learning effects in cardiac surgery

... The signalling throughout the cell during anesthetic preconditioning include protein kinase C (PKC), protein tirozin kinase (PTK), mitogenactivated protein kinases (MAPK), protein kinase-B, mitochodria ... Anesthesia Information Management System in Cardiac Surgery In: Proceedings of Computing in Cardiology, Hangzhou, China, September, 2011 Dalmiani, S.; Taddei, A.; Glauber, M & Emdin, M (2002) An informative ... from Internet by VPN connection First, CGI applications in C language Fig 10 From the clinical Web site: the list of cardiac surgery interventions Data Integration and Management in Cardiac Surgery...

Ngày tải lên: 17/03/2014, 02:20

... Topics in Cardiac Surgery Commonly used catecholamines such as dopamine, dobutamine, isoproterenol, epinephrine, norepinephrine and inotropic catecholamines not milrinone and levosimendan, being ... norepinephrine infusion in line and this study was carried out monitoring of renal function with infusion of norepinephrine in postsurgical hypotension TAM

Ngày tải lên: 23/03/2014, 17:20

... antibiotic, daptomycin in the treatment of DSWI due to gram-positve organisms in cardiac surgery Our findings, suggest that treatment of daptomycinsusceptible DSWI with a daptomycin-containing antibiotic ... males) were included in the study Their characteristics are shown in Table Thirteen patients developed deep sternal wound infection following coronary artery bypass grafting (CABG, including two ... in three patients, type II in six, type IIIa in one, type IIIb in seven, in type IVa in two, and type V in the remaining four The patients underwent initial surgical revision, at which time a choice...

Ngày tải lên: 10/08/2014, 09:22

... 22.7 Combined CABG & valve surgery 381 13.6 Ascending aorta and aortic arch surgery 60 2.1 Combined ascending aorta & valve surgery 116 4.1 Combined ascending aorta & coronary surgery 0.2 Cardiac ... and SAPS II quite convincing evidence of the ability to maintain good discrimination across different populations, but calibration is often poor [15,16] Our study in cardiac surgery patients, confirmed ... tool in decision making Although scoring systems may provide an indication of disease severity and prognosis in individual patients and assist in overall patient assessment along with full clinical...

Ngày tải lên: 10/08/2014, 09:23

... thermodilution in patients undergoing minimally invasive direct coronary artery bypass grafting J Cardiothorac Vasc Anesth 1999, 13:437-440 Jansen JR, Wesseling KH, Settels JJ, Schreuder JJ: Continuous cardiac ... the uncalibrated continuous pulse contour cardiac output cannot be recommended after weaning from CPB Competing interests The authors declare that they have no competing interests Authors' contributions ... Reading, PA, USA) were inserted via the right internal jugular vein General anesthesia was induced with etomidate (0.2 mg/kg), µg/kg fentanyl and 0.1 mg/kg pancuronium Maintenance was with infusion...

Ngày tải lên: 12/08/2014, 23:20

... comparison of aprotinin and tranexamic acid in high-transfusion-risk cardiac surgery Transfusion 2006, 46:327-338 Hughes S: Aprotinin safety again in spotlight as new study suggests increased cardiac events ... consider limiting aprotinin use to those situations where the clinical benefit of reduced blood 10 Mangano DT, Tudor IC, Dietzel C: The risk associated with aprotinin in cardiac surgery N Engl ... aprotinin can decrease blood loss in selected patients, data are lacking to show that administration of this agent actually improves survival Competing interests The authors declare no competing interests...

Ngày tải lên: 13/08/2014, 03:20

... litres per minute and -2.2 to +2.6 litres per minute after cardiac surgery [6] Therefore, we suggest that CO determination with pulse contour analysis in a setting after cardiac surgery might ... limitations, including difficulties with correct catheter placement, transducer malfunction, and CO monitor malfunction In our intraoperative and early postoperative setting in patients undergoing cardiac ... 185 Urine volume during surgery (ml) 30 1,030 324 Duration of anaesthesia (minutes) 30 312 56 Duration of surgery (minutes) 30 208 52 CPB time (minutes) 30 91 29 Aortic cross-clamp time (minutes)...

Ngày tải lên: 13/08/2014, 03:20

... tranexamic acid in the study by Jimenez and colleagues [1] to attenuate inflammation reveals a glimpse of how the fibrinolytic and pro-inflammatory responses are interlinked The interplay of other ... once initiated, can lead to significant mortality and morbidity in subgroups of patients following cardiac surgery In the last two decades, much scientific effort has led us closer to a definition ... elevation of inflammatory cytokines predicts a poor outcome in ARDS Chest 1995, 107:1062-1073 Kawamura T, Wakausawa R, Okada K, Inada S: Elevation of cytokines during open heart surgery with...

Ngày tải lên: 13/08/2014, 08:21

... mortality in cardiac surgery in European cardiosurgical centres The impact of inotropes is increasingly studied outside of cardiac surgery, highlighting the urgent necessity for cardiac surgery ... Precardiotomy deteriorating fast Deteriorating haemodynamic instability: increasing doses of intravenous inotropes and/or IABP necessary to maintain SBP > 80mmHg and/or CI >1.8 L/minute/m2 Progressive ... intravenous inotropes and/or IABP are necessary to maintain SBP >80 mmHg and/or CI >1.8 L/minute/m2 without clinical improvement Failure to wean from inotropes (decreasing inotropes results in...

