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Critical Care

November 1, 2021
An extremely useful and free-access update on a major vascular entity. The 'Areas of Uncertainty'  is a particularly useful chapter, discussing the available technology and its current supra-renal limitations and the emerging solutions.
September 27, 2021
A small meta-analysis suggesting a bemefit of vascular ultrasound for access to the groin vessels in TAVI. The utility of ultrasonography may be extended in access for groin cannulation in aortovascular surgery and ECMO 
August 13, 2021
In this session we discuss common scenarios where the addition of venous or arterial cannulae to a traditional ECMO configuration may be necessary, and we familiarize the surgeon with the techniques necessary.
July 12, 2021
In this article, Jacobs et al. provide a multi-institutional outcomes review of 200 consecutive patients with confirmed COVID-19 supported with ECMO. The mean time on ECMO was 15 days with survival on VV-ECMO of 46.3% and survival on VA-ECMO of 25%.
June 17, 2021
The current video demonstrates the technique of thoracic duct localization using indocyanine green in a neonate who experienced chylothorax after one stage repair of coarctation and ventricular septal defect.
June 15, 2021
Fascinating confirmation of null hypotheses including bleeding complications and survival in a Pennsylvanian cohort study, despite the easily predictable previous PCI, hock, and IABP prevalence in the emergency group. The statistical model is elaborate and complex. Perhaps a randomized trial could now be justified!
June 10, 2021
Chyle leak remains a challenging postoperative complication to manage, and avoidance is always easier than mitigation.  The only predisposing factor identified in this study was low BMI.  Although ICU stay was longer in affected patients, operative mortality, hospital LOS, and survival were not negatively impacted by the presence of a leak. 
May 2, 2021
The AATS expert consensus document was recently released and focused on surgical treatment of acute type A aortic dissection.
April 9, 2021
This review nicely summarizes the recommendations for antithrombotic therapy in the setting of acute coronary syndromes.  In a section relevant to cardiac surgeons, they suggest that patients who undergo CABG surgery in the setting of an acute coronary syndrome should be similarly treated with dual antiplatelet therapy.
March 23, 2021
This Beat episode discusses CT training models, postop day 1 discharge after lobectomy, and an overview of anatomy for robotic lobectomy.

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