Journal of Cardiac Critical Care TSS最新文献

{"title":"The Anesthesiologist as Extracorporeal Membrane Oxygenation Intensivist: Heralding a New Era?","authors":"Marlice van Dyk","doi":"10.25259/jccc_29_2024","DOIUrl":"https://doi.org/10.25259/jccc_29_2024","url":null,"abstract":"","PeriodicalId":34567,"journal":{"name":"Journal of Cardiac Critical Care TSS","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141654001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Right Ventricular Function in Patients Undergoing Mitral Valve Replacement with Pulmonary Artery Systolic Pressure of more than 50 mmHg: A Prospective Analysis","authors":"Biraj Majumder, Sarveshpal Singh, Sandeep Seth, Manoj Sahu, Satyavir Yadav, Ummed Singh, Surabhi Gupta, Shivam Pandey","doi":"10.25259/jccc_27_2024","DOIUrl":"https://doi.org/10.25259/jccc_27_2024","url":null,"abstract":"\u0000\u0000The severity of pulmonary artery hypertension affects the outcomes of patients undergoing mitral valve replacement (MVR). Speckle-tracking derived strain is a new modality for the assessment of the right ventricular (RV) function as well as the longitudinal contractile pattern.\u0000Our main objective of this study was to evaluate the right ventricular (RV) function in patients undergoing MVR with pulmonary artery systolic pressure (PASP) of more than 50 mmHg at 1 and 4 weeks postoperatively.\u0000\u0000\u0000\u0000This prospective cohort study included 40 patients with rheumatic heart disease (RHD) (mitral stenosis [MS] and mitral regurgitation [MR]) scheduled to undergo MVR between January 2022 and December 2023 in AIIMS, New Delhi. Serial 2D echocardiography, tissue Doppler imaging, as well as RV speckle-tracking echocardiography were performed, and serum brain natriuretic peptide (BNP) levels were measured during the pre-operative period, 1st week and 4th weeks postoperatively to evaluate RV function.\u0000\u0000\u0000\u0000Tricuspid annular plane systolic excursion (TAPSE) and left ventricular ejection fractions (LVEFs) were significantly lower at 1 week after surgery, compared to pre-operative levels, and reached the pre-operative values at 4 weeks after surgery. The RV fractional area change (RVFAC) at 4 weeks postoperatively significantly increased compared to 1st week and baseline values. The tricuspid valve (TV) tissue velocity in systole (S'), TV velocity in diastole (E'), RV global strain (RVGLS), and RV free wall strain (RVFWLS) at post-operative 4 weeks were lower than pre-operative values, and this difference was statistically significant.\u0000\u0000\u0000\u0000Four weeks after MVR, in adult patients with RHD (MS and MR) having PASP >50 mmHg, it was observed that deformational indices or speckle-tracking echocardiography such as RVGLS and RVFWLS predict better RV dysfunction than linear indices like TAPSE. The BNP, PASP (delta TR), right atrial volume, left atrial volume, LV internal diameter in systole, and LV internal diameter in diastole decreased significantly in these patients. RVFAC increased significantly to compensate for the loss of longitudinal function.\u0000","PeriodicalId":34567,"journal":{"name":"Journal of Cardiac Critical Care TSS","volume":"82 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141655726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognostic Cardiac Biomarkers and Tetralogy of Fallot Score: Do they Predict Outcomes in Intracardiac Tetralogy of Fallot Repair?","authors":"Poonam Malhotra Kapoor, Rashmi Singh, Mohanish Badge, M. Prakash, Minati Choudhury, O. M. Mujahid, U. Chowdhury","doi":"10.25259/jccc_59_2023","DOIUrl":"https://doi.org/10.25259/jccc_59_2023","url":null,"abstract":"\u0000\u0000One of the most common cyanotic congenital heart diseases seen in India is the tetralogy of Fallot (TOF). The presence of chronic hypoxia leads to increased susceptibility to ischemia and infections. The postoperative morbidity and mortality can be predicted earlier, by incorporating various biochemical markers in pre-operative workup, which can minimize post-operative mechanical ventilation and intensive care unit (ICU) stay. We aimed to study 11 different cardiac biomarkers and calculate the All India Institute of Medical Sciences (AIIMS) score as a prognostic marker in TOF patients.\u0000\u0000\u0000\u0000After obtaining Institute Ethics Committee approval from the Hospital Ethics Committee with Indian Council of Medical Research (ICMR) Trial No: 5/4/1-1/08-NCD-II and written informed consent, a prospective and observational study was conducted on 150 patients with TOF undergoing elective intra cardiac repair (ICR) divided into two groups. Anesthetic and surgical management was standardized for all patients as per institutional protocol. The data were analyzed in STATA software. The sample size was calculated on the basis of the area under the curve for various biomarkers shown in the previous literature reviews.