Annals of Cardiac AnaesthesiaThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

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ABO blood groups and myocardial infarction among Palestinians.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19602755 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Skaik YA Tags: Ann Card Anaesth Source Type: journals

Intravenous ondansetron causing severe bradycardia: two cases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19602754 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Afonso N, Dang A, Namshikar V, Kamat S, Rataboli PV Tags: Ann Card Anaesth Source Type: journals

A practical tip: rings of blood for successful radial artery cannulation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19602753 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Arya VK, Subramanyam R Tags: Ann Card Anaesth Source Type: journals

Thoracic epidural anesthesia in cardiac surgery--current standing.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19602752 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Kapoor PM, Choudhury M, Kakani M Tags: Ann Card Anaesth Source Type: journals

High thoracic epidural analgesia for cardiac surgery: time to move from morbidity to quality of recovery indicators.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19602751 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Royse CF Tags: Ann Card Anaesth Source Type: journals

Trans-esophageal echocardiography in off-pump coronary artery bypass grafting.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Two features of off-pump coronary artery bypass (OPCAB) can lead to hemodynamic instability: transient occlusion of coronary arteries during distal anastomosis construction and displacement of the heart to provide access to distal coronary arteries. The position of the heart during OPCAB trans-esophageal echocardiography (TEE) can often provide an indication as to how much compression of the right or left ventricle has occurred. If either chamber is not filling, repositioning of the heart will be necessary. Close observation of the heart with TEE during periods of coronary occlusion may facilitate detection of worsenin...
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Kapoor PM, Chowdhury U, Mandal B, Kiran U, Karnatak R Tags: Ann Card Anaesth Source Type: journals

Trans-esophageal echocardiography for tricuspid and pulmonary valves.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Transesophageal echocardiography has been shown to provide unique information about cardiac anatomy, function, hemodynamics and blood flow and is relatively easy to perform with a low risk of complications. Echocardiographic evaluation of the tricuspid and pulmonary valves can be achieved with two-dimensional and Doppler imaging. Transesophageal echocardiography of these valves is more challenging because of their complex structure and their relative distance from the esophagus. Two-dimensional echocardiography allows an accurate visualization of the cardiac chambers and valves and their motion during the cardiac cycle...
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Prabhu MR Tags: Ann Card Anaesth Source Type: journals

How do I get an optimal image?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Trans-esophageal echocardiography (TEE) is fast becoming an indispensable monitoring and diagnostic modality in cardiac operation rooms. Its convenience and dependability in making important and crucial decisions intra-operatively, during cardiac operative procedures, makes it one of the most useful weapons in a cardiac anesthesiologist's armory. But to make reliable inferences based on intra-operative TEE, creation and development of a proper image is one of the fundamental requirements. The image quality can be affected by factors like patient anatomy, quality of the ultrasound system, and skill of the echocardiograp...
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Kumar HR Tags: Ann Card Anaesth Source Type: journals

Intra-operative trans-esophageal echocardiography in congenital heart disease.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Intra-operative trans-esophageal echocardiography (TEE) is an important monitoring and diagnostic tool used during surgery for repair of congenital heart disease. In several studies,TEE has been shown to provide additional intra-cardiac anatomic information. Its ability to be used intra- operatively before and after cardiac repair makes it a unique tool. Before TEE was available for intra-operative use, significant residual abnormalities were frequently not detected. The result was often substantial post-operative morbidity and mortality and sometimes the need for re-operation. According to practice guidelines establis...
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Garg R, Murthy K, Rao S, Muralidhar K Tags: Ann Card Anaesth Source Type: journals

Quantification of AS and AR.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Trans-esophageal echocardiography (TEE) is routinely used in valvular surgery in most institutions. The popularity of TEE stems from the fact that it can supplement or confirm information gained from other methods of evaluation or make completely independent diagnoses. Quantitative and qualitative assessment permits informed decisions regarding surgical intervention, type of intervention, correction of inadequate surgical repair and re-operation for complications. This review summarizes the various methods for quantification of aortic regurgitation and stenosis on TEE. The application of Doppler echo (pulsed wave, cont...
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Mehta Y, Singh R Tags: Ann Card Anaesth Source Type: journals

