Evidence
J Thorac Cardiovasc Surg. 2024 May 23:S0022-5223(24)00442-2. doi: 10.1016/j.jtcvs.2024.05.011. Online ahead of print.
ABSTRACT
This year, we have again assembled an expert opinion on several key topics that pertain to the perioperative and critical care management of the cardiac surgery patient and for patients requiring extracorporeal membrane oxygenation. Approximately 1 in 3 patients undergoing cardiac surgery have diabetes mellitus; contemporary glycemic control management of these patients to minimize perioperative complications are reviewed. Goal directed fluid therapy remains an area on interest and controversy; the use of albumin as a resuscitation fluid and recent clinical trial data is reviewed. Delirium is characterized as an acute confusional state occurring in 20-25% of patients after cardiac surgery. Insights on integrating the whole interdisciplinary team, including the family, with the DELirium Team Approach (DELTA) program are discussed. Optimal management for refractory hypoxemia with venovenous extracorporeal membrane oxygenation (VV-ECMO) and the role of prone positioning remain a question. Data supporting this technique during VV-ECMO is reviewed-lastly, the contemporary management and supporting evidence for refractory postoperative vasoplegic shock after cardiopulmonary bypass is provided.
PMID:38795907 | DOI:10.1016/j.jtcvs.2024.05.011
Estimated reading time: 3 minute(s)
Latest: Psychiatryai.com #RAISR4D Evidence
Cool Evidence: Engaging Young People and Students in Real-World Evidence
Real-Time Evidence Search [Psychiatry]
AI Research
2022: Perioperative and critical care year in review for the cardiothoracic surgery team
🌐 90 Days
AI Virtual Reality Related Evidence Matrix
- Perioperative Care for Children With Syndromic Craniofacial Synostosis Undergoing Le Fort III Surgery: A Retrospective Cohort Study
- Perioperative Care for Children With Syndromic Craniofacial Synostosis Undergoing Le Fort III Surgery: A Retrospective Cohort Study
- Nursing Care of a Child With Delirium Receiving Venoarterial Extracorporeal Membrane Oxygenation: A Case Report
- Perioperative mental health intervention for depression and anxiety symptoms in older adults study protocol: design and methods for three linked randomised controlled trials
- Beyond the brain: General intensive care considerations in pediatric neurocritical care
- Predictive factors for postoperative delirium in thoracic surgery
- Postoperative protocols for older adults undergoing emergency surgery: a scoping review
- Efficacy and safety of perioperative melatonin for postoperative delirium in patients undergoing surgery: a systematic review and meta-analysis
- Significance Analysis of the Improvement in Postoperative Recovery of Cardiac Surgery Patients Based on the Graded Management Established Using the Delirium Prediction Model
- Critical care management of acute liver failure
- Machine learning with clinical and intraoperative biosignal data for predicting postoperative delirium after cardiac surgery
- Machine learning with clinical and intraoperative biosignal data for predicting postoperative delirium after cardiac surgery
- Electroencephalography-Guided Anesthesia and Delirium in Older Adults After Cardiac Surgery: The ENGAGES-Canada Randomized Clinical Trial
- Increased Risk of Postoperative Complications in Patients Who Have Obstructive Sleep Apnea Undergoing Total Joint Arthroplasty: A Systematic Review and Meta-Analysis
- Head-to-toe bedside ultrasound for adult patients on extracorporeal membrane oxygenation
- Revitalizing Postoperative Pain Management in Enhanced Recovery After Surgery via Inter-departmental Collaboration Toward Precision Medicine: A Narrative Review
- Effects of Chinese traditional five-element music intervention on postoperative delirium and sleep quality in elderly patients after non-cardiac surgery: a randomized controlled trial
- Perioperative management of a double valve replacement and coronary artery bypass graft in a patient with carcinoid syndrome; a case report and literature review
- COVID-19 vaccination may prevent postoperative delirium in elderly patients undergoing elective non-cardiac surgery: The PNDRFAP and PNDABLE studies
- A scoping review of incidence and assessment tools for post-intensive care syndrome following cardiac surgery
