CurrentAnesthesia — Cardiothoracic & vascular anesthesia

Early postoperative non-steroidal anti-inflammatory drugs and anastomotic leakage after oesophagectomy

2026-10-28T04:50:19.556Z

Cohort study · Br J Surg, 2022. Anastomotic leakage — NSAIDs vs No NSAIDs: OR 1.04 (95 per cent CI 0.97 to 1.10); stabilized IPTW

Sex-specific differences in the standard of care for infrarenal abdominal aortic aneurysm repair, and risk of major adverse cardiovascular events and death

2026-10-28T04:50:19.556Z

Cohort study · Br J Surg, 2023. MACED: Women 12.0 per cent; open repair 12.0 per cent; endovascular repair 4.9 per cent · Men 8.9 per cent; open repair 8.9 per cent; endovascular repair 2.9 per cent

Cost-effectiveness of Fibrinogen Concentrate vs Cryoprecipitate for Treating Acquired Hypofibrinogenemia in Bleeding Adult Cardiac Surgical Patients

2026-10-28T04:49:16.800Z

Randomized controlled trial · JAMA Surg, 2023. Total 28-day cost, 28 days: Fibrinogen concentrate Median CAD $38 180 (IQR CAD $26 350 [USD $19 622]-CAD $65 080 [USD $48 463]) · Cryoprecipitate Median CAD $38 790 (IQR CAD $26 180 [USD $19 495]-CAD $70 380 [USD $52 409])

Effect of High-Dose Selenium on Postoperative Organ Dysfunction and Mortality in Cardiac Surgery Patients: The SUSTAIN CSX Randomized Clinical Trial

2026-10-28T04:49:16.800Z

Randomized controlled trial · JAMA Surg, 2023. Composite of days alive and free from organ dysfunction, first 30 days after cardiac surgery: Selenium median 29 (IQR 28-30) days · Placebo median 29 (IQR 28-30) days

Effect of a Combined Drug Approach on the Severity of Ischemia-Reperfusion Injury During Liver Transplant: A Randomized Clinical Trial

2026-10-28T04:44:26.953Z

Randomized controlled trial · JAMA Netw Open, 2023. Posttransplant peak serum AST level, within the first 72 hours: Combined drug approach geometric mean 1262.9 (95% CI 946.3-1685.4) U/L · Control geometric mean 1451.2 (95% CI 1087.4-1936.7) U/L

Evaluation of Frailty Measures and Short-term Outcomes After Lung Transplantation

2026-10-28T04:40:50.491Z

Cohort study · Chest, 2023. 1-year survival and hospital-free days (HFDs) in the first 90 days after transplantation: Frail by FI (FI ≥ 0.25) before transplantation 51.3%

Levosimendan in patients undergoing extracorporeal membrane oxygenation after cardiac surgery: an emulated target trial using observational data

2026-10-28T04:14:48.087Z

Cohort study · Crit Care, 2023. Time to successful VA-ECMO weaning — Levosimendan vs No levosimendan: HR for successful ECMO weaning 0.91 (CI 0.57; 1.45); p = 0.659; multivariable analysis

Post-cardiac surgery fungal mediastinitis: clinical features, pathogens and outcome

2026-10-28T04:14:48.087Z

Cohort study · Crit Care, 2023. Fungal mediastinitis incidence and hospital mortality: Patients developing fungal mediastinitis among 73,688 cardiac surgery procedures 40

The low-dose colchicine in patients after non-CABG cardiac surgery: a randomized controlled trial

2026-10-28T04:14:48.087Z

Randomized controlled trial · Crit Care, 2023. cTnT, postoperative 48 h: Colchicine median 0.3 (IQR 0.2-0.4) μg/L · Placebo median 0.4 (IQR 0.3-0.6) μg/L

A comparison of the NeurOs® and the INVOS 5100C® cerebral oximeter during variations of the partial pressure of carbon dioxide and fractional inspiratory concentration of oxygen

2026-10-28T04:08:44.882Z

Cohort study · J Clin Monit Comput, 2023. Agreement of ScO2 measurement (Bland-Altman bias and limits of agreement) during variations of PaCO2 and of SaO2 by FiO2: Bias, PaCO2 variation - 0.5%

Intra-abdominal hypertension in cardiac surgery patients: a multicenter observational sub-study of the Accuryn registry

2026-10-28T04:08:44.882Z

Secondary analysis · J Clin Monit Comput, 2022. IAH for at least 12 cumulative hours, by grade, first 48 h after cardiac surgery: IAH grade I ≥12 cumulative h 93% (128/137)

