Journal of Extra-Corporeal Technology最新文献_第5页

Evaluation of the sterility and oxygenator performance of an ECMO circuit after 30 days of storage ECMO回路保存30天后无菌性和氧合器性能的评价

Journal of Extra-Corporeal Technology Pub Date : 2023-01-01 DOI: 10.7130/jject.50.1

Ryosuke Kasai, M. Okazaki, Yukako Tanaka, Yukiya Ando, T. Shimamine, F. Kamijo, Naoki Kawata, Aya Murata, Masaru Inoue, Hiroaki Kawano, K. Shinohara, Kohei Tanaka

引用次数: 0

Experimental investigation of the influence of infection control filter for Heater-Cooler devices 感染控制过滤器对冷热设备影响的实验研究

Journal of Extra-Corporeal Technology Pub Date : 2023-01-01 DOI: 10.7130/jject.50.117

Hiroyuki Oshima, Keiichi Tojo, Sae Kuwahara, Yumi Tanaka, S. Ito, Mamoru Takechi, Taiga Kato, Satoshi Kohira

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電気的測定法による静脈リザーバレベル測定の検討利用电测定法测定静脉储液水平的研究

Journal of Extra-Corporeal Technology Pub Date : 2023-01-01 DOI: 10.7130/jject.50.11

Atsushi Nakamura, Eiki Kogure, Masaru Inoue, K. Kuwana

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人工心肺を使用した心臓血管手術後の急性腎障害関連因子の後方視的検討人工心肺心血管手术后急性肾损伤相关因素的向后观察

Journal of Extra-Corporeal Technology Pub Date : 2023-01-01 DOI: 10.7130/jject.50.19

T. Takeichi, Y. Morimoto, Akitoshi Yamada, Takanori Tanaka, Kunihiro Fujiwara, Atsushi Sakae, Yuga Shimizu, K. Gan

引用次数: 0

Overview of Cardiopulmonary Bypass Techniques and the Incidence of Postoperative Complications in Pediatric Patients Undergoing Complex Pulmonary Artery Reconstruction. 小儿复杂肺动脉重建术的体外循环技术及术后并发症的发生率综述。

Journal of Extra-Corporeal Technology Pub Date : 2022-12-01 DOI: 10.1182/ject-2200023

Tristan Margetson, Richard D Mainwaring, Frank L Hanley

{"title":"Overview of Cardiopulmonary Bypass Techniques and the Incidence of Postoperative Complications in Pediatric Patients Undergoing Complex Pulmonary Artery Reconstruction.","authors":"Tristan Margetson, Richard D Mainwaring, Frank L Hanley","doi":"10.1182/ject-2200023","DOIUrl":"https://doi.org/10.1182/ject-2200023","url":null,"abstract":"Cardiopulmonary bypass (CPB) is routinely used for performing congenital heart operations. While most congenital heart operations can be performed with bypass times under 2 hours, complex pulmonary artery reconstructions require longer periods of CPB to facilitate the surgical repair. This article is intended to summarize the surgical and perfusion techniques utilized in patients undergoing complex pulmonary artery reconstructions at our institution. The initial portion of this manuscript provides an in-depth description of the surgical techniques employed for pulmonary artery reconstructions. This information is important in order to understand why prolonged CPB is a necessary requirement. The manuscript then provides a detailed description of the perfusion techniques and the modifications to the CPB circuit. Finally, the manuscript provides a summary of data from a clinical study evaluating the application of these techniques in 100 consecutive children undergoing complex pulmonary artery reconstruction. The data from this study demonstrated that there was a poor correlation between duration of CPB and both the number of postoperative complications and hospital length of stay. Major adverse cardiac events occurred in 11 (11%) patients with one hospital mortality. These results suggest that prolonged CPB does not predispose to adverse outcomes in this select population of patients.","PeriodicalId":39644,"journal":{"name":"Journal of Extra-Corporeal Technology","volume":"54 4","pages":"330-337"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9891469/pdf/ject-330-337.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9279338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

