1,298 results match your criteria Annals of cardiac anaesthesia[Journal]


Watchful waiting in an unusual cause of hypoxemia after implantable cardioverter-defibrillator lead extraction.

Ann Card Anaesth 2019 Jan-Mar;22(1):109-110

Department of Clinical and Experimental Sciences, Cardiac Surgery Unit, University of Brescia, Brescia, Italy.

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http://dx.doi.org/10.4103/aca.ACA_95_18DOI Listing
January 2019
1 Read

Clinical usage of high-flow oxygenation in postcardiac surgery patients.

Ann Card Anaesth 2019 Jan-Mar;22(1):107-108

Department of Hematology and Oncology, Talghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

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http://dx.doi.org/10.4103/aca.ACA_7_18DOI Listing
January 2019
1 Read

ANSiscopeā„¢: Can it be the crystal ball of cardiac anesthesia?

Ann Card Anaesth 2019 Jan-Mar;22(1):101-106

Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.

Background: : Autonomic dysfunction (AD) is infrequently evaluated preoperatively despite having profound perioperative implications. The ANSiscopeā„¢ is a monitoring device that quantifies AD. This study aims to determine the potential of the device to predict hypotension following anesthetic induction, occurrence of arrhythmias, and inotrope requirement for patients undergoing off-pump coronary artery bypass surgery (OPCAB). Read More

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http://www.annals.in/text.asp?2019/22/1/101/250202
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http://dx.doi.org/10.4103/aca.ACA_9_18DOI Listing
January 2019
4 Reads

Quadricuspid aortic valve associated with aortic insufficiency contributors.

Ann Card Anaesth 2019 Jan-Mar;22(1):99-100

Mount Sinai Medical Center, Florida, USA.

A 51-year-old male presented with a wound in his right hand that was suspicious for possible septic emboli of cardiac origin. With transesophageal echocardiography, the patient was found to have a rare quadricuspid aortic valve. This quadricuspid valve can present with variable symptoms and physical exam findings. Read More

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http://dx.doi.org/10.4103/aca.ACA_151_18DOI Listing
January 2019
2 Reads

Massive subcutaneous emphysema after off-pump coronary bypass surgery.

Ann Card Anaesth 2019 Jan-Mar;22(1):97-98

Department of Cardiac Surgery and Anaesthesiology, Sir Ganga Ram Hospital, New Delhi, India.

Subcutaneous emphysema is a condition when air gets accumulated into the tissues under the skin and in the soft tissues of the chest wall or neck but can also spread to other parts of the body. It generally causes minimal symptoms and nonlethal; sometimes, it may be severe and life-threatening if deeper tissues of the thoracic outlet and chest are involved. It is essential to know the mechanisms of subcutaneous emphysema after cardiac surgery. Read More

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http://dx.doi.org/10.4103/aca.ACA_135_18DOI Listing
January 2019
6 Reads

Endovascular approach in chronic aortoiliac disease in patient undergoing coronary artery bypass surgery.

Ann Card Anaesth 2019 Jan-Mar;22(1):96-97

Department of Cardiothoracic Surgery, General Hospital "G. Papanikolaou," Thessaloniki, Greece.

Internal thoracic artery (ITA) is an excellent conduit for coronary artery bypass surgery (CABG). We present a patient with known preoperative aortoiliac disease with anterior collateral pathway who had an indication for elective coronary bypass. The use of ITA in these patients may cause lower limb ischemia. Read More

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http://dx.doi.org/10.4103/aca.ACA_60_18DOI Listing
January 2019
1 Read

Perioperative management of intramyocardial hydatid cyst with off-pump technique.

Ann Card Anaesth 2019 Jan-Mar;22(1):92-95

Department of Cardiac Anaesthesia, LPS Institute of Cardiology, Kanpur, Uttar Pradesh, India.

