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Randomized study of temporary diaphragm pacing for enhanced recovery after surgery in cardiac surgery patients at risk of prolonged mechanical ventilation.
JTCVS Open
December 2024
Division of Cardiac Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
Objective: Prolonged mechanical ventilation after cardiac surgery significantly increases morbidity and mortality. The aim of this study is to establish the role of diaphragmatic pacing to decrease mechanical ventilation burden in high-risk patients undergoing cardiac surgery.
Methods: This is a prospective, randomized trial of temporary diaphragmatic pacing electrode use in patients undergoing cardiac surgery (NCT04899856).
Early postoperative outcomes of modified del Nido cardioplegia in coronary artery bypass surgery in patients with low ejection fraction.
Turk Gogus Kalp Damar Cerrahisi Derg
October 2024
Department of Cardiovascular Surgery, Ankara Etlik City Hospital, Ankara, Türkiye.
Background: This study aimed to investigate the intraoperative and early postoperative effects of modified del Nido cardioplegia (DNC) compared to classic blood cardioplegia (BC) in patients with impaired left ventricular ejection fraction (EF) who underwent isolated coronary artery bypass grafting (CABG).
Methods: A total of 123 patients (108 males, 15 females; mean age: 62.2±8.
[How to Insert an Intraaortic Balloon Pumping( IABP)].
Kyobu Geka
September 2024
Department of Cardiovascular Surgery, Kyorin University, Mitaka, Japan.
Article Synopsis
- * Cardiovascular surgeons need to be skilled in the use and management of IABP, even though it's typically inserted by interventional cardiologists using radiofluoroscopic guidance.
- * The paper outlines a safe approach for performing IABP insertion using transesophageal echocardiography (TEE) guidance, particularly in challenging situations during cardiac surgeries.
A multivariate and retrospective analysis of the impact of intra-aortic balloon counterpulsation in Open-Heart surgery.
Sci Rep
November 2024
Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Background The use of intraaortic balloon pump (IABP) effectively reduces left ventricular afterload and significantly increases coronary perfusion pressure by raising aortic diastolic pressure. This study examined the short and medium-term outcomes of 22,540 adult cardiac surgical patients requiring an IABP. Methods From 2009 to 2018, 1114 patients (4.
View Article and Find Full Text PDFA randomized embedded multifactorial adaptive platform for extra corporeal membrane oxygenation (REMAP ECMO) - design and rationale of the left ventricular unloading trial domain.
Am Heart J
January 2025
Department of Intensive Care, Erasmus Medical Center, Rotterdam, the Netherlands; Department of Cardiology, Thorax Center, Cardiovascular Institute, Erasmus Medical Center, Rotterdam, the Netherlands. Electronic address:
Article Synopsis
- ECMO (Extracorporeal Membrane Oxygenation) has high complication rates, prompting the need for improved management strategies, which led to the development of the REMAP ECMO platform to investigate effective patient management techniques.* -
- The REMAP ECMO platform allows for multiple adaptive randomized controlled trials, with the first focusing on the effects of early left ventricular unloading via intra-aortic balloon pumping compared to ECMO alone for cardiogenic shock patients in the ICU.* -
- The primary outcome aims to determine successful weaning from ECMO at 30 days, while secondary outcomes include intervention needs, survival rates, and quality of life, all analyzed using a flexible Bayesian statistical framework.*
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