New Era for JECT Announced. 宣布JECT的新时代。

Journal of Extra-Corporeal Technology Pub Date : 2022-12-01 DOI: 10.1051/ject/202254265

Raymond K. Wong, Tami Rosenthal

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The Society of Thoracic Surgeons/Society of Cardiovascular Anesthesiologists/American Society of Extracorporeal Technology Clinical Practice Guidelines for the Prevention of Adult Cardiac Surgery-Associated Acute Kidney Injury. 胸外科学会/心血管麻醉师学会/美国体外技术学会预防成人心脏手术相关急性肾损伤临床实践指南。

Journal of Extra-Corporeal Technology Pub Date : 2022-12-01 DOI: 10.1182/ject-54301

Jeremiah R Brown, Linda Shore-Lesserson, Amanda A Fox, Linda B Mongero, Kevin W Lobdell, Scott A LeMaire, Filip M J J De Somer, Moritz Wyler von Ballmoos, Viachaslau Barodka, Rakesh C Arora, Scott Firestone, Richard Solomon, Chirag R Parikh, Kenneth G Shann, John Hammon, Robert A Baker

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Instructions for Authors. 作者须知。

Journal of Extra-Corporeal Technology Pub Date : 2022-12-01 DOI: 10.1182/ject-345-349

引用次数: 0

Fooled by Significance Testing: An Analysis of the LOVIT Vitamin C Trial. 被显著性检验愚弄：LOVIT 维生素 C 试验分析》。

Journal of Extra-Corporeal Technology Pub Date : 2022-12-01 DOI: 10.1182/ject-2200030

David Sidebotham

{"title":"Fooled by Significance Testing: An Analysis of the LOVIT Vitamin C Trial.","authors":"David Sidebotham","doi":"10.1182/ject-2200030","DOIUrl":"10.1182/ject-2200030","url":null,"abstract":"In this article, I discuss the potential pitfalls of interpreting p values, confidence intervals, and declarations of statistical significance. To illustrate the issues, I discuss the LOVIT trial, which compared high-dose vitamin C with placebo in mechanically ventilated patients with sepsis. The primary outcome - the proportion of patients who died or had persisting organ dysfunction at day 28 - was significantly higher in patients who received vitamin C (p = .01). The authors had hypothesized that vitamin C would have a beneficial effect, although the prior evidence for benefit was weak. There was no prior evidence for a harmful effect of high-dose vitamin C. Consequently, the pretest probability for harm was low. The sample size was calculated assuming a 10% absolute risk difference, which was optimistic. Overestimating the effect size when calculating the sample size leads to low power. For these reasons, we should be skeptical that vitamin C causes harm in septic patients, despite the significant result. p-values and confidence intervals are probabilities concerning the chance of obtaining the observed data. However, we are more interested in the chance the intervention has a real effect on the outcome. That is to say, we are more interested in whether the hypothesis is true. A Bayesian approach allows us to estimate the false positive risk, which is the post-test probability there is no effect of the intervention. The false positive risk for the LOVIT trial (calculated from the published summary data using uniform priors for the parameter values) is 70%. Most likely, high-dose vitamin C does not cause harm in septic patients. Most likely it has no effect at all. If there is an effect, it is probably small and most likely beneficial.","PeriodicalId":39644,"journal":{"name":"Journal of Extra-Corporeal Technology","volume":"54 4","pages":"324-329"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9891468/pdf/ject-324-329.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9251567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alagille Syndrome and Repeat Oxygenator Failure during Cardiopulmonary Bypass: A Word of Caution. 体外循环期间Alagille综合征和重复充氧器衰竭:一个警告。

Journal of Extra-Corporeal Technology Pub Date : 2022-12-01 DOI: 10.1182/ject-2200022

Ashley C Moore, Kyle N Sieck, Sarah J Lojovich, Roger P Mueller, Jason E Windle, Sameh M Said

引用次数: 0