CARDIAC catheterization continues to be the principal means for definitive study of a wide variety of cardiac lesions. Information essential for the selection of surgical candidates and for their postoperative evaluation is provided by this type of investigation. However, the continued search for additional laboratory studies is evidence that current methods frequently do not provide the necess...

BACKGROUND To evaluate the cardioprotective effects of sevoflurane versus propofol anesthesia in patients undergoing cardiac surgery. METHODS Studies were retrieved through searching several databases. Study quality was evaluated by Jadad scale. Meta-analysis was performed with RevMan5.0 software. Publication bias was tested by funnel plot. RESULTS As a result, 15 studies were included. Com...

Interruption of coronary flow during cardiac surgical procedures provides a bloodless flaccid heart and allows precise and rapid correction of complex cardiac defects. However, myocardial damage occurs in direct proportion to the duration of the ischemia. As the induction of cardioplegia simulataneous with the initiation of cardiac ischemia helps to preserve cardiac energy reserves and thus myo...

BACKGROUND The authors compared the safety and efficacy of a newly developed fast-track concept at their center, including implementation of a direct admission postanesthetic care unit, to standard perioperative management. METHODS All fast-track patients treated within the first 6 months of implementation of our direct admission postanesthetic care unit were matched via propensity scores and...

OBJECTIVE To compare cardiac output measured by the transoesophageal Doppler and thermodilution techniques. DESIGN Prospective direct comparison of paired measurements by both techniques in each patient. SETTING Intensive care unit in a cardiovascular centre. PATIENTS 65 patients after open heart surgery (mean (SD) age 53 (12) years). INTERVENTIONS Cardiac output was measured simultaneo...

The implementation of telemanipulator systems into cardiac surgery enabled the heart surgeon to perform sophisticated minimally invasive and endoscopic procedures with high precision under stereoscopic view. At present, the commercially available robotic surgical systems do not provide force feedback for the operating surgeon. The lack of tactile feedback may cause damage of tissue and bending ...

The term "elderly" in the cardiac surgical experience refers to patients chronologically aged 2:70 years. Chronologic age is less important than physiologic age; in the physiologically aged patient, techniques used in most surgical procedures are likely to be attended by a markedly increased risk of morbidity and mortality (I). There are four aspects involved in a decision to perform a cardiac ...

OBJECTIVES The aim of this article is to make an evaluation on the clinical features of patients with Kawasaki disease who require a cardiac surgical procedure including coronary artery bypass grafting, coronary arterial aneurysmorrhaphy or heart transplantation. METHODS English literature of Kawasaki disease for cardiac surgery (1990-2011) was retrieved in the Pubmed database. The clinical f...

INTRODUCTION This study was designed to compare the clinical acceptability of two cardiac output (CO) monitoring systems: a pulse wave contour-based system (FloTrac-Vigileo) and a bioreactance-based system (NICOM), using continuous thermodilution (PAC-CCO) as a reference method. METHODS Consecutive patients, requiring PAC-CCO monitoring following cardiac surgery, were also monitored by the tw...

During surgical laparoscopy, total hepatic blood flow (THBF) may be modified by CO2insufflation, changes of tilt, ventilation with high tidal volume, hypercapnia, and anesthesia, but little information is available on the THBF during the procedure. To investigate the changes of hepatic blood flow following the combination of abdominal CO2 insufflation and changes of tilt, we measured mean arter...