Ngày tải lên: 13/08/2014, 19:20

... the data questioning if tranexamic acid administration has a place in higher risk cardiac surgery and especially in surgery where a cardiac chamber is opened Competing interests In the past years ... deliberating on not only the licensing for aprotinin but also tranexamic acid [2] With the increasing body of evidence, it is becoming clearer that aprotinin therapy is of greatest benefit in patients ... clinically as an increase in seizure activity [9,10] Second, several other groups have independently made the observation of increased seizure activity, mainly in patients having open cardiac chamber...

Ngày tải lên: 13/08/2014, 21:21

... shown graphically in Figure In contrast to our findings in carotid surgery patients, diabetes, smoking and high cholesterol were not NS Smoking Cholesterol INVOS in cardiac surgery NS 61.54 ± 8.67 ... 51/50 in carotid, vs 52/46 in cardiac surgery patients, whereas the lowest 10% baseline values were 57/54 in carotid vs 54/52 in cardiac surgery, and the lowest 20% of INVOS values were 60/59 in ... undergoing cardiac surgery and 57 patients undergoing carotid surgery enrolled Inclusion criteria were elective carotid or cardiac surgery and age > 18 Exclusion criteria were: emergency surgery, surgery...

Ngày tải lên: 10/08/2014, 09:22

... patients following cardiac surgery The routine pre- and postoperative care of a hypothetical, “everyday patient” undergoing cardiac surgery was considered to determine the standard clinical practice ... getting out of bed was from side lying, placing one or both hands in front of the body, leaning forward and pushing up to a sitting position Many activities are discouraged after cardiac surgery, ... POD POD4 Mobilization sitting on edge of bed or in chair 97% 52% 48% standing 93% 55% 48% 34% walking in the room 28% 79% 52% 34% walking in the corridor stair climbing 28% 0% 66% 0% 93% 21%...

Ngày tải lên: 10/08/2014, 09:22

... undergoing cardiac surgery for double valvulopathy due to pergolide Zanettini et al [6] examined the risk of heart valve degeneration and severity of valve disease by comparing 64 patients taking ... data, or analysis and interpretation of data; have been involved in drafting the manuscript or revisiting it critically for important intellectual content; have given final approval of the version ... important regurgitation in any cardiac valve was significantly higher in patients taking pergolide (23.4%) or cabergoline (28.6%), compared to patients taking nonergot dopamine agonists (0%) or...

Ngày tải lên: 10/08/2014, 10:20

... independent predictors of transfusion in cardiac surgery [5-8] Existing guidelines underline the importance of limiting hemodilution, applying blood salvage techniques and using alternative therapies for ... medications (except aspirin) were discontinued at least 72 hours before surgery Pharmacologic agents used to decrease blood loss in cardiac surgery (such as aprotinin, aminocaproic acid or tranexamic ... represented 95% of volume administered in group A but only 50% in group B, with the rest being crystalloid (not including saline for drug dialyses) Fluid administered in the period before CPB differed...

Ngày tải lên: 10/08/2014, 10:20

... practitioners involved in this field A plea is made for a prospective study of PCI vs CABG surgery, in the modern era, in the ESRD population, comparing drug-eluting stents and surgical advances including ... These pointers include factors such as limiting the crystalloid prime administered to these patients, while maintaining adequate hemodilution The authors also advocate the routine use of intra-operative ... of cardiac disease remain very high in this group of patients Hopefully, this book will act as a catalyst to get more clinicians involved in looking for solutions to reduce the burden of cardiac...

Ngày tải lên: 11/08/2014, 01:22

... is an independent predictor of mortality in these patients [76–78] Proinflammatory cytokines, in addition to mediating a reduction in the hepatic synthesis of albumin, suppress appetite and induce ... benefits in patients with heart failure or ischemic heart disease [104] Treating anemia results in a decline in cardiac output toward normal, reduction in cardiac workload and a decrease in left ... fall in cardiac output is counterbalanced by an increase in total peripheral resistance that may result in hypertension [110] A clinically significant increase in blood pressure is seen in approximately...

Ngày tải lên: 11/08/2014, 01:22

... values in patients with cardiac disease who are receiving hemodialysis and epoetin therapy N Engl J Med 1998;339:584–590 114 Eknoyan G, Levin N Clinical Practice Guidelines: Final Guideline Summaries ... hyperleptinemia by regulating leptin release from adipocytes J Clin Invest 1997;100:2777–2782 80 Moldawer LL, Copeland EM Pro -in ammatory cytokines, nutritional support and the cachexia syndrome: interactions ... with AMI in 1990–1995 were, respectively, 62% and 74% [19] The poor outcome of dialysis patients sustaining AMI may, in part, reflect inadequate treatment, including underutilization of intravenous...

Ngày tải lên: 11/08/2014, 01:22

... was a statistically insignificant increase in the composite endpoint of cardiac death, MI and revascularization in the ESRD group All patients received ASA, heparin, and ticlopidine, and 5% Table ... determine the individual institutional approach We are currently completing a study on the concordance of pharmacologic stress nuclear and echocardiographic imaging in ESRD patients; preliminary ... population of ESRD patients Interestingly, noninvasive evaluation played no role in this clinical trial The accurate interpretation of studies on procedural outcome in dialysis patients is a potentially...

Ngày tải lên: 11/08/2014, 01:22