- Remimazolam for anesthesia and sedation in cardiac surgery and for cardiac patients undergoing non-cardiac surgery: a systematic-narrative hybrid review
- Association between postoperative hyperactive delirium and major complications in elderly patients undergoing emergency hip fracture surgery: A large-scale cohort study
- Metformin Use in Type 2 Diabetics and Delirium After Noncardiac Surgery: A Retrospective Cohort Analysis
- Postoperative Delirium and Dementia in Patients Undergoing Cardiac Surgery: A Review of Randomized Controlled Trials
- Relationship Between Coronary Artery Revascularization and Postoperative Delirium: Progress and Perspectives
- Preoperative cognitive performance and its association with postoperative complications in vascular surgery patients: A prospective study
- Preoperative cognitive performance and its association with postoperative complications in vascular surgery patients: A prospective study
- Opioid-Free Analgesia is Safe and Effective in Anterior Cervical Spine Surgery: A Randomized Controlled Trial
- Neurological Resilience in Patients With Anorexia Nervosa Following Prolonged Cardiopulmonary Resuscitation
- Incidence and assessment of delirium following open cardiac surgery; A systematic review and meta-analysis
- High-flow nasal cannula therapy versus conventional oxygen therapy for adult patients after cardiac surgery: A systemic review and meta-analysis
- The association between the fibrinogen-to-albumin ratio and delirium after deep brain stimulation surgery in Parkinson's disease
- Impacts of Perioperative Comprehensive Nursing Intervention on Postoperative Urinary Incontinence and Quality of Life of Patients Undergoing Laparoscopic Radical Prostatectomy
- Acute esophageal necrosis following cardiac arrest: A rare and lethal syndrome with diagnostic challenges
- Predictive factors of thoracic aortic calcification in patients candidate for cardiac surgery
- The Role of Delirium on Short- and Long-Term Postoperative Outcomes Following Major Gastrointestinal Surgery for Cancer
- Knowledge mapping and research trends on perioperative neurocognitive disorder from 1990 to 2022: a bibliometric analysis
- Digital Health Interventions and Patient Safety in Abdominal Surgery: A Systematic Review and Meta-Analysis
- Transcranial Direct Current Stimulation for Anxiety During Laparoscopic Colorectal Cancer Surgery: A Randomized Clinical Trial
- Feasibility and Acceptability of Using Wireless Limited Polysomnography to Capture Sleep Before, During, and After Hospitalization for Patients With Planned Cardiothoracic Surgery
- Comparing preoperative screening tools for elective urologic cancer surgery: insights from a cluster analysis
- Risk factors influencing periprosthetic fracture and mortality in elderly patients following hemiarthroplasty with a cemented collarless polished taper stem for an intracapsular hip fracture
- Infraorbital nerve block for pain management in pediatric cleft lip surgery in resource-limited areas of Indonesia: A case series
- Benzodiazepines is associated with postoperative delirium in patients during perioperative period based on a systematic review and meta-analysis
- Successful management of thymic neuroendocrine tumor with paraneoplastic limbic encephalitis
- Machine learning in cardiac surgery: a narrative review
- Sex-Related Differences in Utilization and Outcomes of Extracorporeal Cardio-Pulmonary Resuscitation for Refractory Cardiac Arrest
- The impact of postoperative agitated delirium on dementia in surgical patients
- Related factors of delirium after transsphenoidal endoscopic pituitary adenoma resection-A matched retrospective cohort study
- Systematic review and narrative description of the outcomes of group preoperative education before elective major surgery
- The Burden of Stroke in Neonates Undergoing Congenital Heart Surgery: A Large Multicenter Analysis
- Machine-Learning Approaches for Risk Prediction in Transcatheter Aortic Valve Implantation: Systematic Review and Meta-Analysis
- Evaluation of Social Appearance Concerns and Satisfaction After Orthognathic Surgery
- Evaluation of Social Appearance Concerns and Satisfaction After Orthognathic Surgery
- Opioid-free anesthesia : Wrong track or meaningful exit from the era of opioid-based analgesia?
