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The association between cerebral blood flow variations during on-pump coronary artery bypass grafting surgery and postoperative delirium.
Perfusion
March 2024
Cardiosurgical Anesthesia and Intensive Care Unit, Azienda Ospedaliero Universitaria Delle Marche, Ancona, Italy.
Introduction: Postoperative delirium (POD) has a major impact on patient recovery after cardiac surgery. Although its pathophysiology remains unclear, there could be a correlation between cerebral blood flow (CBF) variations during cardio-pulmonary bypass (CPB) and POD. Our study aimed to evaluate whether variations in on-pump CBF, compared to pre-anesthesia and pre-CPB values, are associated with POD following coronary artery bypass grafting (CABG) surgery.
View Article and Find Full Text PDFIdentifying High-Risk Patients for Severe Pulmonary Complications after Cardiosurgical Procedures as a Target Group for Further Assessment of Lung-Protective Strategies.
J Cardiothorac Vasc Anesth
February 2024
Division of Cardiothoracic and Vascular Anesthesia and Intensive Care Medicine, Medical University of Vienna, Vienna, Austria. Electronic address:
Objectives: It remains unclear whether intraoperative lung-protective strategies can reduce the rate of respiratory complications after cardiac surgery, partly because low-risk patients have been studied in the past. The authors established a screening model to easily identify a high-risk group for severe pulmonary complications (ie, pneumonia or acute respiratory distress syndrome) that may be the ideal target population for the assessment of the potential benefits of such measures.
Design: Retrospective observational trial.
Depth of anesthesia, temperature, and postoperative delirium in children and adolescents undergoing cardiac surgery.
BMC Anesthesiol
May 2023
Department of Anesthesiology and Intensive Care Medicine, Hannover Medical School, Hannover, Germany.
Background: After pediatric cardiosurgical interventions, postoperative delirium can occur, which can be associated with undesirable consequences during and after the hospital stay. It is therefore important to avoid any factors causing delirium as far as possible. Electroencephalogram (EEG) monitoring can be used during anesthesia to individually adjust dosages of hypnotically acting drugs.
View Article and Find Full Text PDFMolecular hydrogen exposure improves functional state of red blood cells in the early postoperative period: a randomized clinical study.
Med Gas Res
October 2022
Specialized Clinical Cardiac Surgery Hospital, Nizhny Novgorod, Russian Federation.
Molecular hydrogen (H) has been considered a preventive and therapeutic medical gas in numerous diseases. The study aimed to investigate the potential role of molecular hydrogen as a component of anesthesia in surgical treatment with cardiopulmonary bypass (CPB) of acquired valve defects on the functional state of red blood cells (RBC) and functional indicators of cardiac activity. This clinical trial was conducted with 20 patients referring to the Specialized Cardiosurgical Clinical Hospital, Nizhny Novgorod, Russian Federation, who underwent elective surgery with CPB.
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