Cardiac echinococcosis is a rare disease. Depending on the location of hydatid cyst in the heart, clinical presentation can be an asymptomatic case or lethal stroke, arrhythmias, valvular dysfunction, cardiac tamponade, cardiac failure, shock, and even death. Treatment of choice for cardiac hydatid cysts is surgical excision, even in an asymptomatic patient. Read More

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http://dx.doi.org/10.4103/aca.ACA_46_18DOI Listing
January 2019
2 Reads

The dilemma of the "ischemic-looking" electrocardiogram: Pulmonary embolism or acute coronary syndrome?

Ann Card Anaesth 2019 Jan-Mar;22(1):89-91

Department of Radiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Pulmonary embolism (PE) may be potentially fatal if not diagnosed and treated in time. Although specific electrocardiogram (ECG) findings often suggest the diagnosis of PE, occasionally, the ECG may mimic that of an acute coronary syndrome (ACS). We report an interesting case of a 45-year-old female presenting with sudden onset chest pain and shortness of breath with widespread ST depression in anterior precordial leads. Read More

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http://www.annals.in/text.asp?2019/22/1/89/250195
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http://dx.doi.org/10.4103/aca.ACA_40_18DOI Listing
January 2019
5 Reads

Off-pump coronary bypass grafting in a post-pneumonectomy patient: Challenges and management.

Ann Card Anaesth 2019 Jan-Mar;22(1):86-88

Department of Cardiac Anaesthesia, Fortis Memorial Research Institute, Gurgaon, Haryana, India.

Pulmonary complications are common in cardiac surgical patients. Limited respiratory reserves along with the pain associated with sternotomy add to the morbidity. Patients undergoing cardiac surgery who have had a pneumonectomy done before can be even more challenging to manage perioperatively due to a single-functioning lung. Read More

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http://www.annals.in/text.asp?2019/22/1/86/250194
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http://dx.doi.org/10.4103/aca.ACA_37_18DOI Listing
January 2019
6 Reads

Unrecognized double aortic arch in a preterm infant: Diagnostic challenges and perioperative management.

Ann Card Anaesth 2019 Jan-Mar;22(1):83-85

Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.

Vascular rings are relatively rare, and are frequently overlooked as a potential cause of neonatal respiratory distress in non specialized centres. This might lead to delay in diagnosis during which the child is subjected to repeated respiratory insults. Procrastination in prompt diagnosis and management can lead to significant comorbidities or even death. Read More

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http://dx.doi.org/10.4103/aca.ACA_3_18DOI Listing
January 2019
1 Read

Bioprosthetic valve thrombosis in carcinoid heart disease.

Ann Card Anaesth 2019 Jan-Mar;22(1):79-82

Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, MD, USA.

Tricuspid regurgitation in carcinoid syndrome leads to significant morbidity and mortality that may warrant a tricuspid valve replacement. However, for patients with high serotonin levels and known hypercoagulable risks, the optimum timing for surgery and postoperative anticoagulation approaches remain unclear. High serotonin-triggered hypercoagulability makes prosthetic valves susceptible to thrombosis. Read More

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http://www.annals.in/text.asp?2019/22/1/79/250188
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http://dx.doi.org/10.4103/aca.ACA_2_18DOI Listing
January 2019
6 Reads

Evaluation of risk scores in predicting perioperative blood transfusions in adult cardiac surgery.

Ann Card Anaesth 2019 Jan-Mar;22(1):73-78

Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.

Objective: Allogeneic blood product transfusions are associated with an increased morbidity and mortality risk in cardiac surgery. At present, a few transfusion risk scores have been proposed for cardiac surgery patients. The present study is aimed to develop a new score and to compare with preexisting scores - Transfusion Risk and Clinical Knowledge (TRACK) and Transfusion Risk Understanding Scoring Tool (TRUST) score. Read More

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http://dx.doi.org/10.4103/aca.ACA_18_18DOI Listing
January 2019
1 Read

Descriptive statistics and normality tests for statistical data.

Ann Card Anaesth 2019 Jan-Mar;22(1):67-72

Department of Neuro-Otology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Descriptive statistics are an important part of biomedical research which is used to describe the basic features of the data in the study. They provide simple summaries about the sample and the measures. Measures of the central tendency and dispersion are used to describe the quantitative data. Read More

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http://dx.doi.org/10.4103/aca.ACA_157_18DOI Listing
January 2019
1 Read

A survey of practices during cardiopulmonary bypass in India: An Indian association of cardiovascular and thoracic anesthesiologist endeavor.

