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IPA

Category: CPB

Collectrin

Urinary Collectrin as Promising Biomarker for Acute Kidney Injury in Patients Undergoing Cardiac Surgery

This study explores urinary collectrin as a potential biomarker for early detection of acute kidney injury (AKI) in patients undergoing cardiac surgery with cardiopulmonary bypass. It found significant perioperative changes in collectrin levels, particularly on postoperative day 1, indicating its promise for timely AKI diagnosis and intervention, though further research is needed for clinical validation.

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December 26, 2023

Mechanical Circulatory Support in Cardiogenic Shock

The abstract outlines the evolving management of cardiogenic shock, highlighting the transition to using temporary mechanical circulatory support (t-MCS) like IABP, VA-ECMO, Impella, and ECPELLA, informed by advances in circulatory physiology. It emphasizes the importance of selecting appropriate t-MCS devices based on patient-specific conditions, shock stage, and risk, guided by hemodynamic monitoring and a multidisciplinary team approach.

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December 26, 2023
CPB Time

Association Between Cardiopulmonary Bypass Time and Mortality Among Patients With Acute Respiratory Distress Syndrome After Cardiac Surgery

Longer cardiopulmonary bypass (CPB) times were associated with increased ICU and in-hospital mortality, as well as longer ICU stays, in patients who developed acute respiratory distress syndrome (ARDS) after cardiac surgery. This study suggests that CPB duration is a significant predictor of short-term mortality in these patients, with times over 160.5 minutes increasing the risk of worse outcomes.

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December 24, 2023

Development of New Colloid Osmotic Pressure Measurement Method Using Ultrafiltration Membrane During Cardiopulmonary Bypass

A study developed an ultrafiltration membrane method to measure colloid osmotic pressure (COP) and compared it with colloidal osmometer measurements, finding high accuracy, reproducibility, and positive correlation with existing methods. This new method shows potential for improved COP monitoring in clinical settings, suggesting implications for future research and clinical applications.

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December 22, 2023

Impact of Pre-Bypass Ultrafiltration on Prime Values and Clinical Outcomes in Neonatal and Infant Cardiopulmonary Bypass

Pre-bypass Ultrafiltration (PBUF) was found to standardize and make more physiologic the values for electrolytes, glucose, and lactate in blood primes used for cardiopulmonary bypass in congenital cardiac surgery, without significantly affecting in-hospital outcomes. This retrospective study compared patients ≤ 1 year old undergoing cardiac surgery with PBUF to those without, showing significant improvements in the physiologic values of PBUF-treated circuits.

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December 21, 2023

Our Initial Experience of Monitoring the Autoregulation of Cerebral Blood Flow During Cardiopulmonary Bypass

This study investigates the application of the cerebral oxygenation index (COx) in monitoring cerebral blood flow (CBF) autoregulation during cardiopulmonary bypass surgeries. Despite the complexity and challenges involved, the study emphasizes the critical analysis of COx, highlighting limitations and suggesting caution before its implementation in clinical practice.

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December 20, 2023
HL Machine

Comparison of 6% Hydroxyethyl Starch 130/0.4 and Ringer’s Lactate as Priming Solutions in Patients Undergoing Isolated Open Heart Valve Surgery: A Double-Blind Randomized Controlled Trial

This study compared the outcomes of heart valve surgery patients undergoing cardiopulmonary bypass with two different priming solutions: 6% hydroxyethyl starch (HES) 130/0.4 and ringer’s lactate (RL). The results indicate that using HES in addition to RL for priming increased the risk of blood product transfusion during hospitalization compared to using RL alone in this patient population.

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December 18, 2023
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