Publications by authors named "Sergio B Navarrete"
Prompt recognition and management of critical events is pivotal for the provision of safe anesthetic care. This requires a well-functioning team that focuses on effective communication, timely decision-making, and escalation of potential complications. We believe that variation in bedside care leads to "near-misses," adverse outcomes, and serious safety events (SSEs).
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- A quality improvement initiative was implemented at a single academic center to standardize immediate postoperative extubation (IPE) practices for liver transplant recipients, aiming to increase IPE rates while including high-risk patients.
- A retrospective study of 591 liver transplant patients from 2013 to 2018 showed significant increases in IPE rates over time, especially among high-risk groups, with minimal reintubation rates and no effect on mortality.
- IPE was found to be linked with shorter intensive care unit and overall hospital lengths of stay, demonstrating the benefits of standardized care practices in liver transplant procedures.
Veno-veno extracorporeal membrane oxygenation (VV ECMO) is used as a bridge to recovery in acute respiratory distress syndrome (ARDS) patients who have reversible lung failure. We present a complication of ECMO cannula placement/position resulting in hemodynamic and oxygenation alterations. These demonstrate principles related to the interaction of the VV ECMO circuit and patient cardio-pulmonary physiology.
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