Hypotension-Avoidance Versus Hypertension-Avoidance Strategies in Noncardiac Surgery : An International Randomized Controlled Trial.

Background: Among patients having noncardiac surgery, perioperative hemodynamic abnormalities are associated with vascular complications. Uncertainty remains about what intraoperative blood pressure to target and how to manage long-term antihypertensive medications perioperatively.

Objective: To compare the effects of a hypotension-avoidance and a hypertension-avoidance strategy on major vascular complications after noncardiac surgery.

Calcium administration In patients undergoing CardiAc suRgery under cardiopulmonary bypasS (ICARUS trial): Rationale and design of a randomized controlled trial.

Introduction: Weaning from cardiopulmonary bypass (CPB) is a critical step of any cardiac surgical procedure and often requires pharmacologic intervention. Calcium ions are pivotal elements for the excitation-contraction coupling process of cardiac myocytes. Thus, calcium administration might be helpful during weaning from CPB.

Sustained High-dose Thiamine Supplementation in High-risk Cardiac Patients Undergoing Cardiopulmonary Bypass: A Pilot Feasibility Study (The APPLY trial).

Objective: To test the feasibility and investigate possible cardiovascular effects of a sustained high-dose intravenous thiamine protocol in patients undergoing combined valvular and coronary artery bypass graft surgery.

Design: Randomized, placebo-controlled, pilot feasibility trial.

Setting: Cardiac surgery department of a tertiary hospital.

[Reconstruction of renal veins and imposition of vascular anastomoses in relative kidney transplantation].

The paper shows how to create the best ways extracorporeal reconstruction of the renal veins in related transplantation. It is necessary to consider the possibility of autoplasty at nephrectomy from a living donor, expansion of the distal renal vein and allow its implementation through the walls of the gonad donor veins. When there are several veins, the largest is used for anastomosis, others may be tied because of a well-developed network of intrarenal collateral venous outflow.