Peak systolic myocardial velocity in patients undergoing surgical aortic valve replacement for severe aortic stenosis: prognostic value and natural course

2026-10-28T04:08:44.882Z

Cohort study · J Clin Monit Comput, 2022. All-cause mortality, median follow-up 5.2 years: pre-S'LOW 12% · pre-S'HIGH 8%

The impact of urine flow on urine oxygen partial pressure monitoring during cardiac surgery

2026-10-28T04:08:44.882Z

Cohort study · J Clin Monit Comput, 2022. Patients included with valid PuO2 data (≤70% data discarded): CPB 81% · post-CPB 90% · pre-CPB 31%

Acetaminophen pharmacokinetics in infants and children with congenital heart disease

2026-10-28T04:04:03.147Z

Cohort study · Paediatr Anaesth, 2022. 2-compartment model PK parameter estimates (PPV%; 95% CI): Clearance CL, L.h-1.70 kg-1 15.3 (PPV 22.2%; 95% CI 13.8-16.7)

Intraoperative blood product transfusion in pediatric cardiac surgery patients: A retrospective review of adverse outcomes

2026-10-28T04:04:03.147Z

Cohort study · Paediatr Anaesth, 2023. Adverse outcomes, adjusted for age, cyanotic status, STAT score and CPB time: No association between transfusion of blood products and AKI or stroke

Pharmacokinetics of dexmedetomidine in pediatric patients undergoing cardiac surgery with cardiopulmonary bypass

2026-10-28T04:04:03.147Z

Research article · Paediatr Anaesth, 2023. Dexmedetomidine PK parameter estimates (95% CI), standardized to 70-kg person: Best model: two-compartment mammillary model with third compartment associated with CPB

Ultrasound‐guided supraclavicular cannulation of left brachiocephalic versus right internal jugular vein: Comparative analysis of central venous catheter‐associated complications

2026-10-28T04:04:03.147Z

Cohort study · Paediatr Anaesth, 2022. All complications: Left brachiocephalic vein 15.49% · Right internal jugular vein 13.65%

Accuracy of Cardiac Output Measured by Fourth-Generation FloTrac and LiDCOrapid, and Their Characteristics Regarding Systemic Vascular Resistance in Patients Undergoing Cardiac Surgery

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2023. Agreement with CITD: CIFT: r 0.62; bias -0.73 L/min/m2; limit of agreement -2.14-to-0.68 L/min/m2; percentage error 39.9% · CILR: r 0.58; bias -0.61 L/min/m2; limit of agreement -2.42-to-1.20 L/min/m2; percentage error 51.2%

Assessment of a Quantra-Guided Hemostatic Algorithm in High-Bleeding-Risk Cardiac Surgery

2026-10-28T03:56:35.329Z

Research article · J Cardiothorac Vasc Anesth, 2023. RBC units transfused, day 1: Quantra 2 (range or IQR as printed 0-5) units · Control 4 (range or IQR as printed 2-6) units

Association Between Changes in Norepinephrine Infusion Rate and Urinary Oxygen Tension After Cardiac Surgery

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2022. Change in urinary PO2 from baseline, 30-to-60 minutes: NE increase least squares mean decrease 1.8 ± 0.5 mmHg; baseline urinary PO2 25.1 ± 1.1 mmHg · NE decrease least squares mean increase 2.6 ± 0.5 mmHg; baseline urinary PO2 22.7 ± 1.2 mmHg

ClotPro Viscoelastometry Evaluation in Cardiac Surgery With Cardiopulmonary Bypass

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2022. Reproducibility and correlation: ClotPro: high reproducibility in most parameters of each test

Coagulation Tests and Bleeding Classification After Cardiopulmonary Bypass: A Prospective Study

2026-10-28T03:56:35.329Z

Diagnostic or prognostic study · J Cardiothorac Vasc Anesth, 2023. Classification of microvascular bleeding after CPB: PT: accuracy 62%; sensitivity 51%; specificity 70% · INR: accuracy 62%; sensitivity 48%; specificity 72% · Platelet count: accuracy 62%; sensitivity 62%; specificity 61%

Cognitive Function Deterioration After Cardiopulmonary Bypass: Can Intraoperative Optimal Cerebral Regional Tissue Oxygen Saturation Predict Postoperative Cognitive Function?

