MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Annals of Cardiac Anaesthesia' source. Wed, 08 Feb 2012 07:39:17 +0100 http://www.medworm.com/index.php?rid=5604173&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234013%26dopt%3DAbstract Authors: Chakravarthy M PMID: 22234013 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604173 Sun, 01 Jan 2012 05:00:00 +0100 5604173 http://www.medworm.com/index.php?rid=5604172&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234014%26dopt%3DAbstract Authors: Tempe DK, Hasija S PMID: 22234014 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604172 Sun, 01 Jan 2012 05:00:00 +0100 5604172 http://www.medworm.com/index.php?rid=5604171&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234015%26dopt%3DAbstract Authors: Montes FR, Pardo DF, Carreño M, Arciniegas C, Dennis RJ, Umaña JP Abstract Antifibrinolytic agents are used during cardiac surgery to minimize bleeding and reduce exposure to blood products. Several reports suggest that tranexamic acid (TA) can induce seizure activity in the postoperative period. To examine factors associated with postoperative seizures in patients undergoing cardiac surgery who received TA. University-affiliated hospital. Case-control study. Patients undergoing cardiac surgery with cardiopulmonary bypass (CPB) between January 2008 and December 2009 were identified. During this time, all patients undergoing heart surgery with CPB received TA. Cases were defined as patients who developed seizures that required initiation of anticonvulsive therapy within 4... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604171 Sun, 01 Jan 2012 05:00:00 +0100 5604171 http://www.medworm.com/index.php?rid=5604170&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234016%26dopt%3DAbstract Authors: Bignami E, Frati E, Ceriotti F, Daverio R, Silvetti S, Landoni G, Marino G, Zangrillo A Abstract Neutrophil gelatinase-associated lipocalin (NGAL) is a protein of lipocalin family highly expressed in various pathologic states and is an early biomarker of acute kidney injury in cardiac surgery. We performed an observational study to evaluate the role of NGAL in predicting postoperative intensive care stay in high-risk patients undergoing cardiac surgery. We enrolled 27 consecutive patients who underwent high-risk cardiac surgery with cardiopulmonary bypass. Urinary NGAL (uNGAL) was measured before surgery, at intensive care unit (ICU) arrival and 24 h later. Univariate and multivariate predictors of ICU stay were performed. uNGAL was 18.0 (8.7-28.1) ng/mL at baseline, 10.7 ... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604170 Sun, 01 Jan 2012 05:00:00 +0100 5604170 http://www.medworm.com/index.php?rid=5604169&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234017%26dopt%3DAbstract This study was a comparison between two groups of 30 adult patients scheduled for elective off pump coronary artery bypass surgery. In the control group, the patients were given placebo capsules, and in the pregabalin group, the patients were given pregabalin 150 mg capsule orally 1 h before surgery. The patients were compared for hemodynamic changes before the start of the surgery, after induction, 1, 3, and 5 min after intubation. Additionally, fentanyl requirement during surgery and the first postoperative day was also compared. The present study shows that a single oral dose of 150 mg pregabalin given 1 h before surgery attenuated the pressor response to tracheal intubation in adults, but the drug did not show any effect on perioperative opioid consumption and was devoid of side-effect... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604169 Sun, 01 Jan 2012 05:00:00 +0100 5604169 http://www.medworm.com/index.php?rid=5604168&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234018%26dopt%3DAbstract Authors: Aggarwal V, Kapoor PM, Choudhury M, Kiran U, Chowdhury U Abstract Sonoclot analysis is a point of care test to monitor the coagulation process, presenting a comprehensive evaluation of the clot formation and retraction as well as platelet function. This randomized double-blinded study was designed to investigate the utility of Sonoclot analysis in monitoring the coagulation profile as also the antifibrinolytic effects of tranexamic acid administered in patients with tetralogy of Fallot undergoing intracardiac repair. Eighty of a total 94 patients were randomly divided into two groups of 40 each. In the study group, TA was administered thrice at a dosage of 10 mg/kg, i.e. before CPB, on CPB and after CPB, whereas in the control group, placebo was administered at the same ti... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604168 Sun, 01 Jan 2012 05:00:00 +0100 5604168 http://www.medworm.com/index.php?rid=5604167&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234019%26dopt%3DAbstract Authors: Yazigi A, Abou-Zeid H, Srouji T, Madi-Jebara S, Haddad F, Jabbour K Abstract Ketamine, a noncompetitive N-methyl-d-aspartate antagonist, provides analgesia and prevents chronic pain following thoracotomy. The study was aimed to assess the effect of intravenous low-dose ketamine on continuous intercostal nerve block analgesia following thoracotomy. The study was a prospective, randomized, double-blinded, and placebo-controlled clinical study, performed in a single university hospital. Sixty patients, undergoing elective lobectomy through an open posterolateral thoracotomy, were included. For postoperative pain, all patients received a continuous intercostal nerve block with bupivacaine plus intravenous paracetamol and ketoprofen. In addition, patients were randomized to hav... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604167 Sun, 01 Jan 2012 05:00:00 +0100 5604167 http://www.medworm.com/index.php?rid=5604166&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234020%26dopt%3DAbstract This study was designed to study the efficacy of intravenous dexmedetomidine for attenuation of cardiovascular responses to laryngoscopy and endotracheal intubation in patients with coronary artery disease. Sixty adult patients scheduled for elective off-pump coronary artery bypass surgery were randomly allocated to receive dexmedetomidine (0.5 mcg/kg) or normal saline 15 min before intubation. Patients were compared for hemodynamic changes (heart rate, arterial blood pressure and pulmonary artery pressure) at baseline, 5 min after drug infusion, before intubation and 1, 3 and 5 min after intubation. The dexmedetomidine group had a better control of hemodynamics during laryngoscopy and endotracheal intubation. Dexmedetomidine at a dose of 0.5 mcg/kg as 10-min infusion was administered prio... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604166 Sun, 01 Jan 2012 05:00:00 +0100 5604166 http://www.medworm.com/index.php?rid=5604165&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234021%26dopt%3DAbstract We present a case series of five parturients that were posted for elective cesarean section and managed successfully by the epidural volume extension technique. PMID: 22234021 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604165 Sun, 01 Jan 2012 05:00:00 +0100 5604165 http://www.medworm.com/index.php?rid=5604164&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234022%26dopt%3DAbstract We report a rare event of IABP failure due to ECG artifact, which appeared on placement of the transthoracic echocardiography probe over the chest. Subsequent evaluation revealed potential current leakage from echocardiography machine secondary to earthing defect in the machine. PMID: 22234022 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604164 Sun, 01 Jan 2012 05:00:00 +0100 5604164 http://www.medworm.com/index.php?rid=5604163&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234023%26dopt%3DAbstract We describe a successful perioperative management of a case of 38-year-old male, presented with chronic jaundice with severe mitral stenosis and moderate tricuspid regurgitation; upon evaluation, he was found to have severe glucose-6-phosphate dehydrogenase (G6PD) deficiency. Usually, patients deficient in G6PD exhibit increased hemolysis andtherefore increased need for blood transfusion after cardiac surgery as well as impaired oxygenation in the postoperative period leading to prolonged ventilation. On reperfusion after a period of ischemia, the antioxidant system recruits all of its components in an attempt to neutralize the overwhelming oxidative stress of free radicals, as the free radical scavenging system is deficient in these patients, the chances of free-radical-induced injury is ... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604163 Sun, 01 Jan 2012 05:00:00 +0100 5604163 http://www.medworm.com/index.php?rid=5604162&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234024%26dopt%3DAbstract Authors: Franco A, Gerli C, Ruggeri L, Monaco F Abstract Transcatheter aortic valve implantation (TAVI) is an emergent technique for high-risk patients with aortic stenosis. TAVI poses significant challenges about its management because of the procedure itself and the population who undergo the implantation. Two devices are currently available and marketed in Europe and several other technologies are being developed. The retrograde transfemoral approach is the most popular procedure; nevertheless, it may not be feasible in patients with significant aortic or ileo-femoral arterial disease. Alternatives include a transaxillary approach, transapical approach, open surgical access to the retroperitoneal iliac artery and the ascending aorta. A complementary approach using both devices ... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604162 Sun, 01 Jan 2012 05:00:00 +0100 5604162 http://www.medworm.com/index.php?rid=5604161&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234025%26dopt%3DAbstract Authors: Retnamma RK, Nair SG, Sunil GS, Benedict R PMID: 22234025 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604161 Sun, 01 Jan 2012 05:00:00 +0100 5604161 http://www.medworm.com/index.php?rid=5604160&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234026%26dopt%3DAbstract Authors: Huschak G, Pfeifer F, Mende L, Dazinger F, Kaisers UX, Laudi S PMID: 22234026 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604160 Sun, 01 Jan 2012 05:00:00 +0100 5604160 http://www.medworm.com/index.php?rid=5604159&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234027%26dopt%3DAbstract Authors: Chauhan S, Subin S Abstract Although the concept of extracorporeal membrane oxygenation (ECMO) has remained unchanged, component technology has evolved considerably over the past three decades. Presently the clinical conditions requiring ECMO support have been updated with input from the outcome data of patient registries. Modern circuit configuration has become less cumbersome, safer, and more efficient. Technological advances now allow prolonged support with fewer complications compared to the past eras and facilitate transition to a single bedside caregiver model, similar to hemofiltration or ventricular-assist devices. The clinical considerations and indicators for placing the patient on ECMO, the various circuit configurations, clinical and technical issues, and manag... