International Perfusion Association

Day: January 26, 2024

Electroacupuncture

Efficacy of Electroacupuncture on Myocardial Protection and Postoperative Rehabilitation in Patients Undergoing Cardiac Surgery with Cardiopulmonary Bypass: A Systematic Review and Meta-Analysis

This study evaluated the efficacy of electroacupuncture (EA) in myocardial protection and postoperative rehabilitation in patients undergoing cardiac surgery with cardiopulmonary bypass, using data from fourteen randomized controlled trials involving 836 patients. The results suggest that EA may reduce myocardial ischaemia-reperfusion injury and enhance postoperative recovery, with no reported adverse reactions, although the findings are based on evidence of mostly low or moderate quality, indicating a need for more high-quality, large-scale studies.

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ICU Patient

Timing of Chest Tube Removal Following Adult Cardiac Surgery: A Cluster Randomized Controlled Trial

This study compared two fast-track chest tube removal protocols in cardiac surgery patients, focusing on risks of pleural or pericardial effusions, opioid requirements, respiratory function, and postoperative complications. Results showed that early chest tube removal did not significantly reduce analgesic needs, improve respiratory function, or decrease postoperative complications, and was associated with a high rate of pleural effusions, leading to the study’s early termination for futility.

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PerfusionGPT

PerfusionGPT Beta Launched on iPerfusion.org

PerfusionGPT is an AI-powered chatbot based on ChatGPT-4, specifically designed to provide expert knowledge for perfusionists in cardiac surgery. It serves as a critical resource for both clinical decision-making and educational purposes in the field of perfusion.

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Ischemic Leg

Bilateral Femoral Cannulation Is Associated With Reduced Severe Limb Ischemia-Related Complications Compared With Unilateral Femoral Cannulation in Adult Peripheral Venoarterial Extracorporeal Membrane Oxygenation: Results From the Extracorporeal Life Support Registry

This retrospective cohort study compared unilateral and bilateral femoral cannulation strategies for peripheral venoarterial ECMO and found no significant difference in overall limb ischemia risk. However, bilateral cannulation was associated with lower incidences of compartment syndrome, cannulation site bleeding, vessel repair, and in-hospital mortality.

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CABG Core

Safety-Net Hospital Status Is Associated With Coronary Artery Bypass Grafting Outcomes at an Urban Academic Medical Center

The study investigated the impact of socioeconomic factors and referral status from a county hospital (CH) on outcomes of coronary artery bypass grafting (CABG). It found that patients from CH had greater comorbidities, more often required nonelective surgery, and faced a significantly higher risk of major adverse cardiovascular events (MACE) postoperatively.

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Heart MMA

In-Hospital Mortality in Patients With Cardiogenic Shock Requiring Veno-Arterial Extracorporeal Membrane Oxygenation With Concomitant Use of Impella vs. Intra-Aortic Balloon Pump – A Retrospective Cohort Study Using a Japanese Claims-Based Database

In a study comparing the effectiveness of Impella and intra-aortic balloon pump (IABP) in patients with refractory cardiogenic shock requiring veno-arterial extracorporeal membrane oxygenation (VA-ECMO), no significant difference in in-hospital mortality was found between the two groups. However, the Impella group experienced longer mechanical ventilation support and hospital stays, and incurred higher medical costs than the IABP group, suggesting a need for further research to optimize the use of Impella in such clinical scenarios.

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