Adult cardiac transplantation: a review of perioperative management (part-II).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Heart transplant is the definitive therapy for end-stage heart failure. This two part review article focussed first on the perioperative management of patients for heart transplantation. This part II will be a comprehensive review of the current status of mechanical assist device therapy for surgical management of the patient with refractory end-stage heart failure. PMID: 19602745 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Ramakrishna H, Jaroszewski DE, Arabia FA Tags: Ann Card Anaesth Source Type: journals

Endothoracic hemopoiesis: imaging of a rare clinical entity.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19602744 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Baikoussis NG, Beis JP, Siafakas M, Siminelakis SN Tags: Ann Card Anaesth Source Type: journals

Large pseudoaneurysm of aortic root after aortic valve replacement for rheumatic heart disease: a rare complication.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19602743 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Misra S, Koshy T, Patro SN, Dash PK Tags: Ann Card Anaesth Source Type: journals

ST elevation--an indication of reversible neurogenic myocardial dysfunction in patients with head injury.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report describes a patient who presented with signs of meningitis four days after head injury. The patient had ST elevation on electrocardiography along with hypotension and positive tropinin T test, mimicking inferior wall infarction. The ST changes resolved within 48 hours of intensive care management. Subsequent investigations failed to document any myocardial infarction. PMID: 19602742 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Bhagat H, Narang R, Sharma D, Dash HH, Chauhan H Tags: Ann Card Anaesth Source Type: journals

Decompression of superior vena cava during bidirectional Glenn shunt.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Patients undergoing bi-directional Glenn shunt for various congenital anomalies of the heart will have their superior vena cava (SVC) clamped during the procedure. The duration of the procedure is variable, ranging from five to 30 minutes. This can affect the cerebral perfusion due to raised venous pressure [Cerebral blood flow = Mean arterial pressure-(Intracranial pressure + Central venous pressure)]. Shunting away the SVC blood is a well known technique to counter this problem, but we describe two cases where a novel technique was successfully used to decompress the SVC. PMID: 19602741 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Kulkarni V, Mudunuri R, Mulavisala K, Byalal RJ Tags: Ann Card Anaesth Source Type: journals

Intra-operative assessment of biventricular function using trans-esophageal echocardiography pre/post-pulmonary thromboembolectomy in patient with chronic thromboembolic pulmonary hypertension.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Postoperative studies in patients with chronic thromboembolic pulmonary hypertension (CTPH) have shown that pulmonary thromboembolectomy (PTE) results in a rapid decrease of right ventricular (RV) size, improvement in the RV systolic function and left ventricular (LV) diastolic function. However, the extent to which the biventricular function recovers immediately after embolectomy in post-cardiopulmonary bypass period is not clear. A 45-year-old male patient was operated for retrieval of thrombus from pulmonary trunk and right pulmonary artery. Intraoperative transesophageal echocardiography (TOE) before surgery reveal...
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Gadhinglajkar S, Sreedhar R, Jayakumar K, Misra M, Ganesh S, Panicker V Tags: Ann Card Anaesth Source Type: journals

Delayed presentation of right and left ventricle perforation due to suicidal nail gun injury.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a case of delayed presentation of attempted suicide with a nail gun that penetrated both the right and left ventricle. Nearly invisible entry point of the nail did not reflect the gravity of the injury. A prompt and accurate history along with chest X-ray and bedside transthoracic echocardiography facilitated localization of the nails and helped assess the damage. Despite cardiac arrest after induction of general anesthesia, the patient had a successful outcome. Issues related to the injury site, modalities of investigation and management strategies in a patient with cardiac tamponade are discussed. PMID: 1...
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Tuladhar S, Eltayeb A, Lakshmanan S, Yiu P Tags: Ann Card Anaesth Source Type: journals

