane, and EMBASE databases was conducted up to December 2023 to identify articles related to the impact of anemia and blood transfusions on postoperative cardiovascular outcomes on patients undergoing vascular surgery. Methodology followed the PRISMA Protocols Extension for Scoping Reviews.</div></div><div><h3>Results</h3><div>Twenty-two articles met the inclusion criteria, including 15 retrospective and 6 observational prospective studies. Anemia definition varied across studies, mainly based on hemoglobin cut-off levels. An association with older age, coronary artery disease, hypertension, diabetes, and other comorbidities was reported. Particularly in peripheral and endovascular aortic surgery, anemia was linked consistently with higher mortality, major adverse cardiac events, and other postoperative complications, such as respiratory and renal issues, surgical site infections, and longer hospital stays, depending on hemoglobin levels. Anemia itself is an important predictor of transfusions. Transfusions in anemic patients were associated with increased mortality, postoperative complications, and increased need for major amputation.</div></div><div><h3>Conclusions</h3><div>The weight of the evidence suggests that anemia carries a substantial burden of cardiovascular complications, mortality, and multiorgan complications, resulting in increased health care costs. Peripheral and endovascular aortic surgery are affected deeply by the impact of anemia. Anemia itself stands out as a crucial predictor for requiring transfusions. In turn, the effect of transfusion of blood products is associated with worse outcomes and complications.</div></div>","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 2","pages":"Pages 511-525"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639179","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":"Venovenous or Venoarterial Extracorporeal Membrane Oxygenation for Pulmonary Hemorrhage? It Depends","authors":"Jamel Ortoleva MD, FASE,&nbsp;Dominic V. Pisano MD","doi":"10.1053/j.jvca.2024.11.026","DOIUrl":"10.1053/j.jvca.2024.11.026","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 2","pages":"Pages 492-493"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824224","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":"Swinging of the Pendulum: Should We Pursue Surgical Management Over Minimally Invasive Management of Atrial Fibrillation?","authors":"Kristin Constantine Trela MD,&nbsp;Mark A. Chaney MD,&nbsp;Richa Dhawan MD, MPH","doi":"10.1053/j.jvca.2024.10.040","DOIUrl":"10.1053/j.jvca.2024.10.040","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 2","pages":"Pages 347-351"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828616","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":"Obesity and Venoarterial Extracorporeal Membrane Oxygenation Outcomes: The Plot Thickens.","authors":"Jamel Ortoleva, Dominic V Pisano","doi":"10.1053/j.jvca.2025.01.033","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.01.033","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370759","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":"Echocardiographic Correlates with Pulmonary Capillary Wedge Pressure in Ischemic Cardiogenic Shock: Insights Beyond E/e'.","authors":"Hazem Lashin, Olusegun Olusanya, Andrew Smith, Sanjeev Bhattacharyya","doi":"10.1053/j.jvca.2025.01.027","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.01.027","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370756","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":"A Precaution When Using Sodium Bicarbonate to Confirm Intravenous Position of Catheters in Parallel Circulation.","authors":"Keisuke Yoshida, Tatsumi Yakushiji, Ko Kakinouchi, Satoki Inoue","doi":"10.1053/j.jvca.2025.01.021","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.01.021","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370684","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":"Intraoperative Catecholamine-induced Hypertensive Crisis in a Large Pheochromocytoma Successfully Treated With Continuous Hemodiafiltration and Cardiopulmonary Bypass.","authors":"Shosaburo Jotaki, Masato Hara, Shigeru Sano, Reisa Matsuo, Teruyuki Hiraki","doi":"10.1053/j.jvca.2025.01.020","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.01.020","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364754","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":"Personalizing Management of Antiplatelet Therapy in Cardiac Surgery: The Ongoing Need to Nourish \"Dry Land\".","authors":"Gabor Erdoes, Ingvild Birschmann, Michael Nagler, Andreas Koster","doi":"10.1053/j.jvca.2025.01.022","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.01.022","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255573","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":"Does Amino Acid Infusion Reduce the Risk of Clinically Significant Acute Kidney Injury Following Cardiac Surgery?","authors":"Suneel Ramesh Desai, Nian Chih Hwang","doi":"10.1053/j.jvca.2025.01.023","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.01.023","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370752","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}