HSR proceedings in intensive care & cardiovascular anesthesia最新文献_第3页

Stented bioprostheses in aortic position. 主动脉位置的支架生物前列腺。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

J Cremer, J Schöttler, R Petzina, G Hoffmann

{"title":"Stented bioprostheses in aortic position.","authors":"J Cremer, J Schöttler, R Petzina, G Hoffmann","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Biological stented prostheses are currently the main type of prosthetic valve used for aortic valve replacement. The ratio of bioprotheses to mechanical prostheses has switched in the last 15 years; the percentage of biological prostheses implanted has risen from 30 % to 85 %. Moreover the total number of implanted stented bioprostheses remained stable over the last years despite competing procedures like stentless prostheses or transcatheter aortic valve implantation.Methods: A literature search of all published aortic valve replacement studies was performed from January 2000 through May 2012.Results: The recommendations guiding the type of heart valve replacement have been revised in recent years. Of particular interest are the new generation of biological prostheses with extended durability, a decrease in mortality of reoperation and an increase in life expectancy. Comorbidities such as chronic renal insufficiency or chronic atrial fibrillation are no longer contraindications to bioprostheses.Conclusion: Overall, even in face of more innovative biological alternatives the implantation of stented bioprostheses is still a very interesting option and represents actually the most frequent valve implantation technique for aortic stenosis.","PeriodicalId":89769,"journal":{"name":"HSR proceedings in intensive care & cardiovascular anesthesia","volume":"4 2","pages":"83-7"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/01/fa/hsrp-04-083.PMC3484933.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31263836","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

When expert opinion does matter... 当专家意见起作用时……

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

E M Delmo Walter, R Hetzer

引用次数: 0

2012 pandemic flu. 2012年流感大流行。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

F E Ghio, C Serini, L Ghislanzoni, A Calini, G Monti, F Pappalardo, A Ponti

引用次数: 0

The criteria of eligibility to the extracorporeal treatment. 体外治疗的资格标准。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

A Zangrillo

引用次数: 0

State of the art in cardiovascular perfusion: now and in the next decade. 心血管灌注技术的现状:现在和未来十年。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

F Merkle, B Haupt, A El-Essawi, R Hetzer

{"title":"State of the art in cardiovascular perfusion: now and in the next decade.","authors":"F Merkle, B Haupt, A El-Essawi, R Hetzer","doi":"","DOIUrl":"","url":null,"abstract":"The development and improvement of cardiopulmonary bypass technology is an ongoing process. During the past decade, a number of publications on improvements and best practices have appeared, especially in the areas of biocompatibility, materials sciences, instrumentation, monitoring of physiological parameters and knowledge base (education and evidence-based medicine). Biocompatibility may be defined not only as an inherent property of a particular composition of matter, but also as a set of properties concerning shape, finish, fabrication techniques and choice of application. Materials in use for cardiopulmonary bypass have changed and coated components have been used frequently. Improvements in the area of instrumentation were achieved by adaptation of conventional cardiopulmonary bypass circuits. Miniaturization and re-design of cardiopulmonary bypass circuits (so-called minimized perfusion circuits or minimal extracorporeal circulation circuits) have made cardiopulmonary bypass technology less traumatic. A team approach, including the cardiac surgeon, the anesthesiologist and the cardiovascular perfusionist, was deemed beneficial in order to achieve further improvements. Next to choice of technology and material for a given operation, adjunct measures such as pharmaceutical treatment and blood conservation strategies need to be taken into consideration. Monitoring of variables during cardiopulmonary bypass has made some progress, while the knowledge base has expanded due to studies on best practices. For the immediate future, sound scientific knowledge and intelligent monitoring tools will allow cardiopulmonary bypass to be tailored to individual patients' needs.","PeriodicalId":89769,"journal":{"name":"HSR proceedings in intensive care & cardiovascular anesthesia","volume":"4 4","pages":"211-6"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/14/0e/hsrp-04-211.PMC3563554.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31264690","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

Spinal anesthesia plus ketamine-midazolam sedation for pediatric orthopedic surgery in a developing country. 脊髓麻醉加氯胺酮-咪达唑仑镇静用于发展中国家的儿科骨科手术。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