Infrarenal abdominal aortic aneurysm repair in presence of coronary artery disease: optimization of myocardial stress by controlled phlebotomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe intra-operative controlled phlebotomy to optimize myocardial stress during repair of infrarenal AAA in a patient with significant stable CAD. PMID: 19602738 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Neema PK, Vijayakumar A, Manikandan S, Rathod RC Tags: Ann Card Anaesth Source Type: journals

Pre-operative high sensitive C-reactive protein predicts cardiovascular events after coronary artery bypass grafting surgery: a prospective observational study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
C-reactive protein is a powerful independent predictor of cardiovascular events in patients with coronary artery disease. The relation between C-reactive protein (CRP) concentration and in-hospital outcome, after coronary artery bypass grafting (CABG), has not yet been established. The study aims to evaluate the predictive value of pre-operative CRP for in-hospital cardiovascular events after CABG surgery. High-sensitivity CRP (hs-CRP) levels were measured pre-operatively on the day of surgery in 66 patients scheduled for elective on pump CABG surgery. Post-operative cardiovascular events such as death from cardiovascu...
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Balciunas M, Bagdonaite L, Samalavicius R, Griskevicius L, Vuylsteke A Tags: Ann Card Anaesth Source Type: journals

Delay in onset of metabolic alkalosis during regional citrate anti-coagulation in continuous renal replacement therapy with calcium-free replacement solution.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Regional citrate anti-coagulation for continuous renal replacement therapy chelates calcium to produce the anti- coagulation effect. We hypothesise that a calcium-free replacement solution will require less citrate and produce fewer metabolic side effects. Fifty patients, in a Medical Intensive Care Unit of a tertiary teaching hospital (25 in each group), received continuous venovenous hemofiltration using either calcium-containing or calcium-free replacement solutions. Both groups had no significant differences in filter life, metabolic alkalosis, hypernatremia, hypocalcemia, and hypercalcemia. However, patients using...
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: See KC, Lee M, Mukhopadhyay A Tags: Ann Card Anaesth Source Type: journals

Treating myocardial stunning randomly, with either propofol or isoflurane following transient coronary occlusion and reperfusion in pigs.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Propofol and isoflurane may be used during fast track anesthesia for off-pump bypass, where transient ischemia is common. The purpose of this study was to compare the effects of propofol vs isoflurane in a porcine model of acute coronary occlusion. Twenty five pigs were randomized to receive general anesthesia with either isoflurane, 1 MAC (n = 13), or propofol, 3 mg/kg bolus followed by 200 microg/ kg/min infusion (n = 12). Pressure-tipped catheters were placed in the left ventricle (LV) and carotid artery; cardiac output was measured by ultrasound; two pairs of ultrasonic dimension catheters were placed in the subend...
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Urdaneta F, Lobato EB, Kirby DS, Sidi A Tags: Ann Card Anaesth Source Type: journals

A comparison of the effects of desflurane, sevoflurane and propofol on QT, QTc, and P dispersion on ECG.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of this prospective, randomized, and double-blinded study was to compare the effects of desflurane, sevoflurane, propofol on both atrial and ventricular wall function by measurement of QT dispersion (QTd), corrected QT dispersion (QTcd), and P dispersion (Pd) on electrocardiogram (ECG). Forty-six patients from the American Society of Anesthesiologists class I-II undergoing noncardiac surgery, were enrolled in this study. Patients were randomly allocated to receive desflurane, sevoflurane or propofol anesthesia. ECG recordings were taken before and after 5 minutes of drug administration. Induction with desfluran...
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Kazanci D, Unver S, Karadeniz U, Iyican D, Koruk S, Yilmaz MB, Erdemli O Tags: Ann Card Anaesth Source Type: journals

Brain, cardiopulmonary bypass and temperature: what should we be doing?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19602733 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Chauhan S Tags: Ann Card Anaesth Source Type: journals

Therapeutic hypothermia after cardiac arrest during surgery: a meaningful pursuit?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19602732 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Authors: Chakravarthy M Tags: Ann Card Anaesth Source Type: journals

Legal consequences of not making life saving equipments available to patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: PMID: 19606570 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - July 1, 2009 Category: Anesthesiology Tags: Ann Card Anaesth Source Type: journals

