Annals of Cardiac Anaesthesia最新文献

{"title":"Communication Between Vascular Catheter Lumens: Safety Implications.","authors":"Gegal Pruthi, Ankita Dey, Dilraj Dhindsa","doi":"10.4103/aca.aca_203_24","DOIUrl":"https://doi.org/10.4103/aca.aca_203_24","url":null,"abstract":"<p><strong>Abstract: </strong>In this case, we report a rare manufacturing defect in a multi-lumen central venous catheter, where communication between lumens was discovered during a pre-use flush check. This defect raises significant safety concerns, including potential medication interference and inaccurate CVP readings. Vigilant pre-use testing and heightened awareness of such anomalies are crucial to preventing life-threatening complications.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 2","pages":"179-180"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143956825","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}

{"title":"Crack in Drainage Cannula During Minimally Invasive ASD Repair Surgery- Troubleshooting of an Unforeseen Complication.","authors":"Kumara Vijaya, Rai D Guruprasad, R Sumanth","doi":"10.4103/aca.aca_177_24","DOIUrl":"10.4103/aca.aca_177_24","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":" ","pages":"206-207"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662112","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}

{"title":"The ProtekDuo Cannula for Venopulmonary ECMO as Bridge to Lung Transplantation: A Single Center Case Series.","authors":"Yuriy Stukov, Mindaugas Rackauskas, Marc O Maybauer","doi":"10.4103/aca.aca_194_24","DOIUrl":"10.4103/aca.aca_194_24","url":null,"abstract":"<p><strong>Abstract: </strong>Venovenous extracorporeal membrane oxygenation is the most commonly used mode of support in pre-lung transplant recipients. In patients who experience right ventricular dysfunction, venopulmonary ECMO is an excellent option to preserve RV function. We retrospectively reviewed patients who were supported with venopulmonary ECMO. Descriptive analysis, patient characteristics, ECMO outcomes, and survival were assessed. The primary outcome was mortality. Mean age was 45.5 ± 15.63, mean ECMO hours 1391.75 ± 1239.01. 4 patients had right ventricular dysfunction. All patients received bilateral orthotopic lung transplant. One-year survival was 100% for all patients. Venopulmonary extracorporeal membrane oxygenation can be safely used to bridge patients with end-stage lung disease to lung transplantation.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":" ","pages":"190-192"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662115","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}

{"title":"Acute Normovolemic Hemodilution Significantly Reduces RBC Transfusion and Lactic Acidosis Following Cardiac Surgery-A Propensity-Matched Study.","authors":"Vala Sebt, Shahnaz Sharifi, Alipasha Meysamie, Kianoush Saberi","doi":"10.4103/aca.aca_192_24","DOIUrl":"https://doi.org/10.4103/aca.aca_192_24","url":null,"abstract":"<p><strong>Background: </strong>Bleeding represents a major complication in heart surgeries. However, even small amounts of allogeneic blood are associated with reduced long-term survival and short-term complications. Acute normovolemic hemodilution (ANH) serves as a viable alternative, but its effectiveness and safety remain controversial.</p><p><strong>Objective: </strong>We aimed to clarify the effects of mild-volume ANH on blood transfusions and short-term complications following heart surgeries.</p><p><strong>Methods: </strong>This was a quasi-experimental study in a referral center on 2271 patients. We performed an extensive propensity-score matching to mitigate the lack of random assignment and potential selection bias. This resulted in 778 patients with no significant differences in 28 variables, including clinical, paraclinical, and operative features.</p><p><strong>Results: </strong>ANH significantly reduced the rate of RBC transfusion by 16% (50.9% vs. 60.9%; RR: 0.84; P = 0.006) and the number of transfused RBCs by 0.24 units (0.96 ± 1.32 vs. 1.20 ± 1.39; P = 0.013) but did not affect the transfusion of FFP or platelets. Furthermore, ANH significantly lowered the incidence of lactic acidosis by 53% (6.8 vs. 11.3%; RR: 0.47; P < 0.001) but had no notable impact on other short-term outcomes following heart surgery, including mortality, re-intubation, re-exploration, delayed sternal closure, length of ICU stay, or duration of mechanical ventilation.</p><p><strong>Conclusion: </strong>Mild-volume ANH significantly reduced the rate and amount of perioperative RBC transfusions, as well as the incidence of lactic acidosis following heart surgery. ANH did not affect the incidence of other complications during hospitalization.</p><p><strong>Implication: </strong>This suggests that ANH could be a safe and beneficial blood conservation technique. Further randomized clinical trials are needed to evaluate its effects.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 2","pages":"136-142"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960147","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}

{"title":"Aortoesophageal Fistula Following Thoracic Endovascular Aortic Repair.","authors":"Ajmer Singh, Chinmaya Nanda, Vishakha P Konalli, Firdoos Ahmad Mir","doi":"10.4103/aca.aca_220_24","DOIUrl":"https://doi.org/10.4103/aca.aca_220_24","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 2","pages":"211-212"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143958169","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}

{"title":"Navigating the Impact of Artificial Intelligence on Medical Writing.","authors":"Mukul Chandra Kapoor","doi":"10.4103/aca.aca_14_25","DOIUrl":"https://doi.org/10.4103/aca.aca_14_25","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 2","pages":"105-106"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961228","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}