E Piraccini, R Albarello, C Biagini, A Novi, V Agnoletti, G Gambale

{"title":"Spinal anesthesia plus ketamine-midazolam sedation for pediatric orthopedic surgery in a developing country.","authors":"E Piraccini, R Albarello, C Biagini, A Novi, V Agnoletti, G Gambale","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Spinal anesthesia produces a profound and uniformly distributed sensory block with rapid onset and muscle relaxation, and results in complete control of cardiovascular and stress responses. Ketamine is an anesthetic agent that is widely used for pediatric sedations in settings where safety and efficacy of the agents are mandatory because of limited healthcare resources. The authors report on their experience in a refugee hospital located in Bol-la (Saharawi, Algeria).Methods: Spinal anesthesia was performed for orthopedic surgery procedures in children. Before the spinal puncture, the patients were sedated with intramuscular ketamine followed by intravenous ketamine and midazolam. Boluses of midazolam were also administered throughout the surgery to keep the patients sedated; spinal anesthesia was performed with levobupivacaine 0.25 mg/kg.Results: There were no intraoperative adverse events; vital signs were within the normal pediatric ranges during the procedures and there was no need to switch to general anesthesia. In the postoperative period, no symptoms of dural puncture headache or postoperative delirium or nightmares were reported.Conclusion: Based on the authors' experience, the combination of spinal anesthesia and sedation with midazolam and ketamine was found to be a safe approach for children undergoing orthopedic surgery in a low resources setting.","PeriodicalId":89769,"journal":{"name":"HSR proceedings in intensive care & cardiovascular anesthesia","volume":"4 3","pages":"176-8"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/42/4a/hsrp-04-176.PMC3485388.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31264898","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

Successful reversal of recurrent spinal cord ischemia following endovascular repair of a descending thoracic aortic aneurysm. 胸降主动脉瘤血管内修复术后复发性脊髓缺血成功逆转。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

J J Appoo, H D Gregory, H D Toeg, C A Prusinkiewicz, W D T Kent, A Ferland, D V Ha

引用次数: 0

Acute and chronic thoracic aortic disease: surgical considerations. 急性和慢性胸主动脉疾病:手术注意事项。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

M Loebe, D Ren, L Rodriguez, S La Francesca, J Bismuth, A Lumsden

{"title":"Acute and chronic thoracic aortic disease: surgical considerations.","authors":"M Loebe, D Ren, L Rodriguez, S La Francesca, J Bismuth, A Lumsden","doi":"","DOIUrl":"","url":null,"abstract":"Acute thoracic aortic aneurysm is one of the most life-threatening vascular disorders recognized to date. The majority of these aortic ruptures rapidly end in mortality, with 50% of patients suffering death before reaching the hospital. Thus, acute management through surgical intervention is often indicated, especially in cases of ascending aortic rupture. Physical examination is critical in making the diagnosis, as clinical signs and symptoms often vary depending on the location of the dissection. Clinicians should have a low threshold for including thoracic aortic dissection in their differential diagnosis, especially when a patient presents with acute onset chest or back pain. In this report, we discuss the different categories of aortic dissections and the current treatment modalities for each. These include endovascular aortic repair, which has become a viable treatment modality in certain cases of type B dissection. Offering a less invasive approach, the technique known as thoracic endovascular repair currently affords a treatment option to a patient population who would have otherwise been deemed non-surgical candidates. Hybrid thoracic endovascular aortic repair has also become a pertinent surgical technique, and successful outcomes have been demonstrated when it is employed to repair ascending aortic aneurysms. We also describe our Acute Aortic Treatment Center, a rapid multicentric triage system for the management of acute aortic pathologies, which has resulted in significant improvements in patient outcomes.","PeriodicalId":89769,"journal":{"name":"HSR proceedings in intensive care & cardiovascular anesthesia","volume":"4 4","pages":"243-50"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/68/94/hsrp-04-243.PMC3563558.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31265031","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

Tissue engineered aortic valve. 组织工程化主动脉瓣。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

P M Dohmen

引用次数: 0

Combined high thoracic and lumbar epidural block for a patient with severe peripheral vascular disease undergoing axillo bifemoral bypass surgery. 联合高胸腰椎硬膜外阻滞治疗严重外周血管疾病行腋窝双髋搭桥手术1例。

HSR proceedings in intensive care & cardiovascular anesthesia Pub Date : 2012-01-01

J Ali, R Kumar Chand, R Juneja, Y Mehta, N Trehan

引用次数: 0