- Time trends in opioid use for patients undergoing hip fracture surgery in 1997-2018: A Danish population-based cohort study
- Clinical characteristics of delirium in older patients with first-ever acute myocardial infarction who underwent percutaneous coronary intervention : A retrospective study
- Impact of clinical frailty on surgical and non-surgical complications after major emergency abdominal surgery
- Effects of general and spinal anesthesia on postoperative rehabilitation in older adults after lower limb surgery: a retrospective cohort study
- Effects of general and spinal anesthesia on postoperative rehabilitation in older adults after lower limb surgery: a retrospective cohort study
- Impact of frailty on short-term postoperative outcomes in patients undergoing colorectal cancer surgery: A systematic review and meta-analysis
- High risk and low prevalence diseases: Stevens Johnson syndrome and toxic epidermal necrolysis
- Sevoflurane multiple Wash In/Wash Out at the end of anesthesia to reduce agitation: A multicenter double-blind randomized controlled trial
- Cognitive Training for Reduction of Delirium in Patients Undergoing Cardiac Surgery: A Randomized Clinical Trial
Evidence Blueprint
2022: Perioperative and critical care year in review for the cardiothoracic surgery team
☊ AI-Driven Related Evidence Nodes
(recent articles with at least 5 words in title)
More Evidence
2022: Perioperative and critical care year in review for the cardiothoracic surgery team
🌐 365 Days
AI Virtual Reality Related Evidence Matrix
- Perioperative Care for Children With Syndromic Craniofacial Synostosis Undergoing Le Fort III Surgery: A Retrospective Cohort Study
- Perioperative Care for Children With Syndromic Craniofacial Synostosis Undergoing Le Fort III Surgery: A Retrospective Cohort Study
- Nursing Care of a Child With Delirium Receiving Venoarterial Extracorporeal Membrane Oxygenation: A Case Report
- Timing of surgery and elective perioperative management of patients with previous SARS-CoV-2 infection: a SIAARTI expert consensus statement
- Perioperative Anxiety and Depression in Older Adults: Epidemiology and Treatment
- Perioperative mental health intervention for depression and anxiety symptoms in older adults study protocol: design and methods for three linked randomised controlled trials
- Beyond the brain: General intensive care considerations in pediatric neurocritical care
- Predictive factors for postoperative delirium in thoracic surgery
- Postoperative protocols for older adults undergoing emergency surgery: a scoping review
- Efficacy and safety of perioperative melatonin for postoperative delirium in patients undergoing surgery: a systematic review and meta-analysis
- Significance Analysis of the Improvement in Postoperative Recovery of Cardiac Surgery Patients Based on the Graded Management Established Using the Delirium Prediction Model
- Psychological Distress after inpatient non-cardiac Surgery: A Secondary Analysis of the Measurement of Exercise Tolerance before Surgery (METS) Prospective Cohort Study
- Critical care management of acute liver failure
- Optimizing the use of ketamine to reduce chronic postsurgical pain in women undergoing mastectomy for oncologic indication: study protocol for the KALPAS multicenter randomized controlled trial
- Machine learning with clinical and intraoperative biosignal data for predicting postoperative delirium after cardiac surgery
- Machine learning with clinical and intraoperative biosignal data for predicting postoperative delirium after cardiac surgery
- Electroencephalography-Guided Anesthesia and Delirium in Older Adults After Cardiac Surgery: The ENGAGES-Canada Randomized Clinical Trial
- Increased Risk of Postoperative Complications in Patients Who Have Obstructive Sleep Apnea Undergoing Total Joint Arthroplasty: A Systematic Review and Meta-Analysis
- Head-to-toe bedside ultrasound for adult patients on extracorporeal membrane oxygenation
- Revitalizing Postoperative Pain Management in Enhanced Recovery After Surgery via Inter-departmental Collaboration Toward Precision Medicine: A Narrative Review
- Effects of Chinese traditional five-element music intervention on postoperative delirium and sleep quality in elderly patients after non-cardiac surgery: a randomized controlled trial
- The Influence of Pre-operative Pain and Anxiety on Acute Postoperative Pain in Cardiac Surgery Patients Undergoing Enhanced Recovery after Surgery
- Perioperative management of a double valve replacement and coronary artery bypass graft in a patient with carcinoid syndrome; a case report and literature review
- Cancer and the Risk of Perioperative Arterial Ischemic Events
- COVID-19 vaccination may prevent postoperative delirium in elderly patients undergoing elective non-cardiac surgery: The PNDRFAP and PNDABLE studies
- A scoping review of incidence and assessment tools for post-intensive care syndrome following cardiac surgery