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604159 Sun, 01 Jan 2012 05:00:00 +0100 5604159 http://www.medworm.com/index.php?rid=5604158&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234028%26dopt%3DAbstract Authors: Wiwanitkit V PMID: 22234028 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604158 Sun, 01 Jan 2012 05:00:00 +0100 5604158 http://www.medworm.com/index.php?rid=5604157&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234029%26dopt%3DAbstract Authors: Sawhney R, Juneja R, Rawat RS, Mehta Y, Trehan N PMID: 22234029 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604157 Sun, 01 Jan 2012 05:00:00 +0100 5604157 http://www.medworm.com/index.php?rid=5604156&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234030%26dopt%3DAbstract Authors: Patel S PMID: 22234030 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604156 Sun, 01 Jan 2012 05:00:00 +0100 5604156 http://www.medworm.com/index.php?rid=5604155&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234031%26dopt%3DAbstract Authors: Gude D PMID: 22234031 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604155 Sun, 01 Jan 2012 05:00:00 +0100 5604155 http://www.medworm.com/index.php?rid=5604154&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234032%26dopt%3DAbstract Authors: Birbicer H, Doruk N, Uguz YC, Altun TR PMID: 22234032 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604154 Sun, 01 Jan 2012 05:00:00 +0100 5604154 http://www.medworm.com/index.php?rid=5604153&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234033%26dopt%3DAbstract Authors: Datt V, Virmani S, Malik I, Agarwal S, Joshi CS, Dhingra A, Dutta R, Tomar AS PMID: 22234033 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604153 Sun, 01 Jan 2012 05:00:00 +0100 5604153 http://www.medworm.com/index.php?rid=5604152&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234034%26dopt%3DAbstract Authors: Neema PK, Manikandan S, Singha SK, Rathod RC PMID: 22234034 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604152 Sun, 01 Jan 2012 05:00:00 +0100 5604152 http://www.medworm.com/index.php?rid=5604151&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234035%26dopt%3DAbstract Authors: Arora D, Mehta Y PMID: 22234035 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5604151 Sun, 01 Jan 2012 05:00:00 +0100 5604151 http://www.medworm.com/index.php?rid=5157720&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860186%26dopt%3DAbstract Authors: Rajashekara S, Subramaniam B PMID: 21860186 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157720 Fri, 26 Aug 2011 06:22:16 +0100 5157720 http://www.medworm.com/index.php?rid=5157719&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860187%26dopt%3DAbstract Authors: Ramakrishna H, Pajaro OE PMID: 21860187 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157719 Fri, 26 Aug 2011 06:22:01 +0100 5157719 http://www.medworm.com/index.php?rid=5157718&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860188%26dopt%3DAbstract Authors: Kar SK, Dasgupta CS, Goswami A Abstract The study was carried out to evaluate the effect of prophylactic single-dose intravenous amiodarone in patients undergoing valve replacement surgery. Maintenance of sinus rhythm is better than maintenance of fixed ventricular rate in atrial fibrillation (AF) especially in the presence of irritable left or right atrium because of enlargement. Fifty-six patients with valvular heart disease with or without AF were randomly divided into two groups. Group I or the amiodarone group (n=28) received amiodarone (3 mg/kg in 100 ml normal saline) and group II or the control group received same volume of normal saline. The standardized protocol for cardiopulmonary bypass was maintained for all the patients. AF occurred in 7.14% patients in group... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157718 Fri, 26 Aug 2011 06:21:47 +0100 5157718 http://www.medworm.com/index.php?rid=5157717&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860189%26dopt%3DAbstract This study aims to (1) evaluate the efficacy of PEEP during OLV, (2) assess the utility of preoperative predictors of response to PEEP, and (3) explore optimal intraoperative settings that would maximize the effects of PEEP on oxygenation. Forty-one thoracic surgery patients from a single tertiary care university center were prospectively enrolled in this observational study. After induction of general anesthesia, a double-lumen endotracheal tube was fiberoptically positioned and OLV initiated. Intraoperatively, PEEP = 5 and 10 cmH 2 O were sequentially applied to the ventilated lung during OLV. Arterial oxygenation, cardiovascular performance parameters, and proposed perioperative variables that could predict or enhance response to PEEP were analysed. T-test and c2 tests were utilized for... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157717 Fri, 26 Aug 2011 06:21:30 +0100 5157717 http://www.medworm.com/index.php?rid=5157716&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860190%26dopt%3DAbstract Authors: Muniraju G, Pandey S, Chakravarthy M, Krishnamoorthy J, Narayan S, Jawali V Abstract Renal dysfunction is known to occur during cardiac surgery. A few factors such as perioperative hypotension, use of potential nephrotoxic therapeutic agents, radio opaque contrast media in the recent past, intra-aortic balloon pump (IABP) and cardiopulmonary bypass have been blamed as the contributing factors to the causation of postoperative renal dysfunction in cardiac surgical patients. At times, in patients with renal failure and low cardiac output status, one may face the dilemma if the use of IABP is safe. We undertook this prospective observational study to determine the degree of possible renal injury when IABP is used by measuring serial values of serum creatinine and Cystatin C. ... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157716 Fri, 26 Aug 2011 06:21:11 +0100 5157716 http://www.medworm.com/index.php?rid=5157715&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860191%26dopt%3DAbstract Authors: Suryaprakash S, Chakravarthy M, Gautam M, Gandhi A, Jawali V, Patil T, Jayaprakash K, Pandey S, Muniraju G Abstract To evaluate the effect of thoracic epidural anesthesia (TEA) on tissue oxygen delivery and utilization in patients undergoing cardiac surgery. This prospective observational study was conducted in a tertiary referral heart hospital. A total of 25 patients undergoing elective off-pump coronary artery bypass surgery were enrolled in this study. All patients received thoracic epidural catheter in the most prominent inter-vertebral space between C7 and T3 on the day before operation. On the day of surgery, an arterial catheter and Swan Ganz catheter (capable of measuring cardiac index) was inserted. After administering full dose of local anesthetic in the epidura... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157715 Fri, 26 Aug 2011 06:20:50 +0100 5157715 http://www.medworm.com/index.php?rid=5157714&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860192%26dopt%3DAbstract This study was designed to evaluate the influence of three different anesthesia techniques, on S100β levels, in patients undergoing coronary artery bypass grafting on CPB. A total of 180 patients were divided into three groups - each of who received sevoflurane, isoflurane and total intravenous anesthesia as part of the anesthetic technique, respectively. S100 were evaluated from venous sample at following time intervals - prior to induction of anesthesia (T1), after coming off CPB (T2); 12 h after aortic cross clamping (T3) and 24 h after aortic cross clamping (T4). In all three groups, maximal rise in S100β levels occurred after CPB which gradually declined over next 24 h, the levels at 24 h post-AOXC being significantly higher than baseline levels. Significantly low levels of S100β w... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157714 Fri, 26 Aug 2011 06:20:32 +0100 5157714 http://www.medworm.com/index.php?rid=5157713&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860193%26dopt%3DAbstract We describe acute decreases of arterial blood pressure and entropy score with the initiation of CPB and immediate increase in entropy score following the PDA ligation in a child undergoing intracardiac repair of ventricular septal defect and right ventricular infundibular stenosis. The observation strongly indicates that a PDA steals arterial inflow into pulmonary circulation and if the PDA is dissected and ligated on CPB or its ligation on CPB is delayed the cerebral perfusion is potentially compromised. PMID: 21860193 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157713 Fri, 26 Aug 2011 06:20:14 +0100 5157713 http://www.medworm.com/index.php?rid=5157712&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860194%26dopt%3DAbstract We report a case where sudden decreases in the end-tidal carbon-dioxide due to pulmonary hypoperfusion mimicked accidental endotracheal tube extubation in an infant undergoing repair of interrupted aortic arch. PMID: 21860194 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157712 Fri, 26 Aug 2011 06:19:57 +0100 5157712 http://www.medworm.com/index.php?rid=5157711&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860195%26dopt%3DAbstract Authors: Virmani S, Uppal R, Kiro K, Bhandari H, Dutta D, Singh N, Aggarwal A Abstract A 45-year-old female patient admitted for surgical management of carcinoma esophagus, presented with difficulty in insertion of left-sided 37 F and 35 F double lumen tube (Mallinckrodt® Broncho-Cath). Fiberoptic bronchoscopy revealed a subglottic web in the larynx just below the vocal cords and a tracheal web just above the carina. Differential lung ventilation could be achieved with a 35 F internal diameter double lumen tube (Portex® Blueline® Endobronchial tube). PMID: 21860195 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157711 Fri, 26 Aug 2011 06:19:41 +0100 5157711 