Publications by authors named "Selene Martinez Perez"
Background: Clinical presentation of postoperative myocardial infarction (POMI) is often silent. Several international guidelines recommend routine troponin surveillance in patients at risk. We compared how these different guidelines select patients for surveillance after noncardiac surgery with our established risk stratification model.
View Article and Find Full Text PDFLiver transplantation (LT) is the second most performed solid organ transplant. Coronary artery disease (CAD) is a critical consideration for LT candidacy, particularly in patients with known CAD or risk factors, including metabolic dysfunction associated with steatotic liver disease. The presence of severe CAD may exclude patients from LT; therefore, precise preoperative evaluation and interventions are necessary to achieve transplant candidacy.
View Article and Find Full Text PDFPurpose: We aimed to evaluate the effect of the 2017 Canadian Cardiovascular Society (CCS) guidelines on troponin surveillance after noncardiac surgery.
Methods: This was a single-centre, retrospective, observational study. Patients aged 40 yr or older undergoing intermediate- to high-risk elective noncardiac surgery between 2016 and 2021 were included.
Article Synopsis
- - The OBISPO initiative aims to improve monitoring of neuromuscular blockade (NMB) in patients undergoing elective cardiac surgery to enhance safety and outcomes, despite not being commonly practiced.
- - A pilot phase from February to December 2021 engaged 859 patients, revealing significant issues: many experienced residual paralysis upon recovery, and a large portion went without proper monitoring due to various barriers, including cognitive biases and workflow disruptions related to COVID-19.
- - The findings highlight the need for continuous education and quality improvement efforts to shift clinician behavior regarding NMB management and to develop new strategies that better integrate monitoring practices into perioperative care.
Background: Coagulopathy in cardiac surgery is frequently associated with acquired hypofibrinogenaemia, which can be treated with either purified fibrinogen concentrate (FC) or cryoprecipitate. Because the latter is not purified and therefore contains additional coagulation factors, it is thought to be more effective for treatment of coagulopathy that occurs after prolonged cardiopulmonary bypass (CPB). We examined the impact of CPB duration on the efficacy of the two therapies in cardiac surgery.
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