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Compact Arterial Monitoring Device Use in Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA): A Simple Validation Study in Swine.
Cureus
October 2024
Department of Anesthesiology, Uniformed Services University of the Health Sciences, Bethesda, USA.
Article Synopsis
- - Hemorrhage is the main cause of preventable death in trauma situations, leading to military and civilian advancements in medical practices, particularly through the use of tourniquets to manage extremity bleeding and save lives.
- - While tourniquets have significantly decreased deaths from bleeding in military settings, noncompressible hemorrhage still poses a major risk, especially before patients receive definitive medical care.
- - The study explores using a small, disposable pressure monitor during resuscitative endovascular balloon occlusion of the aorta (REBOA) to enhance blood pressure monitoring, facilitate better resuscitation practices, and reduce the need for blood products in extreme environments.
Fine tuning for totally endoscopic mitral valve surgery: ERAS applications.
Front Cardiovasc Med
October 2024
Department of Cardiovascular Surgery, Ege University Faculty of Medicine, Izmir, Türkiye.
Aim: One of the philosophies of minimally invasive mitral surgery is to enhance recovery after surgery (ERAS). Beyond surgical applications, ERAS applications provide a complementary approach to optimize postoperative course and discharge. In this report, we aim to present institutional protocol for ERAS and its results in patients who underwent totally endoscopic mitral valve surgery (TEMVS).
View Article and Find Full Text PDFCardiac surgery-associated acute kidney injury in cardiopulmonary bypass: a focus on sex differences and preventive strategies.
Am J Physiol Renal Physiol
December 2024
Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Article Synopsis
- * Women are more vulnerable to CSA-AKI despite having a lower overall incidence of cardiovascular and kidney diseases, and postmenopausal status further increases this risk, suggesting hormonal factors like estrogen may play a role in kidney protection.
- * The review explores the mechanisms behind CSA-AKI, sex differences in kidney function, and potential strategies for prevention, encouraging research into sex-specific approaches to improve CPB management for all patients.
Association of Weight-indexed Conventional Ultrafiltration Volume with Post-operative Lactate in Patients Undergoing Cardiopulmonary Bypass.
Iran J Med Sci
September 2024
Department of Food Hygiene and Public Health, School of Veterinary Medicine, Shiraz University, Shiraz, Iran.
Article Synopsis
- Conventional ultrafiltration (CUF) during cardiopulmonary bypass (CPB) can reduce hemodilution but may lead to tissue hypoperfusion and elevated lactate levels.
- A study of 641 patients undergoing coronary artery bypass grafting (CABG) found that higher weight-indexed CUF volumes significantly correlated with increased incidence of hyperlactatemia (HL) post-surgery.
- Specifically, HL was associated with nearly double the CUF volume in affected patients, highlighting the importance of monitoring CUF volumes to prevent elevated lactate levels in post-operative care.
High-sensitive troponin T, suPAR and Beta-2-microglobulin changes in concentration during hemodialysis.
Scand J Clin Lab Invest
September 2024
Department of Blood Test, Biochemistry and Immunology, University Hospital of Southern Denmark, Sønderborg, Denmark.
Hemodialysis (HD) patients are at high risk of cardiovascular disease and death. Reliable biomarkers for risk stratification and detection of acute myocardial infarction (AMI) are therefore pivotal. Cardiac troponins (cTn) are the preferred biomarkers for AMI.
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