http://www.medworm.com/index.php?rid=5157710&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860196%26dopt%3DAbstract We describe a case of four year old boy with NS who presented to us for the management of PS and HOCM. In our case, transesophageal echocardiography (TEE) played a major role in confirmation of the preoperative findings, detection of any new anomalies missed during the preoperative evaluation, intraoperative monitoring and assessment of the adequacy of repair in the immediate postoperative period. TEE provided invaluable help in taking critical surgical decisions, resulting in a favorable outcome. PMID: 21860196 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157710 Fri, 26 Aug 2011 06:19:23 +0100 5157710 http://www.medworm.com/index.php?rid=5157709&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860197%26dopt%3DAbstract Authors: Chauhan S, Subin S Abstract Extracorporeal membrane oxygenation (ECMO) is an adaptation of conventional cardiopulmonary bypass techniques to provide cardiopulmonary support. ECMO provides physiologic cardiopulmonary support to aid reversible aspects of the disease process and to allow recovery. ECMO does not provide treatment of the underlying disease. The indications for ECMO support have expanded from acute respiratory failure to acute cardiac failure refractory to conventional treatments from wide patient subsets involving neonates to adults. Vascular access for ECMO support is either percutaneous through a single-site, dual-lumen bicaval cannula or transthoracic via separate cannulas. The modes of support are either veno-venous or veno-arterial ECMO. In this article, t... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157709 Fri, 26 Aug 2011 06:19:06 +0100 5157709 http://www.medworm.com/index.php?rid=5157708&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860198%26dopt%3DAbstract Authors: Tempe DK, Hasija S, Malik I, Agarwal J PMID: 21860198 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157708 Fri, 26 Aug 2011 06:18:50 +0100 5157708 http://www.medworm.com/index.php?rid=5157707&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860199%26dopt%3DAbstract Authors: Garg SK, Tiwari RL, Garg MK, Chaturvedi S PMID: 21860199 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157707 Fri, 26 Aug 2011 06:18:35 +0100 5157707 http://www.medworm.com/index.php?rid=5157706&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860200%26dopt%3DAbstract Authors: Rawat RS, Mehta Y, Saxena P, Juneja R, Bhan A PMID: 21860200 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157706 Fri, 26 Aug 2011 06:18:21 +0100 5157706 http://www.medworm.com/index.php?rid=5157705&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860201%26dopt%3DAbstract Authors: Suneel PR, Koshy T, Unnikrishnan M PMID: 21860201 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157705 Fri, 26 Aug 2011 06:18:06 +0100 5157705 http://www.medworm.com/index.php?rid=5157704&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860202%26dopt%3DAbstract Authors: Hegde HV, Arya VK, Thingam SK, Rana S PMID: 21860202 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157704 Fri, 26 Aug 2011 06:17:52 +0100 5157704 http://www.medworm.com/index.php?rid=5157703&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860203%26dopt%3DAbstract Authors: Singh P, Malhotra Kapoor P, Devagourou V, Bhuvana V, Kiran U PMID: 21860203 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157703 Fri, 26 Aug 2011 06:17:35 +0100 5157703 http://www.medworm.com/index.php?rid=5157702&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860204%26dopt%3DAbstract Authors: Gude D PMID: 21860204 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157702 Fri, 26 Aug 2011 06:17:17 +0100 5157702 http://www.medworm.com/index.php?rid=5157701&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860205%26dopt%3DAbstract Authors: Gude D PMID: 21860205 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157701 Fri, 26 Aug 2011 06:17:00 +0100 5157701 http://www.medworm.com/index.php?rid=5157700&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860206%26dopt%3DAbstract Authors: Arya SC, Agarwal N PMID: 21860206 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157700 Fri, 26 Aug 2011 06:16:42 +0100 5157700 http://www.medworm.com/index.php?rid=5157699&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21860207%26dopt%3DAbstract Authors: Mahboobi H, Mansoori F, Jahanshahi KA, Khorgoei T PMID: 21860207 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5157699 Fri, 26 Aug 2011 06:16:25 +0100 5157699 http://www.medworm.com/index.php?rid=4921040&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636925%26dopt%3DAbstract Authors: Nair SG PMID: 21636925 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921040 Sat, 30 Apr 2011 23:00:00 +0100 4921040 http://www.medworm.com/index.php?rid=4921039&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636926%26dopt%3DAbstract Authors: Wijesuriya S, Vuylsteke A PMID: 21636926 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921039 Sat, 30 Apr 2011 23:00:00 +0100 4921039 http://www.medworm.com/index.php?rid=4921038&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636927%26dopt%3DAbstract Authors: Landoni G, Crescenzi G, Zangrillo A, Nicolotti D, Bignami E, Iaci G, Alfieri O, Guarracino F Low cardiac output syndrome and hypotension are dreadful consequences of systolic anterior motion (SAM) after a mitral valve (MV) repair. The management of SAM in the operating room remains controversial. We validate a recently suggested two-step management method and classification of this complication. This was a teaching hospital-based observational study. We validated a novel two-step conservative management method, consisting in intravascular volume expansion and discontinuation of inotropic drugs (step 1), and increasing the afterload by ascending aorta manual compression while administering esmolol e.v. (step 2). We also validate a novel classification of SAM: easy-to-revert (re... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921038 Sat, 30 Apr 2011 23:00:00 +0100 4921038 http://www.medworm.com/index.php?rid=4921037&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636928%26dopt%3DAbstract Authors: Mukherjee C, Tschernich H, Kaisers UX, Eibel S, Seeburger J, Ender J Aim of our study was to investigate the feasibility of use and possible additional value of real-time 3D transesophageal echocardiography (RT-3D-TEE) compared to conventional 2D-TEE in patients undergoing elective mitral valve repair. After ethical committee approval, patients were included in this prospective study. After induction of anesthesia, a comprehensive 2D-TEE examination was performed, followed with RT-3D-TEE. The intraoperative surgical finding was used as the gold standard for segmental analysis. Only such segments which were surgically corrected either by resection or insertion of artificial chords were judged pathologic. A total of 50 patients were included in this study; usable data were avail... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921037 Sat, 30 Apr 2011 23:00:00 +0100 4921037 http://www.medworm.com/index.php?rid=4921036&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636929%26dopt%3DAbstract Authors: Kumar B, Sinha PK, Unnikrishnan M Renal artery disease is the most common cause for surgically curable form of hypertension. In a small subset of patients with severe aortic disease where the aorta is not suitable for endovascular technique and to provide an arterial inflow, an extra-anatomic renal bypass surgery (EARBS) is an option. Anesthetic management of such procedures has not been described so far in the literature. We retrospectively analyzed the anesthetic techniques used in all patients who underwent EARBS between February 1998 and June 2008 at this institute. We also further analyzed data concerning blood pressure (BP) control and renal function response following surgery as outcome variable measures. A total of 11 patients underwent EARBS during this period. Five r... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921036 Sat, 30 Apr 2011 23:00:00 +0100 4921036 http://www.medworm.com/index.php?rid=4921035&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636930%26dopt%3DAbstract Authors: Sharma V, Singh A, Kansara B, Karlekar A Transthoracic electrical bioimpedance (TEB) has been proposed as a non-invasive, continuous, and cost-effective method of cardiac output (CO) measurement. In this prospective, non-randomized, clinical study, we measured CO with NICOMON (Larsen and Toubro Ltd., Mysore, India) and compared it with thermodilution (TD) method in patients after off-pump coronary artery bypass (OPCAB) graft surgery. We also evaluated the effect of ventilation (mechanical and spontaneous) on the measurement of CO by the two methods. Forty-six post-OPCAB patients were studied at five predefined time points during controlled ventilation and at five time points when breathing spontaneously. A total of 230 data pairs of CO were obtained. During controlled ventilat... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921035 Sat, 30 Apr 2011 23:00:00 +0100 4921035 http://www.medworm.com/index.php?rid=4921034&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636931%26dopt%3DAbstract We describe acute pericardial tamponade in a young man who underwent left posterolateral thoracotomy for left upper lobectomy. Intraoperatively, mobilization of the left upper lobe was frequently associated with hypotension. Postoperatively, the patient suffered two more episodes of hypotension. The episodes of hypotension were attributed to surgical manipulation and epidural blockade. Hemodynamics normalized after discontinuing epidural infusion, volume resuscitation and lobectomy. On third postoperative day, the patient developed cardiovascular collapse; arterial blood pressure and central venous pressure were 70/50 and 12 mmHg. Investigations showed haziness of left lung, and severe respiratory acidosis. On opening of the left thoracotomy wound, pericardial tamponade was diagnosed. A pe... