Seminars in Cardiothoracic and Vascular Anesthesia最新文献_第9页

Anesthetic Challenges in a Patient With TANGO2 Gene Deletion, DiGeorge Syndrome, and Tetralogy of Fallot: A Case Report TANGO2基因缺失、DiGeorge综合征和法洛四联症患者的麻醉挑战:一例报告

IF 1.4

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2022-05-20 DOI: 10.1177/10892532221080946

Ivana Wrobleski, Nischal K. Gautam, Richard M. Hubbard

引用次数: 2

Noteworthy Cardiac Literature From 2021: Coronary Guideline Change Without New Data, Heart Transplant Donation After Cardiac Death, Covid Effects on Global Cardiac Surgery, and Attempt to Improve Dissection Remodeling 2021年值得注意的心脏文献:无新数据的冠状动脉指南变化，心脏死亡后心脏移植捐赠，Covid对全球心脏手术的影响，以及改善解剖重构的尝试

IF 1.4

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2022-05-19 DOI: 10.1177/10892532221101298

J. Hoffman, Kelly Higa, Yihan Lin, T. B. Reece, J. Cleveland, Muhammad Aftab, Jessica Y. Rove

引用次数: 1

Year in Review 2021: Noteworthy Literature in Cardiothoracic Critical Care 2021年回顾：心胸重症监护领域值得注意的文献

IF 1.4

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2022-05-09 DOI: 10.1177/10892532221100663

Samuel Gilliland, Sarah M. Alber, Hans Tregear, Andrew W. Hennigan, N. Weitzel

引用次数: 1

Intraoperative Transesophageal Echocardiographic Detection of a Gerbode Defect in a Patient Referred for Aortic Valve Endocarditis: A Case Report 一例主动脉瓣心内膜炎患者术中经食管超声心动图检测Gerbode缺陷

IF 1.4

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2022-04-12 DOI: 10.1177/10892532221080920

Rohesh J. Fernando, Sean D. Johnson, K. Richardson

{"title":"Intraoperative Transesophageal Echocardiographic Detection of a Gerbode Defect in a Patient Referred for Aortic Valve Endocarditis: A Case Report","authors":"Rohesh J. Fernando, Sean D. Johnson, K. Richardson","doi":"10.1177/10892532221080920","DOIUrl":"https://doi.org/10.1177/10892532221080920","url":null,"abstract":"This clinical challenge discusses a case in which a patient was referred for aortic valve repair or replacement due to severe aortic regurgitation from infective endocarditis. In addition to discovering a previously unknown tricuspid valve vegetation, the intraoperative echocardiographic evaluation was instrumental in revealing an undiagnosed Gerbode defect. The flow through this Gerbode defect was previously mistaken for tricuspid regurgitation, and the patient was misdiagnosed as exhibiting severe pulmonary hypertension. This case highlights the importance of reviewing preoperative echocardiographic imaging, as well as diligence in completing a thorough intraoperative transesophageal echocardiographic exam prior to cardiopulmonary bypass. In addition, while flow typically occurs in Gerbode defects during systole, this case demonstrates that flow can also occur during diastole, which was most likely due to the severe aortic regurgitation. Fortunately, the patient was able to undergo successful treatment for the unexpected sequalae of the infective endocarditis, including repair of the Gerbode defect, tricuspid valve repair, and aortic valve and root replacement. Importantly, the incorrect diagnosis of severe pulmonary hypertension was removed.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49488096","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: 2

Tracheal Bronchus With Difficult Lung Isolation: A Case Report 气管支气管伴肺部分离困难1例报告

IF 1.4

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2022-03-28 DOI: 10.1177/10892532211069243

Daniel A Friedlander, Rabi Panigrahi, Dhamodaran Palaniappan

引用次数: 2

Transesophageal Echocardiographic Assessment of the Repaired Mitral Valve: A Proposed Decision Pathway. 经食管超声心动图评估修复的二尖瓣:一种建议的决策途径。

IF 1.4

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2022-03-01 Epub Date: 2021-09-02 DOI: 10.1177/10892532211036655

Jose Liza Reshmi, G Gopan, Praveen Kerala Varma, Madathil Thushara, Vanga Babu Sudheer, Rajesh Gopalakrishnan Madavathazhathil, Aveek Jayant

引用次数: 4

Anesthetic Considerations in Pediatric Patients With Acute Decompensated Heart Failure. 急性失代偿性心力衰竭患儿的麻醉考虑。

IF 1.4

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2022-03-01 Epub Date: 2021-11-03 DOI: 10.1177/10892532211044977

Roby Sebastian, Sana Ullah, Pablo Motta, Bibhuti Das, Luis Zabala

引用次数: 1

Platelet Dysfunction in Cardiac Surgery: When is the Best Time to Assess It? An Observational Single Center Study. 心脏手术中血小板功能障碍:何时是评估的最佳时机?观察性单中心研究。

IF 1.4

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2022-03-01 Epub Date: 2022-02-13 DOI: 10.1177/10892532211064041

Elisabetta Auci, Igor Vendramin, Federico Barbariol, Ilaria Riccardi, Andrea Gigante, Antonio Baroselli, Tiziana Bove, Flavio Bassi, Luigi Vetrugno, Ugolino Livi