\u0000\u0000\u0000\u0000There was a positive correlation between the Endothelin levels 48 h after bypass and post-operative outcome measures such as the duration of inotropes, duration of ventilation, and duration of ICU stay. Pre-cardiopulmonary bypass serum tumor necrosis factor-alpha (TNF-α) showed a significant correlation with mortality in group I patients (P = 0.009) and group II patients (P < 0.05). Intragroup comparison in survivors showed significant changes with time in lactate trends. The mean initial post-operative lactate was significantly lower for survivors than for non-survivors. In addition, the serial mean lactate decreased progressively in all surviving patients compared with non-survivors diagnostic receiver operating characteristic curve for the pressure of oxygen.\u0000\u0000\u0000\u0000The four biomarkers, namely, Endothelin, TNF-α, BNP, and base excess, were found to be highly sensitive and specific. Using these biomarkers, a score of 2.73 (the AIIMS TOF score) is considered morbid in patients post-ICR in the ICU. The chances of mortality are high, with a sensitivity of 96.9% and specificity of 89.2%.\u0000","PeriodicalId":34567,"journal":{"name":"Journal of Cardiac Critical Care TSS","volume":"44 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141653223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Bibliometric Study on Junctional Ectopic Tachycardia: Time and Trends have much to Tell!","authors":"Jes Jose, R. Magoon, Nitin Choudhary, Varun Suresh, Mukesh Kumar","doi":"10.25259/jccc_28_2024","DOIUrl":"https://doi.org/10.25259/jccc_28_2024","url":null,"abstract":"\u0000\u0000Junctional ectopic tachycardia (JET), an arrhythmia of substantial clinical relevance, is no less than an eternal nemesis in cardiac critical care. Hence, we hereby present a bibliometric study evaluating the research trends in the subject.\u0000\u0000\u0000\u0000A Scopus search-based bibliometric analysis of the keyword “Junctional Tachycardia” OR “Junctional Ectopic Tachycardia” restricted to original articles and reviews was undertaken after excluding the veterinary-related papers. The metadata thus obtained was analyzed using Scimago Graphica 1.0.42 and VOSviewer version 1.6.20 to generate a graphical representation of the trends and the timelines based on the author keywords.\u0000\u0000\u0000\u0000A total of 926 papers of interest were identified and selected for the analysis, which revealed the geographical distribution of productivity being primarily concentrated in the Western developed nations, topic receptiveness largely appreciated in cardiovascular-related journals, and increased yearly output of the JET-associated papers. Further perusal identified 79 most frequently observed author keywords when limited to a minimum of 5 co-occurrences, which were grouped into seven color-coded clusters by VOSviewer, and mapped into keyword as well as author network, overlay, and density projections.\u0000\u0000\u0000\u0000Bibliometric analysis of JET papers from 1967 to 2024 shows a growing interest in the topic, awaiting newer insights into the molecular mechanisms and the preventative treatment strategies.\u0000","PeriodicalId":34567,"journal":{"name":"Journal of Cardiac Critical Care TSS","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141655070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extracorporeal Membrane Oxygenation Nursing Care","authors":"Varsha Sharma, Mukesh Joshi","doi":"10.25259/jccc_18_2024","DOIUrl":"https://doi.org/10.25259/jccc_18_2024","url":null,"abstract":"Extracorporeal membrane oxygenation (ECMO) is increasingly being used with adult patients in respiratory failure or cardiac failure. ECMO is a complex treatment that requires diligent nursing care with the knowledge and ability to identify complications of ECMO can potentially reduce morbidity and mortality in these high-risk patients. Nurses are integral to the multidisciplinary team caring for patients in the intensive care unit and are fundamental to successful outcomes. The increased complexity of caring for the patient supported by ECMO adds to the challenge for the nursing team. The bedside intensive care nurse is supported by ECMO specialist nurses in the delivery of care and monitoring of the ECMO patient. This cardiopulmonary support system uses an artificial membrane lung to move blood forward and replace carbon dioxide with oxygen in venous blood.","PeriodicalId":34567,"journal":{"name":"Journal of Cardiac Critical Care TSS","volume":"40 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141654069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Euglycemic Diabetic Ketoacidosis with SGLT2 Inhibitor Therapy in a Patient Undergoing Off-Pump Coronary Artery Bypass: A Case Report","authors":"Rohini Mayur Balaji, Srikanth Bhumana, Saravanan Sundarraj, Aravind Kalyanasundaram","doi":"10.25259/jccc_73_2023","DOIUrl":"https://doi.org/10.25259/jccc_73_2023","url":null,"abstract":"Sodium-glucose cotransporter inhibitors are a class of oral hypoglycemic agents that are being increasingly used in the subset of patients with cardiovascular disease. Euglycemic diabetic ketoacidosis (EDKA) is a potentially uncommon side effect associated with their use, which requires prompt recognition and management. The authors present a case of a 66-year-old diabetic male patient, treated with dapagliflozin, undergoing coronary artery bypass grafting, who developed EDKA in the postoperative period. The classical signs and symptoms were absent as the patient was sedated and was on ventilator support. Persistent high anion gap acidosis in the absence of hemodynamic instability prompted further testing, which revealed ketosis and ketonuria. Treatment with a dextrose-insulin solution and cessation of further doses of dapagliflozin leads to an uneventful recovery and discharge. A high index of suspicion is warranted, especially in the setting of cardiac surgery, for the diagnosis and management of this potentially catastrophic complication.","PeriodicalId":34567,"journal":{"name":"Journal of Cardiac Critical Care TSS","volume":" 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141372318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anna: The Dog Who Set the Ball Rolling for the Blue Baby Operation","authors":"Doniparthi Pradeep, Jaydeep Malakar","doi":"10.25259/jccc_3_2024","DOIUrl":"https://doi.org/10.25259/jccc_3_2024","url":null,"abstract":"The practice of cardiac surgery has been greatly influenced by numerous notable figures throughout history. However, animal experiments have also played a crucial role in understanding the anatomy and physiology necessary for successful surgical interventions in humans. This is the author’s meek effort to hark back to the contributions of a dog who paved the route for the blue baby operation.","PeriodicalId":34567,"journal":{"name":"Journal of Cardiac Critical Care TSS","volume":"6 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140660313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Global Extracorporeal Life Support Organization Chapter: South West Asia and Africa Extracorporeal Life Support Organization in 2024","authors":"Christine Stead","doi":"10.25259/jccc_12_2024","DOIUrl":"https://doi.org/10.25259/jccc_12_2024","url":null,"abstract":"In early 2024, we can take a moment to acknowledge the journey we have been on in critical care, especially in the region that comprises Extracorporeal Life Support Organizations (ELSO’s) South West Asia and Africa Continent (SWAAC) Chapter. ELSO has been able to develop a global standard in foundational educational knowledge for adults. This is only possible with the participation of experts in every region. The process for developing this standard has now been published. ELSO is using this same process to develop the foundational knowledge for neonatal and pediatric education. We are grateful to many in the SWAACELSO region for your assistance in the development of a global standard in education and training. The SWAACELSO region has achieved so much in the recent past. Participation in all facets of extracorporeal life support (ECLS) and ELSO globally continues to advance how we work together and what is available for patients in communities everywhere. This region will continue to help lead in creating resiliency and innovation in the coming years. Personally, I am grateful for the dedication and commitment to improving life support that this region continues to advance.","PeriodicalId":34567,"journal":{"name":"Journal of Cardiac Critical Care TSS","volume":"50 s22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140700360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prolonged Stay in ICU after Cardiac Surgery: Challenges –A Review","authors":"Prajeesh M. Nambiar, Anmol Bhan, Y. Mehta","doi":"10.25259/jccc_70_2023","DOIUrl":"https://doi.org/10.25259/jccc_70_2023","url":null,"abstract":"Prolonged stay in the intensive care unit (ICU) following cardiac surgery has become a topic of increasing concern in the medical community. While advancements in surgical techniques and perioperative care have improved the outcomes of cardiac surgeries, some patients still experience extended ICU stays due to various complications and comorbidities. This review article aims to explore the reasons behind prolonged ICU stays after cardiac surgery, their impact on patient outcomes, and the strategies and innovations that healthcare providers can employ to mitigate these challenges.","PeriodicalId":34567,"journal":{"name":"Journal of Cardiac Critical Care TSS","volume":"53 s47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140700347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethics in Extracorporeal Membrane Oxygenation and South West Asia and Africa Extracorporeal Life Support Organization: A Robust Growth with Ethics","authors":"Poonam Malhotra Kapoor","doi":"10.25259/jccc_17_2024","DOIUrl":"https://doi.org/10.25259/jccc_17_2024","url":null,"abstract":"","PeriodicalId":34567,"journal":{"name":"Journal of Cardiac Critical Care TSS","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140702160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}