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Volatile sedation for cardiac arrest patients. The question is still unanswered.
Resuscitation
March 2025
Intensive Care Department. Hospital Universitario Puerta de Hierro Majadahonda. C. Joaquín Rodrigo 1, 28222 Majadahonda, Madrid Spain. Electronic address:
Variation in techniques of selective antegrade cerebral perfusion in neonates undergoing aortic arch reconstruction - a comprehensive review.
Ann Thorac Surg
March 2025
Division of Cardiothoracic Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Background: Despite the widespread adoption of selective antegrade cerebral perfusion (SACP) for neonatal aortic arch reconstruction, significant variability in techniques persists across institutions, reflecting limited supporting data and lack of consensus on best practices. This review aims to comprehensively characterize the utilization of SACP in the extant literature and highlight variation in practice to guide future research and standardization of care.
Methods: A comprehensive search was conducted using Embase, Medline/OVID, and NCBI/PubMed databases to identify studies published from 1999-2024 that contained the following terms: ('neonatal' OR 'neonate' OR 'newborn') AND ('aortic arch' OR 'Norwood' OR 'stage one') AND ('circulatory arrest' OR 'cerebral perfusion').
Background: The perioperative management of patients undergoing cardiac surgery is highly complex and involves numerous factors. There is a strong association between cardiac surgery and perioperative complications. The Brazilian Surgical Identification Study (BraSIS 2) aims to assess the incidence of death and early postoperative complications, identify potential risk factors, and examine both the demographic characteristics of patients and the epidemiology of cardiovascular procedures.
View Article and Find Full Text PDFTrends in Cardiac Arrest Outcomes & Management in Children with Cardiac Illness Category Compared to Non-Cardiac Illness Category: An Analysis from the AHA Get With The Guidelines®-Resuscitation Registry.
Resuscitation
December 2024
Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.
Introduction: Contemporary rates of survival after pediatric in-hospital CPR events and trends in survival over the last 20 years have not been compared based on illness category. We hypothesized that survival to hospital discharge for surgical-cardiac category is higher than the non-cardiac category, and rates of survival after in-hospital CPR increased over time in all categories.
Methods: The AHA Get With The Guidelines®-Resuscitation registry was queried for index CPR events in children < 18 years of age from 2000 to 2021.
A case of fatal acute saddle embolism of the terminal aorta after long-term support using Impella CP.
J Artif Organs
March 2025
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, 2-5-1 Nakaicho, Kita-ku, Okayama, 700-0804, Japan.
A 69-year-old male diagnosed with subacute myocardial infarction was subsequently transferred to our institution. Upon admission, echocardiography revealed ventricular septal rupture (VSR). The patient was promptly supported via venoarterial (VA) extracorporeal membrane oxygenation (ECMO) and Impella CP before surgical VSR repair on the 12th day of admission.
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