Diagnostic fiberoptic bronchoscope aided double lumen tube insertion.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19136767 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Goneppanavar U, Prabhu M, Appuswamy E, Kaur J Tags: Ann Card Anaesth Source Type: journals

Identical drug packaging: Heparin and midazolam-yet another instance of similar drug packaging.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19136766 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Misra S, Koshy T, Sinha P Tags: Ann Card Anaesth Source Type: journals

The value of postoperative troponin levels in predicting long-term mortality after coronary artery bypass surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19136765 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Tzimas P, Milionis HJ, Arnaoutoglou H, Kalantzi K, Karfis E, Korantzopoulos P, Pappas K, Drossos G, Papadopoulos G Tags: Ann Card Anaesth Source Type: journals

Intraoperative coronary vein graft thrombosis: Should we blame the use of aprotinin?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19136764 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Sivasubramaniam S, Murali B, Smallpiece CJ, Smith B, Kalkat M Tags: Ann Card Anaesth Source Type: journals

Selective lung separation with Fogarty catheter guided by an adult fiberoptic bronchoscope in a paediatric patient with situs inversus.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19136763 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Kodivalasa M, Ramachandran G Tags: Ann Card Anaesth Source Type: journals

Large rhabdomyosarcoma of the right ventricle obstructing tricuspid valve, pulmonary valve and left ventricular outflow tract.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19136762 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Selvaraj T, Kapoor PM, Kiran U Tags: Ann Card Anaesth Source Type: journals

Intramyocardial dissecting haematoma causing cardiac tamponade: An unusual complication after mitral valve replacement surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19136761 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Prashanth P, Mukhaini M, Maddali MM Tags: Ann Card Anaesth Source Type: journals

Adult cardiac transplantation: A review of perioperative management Part - I.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cardiac allotransplantation has, over the years, become the established therapeutic modality for patients with end-stage heart failure. Significant advances in immunosuppressive therapy have dramatically improved the outcome of heart transplantation over the past four decades. This review will focus on the anaesthetic challenges involved in the perioperative management of these complex patients as well as some of the proposed alternatives to transplantation. PMID: 19136760 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Ramakrishna H, Jaroszewski DE, Arabia FA Tags: Ann Card Anaesth Source Type: journals

Milrinone infusion: A therapeutic option in coronary vasospasm after primary percutaneous transluminal coronary angioplasty.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 42-year-old male presented to the emergency department with acute chest pain. The electrocardiogram revealed inferior wall myocardial infarction. Emergency coronary angiography revealed total occlusion of the distal right coronary artery with thrombus. Patient was taken up for primary percutaneous coronary angioplasty with stenting of distal right coronary artery. Six hours following the procedure, the patient developed re-elevation of ST-segment in inferior leads of electrocardiogram and subsequent haemodynamic instability. Repeat coronary angiography revealed patent stent and coronary artery spasm in proximal part,...
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Singh A, Arya RC, Mohan B Tags: Ann Card Anaesth Source Type: journals

Anaesthetic management of a child presenting with intrapericardial teratoma compressing the airway and the heart.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Intrapericardial tumours can cause cardiac compromise either from pericardial effusion producing cardiac tamponade or from the mass obstructing the outflow from the heart or both. Respiratory embarrassment may also be present if the mass compresses the trachea or the main stem bronchus. A 1-month-old child presented in the emergency needing prompt measures to relieve compressive symptoms. Successful anaesthetic and surgical management led to uneventful recovery. Histopathology of the mass revealed a rarely occurring intrapericardial teratoma. After surgical removal, the child had clinical follow-up for more than a year...
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Kumar IH, Shrote V, Kumar H Tags: Ann Card Anaesth Source Type: journals