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921034 Sat, 30 Apr 2011 23:00:00 +0100 4921034 http://www.medworm.com/index.php?rid=4921033&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636932%26dopt%3DAbstract We present anesthetic management of a patient with osteogenesis impertecta during double valve surgery. Dexmedetomidine infusion minimized the risks of malignant hyperthermia. Glidescope and in-line stabilization facilitated endotracheal intubation and protected his oral structures and cervical spine. Transesophageal echocardiography (TEE) diagnosed a flail A3 segment and redundant left coronary cusp causing mitral and aortic regurgitation. The mitral valve was replaced and the aortic valve repaired. Coagulopathy was corrected according to comprehensive coagulation analysis. Glidescope, dexmedetomidine, coagulation analysis and TEE could facilitate anesthetic management in these patients. PMID: 21636932 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921033 Sat, 30 Apr 2011 23:00:00 +0100 4921033 http://www.medworm.com/index.php?rid=4921032&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636933%26dopt%3DAbstract We report an unknown complication of peripherally inserted central venous catheter in a patient with Ventricular Assist Device. This rare complication led to the failure of the right ventricular assist device, which could be detrimental in patients with dilated cardiomyopathy. PMID: 21636933 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921032 Sat, 30 Apr 2011 23:00:00 +0100 4921032 http://www.medworm.com/index.php?rid=4921031&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636934%26dopt%3DAbstract We report a case of CLQTS, who after successful resuscitation from SCA, underwent ICD placement at our center. PMID: 21636934 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921031 Sat, 30 Apr 2011 23:00:00 +0100 4921031 http://www.medworm.com/index.php?rid=4921030&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636935%26dopt%3DAbstract This article serves as a comprehensive guide for anesthesiologists to diagnose and treat hypotension and myocardial ischemia. A summary of available techniques to monitor perioperative myocardial ischemia and their limitations are also discussed. PMID: 21636935 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921030 Sat, 30 Apr 2011 23:00:00 +0100 4921030 http://www.medworm.com/index.php?rid=4921029&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636936%26dopt%3DAbstract Authors: Fathala A, Hassan W The preoperative cardiac assessment of patients undergoing noncardiac surgery is common in the daily practice of medical consultants, anesthesiologists, and surgeons. The number of patients undergoing noncardiac surgery worldwide is increasing. Currently, there are several noninvasive diagnostic tests available for preoperative evaluation. Both nuclear cardiology with myocardial perfusion single photon emission computed tomography (SPECT) and stress echocardiography are well-established techniques for preoperative cardiac evaluation. Recently, some studies demonstrated that both coronary angiography by gated multidetector computed tomography and stress cardiac magnetic resonance might potentially play a role in preoperative evaluation as well, but more stud... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921029 Sat, 30 Apr 2011 23:00:00 +0100 4921029 http://www.medworm.com/index.php?rid=4921028&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636937%26dopt%3DAbstract Authors: Sharma VK, Chaturvedi R, Manoj Luthra V PMID: 21636937 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921028 Sat, 30 Apr 2011 23:00:00 +0100 4921028 http://www.medworm.com/index.php?rid=4921027&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636938%26dopt%3DAbstract Authors: Nath MP, Makhija N, Kiran U, Dhawan N, Velayoudam D PMID: 21636938 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921027 Sat, 30 Apr 2011 23:00:00 +0100 4921027 http://www.medworm.com/index.php?rid=4921026&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636939%26dopt%3DAbstract Authors: Kandachar S, Chakravarthy M, Krishnamoorthy J, Suryaprakash S, Muniappa G, Pandey S, Jawali V, Xavier J PMID: 21636939 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921026 Sat, 30 Apr 2011 23:00:00 +0100 4921026 http://www.medworm.com/index.php?rid=4921025&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636940%26dopt%3DAbstract Authors: Raviraj R, Korula G, Subramani K, Shalinicynthia S PMID: 21636940 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921025 Sat, 30 Apr 2011 23:00:00 +0100 4921025 http://www.medworm.com/index.php?rid=4921024&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636941%26dopt%3DAbstract Authors: Rawat S, Mehta Y, Juneja R, Trehan N PMID: 21636941 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921024 Sat, 30 Apr 2011 23:00:00 +0100 4921024 http://www.medworm.com/index.php?rid=4921023&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636942%26dopt%3DAbstract Authors: Sethi S, Arya VK, Chauhan S PMID: 21636942 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921023 Sat, 30 Apr 2011 23:00:00 +0100 4921023 http://www.medworm.com/index.php?rid=4921022&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636943%26dopt%3DAbstract Authors: Singh A, Sarkar D, Kansara B, Sharma KK PMID: 21636943 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921022 Sat, 30 Apr 2011 23:00:00 +0100 4921022 http://www.medworm.com/index.php?rid=4921021&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636944%26dopt%3DAbstract Authors: Gude D PMID: 21636944 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921021 Sat, 30 Apr 2011 23:00:00 +0100 4921021 http://www.medworm.com/index.php?rid=4921020&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636945%26dopt%3DAbstract Authors: Samra T, Arya VK PMID: 21636945 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921020 Sat, 30 Apr 2011 23:00:00 +0100 4921020 http://www.medworm.com/index.php?rid=4921019&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636946%26dopt%3DAbstract Authors: Jain A, Solanki SL, Sahni N, Sharma A PMID: 21636946 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921019 Sat, 30 Apr 2011 23:00:00 +0100 4921019 http://www.medworm.com/index.php?rid=4921018&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636947%26dopt%3DAbstract Authors: Jain A PMID: 21636947 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921018 Sat, 30 Apr 2011 23:00:00 +0100 4921018 http://www.medworm.com/index.php?rid=4921017&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21636948%26dopt%3DAbstract Authors: Bhagat H, Chauhan H, Dash HH PMID: 21636948 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4921017 Sat, 30 Apr 2011 23:00:00 +0100 4921017 http://www.medworm.com/index.php?rid=4481893&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21287778%26dopt%3DAbstract Authors: PMID: 21287778 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4481893 Sat, 01 Jan 2011 00:00:00 +0100 4481893 http://www.medworm.com/index.php?rid=4350688&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196666%26dopt%3DAbstract Authors: Chakravarthy M PMID: 21196666 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350688 Sat, 01 Jan 2011 00:00:00 +0100 4350688 http://www.medworm.com/index.php?rid=4350687&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196667%26dopt%3DAbstract Authors: Kapoor MC PMID: 21196667 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350687 Sat, 01 Jan 2011 00:00:00 +0100 4350687 http://www.medworm.com/index.php?rid=4350686&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196668%26dopt%3DAbstract In conclusion, thanks to its peculiar properties, remifentanil will probably play a major role in critically ill cardiac patients. PMID: 21196668 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350686 Sat, 01 Jan 2011 00:00:00 +0100 4350686 http://www.medworm.com/index.php?rid=4350685&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196669%26dopt%3DAbstract This study shows that the administered as a single dose at induction does not result in better oxygenation after cardiopulmonary bypass. PMID: 21196669 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350685 Sat, 01 Jan 2011 00:00:00 +0100 4350685 http://www.medworm.com/index.php?rid=4350684&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196670%26dopt%3DAbstract In this report, they analyzed the outcome of children with CHD, undergoing surgical repair and administered ECMO support in the last 10 years. The outcome was analyzed with reference to the timing of intervention, use of integrated ECMO-CPB circuit, indication for ECMO support, duration of ECMO run and the underlying CHD. The results reveal a significantly improved survival rate with the use of integrated ECMO-CPB circuit and early time of intervention rather than using ECMO as a last resort in the management. The patients with reactive pulmonary artery hypertension respond favorably to ECMO support. In all scenarios, early intervention is the key to survival. PMID: 21196670 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350684 Sat, 01 Jan 2011 00:00:00 +0100 4350684 http://www.medworm.com/index.php?rid=4350683&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196671%26dopt%3DAbstract This study was designed to identify the indications of PAC use in cardiac operating rooms. A questionnaire was mailed to anasthesiologists in cardiac centers and the response was analyzed.The practicing cardiac anesthesiologists recommended the use of PAC for following indications in cardiac surgery: coronary artery bypass grafting (CABG) with poor left ventricular (LV) function, LV aneurysmectomy, recent myocardial infarction (MI), pulmonary hypertension, diastolic dysfunction, acute ventricular septal rupture and insertion of left ventricular assist device (LVAD).The analysis of responses from practicing anesthesiologists clearly indicates that use of a PAC cannot be recommended as a matter of routine, but a definite role is suggested in selected groups of patients undergoing cardiac sur... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350683 Sat, 01 Jan 2011 00:00:00 +0100 4350683 http://www.medworm.com/index.php?rid=4350682&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196672%26dopt%3DAbstract Authors: El-Tahan MR The prophylactic use of small doses of ephedrine may counter the hypotension response to propofol anesthesia with minimal hemodynamic changes. One hundred-fifty patients scheduled for valve surgery were randomly assigned into five groups (n = 30 for each) to receive saline, 0.07, 0.1, or 0.15 mg/kg of ephedrine, or phenylephrine 1.5 μg/kg before induction of propofol-fentanyl anesthesia. After induction, patient receiving ephedrine had higher mean arterial pressure, systemic vascular resistance (SVRI), cardiac (CI), stroke volume (SVI), and left ventricular stroke work (LVSWI) indices. Patients received 0.15 mg/kg of ephedrine showed additional increased heart rate and frequent ischemic episodes (P < 0.001). However, those who received phenylephrine showed grea... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350682 Sat, 01 Jan 2011 00:00:00 +0100 4350682 http://www.medworm.com/index.php?rid=4350681&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196673%26dopt%3DAbstract Authors: Kapoor MC, Kumar S, Gourishanker R A patient for double valve replacement developed an unusual complication consequent to extra-vascular displacement of a port of a central venous catheter, placed through the right subclavian vein. The patient had an uneventful surgical course and the trachea extubated after routine mechanical ventilation. Patient developed excessive mediastinal drainage later, which was noticed to be watery in nature. The source of the drainage was found to be a port of the central venous catheter, draining extra-vascular into the subclavian vascular sheath and thereafter through the pericardium into the mediastinal drains. PMID: 21196673 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350681 Sat, 01 Jan 2011 00:00:00 +0100 4350681 http://www.medworm.com/index.php?rid=4350680&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196674%26dopt%3DAbstract We report two cases where the capnogram helped the diagnosis and management of branch pulmonary artery obstruction. We found a redundant patch in the first and an extra length of the homograft in second case which led to the obstruction. However, but for the changes in the intraoperative capnogram, this condition may by far remain undiagnosed considering the fact that it does not produce hemodynamic changes but can lead to postoperative morbidity. PMID: 21196674 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350680 Sat, 01 Jan 2011 00:00:00 +0100 4350680 http://www.medworm.com/index.php?rid=4350679&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196675%26dopt%3DAbstract Authors: Sarupria A, Kapoor PM, Kiran U, Hote M Aneurysm of sinus of Valsalva is a rare congenital cardiac defect that can present with myriad signs and symptoms ranging from trivial to catastrophic events like cardiogenic shock and death. As clinical examination is not entirely reliable and the patient can sometimes be so ill as to preclude cardiac catheterization, echocardiography has become the definitive investigative tool not only to define and diagnose the lesion but also to quantify its severity. The following is a case report of multiple aneurysms of the left aortic sinus of Valsalva rupturing into the left ventricle. Diagnosis is made on multi plane transesophageal echocardiography and color Doppler regarding precise identification of structural anomalies and shunt locations f... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350679 Sat, 01 Jan 2011 00:00:00 +0100 4350679 http://www.medworm.com/index.php?rid=4350678&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196676%26dopt%3DAbstract We describe a case where extracorporeal membrane oxygenator was utilized as a means of ventricular support during this critical postoperative period resulting in a favorable outcome. PMID: 21196676 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350678 Sat, 01 Jan 2011 00:00:00 +0100 4350678 http://www.medworm.com/index.php?rid=4350677&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196677%26dopt%3DAbstract Authors: Tempe DK, Garg M, Dutta D, Virmani S, Agarwal S PMID: 21196677 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350677 Sat, 01 Jan 2011 00:00:00 +0100 4350677 http://www.medworm.com/index.php?rid=4350676&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196678%26dopt%3DAbstract Authors: Karangelis D, Tagarakis GI, Tsantsaridou A, Tsilimingas N PMID: 21196678 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350676 Sat, 01 Jan 2011 00:00:00 +0100 4350676 http://www.medworm.com/index.php?rid=4350675&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196679%26dopt%3DAbstract Authors: Malik M, Chauhan S, Gharde P, Malik V PMID: 21196679 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350675 Sat, 01 Jan 2011 00:00:00 +0100 4350675 http://www.medworm.com/index.php?rid=4350674&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196680%26dopt%3DAbstract Authors: Jain A PMID: 21196680 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350674 Sat, 01 Jan 2011 00:00:00 +0100 4350674 http://www.medworm.com/index.php?rid=4350673&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196681%26dopt%3DAbstract Authors: Juvekar NM, Deshpande SS, Pratap U, Jagtap RR, Patankar SP PMID: 21196681 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350673 Sat, 01 Jan 2011 00:00:00 +0100 4350673 http://www.medworm.com/index.php?rid=4350672&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196682%26dopt%3DAbstract Authors: Ege MR, Guray Y PMID: 21196682 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350672 Sat, 01 Jan 2011 00:00:00 +0100 4350672 http://www.medworm.com/index.php?rid=4350671&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196683%26dopt%3DAbstract Authors: Parida S, Badhe AS PMID: 21196683 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350671 Sat, 01 Jan 2011 00:00:00 +0100 4350671 http://www.medworm.com/index.php?rid=4350670&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196684%26dopt%3DAbstract Authors: Sokhal N, Dube SK, Rath GP, Marda MK PMID: 21196684 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350670 Sat, 01 Jan 2011 00:00:00 +0100 4350670 http://www.medworm.com/index.php?rid=4350669&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196685%26dopt%3DAbstract Authors: Kapoor MC PMID: 21196685 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350669 Sat, 01 Jan 2011 00:00:00 +0100 4350669 http://www.medworm.com/index.php?rid=4350668&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21196686%26dopt%3DAbstract Authors: Jain A, Mangal K PMID: 21196686 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=4350668 Sat, 01 Jan 2011 00:00:00 +0100 4350668 http://www.medworm.com/index.php?rid=3958203&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826958%26dopt%3DAbstract Authors: Hemmerling TM, Zaouter C PMID: 20826958 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958203 Tue, 31 Aug 2010 23:00:00 +0100 3958203 http://www.medworm.com/index.php?rid=3958202&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826959%26dopt%3DAbstract Authors: Mehta Y, Bhatia YP PMID: 20826959 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958202 Tue, 31 Aug 2010 23:00:00 +0100 3958202 http://www.medworm.com/index.php?rid=3958201&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826960%26dopt%3DAbstract Authors: Nair SG Once considered as nothing more than a nuisance after cardiac surgery, the importance of postoperative atrial fibrillation (POAF) has been realized in the last decade, primarily because of the morbidity associated with the condition. Numerous causative factors have been described without any single factor being singled out as the cause of this complication. POAF has been associated with stroke, renal failure and congestive heart failure, although it is difficult to state whether POAF is directly responsible for these complications. Guidelines have been formulated for prevention of POAF. However, very few cardiothoracic centers follow any form of protocol to prevent POAF. Routine use of prophylaxis would subject all patients to the side effects of anti-arrhythmic drugs,... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958201 Tue, 31 Aug 2010 23:00:00 +0100 3958201 http://www.medworm.com/index.php?rid=3958200&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826961%26dopt%3DAbstract Authors: Hemmerling TM, Zaouter C, Geldner G, Nauheimer D This review outlines the basic pharmacodynamic and pharmacokinetic properties of sugammadex for the cardiac anesthesiologist. It describes the different clinical scenarios when sugammadex can be used during cardiac surgery and gives clinical recommendations. Sugammadex is a unique reversal drug that binds a chemical complex with rocuronium and vecuronium, by which the neuromuscular blockade is quickly reversed. It is free of any clinical side-effects and doses of 2 mg/kg or more reliably reverse neuromuscular blockade within 5-15 min, depending on the depth of the neuromuscular blockade. Doses below 2 mg/kg should be avoided at any time because of the inherent risk of recurarization. Sugammadex should not replace good clinical p... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958200 Tue, 31 Aug 2010 23:00:00 +0100 3958200 http://www.medworm.com/index.php?rid=3958199&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826962%26dopt%3DAbstract Authors: Singh R, Choudhury M, Kapoor PM, Kiran U The deleterious effects of anesthetic agents in patients suffering from coronary artery disease are well known. The risk increases when a patient has compromised ventricular function. There is a paucity of literature regarding the choice of the suitable agent to avoid deleterious effects in such patients. The use of etomidate and propofol has been considered superior to other intravenous anesthetic agents in these groups of patients. The aim of the present study is to compare the hemodynamic effects of anesthesia induction with etomidate, thiopentone, propofol, and midazolam in patients with coronary artery disease and left ventricular dysfunction. This randomized clinical trail was conducted at the All Indian Institute of Medical Scien... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958199 Tue, 31 Aug 2010 23:00:00 +0100 3958199 http://www.medworm.com/index.php?rid=3958198&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826963%26dopt%3DAbstract Authors: Mehta Y, Vats M, Sharma M, Arora R, Trehan N The benefits of thoracic epidural analgesia in patients undergoing coronary artery bypass grafting are well documented. However, the literature available on the role of high thoracic epidural analgesia (HTEA) in patients with chronic obstructive pulmonary disease undergoing off-pump coronary artery bypass graft (OPCAB) surgery is scarce. We conducted a randomized clinical trial to establish whether HTEA is beneficial in patients with chronic obstructive pulmonary disease undergoing elective OPCAB surgery. After institutional ethics board approval and informed consent, 62 chronic obstructive pulmonary disease patients undergoing elective OPCAB were randomly grouped into two (n = 31 each). Both groups received general anesthesia (GA),... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958198 Tue, 31 Aug 2010 23:00:00 +0100 3958198 http://www.medworm.com/index.php?rid=3958197&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826964%26dopt%3DAbstract Authors: Ravulapalli HB, Karthekeyan RB, Vakumudi M, Srigiri R, Saldanha R, Sulaiman S The study was done to detect the optimal site of left anterior descending (LAD) artery for grafting and for the assessment of geometrical and anatomical characteristics of left internal mammary artery (LIMA)-to-LAD artery anastomosis in elective off-pump coronary artery bypass grafting surgery. Fifteen consecutive patients who underwent coronary artery bypass graft (CABG) were included in the study. All the operations were performed by a single surgeon. Epicardial ultrasound probe was placed at the site of grafting for scanning and the site of anastomosis selected. The anticipated target site selected by the surgeon was scanned for patency, size, septal perforator branches, and presence of plaque and... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958197 Tue, 31 Aug 2010 23:00:00 +0100 3958197 http://www.medworm.com/index.php?rid=3958196&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826965%26dopt%3DAbstract Authors: Gupta SD, Das S, Ghose T, Sarkar A, Goswami A, Kundu S Rapid right ventricular pacing is safe, effective, and established method to provide balloon stability during balloon aortic valvuloplasty (BAV). Controlled transient respiratory arrest at this point of time may further reduce left ventricular stroke volume, providing an additional benefit to maintain balloon stability. Two groups were studied. Among the 10 patients, five had rapid pacing alone (Group A), while the other five were provided with cessation of positive pressure breathing as well (Group B). The outcomes of BAV in the two groups of patients were studied. One patient in Group A had failed balloon dilatation even after the fourth attempt, while in Group B there were no failures. The peak systolic gradient reducti... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958196 Tue, 31 Aug 2010 23:00:00 +0100 3958196 http://www.medworm.com/index.php?rid=3958195&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826966%26dopt%3DAbstract Authors: Malik M, Chauhan S, Malik V, Gharde P, Kiran U, Pandey RM Indian patients undergoing cardiac surgery have different demographics, clinical profile as well as risk profile, compared to the western population. The purpose of this study was to validate the European System for Cardiac Operative Risk Evaluation (EuroSCORE) risk stratification model in Indian patients undergoing cardiac surgery in a single cardiac center. Data from 1000 consecutive adult patients undergoing cardiac surgery (coronary artery bypass grafting or valve surgery) were prospectively collected as per the EuroSCORE model. The model's validity was assessed on the basis of its calibration power (Hosmer-Lemeshow test) and discriminatory power [area under receiver operating characteristic curve]. The patients wer... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958195 Tue, 31 Aug 2010 23:00:00 +0100 3958195 http://www.medworm.com/index.php?rid=3958194&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826967%26dopt%3DAbstract We describe the anesthetic management of a patient with hypertrophic obstructive cardiomyopathy with dual-chamber pacemaker undergoing transurethral resection of the prostate. Anesthetic challenges included prevention and management of perioperative arrhythmias, maintenance of adequate preload, afterload and heart rate to relieve left ventricular outflow tract obstruction and considerations related to the presence of dual-chamber pacemaker and TURP. We recommend preoperative reprogramming of the DDD pacemaker, avoidance of magnet application during the procedure, application of electrosurgical unit current returning pad to the anterior aspect of the thigh, especially if monopolar cautery is used, use of central venous pressure line for estimation of preload and careful titration of anesthe... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958194 Tue, 31 Aug 2010 23:00:00 +0100 3958194 http://www.medworm.com/index.php?rid=3958193&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826968%26dopt%3DAbstract We present an uncommon event of heart herniation after a completion pneumonectomy indicated for chronic bronchiectasis. A 35-year-old male patient was operated for left completion pneumonectomy. A 6 cm Χ 4 cm area of adherent pericardium near the obtuse margin of heart was removed during surgery. During head-end elevation of the bed in postoperative intensive care unit, patient got accidentally tilted to the left side, which resulted in ventricular fibrillation. Chest cavity was re-opened for cardiopulmonary resuscitation. Left ventricle was found herniating through the pericardial deficiency into the left-thoracic cavity with the cardiac apex touching chest wall. During surgical re-exploration, the pericardial deficiency was closed with a synthetic Dacron patch. Hemodynamic condition r... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958193 Tue, 31 Aug 2010 23:00:00 +0100 3958193 http://www.medworm.com/index.php?rid=3958192&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826969%26dopt%3DAbstract Authors: Sahoo RK, Dash SK, Raut PS, Badole UR, Upasani CB Hypertrophic cardiomyopathy with or without left ventricular outflow tract obstruction is characterized by asymmetric hypertrophy of the interventricular septum causing intermittent obstruction of the left ventricular outflow tract. Because Hypertrophic cardiomyopathy is the most common genetic cardiovascular disease, it may present to the anesthesiologist more often than anticipated, sometimes in undiagnosed form during routine preoperative visit. Surgery and anesthesia often complicate the perioperative outcome if adequate monitoring and proper care are not taken. Therefore, a complete understanding of the pathophysiology, hemodynamic changes and anesthetic implications is needed for successful perioperative outcome. We hereb... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958192 Tue, 31 Aug 2010 23:00:00 +0100 3958192 http://www.medworm.com/index.php?rid=3958191&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826970%26dopt%3DAbstract We present a 76-year-old man with complete pituitary hormone deficiency, who presented with recurrent events of unstable angina. He had a significant stenosis of the left anterior descending artery and he underwent off-pump coronary artery bypass. Our aim is to present the successful management of this patient with congenital hypopituitarism who underwent cardiac surgery and to review the relevant literature. PMID: 20826970 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958191 Tue, 31 Aug 2010 23:00:00 +0100 3958191 http://www.medworm.com/index.php?rid=3958190&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826971%26dopt%3DAbstract Authors: Kanchi M PMID: 20826971 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958190 Tue, 31 Aug 2010 23:00:00 +0100 3958190 http://www.medworm.com/index.php?rid=3958189&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826972%26dopt%3DAbstract Authors: Retnamma RK, Nair SG, Umadethan B, Manoj P PMID: 20826972 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958189 Tue, 31 Aug 2010 23:00:00 +0100 3958189 http://www.medworm.com/index.php?rid=3958188&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826973%26dopt%3DAbstract Authors: Singh SP, Chauhan S, Kiran U PMID: 20826973 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958188 Tue, 31 Aug 2010 23:00:00 +0100 3958188 http://www.medworm.com/index.php?rid=3958187&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826974%26dopt%3DAbstract Authors: Wiwanitkit V PMID: 20826974 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958187 Tue, 31 Aug 2010 23:00:00 +0100 3958187 http://www.medworm.com/index.php?rid=3958186&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826975%26dopt%3DAbstract Authors: Kounis NG, Tsigkas G, Almpanis G, Mazarakis A, Kounis GN PMID: 20826975 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958186 Tue, 31 Aug 2010 23:00:00 +0100 3958186 http://www.medworm.com/index.php?rid=3958185&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826976%26dopt%3DAbstract Authors: Parida S, Mohan RM, Bhat RR, Mishra SK, Badhe AS PMID: 20826976 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958185 Tue, 31 Aug 2010 23:00:00 +0100 3958185 http://www.medworm.com/index.php?rid=3958184&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826977%26dopt%3DAbstract Authors: Tomar AS, Agarwal S, Singh A, Mandiye S, Dutta D, Datt V PMID: 20826977 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958184 Tue, 31 Aug 2010 23:00:00 +0100 3958184 http://www.medworm.com/index.php?rid=3958183&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826978%26dopt%3DAbstract Authors: Jain A, Dogra N, Mangal K PMID: 20826978 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958183 Tue, 31 Aug 2010 23:00:00 +0100 3958183 http://www.medworm.com/index.php?rid=3958182&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826979%26dopt%3DAbstract Authors: Yazigi A, Abou-Zeid H, Haddad F, Madi-Jebara S, Hayeck G, Jabbour K PMID: 20826979 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958182 Tue, 31 Aug 2010 23:00:00 +0100 3958182 http://www.medworm.com/index.php?rid=3958181&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20826980%26dopt%3DAbstract Authors: Wiwanitkit V PMID: 20826980 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3958181 Tue, 31 Aug 2010 23:00:00 +0100 3958181 http://www.medworm.com/index.php?rid=3540528&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442536%26dopt%3DAbstract Authors: Chakravarthy M PMID: 20442536 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540528 Fri, 30 Apr 2010 23:00:00 +0100 3540528 http://www.medworm.com/index.php?rid=3540527&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442537%26dopt%3DAbstract Authors: Tempe DK PMID: 20442537 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540527 Fri, 30 Apr 2010 23:00:00 +0100 3540527 http://www.medworm.com/index.php?rid=3540526&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442538%26dopt%3DAbstract Authors: Mittnacht AJ, Hollinger I Fast-tracking in cardiac surgery refers to the concept of early extubation, mobilization and hospital discharge in an effort to reduce costs and perioperative morbidity. With careful patient selection, fast-tracking can be performed in many patients undergoing surgery for congenital heart disease (CHD). In order to accomplish this safely, a multidisciplinary