Exciting debate on the EOLIA trial!
https://www.ctsnet.org/jans/extracorporeal-membrane-oxygenation-severe-a...
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Critical Care
August 31, 2018
A balanced editorial discussing the relevant RCT from Britain. The esteemed authors are correct to highlight the overall discouraging survival from out-of-hospital cardiac arrest WITHOUT NEUROLOGICAL DEFICIT. What does need to be done to improve a 3% acceptable outcome?
August 9, 2018
This study shows the use of inhaled nitric oxide (NO) via noninvasive means (nasal prongs or high flow nasal cannulae) is an effective method for reduction of PV resistance. With right ventricular dysfunction becoming an increasingly recognised event after cardiac surgery, this allows for application of NO without the need for intubation.
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.
August 9, 2018
This is a look at the costs related to surgical site infections (SSI), as defined by CDC. They show the impact on the monetary costs as well as length of stay with a variety of treatment methods. The costs of a deep SSI add significanty to the overall procedure costs, mainly due to the additional length of stay.
June 28, 2018
Chan and colleagues describe a stepwise approach to reducing the time to extubation after cardiac surgery, driven primarily by bedside providers as opposed to a conventional physician-directed approach.
May 24, 2018
A severe blow to the concept of venovenous extracorporeal membrane oxygenation for acute respiratory distress syndrome in the form of a well-executed randomized controlled trial.
May 17, 2018
Filmed at the 2017 EACTS Annual Meeting in Vienna, Austria, Jill Ley moderates a discussion with Teresa Kieser, Richard Van Valen, and Melissa Rochon on infection prevention and the management of surgical wounds.
May 14, 2018
Thomas and colleagues performed a retrospective analysis of patient information from the National Surgical Quality Improvement Program database to identify risk factors for postdischarge venous thromboembolism (VTE) following lung resection.
May 9, 2018
The authors have used a number of novel kidney related biomarkers to improve the identification of patients with acute kidney injury (AKI) and its likely progression. This is an important issue in cardiac surgery, as the outcomes after significant kidney injury can be quite devastating.