Cardiovascular Anesthesiology

Can the anesthesiologist affect outcome after CABG surgery? A study from New York (reader note: this article has been retracted)

By in Cardiovascular Anesthesiology

Can the anesthesiologist affect outcome after CABG surgery? A study from New York (reader note: this article has been retracted)

Anesthesia care has changed significantly since that time. However, the question remains whether a subset of anesthesiologists is particularly skilled relative to a different subset. That’s the “glass half full” question. You can invert that if you prefer the “glass half empty” question. Dr. Laurent G. Glance, Department of Anesthesiology, University of Rochester School of […]

Perioperative management of aspirin therapy

By in Cardiovascular Anesthesiology

Perioperative management of aspirin therapy

Aspirin constitutes important lifelong therapy for many patients with cardiovascular (CV) disease or significant CV risk factors. However, perioperative aspirin management (continuation versus temporary cessation) in patients undergoing noncardiac surgery is a common clinical conundrum that balances aspirin’s potential for decreasing thrombotic risk against possible increased perioperative blood loss. Dr. Neal Stuart Gerstein, Department of […]

A more rapid measure of fibrinogen: a system similar to thromboelastography

By in Cardiovascular Anesthesiology

A more rapid measure of fibrinogen: a system similar to thromboelastography

For patients undergoing cardiopulmonary bypass, measures of fibrinogen can guide hemostasis therapy. Typically, fibrinogen assays take 30-60 minutes, during which therapy may be delayed. Dr. Satoru Ogawa, Department of Anesthesiology, Kyoto Prefectural University of Medicine, Kawaramachi Hirokoji, Kamigyo-ku, Kyoto, Japan, and colleagues from the Department of Anesthesiology, University of Pittsburgh, Pittsburgh, Pennsylvania, and the Research […]

Early management of acute hemorrhagic shock

By in Cardiovascular Anesthesiology Tags: , , ,

Early management of acute hemorrhagic shock

How should patients who have suffered severe trauma and who then have acute hemorrhagic shock be treated prior to the initiation of hemostatic therapy? Dr. Herbert Schöchl, Department of Anaesthesiology and Intensive Care, AUVA Trauma Hospital, Salzburg, Austria, and the Ludwig Boltzmann Institute for Experimental and Clinical Traumatology, Donaueschingenstrasse, Vienna, Austria, and Dr. Christoph J. […]

Can dexamethasone reduce delirium incidence after cardiac surgery?

By in Cardiovascular Anesthesiology Tags: , ,

Can dexamethasone reduce delirium incidence after cardiac surgery?

Delirium is seen in at least 50% of patients after cardiac surgery. Patients with delirium have a greater likelihood extended hospital stay, long-term cognitive impairment, and death after surgery. Cardiac surgery and cardiopulmonary bypass trigger an inflammatory response. This response may contribute to neuroinflammation, brain injury, and postoperative delirium. Steroids may decrease neuroinflammation and the […]

Proper care of patients who suffer myocardial infarction after vascular surgery

By in Cardiovascular Anesthesiology Tags: , ,

Proper care of patients who suffer myocardial infarction after vascular surgery

Postoperative myocardial infarction (MI) is a well-documented and potentially fatal complication of vascular surgery. Elevated troponin I levels can suggest a myocardial infarction even without ECG evidence. Medical management of ischemic heart disease is well understood, and involves the use of HMG-CoA reductase inhibitors (i.e., statins), antiplatelet drugs, beta-adrenergic receptor blockers, and angiotensin-converting enzyme (ACE) […]

1 2 3 4