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2023. Postoperative cognitive function (Mini-Mental State Examination (MMSE), quantified electroencephalography (qEEG)), POD7 and POD60: MMSE: no significant decrease on POD7 vs preoperatively p = 0.09

Comparative Efficacy of Adjuvant Nonopioid Analgesia in Adult Cardiac Surgical Patients: A Network Meta-Analysis

2026-10-28T03:56:35.329Z

Meta-analysis · J Cardiothorac Vasc Anesth, 2023. Resting postoperative pain score, 24 hours — Acetaminophen vs Standard care and/or placebo: MD -0.66 points (95% CI -1.16 to -0.15); high confidence

Comparison of Tools for Postoperative Pulmonary Complications After Cardiac Surgery

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2023. Incidence of PPCs and diagnostic validity (AUC): Kroenke Score 262 (51.6%); AUC atelectasis 91.5%; AUC pneumonia 80.0%; AUC respiratory failure 75.9% · Melbourne Group Scale 111 (21.9%); AUC atelectasis 71.3%; AUC pneumonia 99.4%; AUC respiratory failure 88.5%

Del Nido Cardioplegia in Adult Cardiac Surgery: Meta-Analysis of Randomized Clinical Trials

2026-10-28T03:56:35.329Z

Meta-analysis · J Cardiothorac Vasc Anesth, 2023. Postoperative stroke and/or transient ischemic attack: Del Nido 9/467 (1.9%) · Control 25/540 (4.6%)

Dexmedetomidine Sedation Combined With Remifentanil in MitraClip Procedures is Feasible and Improves Hemodynamics

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2022. Respiratory parameters: no differences between groups

Effect of the Paravertebral Block on Chronic Postsurgical Pain After Thoracic Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

2026-10-28T03:56:35.329Z

Meta-analysis · J Cardiothorac Vasc Anesth, 2022. Incidence of chronic postsurgical pain (CPSP), 3 months — PVB vs No block: OR 0.59 (95% CI 0.34-1.04); p = 0.07; I2 = 6.96%

Enhanced Recovery After Surgery Is Associated With Reduced Hospital Length of Stay after Urgent or Emergency Isolated Coronary Artery Bypass Surgery at an Urban, Tertiary Care Teaching Hospital: An Interrupted Time Series Analysis With Propensity Score Matching

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2022. LOS (propensity-matched): Post-ERAS 9 (IQR 8-13) days · Pre-ERAS 10 (IQR 8-14) days

Evaluation of Mitral-Aortic Flow Velocity Integral Ratio as a Tool to Differentiate Between Severe and Nonsevere Mitral Regurgitation

2026-10-28T03:56:35.329Z

Diagnostic or prognostic study · J Cardiothorac Vasc Anesth, 2022. Agreement in differentiating severe from nonsevere MR: Strong agreement between MAVIR and both RVol and EROA in the whole cohort, by TTE and TEE

Evaluation of the Effects of an Extubation Protocol With Neostigmine on Duration of Mechanical Ventilation After Cardiac Surgery

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2023. Postoperative duration of mechanical ventilation — Extubation protocol: IRR 0.82 (95% CI 0.72-0.94); p < 0.01; 18% decrease

General Anesthesia Versus Local Anesthesia in Patients Undergoing Transcatheter Aortic Valve Replacement: An Updated Meta-Analysis and Systematic Review

2026-10-28T03:56:35.329Z

Meta-analysis · J Cardiothorac Vasc Anesth, 2023. 30-day mortality, 30 days — LA vs GA: RR 0.69; p < 0.01

Geometric Indices for Predicting Ischemic Mitral Regurgitation: Correlation of Mitral Valve Coaptation Area With Tenting Height, Tenting Area and Tenting Volume

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2022. Prediction of decreases in coaptation area: TV: R2 0.75 · TA: R2 0.48 · TH: R2 0.47

Impact of Preoperative Hematocrit, Body Mass Index, and Red Cell Mass on Allogeneic Blood Product Usage in Adult Cardiac Surgical Patients: Report From a Statewide Quality Initiative

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2022. Allogeneic transfusion (adjusted) — BMI <25 vs BMI ≥30: OR 1.26 (95% CI 1.08-1.39); adjusted

Increasing obesity is associated with lower postoperative bleeding in coronary bypass patients

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2023. Postoperative drainage: BMI <18.5 637 (range 418-1108) mL · BMI ≥40 427 (range 295-620) mL

Independent External Validation of a Preoperative Prediction Model for Delirium After Cardiac Surgery: A Prospective Observational Cohort Study

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2022. POD incidence and model discrimination: 0 points 12.6% · 1 point 22.8% · 2 points 25.8% · ≥3 points 35%

Intraoperative Fascial Plane Blocks Facilitate Earlier Tracheal Extubation and Intensive Care Unit Discharge After Cardiac Surgery: A Retrospective Cohort Analysis

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2022. Tracheal extubation time — Block vs Intravenous analgesia: predicted extubation time difference (b coefficient) 9.29 hours (95% CI -11.98, -6.60); p = 0.022; after propensity score (PS) matching, weighted linear regression