{"title":"Platelet Dysfunction in Cardiac Surgery: When is the Best Time to Assess It? An Observational Single Center Study.","authors":"Elisabetta Auci, Igor Vendramin, Federico Barbariol, Ilaria Riccardi, Andrea Gigante, Antonio Baroselli, Tiziana Bove, Flavio Bassi, Luigi Vetrugno, Ugolino Livi","doi":"10.1177/10892532211064041","DOIUrl":"https://doi.org/10.1177/10892532211064041","url":null,"abstract":"Purpose. Cardiac surgery is characterized by a high risk of complications related to perioperative bleeding. Guidelines suggest the use of local algorithms based on perioperative point-of-care tests to assess and manage potential coagulation abnormalities. We investigated whether heparin reversal administration affects the adenosine-5-diphosphate (ADP) test values, thus identifying the earliest time point following cardio-pulmonary bypass that permits the promptest detection and treatment of potential platelet dysfunctions. Methods. This was a retrospective, single-center, observational study enrolling cardiac surgery patients requiring cardiac bypass. ADP-tests at 4 different time-points during surgery (T0: baseline, T1: at aortic de-clamping, T2: 10 minutes after protamine administration, and T3: at the end of surgery) were performed. Results. 63 patients undergoing elective cardiac surgery were studied. Baseline ADP-test values were almost constantly greater than intraoperative values, and end of surgery values were often greater than previous intraoperative values. The only difference that proved to be not statistically significant was between T1 and T2, with a clinically insignificant mean difference of -.2 U (95%CI of difference: -6.9 - 6.5 U). There was no correlation between the variation in ADP-test values pre- and post-protamine administration and the protamine-to-heparin ratio. Conclusion. The results of the present study support the hypothesis that the ADP-test could be performed early, at aortic de-clamping before protamine administration. This approach allows for the promptest assessment of a potential impairment in platelet function, and its timely correction.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39916817","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

Mitral Regurgitation in Patients Undergoing Noncardiac Surgery. 非心脏手术患者的二尖瓣返流。

IF 1.4

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2022-03-01 Epub Date: 2021-09-01 DOI: 10.1177/10892532211042827

Ellen W Richter, Islam M Shehata, Hamdy M Elsayed-Awad, Matthew A Klopman, Sujatha P Bhandary

{"title":"Mitral Regurgitation in Patients Undergoing Noncardiac Surgery.","authors":"Ellen W Richter, Islam M Shehata, Hamdy M Elsayed-Awad, Matthew A Klopman, Sujatha P Bhandary","doi":"10.1177/10892532211042827","DOIUrl":"https://doi.org/10.1177/10892532211042827","url":null,"abstract":"Mitral regurgitation (MR) is one of the most frequently encountered types of valvular heart disease in the United States. Patients with significant MR (moderate-to-severe or severe) undergoing noncardiac surgery have an increased risk of perioperative cardiovascular complications. MR can arise from a diverse array of causes that fall into 2 broad categories: primary (diseases intrinsic to the valvular apparatus) and secondary (diseases that disrupt normal valve function via effects on the left ventricle or mitral annulus). This article highlights key guideline updates from the American College of Cardiologists (ACC) and the American Heart Association (AHA) that inform decision-making for the anesthesiologist caring for a patient with MR undergoing noncardiac surgery. The pathophysiology and natural history of acute and chronic MR, staging of chronic primary and secondary MR, and considerations for timing of valvular corrective surgery are reviewed. These topics are then applied to a discussion of anesthetic management, including preoperative risk evaluation, anesthetic selection, hemodynamic goals, and intraoperative monitoring of the noncardiac surgical patient with MR.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39374036","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: 2

Recommendations From the Society for the Advancement of Transplant Anesthesiology Fellowship Committee: Core Competencies and Milestones for the Kidney/Pancreas Component of Abdominal Organ Transplant Anesthesia Fellowship. 来自移植麻醉学进步协会奖学金委员会的建议:腹部器官移植麻醉奖学金肾/胰腺部分的核心能力和里程碑。

IF 1.4

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2022-03-01 Epub Date: 2021-12-06 DOI: 10.1177/10892532211058574

Fouad G Souki, Ryan Chadha, Raymond Planinsic, Jeron Zerillo, Christine Nguyen-Buckley, Natalie Smith, M Susan Mandell, Tetsuro Sakai, Ramona Nicolau-Raducu

{"title":"Recommendations From the Society for the Advancement of Transplant Anesthesiology Fellowship Committee: Core Competencies and Milestones for the Kidney/Pancreas Component of Abdominal Organ Transplant Anesthesia Fellowship.","authors":"Fouad G Souki, Ryan Chadha, Raymond Planinsic, Jeron Zerillo, Christine Nguyen-Buckley, Natalie Smith, M Susan Mandell, Tetsuro Sakai, Ramona Nicolau-Raducu","doi":"10.1177/10892532211058574","DOIUrl":"https://doi.org/10.1177/10892532211058574","url":null,"abstract":"The Society for the Advancement of Transplant Anesthesia (SATA) is dedicated to improving patient care in all facets of transplant anesthesia. The anesthesia fellowship training recommendations for thoracic transplantation (heart and lungs) and part of the abdominal organ transplantation (liver) have been presented in previous publications. The SATA Fellowship Committee has completed the remaining component of abdominal transplant anesthesia (kidney/pancreas) and has assembled core competencies and milestones derived from expert consensus to guide the education and overall preparation of trainees providing care for kidney/pancreas transplant recipients. These recommendations provide a comprehensive approach to pre-operative evaluation, vascular access procedures, advanced hemodynamic monitoring, assessment of coagulation and metabolic abnormalities, operative techniques, and post-operative pain control. As such, this document supplements the current liver/hepatic transplant anesthesia fellowship training programs to include all aspects of \"Abdominal Organ Transplant Anesthesia\" recommended knowledge.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39951456","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: 1