Introduction Inadequate cardiac output is associated with poor outcome following cardiac surgery and is generally modified by use of inotropic agents, volume resuscitation and epicardial pacing. Although temporary epicardial pacing is frequently utilised post-cardiac surgery, the potential impact of determining the optimal R-R interval in the critically ill has largely been ignored. Echocardiog...

INTRODUCTION Due to the increase in average life expectancy and the higher incidence of cardiovascular disease with advancing age, more elderly patients present for cardiac surgery nowadays. Advances in pre- and postoperative care mean that more elderly patients can be operated on safely and with a satisfactory outcome. Currently, coronary artery bypass surgery, aortic and mitral valve surgery ...

Cardiac output measurement with pulse contour analysis is a continuous, mini-invasive, operator-independent, widely used, and cost-effective technique, which could be helpful to assess changes in cardiac output. The 4-quadrant plot and the polar plot have been described to compare the changes between 2 measurements performed under different conditions, and the direction of change by using diffe...

1151 December 2012 T is strong evidence that optimizing stroke volume or cardiac output during major surgical procedures is associated with better outcomes.1–3 With this approach, interventions, consisting primarily of fluid administration, are given until there is no further increase in stroke volume, that is, when the FrankStarling relation reaches a plateau. In this issue of ANESTHESIOLOGY, ...

conclusions where there is a relationship between two longitudinal and survival responses, joint modeling can estimate it. background admission to the icu (intensive care unit) is frequently complicated by early aki (acute kidney injury). the development of aki following cardiac surgery is particularly associated with increased mortality and morbidity. according to akin (acute kidney injury net...

A critical aspect of most cardiac catheterization procedures is the evaluation of myocardial function. At its simplest, this consists of a visual assessment of the left ventricular (LV) contractile pattern from the left ventriculogram, together with measurements of LV end-diastolic pressure. In laboratories where most patients have right-sided heart catheterization and cardiac output measuremen...

The incidence of ischemic heart disease (IHD) is increasing worldwide. number patients with IHD or without interventions coming for non-cardiac surgical procedures are increasing. These have an increased risk myocardial ischemia, infarction (MI), conduction disturbances, morbidity, and mortality during the peri-operative period.

Recognition of the significant advantages of minimizing surgical trauma has resulted in the development of minimally invasive surgical procedures. Endoscopic surgery offers patients the benefits of minimally invasive surgery, and surgical robots have enhanced the ability and precision of surgeons. Consequently, technological advances have facilitated totally endoscopic robotic cardiac surgery, ...

Introduction Hyperoxia is frequently encountered in the intensive care unit (ICU) and during surgical procedures such as coronary artery bypass surgery (CABG). Higher oxygen concentrations intuitively provide a salutary oxygen reserve, but hyperoxia can induce adverse effects such as systemic vasoconstriction, reduction of cardiac output, increased microcirculatory heterogeneity and increased r...