International Perfusion Association

Day: January 12, 2024

Cardiac Art

The Overall Prevalence and Main Determinants of Prolonged Mechanical Ventilation in Patients Undergoing Coronary Artery Bypass Grafting: A Systematic Review

This systematic review found that the prevalence of prolonged mechanical ventilation (PMV) in patients undergoing coronary artery bypass grafting (CABG) surgery ranges from 1.7% to 10.2%, depending on the definition of PMV. The study identified several predictors of PMV, including demographic factors, obesity, comorbidities, emergency surgery, intraoperative characteristics, and certain postoperative outcomes, which could help in designing new scoring systems for predicting PMV.

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ML ECMO

Utilizing Machine Learning to Predict Neurological Injury in Venovenous Extracorporeal Membrane Oxygenation Patients: An Extracorporeal Life Support Organization Registry Analysis

In a study analyzing 37,473 VV-ECMO patients, machine learning was used to predict acute brain injury (ABI), revealing a 7.1% incidence of ABI and identifying pre-ECMO cardiac arrest as the most significant risk factor. The study’s machine learning models, however, showed sub-optimal performance in predicting ABI, attributed to the low prevalence of ABI and the lack of standardized neuromonitoring and imaging protocols in the ELSO Registry data.

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