Publications by authors named "T Genty"
Objectives: Prone positioning (PP) has benefits in patients with acute respiratory distress syndrome. The objective of this study was to compare the effects and complications of PP in obese versus non-obese patients with moderate-to-severe acute respiratory distress syndrome after cardiothoracic surgery.
Methods: We retrospectively analysed a database established in 2014-2021 in an intensive care unit.
Effect of Deep Hypothermia (18°C) on Dioxygen Metabolism During Pulmonary Thromboendarterectomy Surgery.
J Cardiothorac Vasc Anesth
December 2024
Article Synopsis
- This study aimed to assess how deep hypothermia affects oxygen extraction (OE) and oxygen consumption (VO) in patients undergoing a specific heart surgery at different temperatures (normothermic, 30°C, 25°C, and 18°C).
- Over 3 months, 24 patients' hemodynamic and blood gas data were collected, revealing significant decreases in VO (from 65.9 to 25.1 mL O/min/m) and OE (from 18% to 9%) as temperature dropped to 18°C.
- The results indicate that metabolic needs are primarily met by dissolved oxygen during the cooling phase, highlighting the importance of increasing arterial oxygen pressure to prevent hypoxia in patients undergoing deep hyp
Background: Gastrointestinal ischemia (GIisch) is challenging to diagnose in patients after cardiothoracic surgery. Computed tomography angiography (CTA) carries substantial false-negative and false-positive rates. The aim of the study was to evaluate if a combination of readily available variables improves the diagnosis of GIisch after cardiothoracic surgery.
View Article and Find Full Text PDFBackground: Endomyocardial biopsies (EMB) are recommended for the detection of acute cardiac rejection (ACR) despite limited sensitivity. We report the long-term post-transplant results of Doppler echocardiography as a noninvasive alternative of routine EMB.
Methods: Two cohorts of heart transplantation (HT) recipients were chronologically defined as follows: the Dual Monitoring Cohort (DMC) from January 1990 to December 1997 included patients who underwent routine EMB and Doppler echocardiography within 24 hours for ACR surveillance; and the "Echo-First Cohort" (EFC), including patients transplanted from January 1998 to December 2018 with Doppler echocardiography as first-line approach for ACR surveillance.
Background: Bleeding and thrombosis induce major morbidity and mortality in patients under extracorporeal membrane oxygenator (ECMO). Circuit changes can be performed for oxygenation membrane thrombosis but are not recommended for bleeding under ECMO. The objective of this study was to evaluate the course of clinical, laboratory, and transfusion parameters before and after ECMO circuit changes warranted by bleeding or thrombosis.
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