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Anesthesia

Impact of Intubation Time on Survival Following Coronary Artery Bypass Grafting: Insights From the Surgical Treatment for Ischemic Heart Failure (STICH) Trial
August 9, 2018
This is a further report from the extensive dataset of the STICH Trial. This examines the impact of immediate postoperative events (length of time of intubation) on short- and long-term outcomes. If the time  was >36 hours, there was significant correlation with increased mortality, both 30-day and one-year.
Time Is Your Best Friend, but It Soon Becomes Your Worst Enemy: The Conflict of Venoarterial Extracorporeal Membrane Oxygenation in Cardiac Surgery
June 27, 2018
A brief, readable, sensibly balanced, and well-referenced editorial on the occasion of the retrospective Austrian paper on venoarterial extracorporeal membrane oxygenation (ECMO).
Differences and Similarities in Risk Factors for Postoperative Acute Kidney Injury Between Younger and Older Adults Undergoing Cardiac Surgery
January 24, 2018
A well executed study on an important problem in cardiac surgery that merits careful reading, as no one-sentence conclusion can be adequately gleaned.
In Global News: "What the HF?," Transfusion Facts, and the Right Age for Oral Intubation
September 29, 2017
Patient Care A Brazilian woman ran a road race in Rio de Janiero, powered by the transplanted heart of a German Olympian that she had received only a year earlier.
Effect of Preoperative Inspiratory Muscle Training on Alveolar-Arterial Oxygen Gradients After Coronary Artery Bypass Surgery
July 12, 2017
Preoperative Inspiratory Muscle Training (IMT) with the Powerbreathe device was assessed with regard to whether A-a gradients and inspiratory muscle power would be improved after CABG.  A group of 40 male patients were randomized to receiving (20) or not receiving (20) preop IMT.
Postoperative bleeding in coronary artery bypass patients on double antiplatelet therapy: predictive value of preoperative aggregometry
June 14, 2017
The authors have examined impedance aggregometry on patients undergoing CABG on DAPT. They examined the impact of cessation on beeding and transfusion and showed a higher level of platelet function led to lower transfusions.
Dozens of recent clinical trials may contain wrong or falsified data, claims study
June 11, 2017
Dozens of recent clinical trials contain suspicious statistical patterns that could indicate incorrect or falsified data, according to a review of thousands of papers published in leading medical journals.
Remote Ischemic Preconditioning for Cardiac Surgery: Reflections on Evidence of Efficacy
March 31, 2016
A commentary and follow-up comment on last year's ERICCA and RIPHeart- related publications in the NEJM.
Simulation-based learning of transesophageal echocardiography in cardiothoracic surgical trainees: A prospective, randomized study
July 9, 2015
Twenty-five cardiac surgery trainees underwent randomization to learn TEE interpretation by either of two approaches:  traditional teaching during cardiac surgery vs. simulation-based teaching via the Heartworks simulator.

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