Seminars in Cardiothoracic and Vascular Anesthesia最新文献

The Year in Review: Anesthesia for Congenital Heart Disease 2025. 年度回顾：麻醉治疗先天性心脏病2025。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-06-01 Epub Date: 2026-03-24 DOI: 10.1177/10892532261438993

Matthew M Goodmanson, Gregory J Latham

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Abdominal Organ Transplantation: Noteworthy Literature in 2025. 腹部器官移植：2025年值得关注的文献。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-06-01 Epub Date: 2026-04-20 DOI: 10.1177/10892532261433411

Akira Katayama, Marc Casale, Rob Huseby, Ryan Wang, Tetsuro Sakai

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Year in Review 2025: Noteworthy Literature in Cardiac Anesthesiology. 2025年回顾：心脏麻醉学值得关注的文献。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-06-01 Epub Date: 2026-03-26 DOI: 10.1177/10892532261437742

Aubrey Yao, David Asseff, Orode Badakhsh, Ala Jamal, David Li, Hong Liu, Gregory Peterfreund, Nathaen Weitzel

{"title":"Year in Review 2025: Noteworthy Literature in Cardiac Anesthesiology.","authors":"Aubrey Yao, David Asseff, Orode Badakhsh, Ala Jamal, David Li, Hong Liu, Gregory Peterfreund, Nathaen Weitzel","doi":"10.1177/10892532261437742","DOIUrl":"10.1177/10892532261437742","url":null,"abstract":"Cardiac anesthesiology continues to evolve as new evidence reshapes practice across multiple domains of patient care. The pace and volume of publication make it increasingly difficult for clinicians to identify studies that are most likely to change day-to-day practice. We performed a structured search of major bibliographic databases and targeted high-impact journals to identify significant cardiac anesthesia research published in 2025. Of 639 records identified, 24 publications were selected by three reviewers based on methodological rigor, clinical relevance, and anticipated impact on perioperative management. The included literature clustered into six themes: prevention of acute kidney injury, blood conservation and coagulation management, multimodal analgesia and opioid-sparing strategies, Enhanced Recovery After Surgery (ERAS) protocols with emphasis on ventilation strategies and delirium prevention, point-of-care ultrasound applications, and workforce sustainability. Together, these studies highlight a continued shift from reactive rescue to proactive optimization-before, during, and after cardiac surgery. This review summarizes the most practice-informing cardiac anesthesiology publications from 2025 to support evidence-based decision-making at the bedside.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"103-114"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515634","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}

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Year in Review 2025: New and Noteworthy Literature in Cardiothoracic Critical Care. 2025年回顾：心胸危重症的新文献。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-06-01 Epub Date: 2026-03-29 DOI: 10.1177/10892532261438445

Sarah M Alber, Kevin K Kim, Xiang Li, Kenji Tanabe, Samuel Gilliland

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Noteworthy in Cardiothoracic Surgery 2025. 《心胸外科2025》值得注意。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-06-01 Epub Date: 2026-03-05 DOI: 10.1177/10892532261433415

Elizabeth J Bashian, T Brett Reece, Jessica Y Rove, Alison H Mungo

{"title":"Noteworthy in Cardiothoracic Surgery 2025.","authors":"Elizabeth J Bashian, T Brett Reece, Jessica Y Rove, Alison H Mungo","doi":"10.1177/10892532261433415","DOIUrl":"10.1177/10892532261433415","url":null,"abstract":"Noteworthy in Cardiothoracic Surgery 2025 highlights several of the most influential trials and emerging trends shaping cardiothoracic surgical practice. In structural heart disease, new randomized data have expanded consideration of transcatheter aortic valve replacement to asymptomatic patients while reinforcing the importance of longer-term durability and lifetime valve management in lower-risk populations. In heart transplantation, advances in minimally invasive and robotic techniques, alongside growing international experience with donation after circulatory death, underscore both the promise of innovation and the need for disciplined management of ischemic and preservation times. Endovascular management of complex thoracic aortic disease continues to evolve with broader use of branched devices. In thoracic oncology, practice changing trials support a shift towards perioperative chemotherapy and immunotherapy for resectable esophageal, gastroesophageal junction, and lung cancers, redefining surgical timing, coordination, and multidisciplinary care. Finally, continued adoption of minimally invasive and robotic approaches reflects a broader trend toward reducing surgical morbidity while maintaining oncologic and transplant outcomes.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"144-149"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356493","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}

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Moving Forward, Together. 共同前进。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-06-01 Epub Date: 2026-04-18 DOI: 10.1177/10892532261444926

Barbara Wilkey, Miklos D Kertai, Benjamin Abrams

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Letter to the Editor: A Scalable Alternative to In Vitro Contracture Testing for Incidentally Discovered Genetic Variants for Malignant Hyperthermia. 致编辑的信：对偶然发现的恶性高热基因变异进行体外挛缩测试的可扩展替代方法。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-05-04 DOI: 10.1177/10892532261446853

Miklos D Kertai, Lisa A Bastarache, David A Roberts

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Variations in Intraoperative Opioid Use in Cardiac Surgical Patients With Midline Sternotomy. 胸骨中线切开心脏手术患者术中阿片类药物使用的变化。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-04-24 DOI: 10.1177/10892532261446159