Ann Card Anaesth 2019 Jan-Mar;22(1):56-66

Department of Anesthesia, Pain Medicine and Critical Care Services, Aster Medcity, Kochi, Kerala, India.

Context: Cardiac anesthesiologists play a key role during the conduct of cardiopulmonary bypass (CPB). There are variations in the practice of CPB among extracorporeal technologists in India. Aims: The aim of this survey is to gather information on variations during the conduct of CPB in India. Read More

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http://dx.doi.org/10.4103/aca.ACA_67_18DOI Listing
January 2019
2 Reads

Practice patterns of left-sided double-lumen tube: Does it match recommendation from literature - A single-centre observational pilot study.

Ann Card Anaesth 2019 Jan-Mar;22(1):51-55

Department of Anaesthesiology and Critical Care, Nizams Institute of Medical Sciences, Hyderabad, Telangana, India.

Context: Choosing appropriate-size double-lumen tube (DLT) has always been a challenge as it depends on existing guidelines based on gender, height, tracheal diameter (TD), or personal experience. However, there are no Indian data to match these recommendations.

Aim: To find out whether the size of DLT used correlates with height, weight, TD, or left main stem bronchus diameter (LMBD). Read More

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http://www.annals.in/text.asp?2019/22/1/51/250179
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http://dx.doi.org/10.4103/aca.ACA_11_18DOI Listing
January 2019
4 Reads

"Vitamin D" as a profile marker for cardiovascular diseases.

Ann Card Anaesth 2019 Jan-Mar;22(1):47-50

Department of Pediatrics, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India.

Objective: A growing body of research indicates that there exists a correlation between Vit D deficiency and cardiovascular diseases (CVD). In addition to being genetically determined, it is strongly influenced by lifestyle factors. In this study, Vit D and its interrelated factors have been studied as profile marker for identifying the risk of CVD in patients. Read More

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http://dx.doi.org/10.4103/aca.ACA_66_18DOI Listing
January 2019
1 Read

Assessment of ventricular function in patients of atrial septal defect by strain imaging before and after correction.

Ann Card Anaesth 2019 Jan-Mar;22(1):41-46

Department of Cardiac Anaesthesia, Institute of Post Graduation Medical Education and Research, Kolkata, India.

Background: Atrial septal defect (ASD) is a common congenital heart disease associated with volume overload of Right ventricle (RV) with variable effect on Left ventricle (LV). Two-dimensional (2D) Strain analysis is a new tool for objective analysis of myocardial function. This prospective study evaluated the systolic function of right and left ventricle by conventional 2D echo and strain echo and measured changes in cardiac hemodynamics that occurred in patients of ASD before and after correction. Read More

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http://www.annals.in/text.asp?2019/22/1/41/250183
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http://dx.doi.org/10.4103/aca.ACA_153_17DOI Listing
January 2019
10 Reads

Comparison of hemodynamic response and postoperative pain score between general anaesthesia with intravenous analgesia versus general anesthesia with caudal analgesia in pediatric patients undergoing open-heart surgery.

Ann Card Anaesth 2019 Jan-Mar;22(1):35-40

Department of Anaesthesiology, KK Women's and Children Hospital, Singapore.

Context: Regional anesthesia may attenuate adverse physiological stress responses associated with cardiothoracic surgery. In this study, hemodynamic stress response at the different time of surgical stimuli was compared between patients receiving general anesthesia (GA) along with caudal epidural analgesia with GA with intravenous analgesia in pediatric population undergoing open-heart surgery.

Aims: This study aims to compare the hemodynamic response at the different time of surgical stimuli and postoperative pain score, in pediatric patients undergoing open-heart procedures. Read More

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http://dx.doi.org/10.4103/aca.ACA_215_17DOI Listing
January 2019
2 Reads

Management issues during postinfarction ventricular septal defect and role of perioperative optimization: A case series.

