HSR proceedings in intensive care & cardiovascular anesthesia最新文献

Management of sterno-mediastinitis using titanium mesh following cardiac surgery. 心脏手术后应用钛网治疗胸骨-纵隔炎。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2013-01-01

M Gursoy, S Altun, J Gulmaliyev, A Akgul

引用次数: 0

Major themes for 2012 in cardiovascular anesthesia and intensive care. 2012年心血管麻醉和重症监护的主要主题。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2013-01-01

H Riha, P Patel, L Al-Ghofaily, E Valentine, A Sophocles, J G T Augoustides

{"title":"Major themes for 2012 in cardiovascular anesthesia and intensive care.","authors":"H Riha, P Patel, L Al-Ghofaily, E Valentine, A Sophocles, J G T Augoustides","doi":"","DOIUrl":"","url":null,"abstract":"There was major progress through 2012 in cardiovascular anesthesia and intensive care. Although recent meta-analysis has supported prophylactic steroid therapy in adult cardiac surgery, a large Dutch multicenter trial found no outcome advantage with dexamethasone. A second large randomized trial is currently testing the outcome effects of methyprednisolone in this setting. Due to calibration drift, the logistic EuroSCORE has recently been recalibrated. Despite this model revision, EuroSCORE II still overestimates mortality after transcatheter aortic valve implantation. It is likely that a specific perioperative risk model will be developed for this unique patient population. Recent global consensus has prioritized 12 non-surgical interventions that merit further study for reducing mortality after surgery. There is currently a paradigm shift in the conduct of adult aortic arch repair. Recent advances have facilitated aortic arch reconstruction with routine antegrade cerebral perfusion at mild-to-moderate hypothermia. Further integration of hybrid endovascular techniques may allow future aortic arch repair without hypothermia or circulatory arrest. These advances will likely further improve patient outcomes.","PeriodicalId":89769,"journal":{"name":"HSR proceedings in intensive care & cardiovascular anesthesia","volume":"5 1","pages":"9-16"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/50/e3/hsrp-05-009.PMC3670718.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31572317","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

Prophylactic intraaortic balloon counterpulsation in high-risk cardiac surgery: a survey of opinion and current practice. 高危心脏手术中预防性主动脉内球囊反搏:观点和当前实践的调查。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2013-01-01

E Litton, A Delaney

{"title":"Prophylactic intraaortic balloon counterpulsation in high-risk cardiac surgery: a survey of opinion and current practice.","authors":"E Litton, A Delaney","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Patients undergoing cardiac surgery increasingly have greater comorbidities and subsequently are at higher risk of adverse postoperative outcomes. Despite some evidence suggests that prophylactic intraaortic balloon counterpulsation reduces mortality in selected high-risk patients, its use remains low. The aim of this study was to investigate reported management strategies of high-risk patients and attitudes towards further research in this area.Methods: A 22-question survey was developed and distributed electronically to all practicing cardiothoracic fellows through the email list of the Australian and New Zealand Society of Cardiac and Thoracic Surgeons.Results: The response rate was 28% (n=31). Reported use of prophylactic intraaortic balloon counterpulsation varied depending on the specified preoperative indication. Prophylactic intraaortic balloon counterpulsation was used occasionally or never by the majority of respondents for their patients with characteristics similar to those of previous trials. The most frequent reason given for not using prophylactic intraaortic balloon counterpulsation was lack of data (42.9%), with a willingness to consider participation in an randomised controlled trial of prophylactic intraaortic balloon counterpulsation by a large majority of respondents (79.3%).Conclusions: The majority of surgeons who responded to this survey do not routinely use prophylactic intraaortic balloon counterpulsation for high-risk patients. Further prospective data is warranted to ascertain whether potential barriers to a randomised control trial of prophylactic intraaortic balloon counterpulsation, such as adequate patient numbers and clear selection criteria, can be overcome.","PeriodicalId":89769,"journal":{"name":"HSR proceedings in intensive care & cardiovascular anesthesia","volume":"5 1","pages":"33-9"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a2/98/hsrp-05-033.PMC3670717.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31572320","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

Treatment of mediastinitis following cardiac surgery-still in discussion. 心脏手术后纵隔炎的治疗-仍在讨论中。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2013-01-01

I C Ennker

引用次数: 0

Organ-conserving cardiac surgery. 保存器官的心脏手术。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2013-01-01

B Rylski, F Beyersdorf

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Revascularization surgery as a treatment concept for heart failure. 血管重建术作为心力衰竭的治疗理念。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2013-01-01

J Ennker, S Bauer, I C Ennker

{"title":"Revascularization surgery as a treatment concept for heart failure.","authors":"J Ennker, S Bauer, I C Ennker","doi":"","DOIUrl":"","url":null,"abstract":"Patients with heart failure symptoms due to ischemic cardiomyopathy face a poor prognosis without adequate treatment. In these patients with viable ischemic myocardium, revascularization surgery is not a new but an established treatment concept. the CASS study, published in 1983, was already able to document the superiority of coronary artery revascularization in patients with poor left ventricular function. It is of utmost importance to predict regional functional recovery in order to assess viability and, thus, the indication for revascularization. Late gadoliniium enhancement cardiovascular magnetic resonance is the new gold standard. By applying this technique, it can be demonstrated that the transmural extent of a scar predicts segmental functional recovery. Numerous studies describe the predictors of survival of surgical revascularization, the indication and impact of medical antiarrhythmic treatment or choice of graft. In addition to conventional surgery, off-pump procedures, minimal extracorporeal circulation and hybrid revascularization have a special role in the treatment of patients with ischemic cardiomyopathy. Surgical techniques and medical therapies continue to improve. The future revascularization in these patients will focus on improving results and making coronary artery bypass grafting for elective revascularization less invasive and safer. Technical evolution, including the use of robotics and anastomotic connectors, intraoperative imaging and protein enzyme therapies, have to be defined concerning their special impact in these patients. ","PeriodicalId":89769,"journal":{"name":"HSR proceedings in intensive care & cardiovascular anesthesia","volume":"5 2","pages":"89-97"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ee/58/hsrp-05-089.PMC3722340.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31609190","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

From Osler to the cone technique. 从奥斯勒到锥体技术。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2013-01-01

M John

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Ramification of indexing of medical journals. 医学期刊标引的分支。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2013-01-01

M Chakravarthy, R Hetzer, E M Delmo Walter

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List of guest reviewers. 嘉宾评审名单。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2013-01-01

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An A to Z of peer-to-peer writing. 从A到Z的点对点写作。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2013-01-01

M John

引用次数: 0