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A posterior pericardial chest tube is associated with reduced incidence of postoperative atrial fibrillation after cardiac surgery: A propensity score-matched study.
JTCVS Open
December 2024
Cardiothoracic Department, The National University Hospital of Iceland, Reykjavik, Iceland.
Objective: Postoperative atrial fibrillation (POAF) is a common complication after cardiac surgery that is associated with other adverse outcomes. Recent studies have shown that drainage of pericardial effusion by a posterior pericardial incision reduces the incidence of POAF. An alternative approach is a chest tube placed posteriorly in the pericardium.
View Article and Find Full Text PDFReplacing post-chest tube removal chest radiographs with clinical assessment in adult thoracic surgery patients: A single-center prospective study.
JTCVS Open
October 2024
Division of Thoracic Surgery, University of Toronto, Toronto, Ontario, Canada.
Objective: The necessity and utility of chest radiographs in the absence of clinical symptoms have been questioned after chest tube removal. This study aimed to evaluate the impact of replacing routine chest radiographs after chest tube removal with clinical observation on outcomes in patients undergoing elective thoracic surgery.
Methods: This was a single-center prospective study of adult patients undergoing elective lung resection.
Gastric pericardial fistula in a bariatric patient.
Int J Surg Case Rep
December 2024
Department of General Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC, United States of America.
Introduction And Importance: Bariatric surgery has positively affected the lives many by improving their overall health with weight loss. Unfortunately, there are complications to bariatric surgery including anastomotic leaks, bowel obstructions, hernias, and ulcers. We present a case report of a gastric-pericardial fistula in the setting of a marginal ulcer of a patient with prior Roux-en-Y gastric bypass (RNYGB).
View Article and Find Full Text PDFCompact 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.
Impact of Pleural Integrity Preservation After Minimally Invasive Aortic Valve Surgery.
Innovations (Phila)
September 2024
Cardiac Surgery Unit, Department of Experimental and Clinical Medicine, University of Florence, Italy.
Objective: While the benefits of minimally invasive aortic valve surgery compared with standard sternotomy have been widely described, the impact of preservation of pleural integrity (PPI) in minimally invasive surgery is still widely discussed. This study aims to define the role of PPI on postoperative and long-term outcomes after minimally invasive aortic valve replacement (MIAVR).
Methods: All 2,430 consecutive patients undergoing MIAVR (ministernotomy or right anterior minithoracotomy) between 1997 and 2022 were included in the study.
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