Journal of Cardiothoracic and Vascular Anesthesia This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Echocardiography In Sepsis: Can One Snapshot Tell The Whole Story?
It is with great interest that we read the single-center retrospective cohort study by Blank and Blank on the impact of echocardiography on mortality in sepsis in Critical Care Medicine. (1) Not only does this study add to the body of literature on sepsis, a major contributor to hospital morbidity and mortality, it also provokes an important discussion on how to best utilize echocardiography to manage our patients. (2) (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 18, 2024 Category: Anesthesiology Authors: Lakshmi Nemani, Louisa J. Palmer, Christoph G.S. Nabzdyk Tags: Editorial Source Type: research

The Association of Oxygen Delivery and Transfusion on Cardiopulmonary Bypass with Acute Kidney Injury
We sought to estimate whether the association of transfusion and AKI has a threshold of oxygen delivery below which transfusion is beneficial, but, above which it's harmful. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 17, 2024 Category: Anesthesiology Authors: Milo Engoren, Allison Janda, Michael Heung, David Sturmer, Donald S. Likosky, Robert B. Hawkins, Chi Chi Do-Nguyen, Michael Mathis Tags: Original Article Source Type: research

In Reply to “Letter to the Editor: The alphabet soup of norepinephrine doses”
To the Editor: (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 16, 2024 Category: Anesthesiology Authors: Stefano Salvati, Jacopo D'Andria Ursoleo, Giovanni Landoni, Alessandro Belletti Tags: Letter to the Editor Source Type: research

Beyond Venoarterial and Venovenous ECMO: Novel Cannulation Strategies
Extracorporeal Membrane Oxygenation (ECMO) is most commonly used as either lung support or venovenous ECMO (VV-ECMO) or combined heart and lung support or venoarterial ECMO (VA-ECMO). In certain instances such as large body habitus, peripheral vascular disease or poor vascular access, these strategies may not provide sufficient support or are not feasible to deploy. New strategies for ECMO including parallel VV-ECMO circuits for patients with high cardiac output, veno-venopulmonary ECMO, left atrial venoarterial ECMO, and dual lumen cannula access through the left ventricular apical may be helpful in complex circumstances....
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 15, 2024 Category: Anesthesiology Authors: Anthony Calhoun, Christopher Szabo, David Convissar, Dominic V. Pisano, Jamel Ortoleva Tags: Editorial Source Type: research

Prediction of acute kidney injury after coronary artery bypass graft from preoperative serum uric acid
This study aimed to examine the association of a heightened level of uric acid (UA) in the bloodstream and a heightened likelihood of AKI following CABG surgery. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 15, 2024 Category: Anesthesiology Authors: Chunsheng Huang, Jun Qiu, XiangMing Fang Source Type: research

One-Lung Ventilation in a Small Child
We congratulate Maddali et al. for the successful management of a challenging case involving a 2-yr-old undergoing one-lung ventilation for right thoracotomy.1 Withdrawal of a single-lumen endotracheal tube from the left mainstem bronchus is also helpful to temporarily resume bilateral ventilation when oxygen desaturation occurs during one-lung ventilation. Placement of a single-lumen endotracheal tube into the left mainstem bronchus may be difficult and can be facilitated by rotation of the bevel (depending on the model) and patient's head before advancement. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 12, 2024 Category: Anesthesiology Authors: Anthony M.-H. Ho, Amanda Jasudavisius, Julie Zalan, Joanna M. Dion, Melinda Fleming, Glenio B. Mizubuti Tags: Letter to the Editor Source Type: research

Transatlantic Educational Network – An Innovation Born Out of Necessity
The COVID-19 epidemic brought about many changes to the delivery of healthcare, graduate medical education, and collaborative efforts across academic medicine. While there was a temporary disruption in fluid delivery of services, longer-term benefits emerged with the leveraging of innovative technology and multi-centered collaborations. These new opportunities led fourteen centers within the United States and Europe to develop a novel remote collaborative educational effort in cardiovascular and thoracic anesthesiology, known as the Transatlantic Educational Network. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 12, 2024 Category: Anesthesiology Authors: Gabor Erdoes, Archer Kilbourne Martin Source Type: research

Use of laryngeal mask airway with continuous transcutaneous PCO2-monitoring for crico-tracheal resection requiring intermittent prolonged apnea in a pregnant woman
Subglottic stenosis (SGS) is characterized by a narrowed upper airway extending from just below the vocal folds to the lower border of the cricoid cartilage (1). SGS is either a congenital or an acquired condition of unknown pathophysiology generally accompanied by formation of scar tissue, fibrosis, and enhanced inflammation (2, 3). As the affected tissue contains estrogen receptors, growth hormones influence and impact its severity (2). Although several conservative and invasive treatment strategies exist, only crico-tracheal resection (CTR) can remove the constricting tissue completely and offers recurrence-free surviva...
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 11, 2024 Category: Anesthesiology Authors: Sophie Wuthe, Cecilia Veraar, Ursula Jantsch-Watzinger, Keso Skhirtladze-Dworschak, Thomas Schweiger, Konrad Hoetzenecker, Edda Tschernko, Martin Dworschak Tags: Case Report Source Type: research