Negmeldeen Mamoun, Morgan A Rosser, Kamrouz Ghadimi, Crosby Culp, Bryan Chow, Katherine Sun, Sharon McCartney, Michael Manning

{"title":"Variations in Intraoperative Opioid Use in Cardiac Surgical Patients With Midline Sternotomy.","authors":"Negmeldeen Mamoun, Morgan A Rosser, Kamrouz Ghadimi, Crosby Culp, Bryan Chow, Katherine Sun, Sharon McCartney, Michael Manning","doi":"10.1177/10892532261446159","DOIUrl":"https://doi.org/10.1177/10892532261446159","url":null,"abstract":"High-dose opioid use in cardiac anesthesia has been challenged due to its association with increased postoperative complications. We retrospectively compared postoperative opioid consumption in a cohort of adult cardiac surgery patients who received low, moderate, or high doses of intraoperative opioids. We also examined variability in intraoperative opioid use among cardiac anesthesiologists. Within our cohort, we categorized patients into \"lower opioid recipients\" (LOR), \"mid opioid recipients\" (MOR), or \"higher opioid recipients\" (HOR) based on the distribution of intraoperative opioids administered in morphine milligram equivalents (MME) within our cohort. After summarizing their demographics and clinical characteristics, we assessed the association between their intraoperative opioid dose group and our outcomes of interest including postoperative opioid consumption. A total of 6390 patients who underwent cardiac surgery between 2014 and 2022 met our inclusion criteria. Our multivariable models indicated that the HOR group was significantly associated with less postoperative opioid consumption relative to the LOR (MME: Mean Ratio (MR) = 0.51 (0.47, 0.56), P < 0.001; MME/kg: MR = 0.51 (0.48, 0.55), P < 0.001) and the MOR (MME: MR = 0.53 (0.50, 0.57), P < 0.001; MME/kg: MR = 0.55 (0.55 (0.51, 0.58), P < 0.001). Among patients undergoing elective adult cardiac surgery, higher doses of intraoperative opioids were associated with lower postoperative opioid consumption. Marked variability in opioid administration was observed among cardiac anesthesiologists, where higher intraoperative opioid use remains a common practice. This highlights the need for precise distinction between high and low dose opioid techniques.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"10892532261446159"},"PeriodicalIF":1.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784900","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}

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Statistics for the Clinician II: The T-test, Its Versions, and Its Alternatives. 临床医生统计学II: t检验，它的版本，和它的替代品。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-04-20 DOI: 10.1177/10892532261446150

Sherwin Thiyagarajan, Paul Abboud, Reza Ehsanian, Ross Hanson, Timothy R Petersen

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Implementation and Results of On-Table Extubation Following Hypothermic Circulatory Arrest: Early Experience and Outcomes. 低温循环停止后桌上拔管的实施和结果：早期经验和结果。

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Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-04-18 DOI: 10.1177/10892532261444603

Justin W Walker, Nicholas D'Alonzo, Cooper Grove, Abdulrhman S Elnaggar, Shayne Michael Roberts

{"title":"Implementation and Results of On-Table Extubation Following Hypothermic Circulatory Arrest: Early Experience and Outcomes.","authors":"Justin W Walker, Nicholas D'Alonzo, Cooper Grove, Abdulrhman S Elnaggar, Shayne Michael Roberts","doi":"10.1177/10892532261444603","DOIUrl":"https://doi.org/10.1177/10892532261444603","url":null,"abstract":"The objective of this study is to discuss the implementation, safety, and potential benefits of on-table extubation (OTE) in surgeries involving hypothermic circulatory arrest (HCA). A retrospective analysis of all consecutive cases involving HCA from 2021 to 2024 was completed. The setting of this study is a single, tertiary academic medical center. All cardiac surgery patients undergoing HCA during the study period were evaluated for inclusion in this study. The intervention in this study was the implementation of OTE in patients undergoing HCA. Twelve out of 85 (14%) patients underwent OTE following HCA. In this cohort, there were no post-operative reintubations, major complications, or mortalities. The median intensive care unit (ICU) length of stay was 21.5 hours, and the median duration of hospitalization was 6.6 days. Patients undergoing fast track extubation (FTE) (extubation within 6 hours post-operatively), or extubation >6 hours had a median ICU length of stay of 42.1 hours (P = 0.12) and 91.8 hours (P < 0.01) and a hospital length of stay of 5.0 days (P = 0.03) and 11.5 days (P = 0.02), respectively. There were no reintubations or mortalities in the FTE group, and five reintubations and ten mortalities in the >6 hour group. OTE in patients undergoing HCA is feasible and demonstrated minimal post-operative complications in our cohort. Consideration of these cases for OTE may improve outcomes and appears to be safe in select patients. Centers experienced with OTE should consider internal evaluation of their readiness to broaden OTE to traditionally more \"high-risk\" populations on a case-by-case basis.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"10892532261444603"},"PeriodicalIF":1.0,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718263","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}

引用次数: 0