coordinated approach is necessary. This manuscript reviews currently used anesthetic techniques, patient selection, and available information about the safety and patient outcome associated with this approach. PMID: 20442538 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540526 Fri, 30 Apr 2010 23:00:00 +0100 3540526 http://www.medworm.com/index.php?rid=3540509&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442539%26dopt%3DAbstract Authors: Maitra G, Sengupta S, Rudra A, Debnath S Non-valvular heart disease is an important cause of cardiac disease in pregnancy and presents a unique challenge to the anesthesiologist during labor and delivery. A keen understanding of the underlying pathophysiology, in addition to the altered physiology of pregnancy, is the key to managing such patients. Disease-specific goals of management may help preserve the hemodynamic and ventilatory parameters within an acceptable limit and a successful conduct of labor and postpartum period. PMID: 20442539 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540509 Fri, 30 Apr 2010 23:00:00 +0100 3540509 http://www.medworm.com/index.php?rid=3540508&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442540%26dopt%3DAbstract Authors: Verma YS, Chauhan S, Bisoi AK, Gharde P, Kiran U, Das SN To determine the most effective dose regimen of aprotinin for infants undergoing arterial switch operation for transposition of the great arteries in reducing blood loss and postoperative packed red blood cell (PRBC) requirements. A total of 24 infants scheduled for arterial switch operation for transposition of the great arteries were included in the study. The infants were randomly assigned to one of the three groups. Group I (n = 8) patients received aprotinin in a dose of 20,000 kallikrein inhibiting units (KIU)/kg after induction of anesthesia, 20,000 KIU/kg was added to the pump prime, and 20,000 KIU/kg/hour infusion for three hours after weaning from bypass; group II (n = 8) patients received aprotinin 30,000 KIU/... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540508 Fri, 30 Apr 2010 23:00:00 +0100 3540508 http://www.medworm.com/index.php?rid=3540507&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442541%26dopt%3DAbstract This study compared the incidence of arrhythmias after OPCABG with the two agents. MATERIALS AND METHODS: Forty patients undergoing OPCABG with immediate extubation and perioperative high thoracic analgesia were included in this controlled, double-blind study; anesthesia was either provided using 1 MAC of sevoflurane (SEVO-group) or desflurane (DES-group). Monitoring of perioperative arrhythmias was provided by continuous monitoring of the EKG up to 72 hours after surgery, and routine EKG monitoring once every day, until time of discharge. Patient data, perioperative arrhythmias, and myocardial protection (troponin I, CK, CK-MB-ratio, and transesophageal echocardiography examinations) were compared using t-test, Fisher's exact test or two-way analysis of variance for repeated measurements;... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540507 Fri, 30 Apr 2010 23:00:00 +0100 3540507 http://www.medworm.com/index.php?rid=3540506&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442542%26dopt%3DAbstract Authors: Kapoor PM, Aggarwal V, Chowdhury U, Choudhury M, Singh SP, Kiran U Chronic constrictive pericarditis (CCP) due to tuberculosis has high morbidity and mortality in the periopeartive period following pericardiectomy because of left ventricular (LV) dysfunction. Brain-type natriuretic peptide (BNP) is considered a marker for both LV systolic and diastolic dysfunction. We undertook this prospective study in 24 patients, to measure the BNP levels and to compare it with transmitral Doppler flow velocities, that is, the E/A ratio (E = initial peak velocity during early diastolic filling and A = late peak flow velocity during atrial systole), as a marker of diastolic function and systolic parameters, pre- and post-pericardiectomy, at the time of discharge. The latter parameters have b... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540506 Fri, 30 Apr 2010 23:00:00 +0100 3540506 http://www.medworm.com/index.php?rid=3540502&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442543%26dopt%3DAbstract In conclusion , Isoflurane, sevoflurane and desflurane, do not appear to have a detrimental effect in patients with early diastolic dysfunction. On the contrary, these inhalational agents actually improve the LV relaxation. A significant reduction in afterload produced by these vapors can be a possible reason for these findings. The positive effect of these inhalational agents on LV relaxation can have a profound effect on the perioperative anesthetic management of patients with diastolic dysfunction. PMID: 20442543 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540502 Fri, 30 Apr 2010 23:00:00 +0100 3540502 http://www.medworm.com/index.php?rid=3540477&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442544%26dopt%3DAbstract CONCLUSION: All drugs were of similar efficacy in reducing the pulmonary vascular resistance index. Only iNTG produced selective pulmonary vasodilatation, while IV NTG and its combination with IV dobutamine had a significant concomitant systemic vasodilatory effect. PMID: 20442544 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540477 Fri, 30 Apr 2010 23:00:00 +0100 3540477 http://www.medworm.com/index.php?rid=3540473&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442545%26dopt%3DAbstract Authors: Gosavi KS, Dash SK, Shah BN, Upasani CB Partial exchange transfusion during cardiopulmonary bypass, while conducting cardiac surgery may be a useful technique in patients with high level of sickle hemoglobin. Along with this preoperative use of hydroxyurea and alternative analgesic modalities such as transcutaneous electrical nerve stimulation in postoperative period may be beneficial, in our opinion. A 16-year-old female of Turner's syndrome having sickle cell anemia scheduled for closure of arterial septal defect on cardiopulmonary bypass was managed with partial exchange transfusion and warm cardioplegia. PMID: 20442545 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540473 Fri, 30 Apr 2010 23:00:00 +0100 3540473 http://www.medworm.com/index.php?rid=3540468&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442546%26dopt%3DAbstract We report tricuspid valve excision using the off-pump inflow occlusion technique in a 68-year-old man. We also describe role of intra-operative TEE as a monitoring tool at different stages of the surgical procedure. PMID: 20442546 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540468 Fri, 30 Apr 2010 23:00:00 +0100 3540468 http://www.medworm.com/index.php?rid=3540464&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442547%26dopt%3DAbstract We report successful anesthetic management of a repair of EA and mitral valve replacement in a patient with coexisting Wolff-Parkinson-White (WPW) syndrome. PMID: 20442547 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540464 Fri, 30 Apr 2010 23:00:00 +0100 3540464 http://www.medworm.com/index.php?rid=3540463&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442548%26dopt%3DAbstract Authors: Saini R, Saini S, Saini SR PMID: 20442548 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540463 Fri, 30 Apr 2010 23:00:00 +0100 3540463 http://www.medworm.com/index.php?rid=3540462&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442549%26dopt%3DAbstract Authors: Goel S, Baloria KA, Selot N, Panigrahi B PMID: 20442549 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540462 Fri, 30 Apr 2010 23:00:00 +0100 3540462 http://www.medworm.com/index.php?rid=3540461&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442550%26dopt%3DAbstract Authors: Nath MP, Dhawan N, Chauhan S, Kiran U PMID: 20442550 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540461 Fri, 30 Apr 2010 23:00:00 +0100 3540461 http://www.medworm.com/index.php?rid=3540460&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442551%26dopt%3DAbstract Authors: Tempe DK, Dutta D, Minhas H, Garg M, Virmani S PMID: 20442551 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540460 Fri, 30 Apr 2010 23:00:00 +0100 3540460 http://www.medworm.com/index.php?rid=3540455&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442552%26dopt%3DAbstract Authors: Chauhan S, Sukesan S The surgical procedures performed with robtic assitance and the scope for its future assistance is endless. To keep pace with the developing technologies in this field it is imperative for the cardiac anesthesiologists to have aworking knowledge of these systems, recognize potential complications and formulate an anesthetic plan to provide safe patient care. Challenges posed by the use of robotic systems include, long surgical times, problems with one lung anesthesia in presence of coronary artery disease, minimally invasive percutaneous cardiopulmonary bypass management and expertise in Trans-Esophageal Echocardiography. A long list of cardiac surgeries are performed with the use of robotic assistance, and the list is continuously growing as surgical inno... