scholarly journals Remote preconditioning and cardiac surgery: regrouping after Remote Ischemic Preconditioning for Heart Surgery (RIPHeart) and Effect of Remote Ischemic Preconditioning on Clinical Outcomes in Patients Undergoing Coronary Artery Bypass Surgery (ERICCA)

2016 ◽  
Vol 8 (3) ◽  
pp. E197-E199 ◽  
Author(s):  
Cherry X. Cheung ◽  
Donagh A. Healy ◽  
Stewart R. Walsh
Keyword(s):  
Cardiac Surgery ◽  
Coronary Artery ◽  
Clinical Outcomes ◽  
Ischemic Preconditioning ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Heart Surgery ◽  
Artery Bypass ◽  
Remote Ischemic Preconditioning ◽  
Remote Preconditioning

scholarly journals Remote Ischemic Preconditioning With the Use of Lower Limb Before Coronary Artery Bypass Surgery With Cardiopulmonary Bypass and Anesthesia With Propofol

Kardiologiia ◽  
2019 ◽  
Vol 59 (2) ◽  
pp. 38-44
Author(s):  
D. S. Tuter ◽  
R. N. Komarov ◽  
O. S. Glasachev ◽  
A. L. Syrkin ◽  
L. P. Severova ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Ischemic Preconditioning ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Troponin I ◽  
Artery Bypass ◽  
Remote Ischemic Preconditioning ◽  
Control Group

Objective:to study potantial of remote ischemic preconditioning (RIP) as method of cardioprotection during coronary artery bypass surgery with cardiopulmonary bypass (CPB) and anesthesia with propofol.Materials and methods.We included in this study 87 patients (7 were excluded) with ischemic heart disease, hospitalized in the clinic of aortic and cardiovascular surgery of the I. M. Sechenov First Moscow State Medical University clinical hospital № 1. All patients had indications for direct myocardial revascularization by coronary artery bypass surgery. One day before operation patients were randomly assigned to 2 groups depending on preparation scheme: main group of RIP and the control group. The frequency of complications during surgery and in the postoperative period was assessed. Troponin I level was measured before, and in 2 and 24 hours after surgery. The level of lactate in the venous blood was measured before and after surgery.Results. Numbers of intraoperative and early postoperative complications in the main and control groups were similar. There were no differences between groups in troponin I and lactate levels after surgery.Conclusions.Remote ischemic preconditioning has no effect on the outcome of coronary artery bypass surgery with cardiopulmonary bypass and anesthesia with propofol.

scholarly journals Remote Ischemic Preconditioning in Human Coronary Artery Bypass Surgery: From Promise to Disappointment?

Circulation ◽  
2010 ◽  
Vol 122 (11_suppl_1) ◽  
pp. S53-S59 ◽  
Author(s):  
I. A. Rahman ◽  
J. G. Mascaro ◽  
R. P. Steeds ◽  
M. P. Frenneaux ◽  
P. Nightingale ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Ischemic Preconditioning ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Remote Ischemic Preconditioning ◽  
Human Coronary Artery

Pathophysiological aspects of cardiotomy suction usage

Perfusion ◽  
2010 ◽  
Vol 25 (3) ◽  
pp. 147-152 ◽  
Author(s):  
Vladimir Svitek ◽  
Vladimir Lonsky ◽  
Faraz Anjum
Keyword(s):  
Cardiac Surgery ◽  
Coronary Artery ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Transfusion Requirement ◽  
Artery Bypass ◽  
Autologous Blood ◽  
The Other ◽  
Coronary Artery Surgery ◽  
Cardiotomy Suction

Cardiotomy suction is used for preservation of autologous blood during on-pump cardiac surgery at present. Controversially, the exclusion of cardiotomy suction in some types of operations (coronary artery bypass surgery) is not necessarily associated with an increased transfusion requirement. On the other hand, the use of cardiotomy suction causes an amplification of systemic inflammatory response and a resulting coagulopathy, as well as exacerbation of the microembolic load and hemolysis. This leads to a tendency towards increased blood loss, transfusion requirement and organ dysfunction. On the basis of these facts, it is appropriate to reconsider routine use of cardiotomy suction in on-pump coronary artery surgery.

Clinical, Microbiological, and Economic Benefit of a Change in Antibiotic Prophylaxis for Cardiac Surgery

2002 ◽  
Vol 23 (7) ◽  
pp. 402-404 ◽  
Author(s):  
Denis Spelman ◽  
Glenys Harrington ◽  
Phil Russo ◽  
S. Wesselingh
Keyword(s):  
Cardiac Surgery ◽  
Coronary Artery ◽  
Confidence Interval ◽  
Antibiotic Prophylaxis ◽  
Economic Benefit ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Site Infection ◽  
Surgical Site Infection Rate

AbstractVancomycin and rifampicin replaced cephazolin as antibiotic prophylaxis for coronary artery bypass surgery at our institution. Following this intervention, there was a significant decrease (P< .001) in the surgical-site infection rate from 10.5 (95% confidence interval, 8.2 to 13.3) to 4.9 (95% confidence interval, 3.2 to 7.1) infections per 100 procedures. An estimated $576,655 (Australian) was saved between two 12-month periods.

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