Ann Card Anaesth 2019 Jan-Mar;22(1):30-34

Department of Cardiothoracic Surgery, Dubai Hospital, Al Baraha, Dubai, United Arab Emeritus.

The development of a myocardial infarction ventricular septal rupture is a rare fatal complication, and the surgical repair is the treatment of choice. In most of the scenarios, the operation will be done as an emergency procedure that carries high mortality. Prognosis of these patients depends on prompt echocardiographic diagnosis and the proactive medical and surgical therapy. Read More

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http://dx.doi.org/10.4103/aca.ACA_189_17DOI Listing
January 2019
2 Reads

Rupture of sinus of valsalva - A 15 years single institutional retrospective review: Preoperative heart failure has an impact on post operative outcome?

Ann Card Anaesth 2019 Jan-Mar;22(1):24-29

Department of Cardiology, Sri Sathya Sai Institute of Higher Medical Sciences, Bengaluru, Karnataka, India.

Background: We reviewed our experience with ruptured sinus of Valsalva aneurysms (RSOV) to determine a correlation with preexisting heart failure (HF) and coexisting cardiac lesions (aortic regurgitation [AR] and ventricular septal defect [VSD]) to postoperative left ventricular (LV) dysfunction and postoperative outcomes.

Materials And Methods: Retrospective review of RSOV cases over 15 years showed that RSOV repair was done in 87 patients. We looked for patients who presented with HF and patients having AR and/or VSDs. Read More

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http://www.annals.in/text.asp?2019/22/1/24/250192
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http://dx.doi.org/10.4103/aca.ACA_243_17DOI Listing
January 2019
6 Reads

Conversion during off-pump coronary artery bypass graft surgery: A case-control study.

Ann Card Anaesth 2019 Jan-Mar;22(1):18-23

Departments of Cardiovasular Sciences, Fortis Hospital, Bengaluru, Karnataka, India.

Objectives: Off pump coronary artery bypass (OPCAB) surgery is carried out as an alternative to conventional coronary artery bypass grafting using cardiopulmonary bypass (CPB). At times 'conversion' to CPB may be required to bail out a situation resulting from acute decompensation of the heart. It is reported that such conversion carries significant mortality risk. Read More

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http://dx.doi.org/10.4103/aca.ACA_227_17DOI Listing
January 2019
2 Reads

Cardiac output monitoring: Technology and choice.

Ann Card Anaesth 2019 Jan-Mar;22(1):6-17

Department of Anesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

The accurate quantification of cardiac output (CO) is given vital importance in modern medical practice, especially in high-risk surgical and critically ill patients. CO monitoring together with perioperative protocols to guide intravenous fluid therapy and inotropic support with the aim of improving CO and oxygen delivery has shown to improve perioperative outcomes in high-risk surgical patients. Understanding of the underlying principles of CO measuring devices helps in knowing the limitations of their use and allows more effective and safer utilization. Read More

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http://dx.doi.org/10.4103/aca.ACA_41_18DOI Listing
January 2019
3 Reads

Left ventricular outflow tract obstruction following aortic valve replacement: A review of risk factors, mechanism, and management.

Ann Card Anaesth 2019 Jan-Mar;22(1):1-5

Department of Cardiac Anaesthesia, Cardiothoracic Centre, CNC, All India Institute of Medical Sciences, New Delhi, India.

The presence of dynamic left ventricular outflow tract obstruction (LVOTO) can complicate the postoperative course of patients undergoing surgical aortic valve replacement (AVR). The phenomenon of LVOTO is a consequence of an interplay of various pathoanatomic mechanisms. The prevailing cardiovascular milieu dictates the hemodynamic significance of the resultant LVOTO in addition to the anatomical risk factors. Read More

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http://dx.doi.org/10.4103/aca.ACA_226_17DOI Listing
January 2019
2 Reads

In response - Surgical technique and chylothorax following coronary artery bypass grafting.

Ann Card Anaesth 2018 Oct-Dec;21(4):468-469

Department of Cardiac Anaesthesia; Department of Cardiac Surgery, Nawaloka Hospitals PVT Ltd., Colombo, Sri Lanka.