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540455 Fri, 30 Apr 2010 23:00:00 +0100 3540455 http://www.medworm.com/index.php?rid=3540453&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442553%26dopt%3DAbstract Authors: Neema PK, Sethuraman M, Singha S, Rathod RC PMID: 20442553 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540453 Fri, 30 Apr 2010 23:00:00 +0100 3540453 http://www.medworm.com/index.php?rid=3540452&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442554%26dopt%3DAbstract Authors: Samad K, Khan MF, Qureshi R, Hoda MQ, Ullah H PMID: 20442554 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540452 Fri, 30 Apr 2010 23:00:00 +0100 3540452 http://www.medworm.com/index.php?rid=3540451&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442555%26dopt%3DAbstract Authors: Gadhinglajkar S, Sreedhar R PMID: 20442555 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540451 Fri, 30 Apr 2010 23:00:00 +0100 3540451 http://www.medworm.com/index.php?rid=3540442&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442556%26dopt%3DAbstract Authors: Gadhinglajkar S, Sreedhar R, Jayant A PMID: 20442556 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540442 Fri, 30 Apr 2010 23:00:00 +0100 3540442 http://www.medworm.com/index.php?rid=3540440&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442557%26dopt%3DAbstract Authors: Rao PB, Gurjar M, Azim A, Baronia AK PMID: 20442557 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540440 Fri, 30 Apr 2010 23:00:00 +0100 3540440 http://www.medworm.com/index.php?rid=3540437&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20442558%26dopt%3DAbstract Authors: Nair HC Trans-esophageal echocardiaography is a sensitive, minimally invasive, diagnostic tool which gives real time functional image of the aorta. It helps in the diagnosis of pathologies of aorta like atherosclerosis, aneurysm and aortic dissection. PMID: 20442558 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3540437 Fri, 30 Apr 2010 23:00:00 +0100 3540437 http://www.medworm.com/index.php?rid=3179431&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20075527%26dopt%3DAbstract Authors: Chakravarthy M PMID: 20075527 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3179431 Fri, 01 Jan 2010 00:00:00 +0100 3179431 http://www.medworm.com/index.php?rid=3179430&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20075528%26dopt%3DAbstract Authors: Neema PK PMID: 20075528 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3179430 Fri, 01 Jan 2010 00:00:00 +0100 3179430 http://www.medworm.com/index.php?rid=3179429&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20075529%26dopt%3DAbstract This article also highlights the recent guidelines for temporary transvenous pacing in the setting of acute MI and the different pacing modalities that are available for an anesthesiologist. PMID: 20075529 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3179429 Fri, 01 Jan 2010 00:00:00 +0100 3179429 http://www.medworm.com/index.php?rid=3179428&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20075530%26dopt%3DAbstract Authors: Menda F, Köner O, Sayin M, Türe H, Imer P, Aykaç B During induction of general anesthesia hypertension and tachycardia caused by tracheal intubation may lead to cardiac ischemia and arrhythmias. In this prospective, randomized study, dexmedetomidine has been used to attenuate the hemodynamic response to endotracheal intubation with low dose fentanyl and etomidate in patients undergoing myocardial revascularization receiving beta blocker treatment. Thirty patients undergoing myocardial revascularization received in a double blind manner, either a saline placebo or a dexmedetomidine infusion (1 microg/kg) before the anesthesia induction. Heart rate (HR) and blood pressure (BP) were monitored at baseline, after placebo or dexmedetomidine infusion, after induction o... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3179428 Fri, 01 Jan 2010 00:00:00 +0100 3179428 http://www.medworm.com/index.php?rid=3179427&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20075531%26dopt%3DAbstract Authors: Narayana Iyengar RM, Hegde D, Chattuparambil B, Gupta R, Patil L Pulmonary artery thromboendarterectomy (PTE) has been regarded as a promising, potentially curative surgical procedure. However, PTE is associated with specific postoperative complications, such as reperfusion pulmonary edema and right heart failure leading to a considerable mortality of 7-24%. Despite its limitations PTE is a better surgical alternative to lung transplantation which carries high morbidity and mortality. The aim of the study is to analyze the efficacy, safety, morbidity and survival associated in the postoperative period and quality of life after six months of PTE in Indian patients. Forty-one patients with surgically correctable chronic thromboembolic pulmonary hypertension underwent pulmonary e... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3179427 Fri, 01 Jan 2010 00:00:00 +0100 3179427 http://www.medworm.com/index.php?rid=3179426&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20075532%26dopt%3DAbstract Authors: Sharma M, Mehta Y, Sawhney R, Vats M, Trehan N Perioperative Thoracic epidural analgesia (TEA) is an important part of a multimodal approach to improve analgesia and patient outcome after cardiac and thoracic surgery. This is particularly important for obese patients undergoing off pump coronary artery bypass surgery (OPCAB). We conducted a randomized clinical trial at tertiary care cardiac institute to compare the effect of TEA and conventional opioid based analgesia on perioperative lung functions and pain scores in obese patients undergoing OPCAB. Sixty obese patients with body mass index >30 kg/m2 for elective OPCAB were randomized into two groups (n=30 each). Patients in both the groups received general anesthesia but in group 1, TEA was also administered. We performed... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3179426 Fri, 01 Jan 2010 00:00:00 +0100 3179426 http://www.medworm.com/index.php?rid=3179425&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20075533%26dopt%3DAbstract The objective of this study was to evaluate the effectiveness of acute normovolemic hemodilution (ANH) as a sole method of reducing allogenic blood requirement in patients undergoing primary elective valve surgery. One hundred eighty eight patients undergoing primary elective valve surgery were prospectively randomized into two groups: Group I (n=100) acted as control and in Group II (n=88) autologous blood was removed (10% of estimated blood volume in patients with hemoglobin (Hb) > 12g% and 7% when the Hb was < 12g%) in the pre-cardiopulmonary bypass (CPB) period for subsequent re-transfusion after protamine administration. The autologous blood withdrawn was replaced simultaneously with an equal volume of hydroxyl-ethyl starch solution. Banked blood was transfused in both the group... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3179425 Fri, 01 Jan 2010 00:00:00 +0100 3179425 http://www.medworm.com/index.php?rid=3179424&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20075534%26dopt%3DAbstract Authors: Rawat SK, Mehta Y, Vats M, Mishra Y, Khurana P, Trehan N Antiphospholipid antibody syndrome (APLAS) characterises a clinical condition of arterial and venous thrombosis associated with phospholipids directed antibodies. APLAS occurs in 2% of the general population. However, one study demonstrated that 7.1% of hospitalised patients were tested positive for at least one of the three anticardiolipin antibody idiotype. Antiphospholipid antibodies often inhibit phospholipids dependent coagulation in vitro and interfere with laboratory testing of hemostasis. Therefore, the management of anticoagulation during cardiopulmonary bypass can be quite challenging in these patients. Here, we present a case of right atrial mass removal and pulmonary thrombectomy in a patient of APLAS. PM... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3179424 Fri, 01 Jan 2010 00:00:00 +0100 3179424 http://www.medworm.com/index.php?rid=3179423&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20075535%26dopt%3DAbstract Authors: Gupta P, Tobias JD, Goyal S, Miller MD, Melendez E, Noviski N, De Moor MM, Mehta V Williams syndrome is a complex syndrome characterized by developmental abnormalities, craniofacial dysmorphic features, and cardiac anomalies. Sudden death has been described as a very common complication associated with anesthesia, surgery, and procedures in this population. Anatomical abnormalities associated with the heart pre-dispose these individuals to sudden death. In addition to a sudden and rapid downhill course, lack of response to resuscitation is another significant feature seen in these patients. The authors report a five-year-old male with Williams syndrome, hypothyroidism, and attention deficit hyperactivity disorder. He suffered an anaphylactic reaction during CT imaging with con... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3179423 Fri, 01 Jan 2010 00:00:00 +0100 3179423 http://www.medworm.com/index.php?rid=3179422&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20075536%26dopt%3DAbstract In conclusion, effective control of hyperthyroidism in the presence of MG may be difficult. The authors opine that careful peri-operative management of thymectomy is possible in a hyperthyroid state. PMID: 20075536 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3179422 Fri, 01 Jan 2010 00:00:00 +0100 3179422 http://www.medworm.com/index.php?rid=3179421&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20075537%26dopt%3DAbstract This report elucidates the anesthetic management of three such cases with a review of literature. PMID: 20075537 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia) Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3179421 Fri, 01 Jan 2010 00:00:00 +0100 3179421 http://www.medworm.com/index.php?rid=3179420&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20075538%26dopt%3DAbstract Authors: Gadhinglajkar S, Sreedhar R, Jayakumar K, Misra M, Ganesh S, Mathew T Superior type of sinus venosus atrial septal defect (SVASD) is invariably associated with the unroofing of right upper pulmonary vein (RUPV). Warden procedure and pericardial patch repair with rerouting of the RUPV are commonly performed operations for the superior SVASD. Both operations involve the risk of obstruction to the flow of superior vena cava or rerouted pulmonary vein in the postoperative period. The sinus venosus defects are well visualized on the transesophageal echocardiography (TEE) because of the proximity of the TEE probe to these structures. We are reporting two cases operated for the superior SVASD with unroofed RUPV, highlighting the intraoperative echocardiographic features before and af... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3179420 Fri, 01 Jan 2010 00:00:00 +0100 3179420 http://www.medworm.com/index.php?rid=3179419&cid=s_36893_5_f&fid=36893&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20075539%26dopt%3DAbstract Authors: Datt V, Tempe DK, Virmani S, Datta D, Garg M, Banerjee A, Tomar AS Asymptomatic women with mild aortic stenosis (AS) and normal left ventricular functions can successfully carry pregnancy to term and have vaginal deliveries. However, severe AS (valve area <1.0 cm2) can result in rapid clinical deterioration and maternal and fetal mortality. So, these patients require treatment of AS before conception or during pregnancy preferably in the second trimester. In suitable patients percutaneous balloon aortic valvotomy appears to carry lower risk. It can also be used as a palliative procedure allowing deferral of aortic valve replacement until after delivery. The present patient had severe critical AS with congestive heart failure that was refractory to medical therapy and the fe... Annals of Cardiac Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3179419 Fri, 01 Jan 2010 00:00:00 +0100 3179419