Intraoperative Noninvasive Left Ventricular Myocardial Work Indices in Patients Undergoing On-Pump Coronary Artery Bypass Surgery

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2022. LV myocardial work indices and GLS, T1 vs T2: T1 mean 1,224 ± 312 mmHg%; GLS -13.3 ± 3.0%; GCW 1,460 ± 312 mmHg%; GWW (median) 143 mmHg% (IQR 99-183); GWE (median) 89% (IQR 85-92) · T2 mean 940 ± 267 mmHg%; GLS -11.6 ± 3.1%; GCW 1,244 ± 336 mmHg%; GWW (median) 251 mmHg% (IQR 179-361); GWE (median) 80% (IQR 75-87)

Machine Learning Models of Postoperative Atrial Fibrillation Prediction After Cardiac Surgery

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2022. AUC for postoperative AF prediction: Support-vector machine: AUC 0.777 (95% CI: 0.772-0.781) · Logistic regression: AUC 0.767 (95% CI: 0.762-0.772) · Gradient-boosting decision tree: AUC 0.765 (95% CI: 0.761-0.770)

Perioperative Gelatin Use Is Associated With Increased Complication Rates and Does Not Prevent Postoperative Fluid Overload in Patients Undergoing Elective Cardiac Surgery

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2022. Postoperative FO: Gelatin 11.0% · Crystalloid 3.1%

Perioperative Outcomes During Double-Lung Transplantation and Retransplantation in Cystic Fibrosis Patients: A Monocentric Cohort Study

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2023. Main intraoperative and early postoperative features — reLgTx vs pLgTx; p = 0.02; longer second graft ischemic time

Plasma Renin Activity Increases With Cardiopulmonary Bypass and is Associated With Vasoplegia After Cardiac Surgery

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2022. Plasma renin activity: Median plasma renin activity increased approximately 3 times from baseline immediately after surgery, remained elevated on POD 0, 1 and 2, began to downtrend on POD 3

Platelet Function is Preserved After Moderate Cardiopulmonary Bypass Times But Transiently Impaired After Protamine

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2023. Platelet function and count during CPB: No consistent impairment of platelet function during CPB (impedance aggregometry or flow cytometry)

Point-of-Care Viscoelastic Hemostatic Assays in Cardiac Surgery Patients: Comparison of Thromboelastography 6S, Thromboelastometry Sigma, and Quantra

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2023. Correlation with platelet count: ROTEM r 0.84 (CI 0.66-0.93); P p < 0.0001 · Quantra r 0.83 (CI 0.64-0.92); P p < 0.0001 · TEG 6S r 0.64 (CI 0.29-0.83); P p = 0.001

Postcardiac Surgery Euglycemic Diabetic Ketoacidosis in Patients on Sodium-Glucose Cotransporter 2 Inhibitors

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2023. eDKA in SGLT2i users: SGLT2i 8 (15.1%)

Preoperative Risk Prediction Score for and In-Hospital Clinical Outcomes of Reperfusion Ventricular Fibrillation After Release of Aortic Cross-Clamps: A Retrospective Study

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2022. Predictors of reperfusion VF: Risk factors: weight >55 kg, preoperative LV ejection fraction <50%, prior stroke, hypertension, aortic valve replacement, HTK solution, ≥3 grafts in CABG

Racial and Ethnic Differences in the Receipt of Regional Anesthesia Among Patients Undergoing Thoracic Surgery

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2022. Receipt of regional vs no regional anesthesia — Hispanic vs non-Hispanic: OR 0.61 (95% CI 0.46-0.80); p = 0.0003; adjusted

Renal Dysfunction and Arrhythmia Association in Patients Receiving Milrinone After Cardiac Surgery

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2022. New arrhythmias after initial milrinone infusion postcardiac surgery: Renal impairment 42.9% · No renal impairment 40.3%

A Retrospective Pilot Comparison Trial Investigating Clinical Outcomes in Cardiac Surgical Patients Who Received Sugammadex Reversal During 2018 to 2021

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2023. Extubation within 6 hours of end of surgery: Sugammadex 96.67% · No sugammadex 81.33%

Rotational Thromboelastometry–Guided Use of Synthetic Blood Products in Cardiac Transplant Patients: A Retrospective Before-After Study

2026-10-28T03:56:35.329Z

Cohort study · J Cardiothorac Vasc Anesth, 2023. Time from CPB separation to skin closure — After vs Before: decrease 39.4 minutes (CI -73.1 to 123.5); p = 0.016; adjusted (multivariate linear regression)