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http://www.annals.in/text.asp?2018/21/4/468/243526
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http://dx.doi.org/10.4103/aca.ACA_174_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206791PMC
December 2018
7 Reads

Surgical technique and chylothorax following coronary artery bypass grafting.

Ann Card Anaesth 2018 Oct-Dec;21(4):468

Department of Thoracic Surgery, Theagenio Hospital, Thessaloniki, Greece.

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http://dx.doi.org/10.4103/aca.ACA_162_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206802PMC
December 2018
2 Reads

Balloon mitral valvuloplasty in kyphoscoliotic patient: It's not a cakewalk!

Ann Card Anaesth 2018 Oct-Dec;21(4):466-467

Department of Anesthesiology, Seth GSMC and KEM Hospital, Mumbai, Maharashtra, India.

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http://dx.doi.org/10.4103/aca.ACA_23_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206799PMC
October 2018
8 Reads

Anesthesia considerations in neonate with tetralogy of fallot posted for laparotomy.

Ann Card Anaesth 2018 Oct-Dec;21(4):465-466

Department of Anaesthesia, BJMC and SGH, Pune, Maharashtra, India.

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http://dx.doi.org/10.4103/aca.ACA_75_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206805PMC
October 2018
2 Reads

Rationale for change in the criteria for defining severe ischemic mitral regurgitation in 2017 American College of Cardiology/American heart association guidelines.

Ann Card Anaesth 2018 Oct-Dec;21(4):464-465

Division of Cardio-Thoracic Surgery, Amrita Institute of Medical Sciences and Research Center, Amrita Vishwa Vidyapeetham (Amrita University), Kochi, Kerala, India.

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http://dx.doi.org/10.4103/aca.ACA_51_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206781PMC
December 2018
1 Read

Missing swan ganz catheter.

Ann Card Anaesth 2018 Oct-Dec;21(4):462-463

Department of Cardiac Anesthesiology, Sir Ganga Ram Hospital, New Delhi, India.

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http://dx.doi.org/10.4103/aca.ACA_241_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206786PMC
October 2018
1 Read

On-table extubation following off-pump bidirectional cavopulmonary anastomosis: Two sides of the coin.

Ann Card Anaesth 2018 Oct-Dec;21(4):461-462

Department of Cardiac Anaesthesia, Cardiothoracic Centre, CNC, All India Institute of Medical Sciences, New Delhi, India.

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http://dx.doi.org/10.4103/aca.ACA_31_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206804PMC
October 2018
1 Read

Is routine preoperative chest X-ray: An underutilized tool in asymptomatic patients!

Ann Card Anaesth 2018 Oct-Dec;21(4):460-461

Department of Anesthesia and Intensive Care, Government College and Hospital, Chandigarh, India.

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http://dx.doi.org/10.4103/aca.ACA_102_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206782PMC
October 2018
1 Read

Early prediction of acute kidney injury using serum phosphorus as a biomarker in pediatric cardiac surgical patients.

Ann Card Anaesth 2018 Oct-Dec;21(4):455-459

Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.

Background: Acute kidney injury (AKI) is a strong predictor of morbidity and mortality after cardiac surgery. Lack of valid early biomarkers for predicting AKI has hampered the ability to take therapeutic measures for preventive cause. Hyperphosphatemia that occurs in AKI due to renal excretion defect was not studied in this context and could be simple marker of AKI. Read More

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http://dx.doi.org/10.4103/aca.ACA_14_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206811PMC
October 2018
3 Reads

Predictors of acute kidney injury in patients undergoing adult cardiac surgery.

Ann Card Anaesth 2018 Oct-Dec;21(4):448-454

Department of Cardiac Anaesthesia, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.

Background: Acute kidney injury (AKI) after cardiac surgery (CS) is not uncommon and has serious effects on mortality and morbidity. A majority of patients suffer mild forms of AKI. There is a paucity of Indian data regarding this important complication after CS. Read More

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http://www.annals.in/text.asp?2018/21/4/448/243531
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http://dx.doi.org/10.4103/aca.ACA_21_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206792PMC
October 2018
9 Reads

Watch out for left atrial roof thrombus.