Intraoperative myocardial ischemia during renal transplantation caused by anomalous origin of the right coronary artery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of acute myocardial ischemia precipitated by fluid loading conditions in a patient with AORCA during renal transplant that was successfully treated with emergent intra-aortic balloon pump therapy intraoperatively. Judicious intraoperative fluid replacement is recommended, and volume overload must be avoided in AORCA patients undergoing surgery. PMID: 19136757 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Arya VK, Bangaari A, Rajeev S, Sharma A, Minz M, Rohit MK Tags: Ann Card Anaesth Source Type: journals

Superior vena cava syndrome after pulsatile bidirectional Glenn shunt procedure: Perioperative implications.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe the peri-operative implications of severe flow reversal in the superior vena cava after pulsatile BDG shunt construction in a child who presented for surgical interruption of the main pulmonary artery. PMID: 19136756 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Neema PK, Sethuraman M, Krishnamanohar SR, Rathod RC Tags: Ann Card Anaesth Source Type: journals

Induced mild hypothermia in post-cardiopulmonary bypass vasoplegia syndrome.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The state of vasoplegia in immediate post-cardiopulmonary bypass period is characterized by severe hypotension, supranormal cardiac output, low systemic vascular resistance (SVR), and resistance to vasoconstrictors. We could successfully use induced mild hypothermia to increase SVR, and could avoid very high doses of nor-epinephrine (>0.3 mcg/kg/min) in the background of severe pulmonary hypertension (systolic pulmonary pressure> 90mmHg). Its effects such as decreased oxygen demand, positive inotropy and better right ventricle performance probably helped to improve oxygenation in presence of pulmonary oedema. ...
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Tripathi M, Singh PK, Kumar N, Pant KC Tags: Ann Card Anaesth Source Type: journals

Surgical retrieval of embolised atrial septal occluder device from pulmonary artery: Pathophysiology and role of the intraoperative transoesophageal echocardiography.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Atrial septal defect is usually closed in the cardiac catheterisation laboratory using atrial septal occluder (ASO) device. One of the complications associated with the procedure is embolisation of the device into the pulmonary artery. We are reporting two cases wherein the pulmonary embolisation of ASO device occurred during the procedure in one patient and in the early post-procedure period in another; both were retrieved surgically. We are also describing the haemodynamic consequences of this complication and the role of intraoperative transoesophageal echocardiography during surgical retrieval of the device. PM...
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Gadhinglajkar S, Unnikrishnan KP, Sreedhar R, Kapoor MC, Neema PK Tags: Ann Card Anaesth Source Type: journals

Butorphanol premedication to facilitate invasive monitoring in cardiac surgery patients before induction of anaesthesia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cannulations (peripheral vein, radial artery and jugular vein) performed for invasive monitoring before induction of anaesthesia in cardiac surgery patients may be associated with stress and anxiety. The efficacy and safety of butorphanol premedication was assessed in setting up of invasive monitoring. The study was a prospective, randomized, double blind, placebo controlled one with 70 patients undergoing elective cardiac surgery. In group-1 patients ( n = 35) (placebo) intramuscular saline was administered 1-2 hours before the surgery in equivalent volume to butorphanol. In group-2 ( n = 35) butorphanol (1, 1.5 and 2...
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Tripathi M, Nath SS, Banerjee S, Tripathi M Tags: Ann Card Anaesth Source Type: journals

Caudal epidural sufentanil and bupivacaine decreases stress response in paediatric cardiac surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Surgery and anaesthesia are known to cause stress response. Attenuation of stress response can decrease morbidity, postoperative hospital length of stay and, thus, cost. Intrathecal and epidural techniques produce reliable analgesia in patients undergoing surgery along with stress response attenuation. The present study was undertaken to evaluate the efficacy of caudal sufentanil and bupivacaine combination on perioperative stress response in paediatric patients undergoing open heart surgery. Thirty patients (ASA grade II-III) undergoing elective corrective cardiac surgery for acyanotic congenital heart disease, were r...
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Sendasgupta C, Makhija N, Kiran U, Choudhary SK, Lakshmy R, Das SN Tags: Ann Card Anaesth Source Type: journals