- Predictors of Failure to Achieve Planned Same-Day Discharge after Primary Total Joint Arthroplasty: a Multivariable Analysis of Perioperative Risk Factors
- Efficacy of virtual plastic surgery encounters in establishment of care and surgical conversion
- Remimazolam for anesthesia and sedation in cardiac surgery and for cardiac patients undergoing non-cardiac surgery: a systematic-narrative hybrid review
- Early identification of autism spectrum disorder in children with CHD attending a Cardiac Developmental Outcomes Program
- Perioperative sleep disorders in gynaecological daycase surgery patients and analysis of risk factors: protocol for a cross-sectional study
- Core components of a rehabilitation program in pediatric cardiac disease
- Association between postoperative hyperactive delirium and major complications in elderly patients undergoing emergency hip fracture surgery: A large-scale cohort study
- Malnutrition and Adverse Outcomes After Surgery for Head and Neck Cancer
- Perioperative Experiences of Transgender Adults Seeking Gender-Affirming Surgery: A Qualitative Interview Study
- Metformin Use in Type 2 Diabetics and Delirium After Noncardiac Surgery: A Retrospective Cohort Analysis
- Impact of early postoperative blood glucose variability on serum endocan level in cardiac surgery patients: a sub study of the ENDOLUNG observational study
- Postoperative Delirium and Dementia in Patients Undergoing Cardiac Surgery: A Review of Randomized Controlled Trials
- Relationship Between Coronary Artery Revascularization and Postoperative Delirium: Progress and Perspectives
- Determinants of Early Mobilization in Post-Cardiac Surgery Patients
- Preoperative cognitive performance and its association with postoperative complications in vascular surgery patients: A prospective study
- Preoperative cognitive performance and its association with postoperative complications in vascular surgery patients: A prospective study
- Opioid-Free Analgesia is Safe and Effective in Anterior Cervical Spine Surgery: A Randomized Controlled Trial
- Perioperative point-of-care-testing of plasmacholinesterases identifies older patients at risk for postoperative delirium: an observational prospective cohort study
- New options and open issues in the management of unresectable stage III and in early-stage NSCLC: a report from an expert panel of Italian medical and radiation oncologists - INTERACTION GROUP
- Neurological Resilience in Patients With Anorexia Nervosa Following Prolonged Cardiopulmonary Resuscitation
- Incidence and assessment of delirium following open cardiac surgery; A systematic review and meta-analysis
- Epidemic Preventive Management during the Coronavirus Disease 2019 Pandemic Is a Risk Factor for Delirium after Spinal Cord Injury Surgery
- Effectiveness of Peer-Based and Conventional Video Education in Reducing Perioperative Depression and Anxiety Among Coronary Artery Bypass Grafting Patients: A Randomized Controlled Trial
- An Appraisal of Using Opioids in Patients with Opioid Use Disorder
- Preoperative Midazolam and Patient-Centered Outcomes of Older Patients: The I-PROMOTE Randomized Clinical Trial
- The effect of written document in perioperative information on the anxiety level and family-centered care of parents of children undergoing ambulatory surgery: A randomized controlled trial
- Solving the Autism Puzzle: Creating a Broad-Spectrum Tool to Improve Care Delivery in the Clinical Setting
- High-flow nasal cannula therapy versus conventional oxygen therapy for adult patients after cardiac surgery: A systemic review and meta-analysis
- The association between the fibrinogen-to-albumin ratio and delirium after deep brain stimulation surgery in Parkinson's disease
- Impacts of Perioperative Comprehensive Nursing Intervention on Postoperative Urinary Incontinence and Quality of Life of Patients Undergoing Laparoscopic Radical Prostatectomy
- Association Between Preoperative Long-Term Poor Sleep Quality and Postoperative Delirium in Elderly Patients Undergoing Cardiac Surgery: A Multi-Center Observational Study
- Acute esophageal necrosis following cardiac arrest: A rare and lethal syndrome with diagnostic challenges
- Hysterectomy and Oophorectomy for Transgender Patients: Preoperative and Intraoperative Considerations
- Predictive factors of thoracic aortic calcification in patients candidate for cardiac surgery
- The Role of Delirium on Short- and Long-Term Postoperative Outcomes Following Major Gastrointestinal Surgery for Cancer
- Mental health comorbidities in workers' compensation patients and the effect on pain, disability, quality of life, and return to work after lumbar spine surgery
- Knowledge mapping and research trends on perioperative neurocognitive disorder from 1990 to 2022: a bibliometric analysis
- Effect of a telephone-based perioperative nurse-led counselling programme on unmet needs, quality of life and sexual function in colorectal cancer patients: A non-randomised quasi-experimental study