Surgical ablation for atrial fibrillation: risk factors for recurrence and long-term outcome
Atrial fibrillation (AF) is the most common cardiac arrhythmia. Due to the insufficient efficacy of antiarrhythmic drugs and their adverse side effects, there has been considerable interest in the interventional treatment of AF, including both catheter ablation and surgical ablation. Surgical ablation or "maze procedure" is a treatment option for patients with AF undergoing concomitant or isolated cardiac surgery. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 11, 2024 Category: Anesthesiology Authors: Jonathan Frogel, Alexander Kogan, John G Augoustides, Tamer Jamal, Nir Shimoni, Roni Postan-Koren, Viktoriia Ivanov, Avi Sabbag, Ehud Raanani, Leonid Sternik Tags: Original Article Source Type: research

The use of early veno-venous extra-corporeal membrane oxygenation (ECMO) following lightning strike induced acute lung injury
Lightning is a life-threatening natural phenomenon. It has an electrical potential of 100-300 million volts and is capable of producing heat of up to 3000 °C. Fortunately, in the United Kingdom lightning strike injury is relatively uncommon, affecting 30-60 people annually with a mortality of approximately 5-10%. The probability of being struck by lightning is 1 in 1.2 million, and the probability of death is 1 in 33 million – resulting in approxim ately 3 deaths annually.1 (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 11, 2024 Category: Anesthesiology Authors: Rohan Farrimond, Yusuff Hakeem, Matthew Charlton Tags: Case Report Source Type: research

Sustainability of the subspecialty of Anesthesiology Critical Care: An Expert Consensus and Review of the Literature
While considerable literature exists with respect to clinical aspects of critical care anesthesiology (CCA) practice, few publications have focused on how anesthesiology based critical care practices are organized and the challenges associated with the administration and management of anesthesiology critical care units. Currently, numerous challenges are affecting the sustainability of CCA practice, including decreased applications to fellowship positions and decreased reimbursement for critical care work. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 11, 2024 Category: Anesthesiology Authors: Brigid C. Flynn, Megan H. Hicks, Craig S. Jabaley, Shawn Simmons, Courtney Maxey-Jones, Vivek Moitra, Dan Brown, Ashish K. Khanna, Brent Kidd, Jarva Chow, Shweta Yemul Golhar, Kaveh Hemati, Talia K. Ben-Jacob, Margit Kaufman, Miguel Cobas, Michael Nurok, Tags: Review Article Source Type: research

Blood pressure management for hypotensive patients in intensive care and perioperative cardiovascular settings
Blood pressure is a critical physiological parameter, particularly in the context of cardiac intensive care and perioperative settings. As a primary indicator of organ perfusion, the maintenance of adequate blood pressure is imperative for the assurance of sufficient tissue oxygen delivery. Among critically ill and major surgery patients, the continuous monitoring of blood pressure is performed as a standard practice for patients. Nonetheless, uncertainties remain regarding blood pressure goals, and there is no consensus regarding blood pressure targets. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 9, 2024 Category: Anesthesiology Authors: Yuki Kotani, Jacopo D'Andria Ursoleo, Carlotta Pia Murru, Giovanni Landoni Source Type: research

The Year in Electrophysiology: Selected Highlights From 2023
This special article is a continuation of an annual series for the Journal of Cardiothoracic and Vascular Anesthesia (JCVA), highlighting the latest developments in the field of Electrophysiology (EP), particularly concerning cardiac anesthesiologists. The selected topics in the specialty for 2023 include Consensus Statements on left atrial appendage closure, outcomes in patients with Atrial Fibrillation and heart failure post-ablation, further developments in the field of Pulse Field ablation, alternate defibrillation strategies for refractory ventricular fibrillation, updates on Conduction System Pacing, new devices such...
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 9, 2024 Category: Anesthesiology Authors: Sophia P. Poorsattar, Nicolas Kumar, Matthew Vanneman, Daniel Kinney, Christina A. Jelly, Natalie Bodmer, Ryan Lefevre, Adam Dalia, Amit Bardia Tags: Review Article Source Type: research

“Combined Coronary and Carotid Disease: What to Operate on First? Or Both at the Same Time?”
Concomitant coronary artery disease (CAD) and carotid artery stenosis is a perennial clinical challenge. Determining the optimal medical or surgical management and subsequent timing of needed operative intervention remains elusive. Yu and Chaney describe a challenging case of symptomatic coronary and carotid artery disease which calls attention to the uncertainty in best practice.1 Although an abundance of retrospective literature exists on the subject, a consensus on one single best pathway does not exist and randomized controlled trials are limited. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 8, 2024 Category: Anesthesiology Authors: Jennette Hansen, Elizabeth Cotter Tags: Invited Commentary Source Type: research

Masthead
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 6, 2024 Category: Anesthesiology Source Type: research