Role of cardiac biomarkers (troponin I and CK-MB) as predictors of quality of life and long-term outcome after cardiac surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Perioperative and postoperative morbidity and mortality associated with cardiac surgery affect both the outcome and quality of life. Markers such as troponin effectively predict short-term outcome. In a prospective cohort study in a University Hospital we assessed the role of cardiac biomarkers, also as predictors of long-term outcome and life quality after cardiac surgery with a three-year follow-up after conventional heart surgery. Patients were interviewed via phone calls with a structured questionnaire examining general health, functional status, activities of daily living, perception of life quality and need for h...
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Bignami E, Landoni G, Crescenzi G, Gonfalini M, Bruno G, Pappalardo F, Marino G, Zangrillo A, Alfieri O Tags: Ann Card Anaesth Source Type: journals

Changes in near infrared spectroscopy during deep hypothermic circulatory arrest.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Monitoring cerebral oxygenation with near infrared spectroscopy may identify periods of cerebral desaturation and thereby the patients at risk for perioperative neurocognitive issues. Data regarding the performance of near infrared spectroscopy monitoring during deep hypothermic circulatory arrest are limited. The current study presents data regarding use of a commercially available near infrared spectroscopy monitor during deep hypothermic circulatory arrest in paediatric patients undergoing surgery for congenital heart disease. The cohort included 8 patients, 2 weeks to 6 months of age, who required deep hypothermic ...
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Tobias JD, Russo P, Russo J Tags: Ann Card Anaesth Source Type: journals

Effect of single intraoperative dose of amiodarone in patients with rheumatic valvular heart disease and atrial fibrillation undergoing valve replacement surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Maintenance of sinus rhythm (SR) is superior to rate control in atrial fibrillation (AF). In order to achieve SR, we administered single-dose intravenous amiodarone intraoperatively and evaluated its effect on conversion of rheumatic AF to SR in patients undergoing valvular heart surgery. Patients were randomly assigned to amiodarone ( n = 42) or control ( n = 40) group in a double blind manner. The amiodarone group received amiodarone (3 mg/kg) intravenously prior to the institution of cardiopulmonary bypass and the control group received the same volume of normal saline. In the amiodarone group, the initial rhythm af...
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Selvaraj T, Kiran U, Das S, Chauhan S, Sahu B, Gharde P Tags: Ann Card Anaesth Source Type: journals

Halogenated anaesthetics and cardiac protection in cardiac and non-cardiac anaesthesia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Volatile anaesthetic agents have direct protective properties against ischemic myocardial damage. The implementation of these properties during clinical anaesthesia can provide an additional tool in the treatment or prevention, or both, of ischemic cardiac dysfunction in the perioperative period. A recent meta-analysis showed that desflurane and sevoflurane reduce postoperative mortality and incidence of myocardial infarction following cardiac surgery, with significant advantages in terms of postoperative cardiac troponin release, need for inotrope support, time on mechanical ventilation, intensive care unit and overal...
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Landoni G, Bignami E, Oliviero F, Zangrillo A Tags: Ann Card Anaesth Source Type: journals

Thoracic epidural anaesthesia in cardiac surgery- the current standing.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19136747 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Authors: Chaney MA Tags: Ann Card Anaesth Source Type: journals

Sedated, unconscious patients--hot water bags.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: PMID: 19205098 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - January 1, 2009 Category: Anesthesiology Tags: Ann Card Anaesth Source Type: journals

Utility of transoesophageal echocardiography during surgery on left atrial myxoma.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18603766 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - July 1, 2008 Category: Anesthesiology Authors: Gadhinglajkar S, Sreedhar R Tags: Ann Card Anaesth Source Type: journals

Transoesophageal echocardiography during Senning's operation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18603765 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - July 1, 2008 Category: Anesthesiology Authors: Gadhinglajkar S, Sreedhar R Tags: Ann Card Anaesth Source Type: journals

Transoesophageal echocardiography during surgery for atrial septal defect with partial anomalous pulmonary venous connection.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18603764 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - July 1, 2008 Category: Anesthesiology Authors: Gadhinglajkar S, Sreedhar R Tags: Ann Card Anaesth Source Type: journals