International Perfusion Association

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IPA

Day: February 6, 2024

VAVD

Vacuum Assisted and Gravitational Venous Drainage in Aortic Valve Surgery: A Propensity-Match Study

This study compared the early outcomes of isolated aortic valve replacement using Vacuum Assisted Venous Drainage (VAVD) and Gravity Venous Drainage (GVD). Data from 521 patients were analyzed through propensity match analysis, resulting in two cohorts of 129 patients each. The findings suggest that the use of VAVD is not associated with increased risks of postoperative complications or in-hospital mortality compared to GVD, with similar or better outcomes in certain aspects such as acute kidney injury. The study highlights the safety and efficacy of VAVD in cardiac surgery.

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February 6, 2024
Lactic Acidosis

Association Between Lactic Acidosis and Multiple Organ Dysfunction Syndrome After Cardiopulmonary Bypass

The study investigates the link between lactic acidosis and multiple organ dysfunction syndrome (MODS) post-cardiopulmonary bypass (CPB). A post hoc analysis on cardiac surgery patients shows a correlation between lactic acidosis and higher incidences of MODS, with lactic acidosis patients experiencing the worst outcomes. The research suggests the need for intensive monitoring of lactic acidosis post-CPB to mitigate risks and improve patient care.

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February 6, 2024
Canada ECMO

Utilization of Shock Team and Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) in the Management of Cardiogenic Shock in Northern Ontario

The article reviews the introduction of a specialized shock team and the use of VA-ECMO in Northern Ontario for cardiogenic shock (CS) management. Despite advances, CS outcomes were poor until this new approach, which is now feasible even in remote areas. A study at Health Sciences North in Sudbury evaluated the Impella device and the viability of a shock team to administer VA-ECMO. The results show a significant survival rate and demonstrate the potential to bridge urban-rural healthcare disparities in Ontario.

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February 6, 2024
Infant Cannula

Bedside Repositioning of a Migrated Avalon ECMO Cannula in an Infant: Novel Technique

This article presents a novel bedside method for repositioning a migrated Avalon ECMO cannula in an infant. The Avalon Elite bi-caval dual lumen catheter, essential for veno-venous extracorporeal membranous oxygenation, requires precise placement. The new technique, involving direct access of the ECMO inflow tube with a catheter and guide wire, proved successful in two instances of catheter migration without the need for additional venous access, highlighting an advancement in pediatric critical care.

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February 6, 2024

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