{"title":"Anesthesia for Pentalogy of Cantrell with Surgical Repair of Tetralogy of Fallot Along with Absent Diaphragm: A Case Study.","authors":"Vaibhav Maheshwari, Manoranjan Sahoo","doi":"10.4103/aca.aca_213_24","DOIUrl":"https://doi.org/10.4103/aca.aca_213_24","url":null,"abstract":"<p><strong>Abstract: </strong>Pentalogy of Cantrell compiles the union of five anomalies including defects of the midline abdominal wall, lower sternum, anterior diaphragm, diaphragmatic pericardium, and any form of intra-cardiac pathology 1. The intra-cardiac defects associated commonly are ventricular septal defects, followed by atrial septal defects, Tetralogy of Fallot, and pulmonary stenosis 2. It is also a rare syndrome with an estimated incidence of 1:65,000 to 200,000 live births.3 4 Here in we present a case of a 4-year-old male patient, diagnosed with Pentalogy of Cantrel was referred to our institute with chief complaints of breathlessness associated with cyanosis on exertion. He has ectopia cordis along with omphalocele since birth.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 2","pages":"181-183"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143956714","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}

{"title":"Microbiological Surveillance of Air Quality in Cardiac Operation Theatres: Comparison of the Conventional Settle Plate Technique vs Use of an Air Sampling Device.","authors":"Alok Kumar, Prashant Patil, Abhinay Ankur, Nihar Ameta, Monika Aggarwal","doi":"10.4103/aca.aca_200_24","DOIUrl":"https://doi.org/10.4103/aca.aca_200_24","url":null,"abstract":"<p><strong>Introduction: </strong>Surgical site infections (SSIs) after cardiac surgery poses a serious challenge. The foremost reason for contamination in operating rooms (OR) is airborne. Effective surveillance by air sampling or settle techniques is crucial in maintenance of air quality in cardiac OR.</p><p><strong>Methodology: </strong>The air quality of two different cardiac OR (adult and pediatric) with laminar air flow system and HEPA filters in place was studied with an aim to compare the plate and air sampling technique. Sampling was done both passive and actively using a Surface Air System air sampler. Muller Hinton Agar plates incubated at 36 °C were used, and total viable count assessment was calculated using Koch's sedimentation method.</p><p><strong>Results: </strong>Colony-forming unit (CFU) counts showed significant differences at various time points in both adult and pediatric OR. The settle plate as compared to the air sampling device correlated but showed lesser CFUs across pre, mid, and postsurgical periods (P < 0.05). The adult cardiac OR had significantly higher bioload than pediatric OR (P < 0.05). The results suggested that both the technique was good for air quality monitoring in OR.</p><p><strong>Conclusion: </strong>The study compares the two-sampling technique in adult and pediatric cardiac OR, finding higher levels of bioload in adult ORs possibly due to more personnel and longer surgeries. Although settle plates offer basic contamination assessment, air samplers detect specific events efficiently. Using either air sampler or settle plate technique for microbial surveillance in cardiac ORs is suggested for monitoring and prevention of SSI.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 2","pages":"156-160"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143962051","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}

{"title":"Randomized Comparison of Oblique versus Transverse Orientation for Ultrasound-Guided Internal Jugular Venous Cannulation in Pediatric Heart Surgery Patients.","authors":"Aldy Heriwardito, Sidharta K Manggala, Angela Christina","doi":"10.4103/aca.aca_167_24","DOIUrl":"https://doi.org/10.4103/aca.aca_167_24","url":null,"abstract":"<p><strong>Background: </strong>Ultrasound-guided internal jugular venous access improves the rate of successful cannulation of the internal jugular vein in both adult and pediatric patients. Internal jugular venous cannulation in pediatric patients is anatomically and technically more challenging than in adults. The oblique method is a novel approach for guiding central venous cannulation. There is currently a scarcity of research on central venous cannulation techniques for pediatric patients.</p><p><strong>Aim: </strong>The purpose of this study was to compare the success rates between the oblique and transverse approach of jugular venous cannulation in pediatric cardiac surgery patients.</p><p><strong>Methods: </strong>A prospective randomized clinical trial of pediatric patients who underwent cardiac surgery at Cipto Mangunkusumo Hospital was conducted between February and May 2021. Sixty patients were randomized into two groups: 30 in the oblique group and 30 in the transverse group.</p><p><strong>Results: </strong>There was no difference in the first needle pass success rate between the oblique and transversal approaches (86.7% vs. 73.3%; P = 0.19). There is no difference in the total number of attempts between the two groups (1.3 vs 1.43; P > 0.05).</p><p><strong>Conclusion: </strong>There was no difference between oblique and transverse orientations for internal jugular venous cannulation in pediatric cardiac surgery patients in terms of successful cannulation on the first needle pass and total number of attempts.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 2","pages":"149-155"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967228","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}

{"title":"An Alternate Approach to Anesthetic Management of Central Airway Tumors.","authors":"Thushara Madathil, Nagarjuna Panidapu, Devika Poudval, Praveen Kumar Neema","doi":"10.4103/aca.aca_222_24","DOIUrl":"https://doi.org/10.4103/aca.aca_222_24","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 2","pages":"207-208"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143962896","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}