OBJECTIVE To describe the dynamics of copeptin in open cardiac surgery during the perioperative course. DESIGN Prospective cohort study. SETTING Single tertiary hospital. PARTICIPANTS Twenty patients scheduled for open cardiac surgery procedures with cardiopulmonary bypass (CPB). INTERVENTIONS No intervention. MEASUREMENTS AND MAIN RESULTS Copeptin concentrations were measured pre-, p...

results of 153 patients, 96.8% received pc and 54.9% transfused ffp during or after surgery. most of the transfusions were done after operation in intensive care unit (icu). also, 20% and 17% of the patients underwent transfusion of more than 6 units of pc and ffp, respectively. the mean left ventricular ejection fraction of the patients was 42.5 ± 10.9%. a significant number of patients had an...

OBJECTIVES To measure the incidence of cerebral desaturation during high-risk cardiac surgery and to evaluate strategies to reverse cerebral desaturation. DESIGN Prospective observational study followed by a randomized controlled study with 1 intervention group and 1 control group. SETTING Tertiary care center specialized in cardiac surgery. PARTICIPANTS All patients were scheduled for hi...

BACKGROUND Delirium is an acute deterioration of brain function characterized by fluctuating consciousness and an inability to maintain attention. Use of statins has been shown to decrease morbidity and mortality after major surgical procedures. The objective of this study was to determine an association between preoperative administration of statins and postoperative delirium in a large prospe...

Background Cardiac surgery is widely used in the treatment of cardiovascular diseases. However, several complications can be observed during the postoperative period. Positive end expiratory pressure (PEEP) improves gas exchange, but it might be related to decreased cardiac output and possible impairment of tissue oxygenation. The aim of this study was to investigate the hemodynamic effects and...

BACKGROUND Delirium after cardiac surgery is a common complication in cardiovascular intensive care units. The prevalence of delirium and its likely risk factors have not previously been explored in a single sample of postoperative cardiac patients in an intensive care unit. OBJECTIVE To compare a variety of characteristics in patients with and without delirium and to identify risk factors as...

BACKGROUND Adequate enteral nutrition may be difficult to achieve early in neonates after cardiac surgery, but it is essential for growth, wound healing, and immune function. OBJECTIVE To assess caloric intake in neonates receiving enteral nutrition after surgery. METHODS A retrospective chart review was conducted of daily enteral caloric intake in the cardiac intensive care unit of a terti...

OBJECTIVE Identify risk factors that determine pneumonia development in patients who have undergone cardiac surgery. METHODS Prospective study of a single cohort in a postoperative intensive care unit at a tertiary care center, encompassing all patients undergoing cardiac surgery from January to July 2014. RESULTS 31 postoperative pneumonia cases were enrolled out of 211 patients (14.6%). T...

OBJECTIVE To assess whether a nurse led, flow monitored protocol for optimising circulatory status in patients after cardiac surgery reduces complications and shortens stay in intensive care and hospital. DESIGN Randomised controlled trial. SETTING Intensive care unit and cardiothoracic unit of a university teaching hospital. PARTICIPANTS 174 patients who underwent cardiac surgery between...