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http://dx.doi.org/10.1053/j.jvca.2018.07.008 | DOI Listing |
Eur Heart J Qual Care Clin Outcomes
August 2025
Department of Cardiology, University and Hospital Fribourg, Chem. des Pensionnats 2/6, Fribourg CH-1708, Switzerland.
Aims: Patients with mental health conditions (MHCs) experience delayed diagnosis and management. We aimed to assess whether these patients had longer treatment delays and poorer outcomes despite a dedicated ST-elevation myocardial infarction (STEMI) fast-track protocol.
Methods And Results: We analysed data from EVALFAST prospective registry of confirmed STEMI patients admitted directly to the catheterization laboratory at Fribourg Hospital since June 2008.
J Thorac Dis
July 2025
Department of Anesthesia, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Background: High spinal anesthesia (HSA), in combination with general anesthesia (GA), has been proposed as a technique to reduce the surgical stress response while minimizing opioid use in cardiac surgery. However, concerns remain regarding the potential for HSA-induced hemodynamic instability, particularly in infants with congenital heart disease. Therefore, this study aimed to evaluate the impact of HSA on hemodynamic parameters in infants undergoing cardiac surgery.
View Article and Find Full Text PDFPaediatr Anaesth
August 2025
Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina, USA.
Context: On-table extubation after pediatric cardiac surgery has been increasingly considered a safe and effective strategy to reduce postoperative ventilation time. However, concerns regarding reintubation risk, patient selection, and variability in outcomes remain.
Objective: To systematically review the available literature on the effectiveness and safety of on-table extubation compared to off-table extubation in pediatric cardiac surgery.
Innovations (Phila)
September 2025
Department of Anesthesiology, Perioperative and Pain Medicine, Libin Cardiovascular Institute, University of Calgary, AB, Canada.
Enhancing recovery protocols seek to optimize multiple aspects of care throughout the patient's perioperative cardiac surgery journey. Fast-track recovery protocols, specifically those involving earlier extubation, have been among the early methods to enhance a patient's recovery. However, how early these protocols should be implemented after surgery remains a source of ongoing controversy.
View Article and Find Full Text PDFJ Cardiothorac Vasc Anesth
July 2025
Department of Cardiac Anesthesiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Berlin, Germany; Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany; German Center for Cardiovascular Research,
Objectives: Enhanced Recovery After Cardiac Surgery (ERACS) is a multimodal and interdisciplinary approach aimed at improving postoperative recovery. A survey was conducted to explore the degree of implementation of ERACS in pediatric cardiac surgery across Europe. The results of the intraoperative phase have been reported previously.
View Article and Find Full Text PDF