Hypothermic vs normothermic cardiopulmonary bypass on patients with valvular heart disease
Vladimir V Lomivorotov et al
Journal of Cardiothoracic and Vascular Anesthesia
Volume 28, Issue 2 , Pages 295-300, April 2014
Prospective randomized study.
140 patients who had valvular heart disease, with/without coronary artery disease, surgically treated under CPB.
Normothermic CPB in patients with valvular heart disease was as
effective as hypothermic perfusion in terms of myocardial protection
after the surgery assessed by cTnI release.
Ventilation time was significantly lower in the hypothermic group
Saturday, May 31, 2014
Perioperative dexmedetomidine improves mortality in patients undergoing coronary artery bypass surgery
Fuhai Ji et al
Journal of Cardiothoracic and Vascular Anesthesia
Volume 28, Issue 2 , Pages 267-273, April 2014
Retrospective investigation.
Perioperative dexmedetomidine was used as an intravenous infusion (0.24 to 0.6 µg/kg/hour) initiated after cardiopulmonary bypass and continued for less than 24 hours postoperatively in the intensive care unit.
Dexmedetomidine infusion during CABG surgery was more likely to achieve improved in-hospital, 30-day, and 1-year survival rates, and a significantly lower incidence of delirium.
Fuhai Ji et al
Journal of Cardiothoracic and Vascular Anesthesia
Volume 28, Issue 2 , Pages 267-273, April 2014
Retrospective investigation.
Perioperative dexmedetomidine was used as an intravenous infusion (0.24 to 0.6 µg/kg/hour) initiated after cardiopulmonary bypass and continued for less than 24 hours postoperatively in the intensive care unit.
Dexmedetomidine infusion during CABG surgery was more likely to achieve improved in-hospital, 30-day, and 1-year survival rates, and a significantly lower incidence of delirium.
Effect of adding statins before surgery on mortality and major morbidity : a meta analysis
Joanne Guay et al
Journal of Cardiothoracic and Vascular Anesthesia
Volume 28, Issue 2 , Pages 255-266, April 2014
A search for all randomized controlled trials ,adult patients undergoing any type of procedure.
The search produced 29 trials.
Statins reduced the 0-30 days’ risk of myocardial infarction: risk ratio (RR) 0.48 (95%CI 0.38, 0.61); I-square 13.2%; p<0.001; number needed-to-treat 17 (14, 24)
There were no statistical differences at 0-30 days for stroke , acute renal insufficiency or reoperation. There was a trend for a reduced mortality at 1 year.
Joanne Guay et al
Journal of Cardiothoracic and Vascular Anesthesia
Volume 28, Issue 2 , Pages 255-266, April 2014
A search for all randomized controlled trials ,adult patients undergoing any type of procedure.
The search produced 29 trials.
Statins reduced the 0-30 days’ risk of myocardial infarction: risk ratio (RR) 0.48 (95%CI 0.38, 0.61); I-square 13.2%; p<0.001; number needed-to-treat 17 (14, 24)
There were no statistical differences at 0-30 days for stroke , acute renal insufficiency or reoperation. There was a trend for a reduced mortality at 1 year.
Thursday, May 29, 2014
Time to administration of epinephrine and outcome after in hospital cardiac arrest with non shockable rhytms:retrospective analysis of large in - hospital data registry
Time to administration of epinephrine and outcome after in hospital cardiac arrest with non shockable rhytms:retrospective analysis of large in - hospital data registry
Michael W Donnino et al
BMJ 2014;348:g3028
In patients with non-shockable cardiac arrest in hospital, earlier
administration of epinephrine is associated with a higher probability of return
of spontaneous circulation, survival in hospital, and neurologically intact
survival.
Dose requirements or remifentanil for intubation in non paralized chinese children
Hua-Cheng
Liu et al
Pediatric Anesthesia
Volume
24, Issue 5, pages 505–509, May 2014
When
used in combination with 2.5 mg·kg−1 of intravenous propofol,
ED50 and ED95 of remifentanil for adequate intubation in nonparalyzed children
were lower than previously reported, at 2.30 and 2.75 μg·kg−1,
respectively.
Subscribe to:
Posts (Atom)