Ann Card Anaesth 2018 Oct-Dec;21(4):446-447

Division of Cardiovascular and Thoracic Anesthesiology, Seth GSMC and KEM Hospital, Mumbai, Maharashtra, India.

Rheumatic mitral stenosis is often associated with thrombus formation in the left atrium (LA), especially in patients with atrial fibrillation. Although thrombus can occur anywhere within the LA, the most common site is the left atrial appendage. Therefore, it is important to carefully screen the entire LA during perioperative transesophageal echocardiography to exclude thrombus. Read More

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http://dx.doi.org/10.4103/aca.ACA_43_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206796PMC
October 2018
11 Reads

Abdominal compartment syndrome after surgical repair of Type A aortic dissection.

Ann Card Anaesth 2018 Oct-Dec;21(4):444-445

Department of Cardiothoracic Surgery, G. Papanikolaou General Hospital, Thessaloniki, Greece.

Abdominal compartment syndrome is associated with severe dysfunction of intra-abdominal and intrathoracic organs. Medical therapy, with the goal of reducing intra-abdominal pressure, leads to improvement in organ perfusion. Read More

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http://dx.doi.org/10.4103/aca.ACA_247_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206795PMC
October 2018
2 Reads

Aortic regurgitation after chemoport catheter insertion: Diagnostic dilemma.

Ann Card Anaesth 2018 Oct-Dec;21(4):442-443

Department of Cardiac Anaesthesiology, Artemis Hospitals, Gurgaon, Haryana, India.

Catheter insertion in central vein can potentially cause accidental arterial injury. However it is very unusual to see such catheter in aorta causing aortic regurgitation. Pressure monitoring and Ultrasound guidance can reliably prevent accidental arterial puncture. Read More

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http://dx.doi.org/10.4103/aca.ACA_79_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206784PMC
October 2018
2 Reads

Unrecognized hyperlucent lesion on lateral film of chest X-Ray.

Ann Card Anaesth 2018 Oct-Dec;21(4):440-441

Department of Cardiothoracic Vascular Surgery, SGPGIMS, Lucknow, Uttar Pradesh, India.

We report an interesting case of bulla right lung, incidently found during CABG surgery. Read More

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http://dx.doi.org/10.4103/aca.ACA_84_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206806PMC
October 2018
1 Read

Right atrial myxoma: Unusual location; uncommon association.

Ann Card Anaesth 2018 Oct-Dec;21(4):437-439

Department of Cardiovascular and Thoracic Surgery, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

We are presenting a case of the right atrial myxoma found in a case of rheumatic heart disease. During transthoracic echocardiography for the evaluation of a suspected rheumatic valvular heart disease, a diagnosis of severe mitral stenosis with severe mitral regurgitation with the right atrial thrombus was made. On transesophageal echocardiography, a pedunculated mass in the right atrium was confirmed. Read More

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http://www.annals.in/text.asp?2018/21/4/437/243521
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http://dx.doi.org/10.4103/aca.ACA_130_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206801PMC
October 2018
9 Reads

The value of institutional protocols and focused cardiac ultrasound during a case of ultramassive transfusion.

Ann Card Anaesth 2018 Oct-Dec;21(4):433-436

Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, Augusta, GA, USA.

A 53-year-old female was admitted to the emergency department with an exsanguinating bleed from the rectum which was of unclear origin. In what could be considered an ultramassive transfusion, 60 units packed red blood cells, 23 units fresh frozen plasma, 20 units platelets, 6 units cryoprecipitate, 30 L of crystalloids, 2 L of colloids, and 4 g of tranexamic acid were transfused over the course of 7 h. An arterio-enteric fistula was diagnosed and treated by an interventional radiologist. Read More

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http://dx.doi.org/10.4103/aca.ACA_49_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206793PMC
October 2018
2 Reads

Perioperative management of critical right ventricular inflow obstruction from right atrial rhabdomyoma.

Ann Card Anaesth 2018 Oct-Dec;21(4):430-432

Manchester Academic Health Science Centre, Cardiothoracic Anaesthesia and Intensive Care, Manchester University, Manchester University NHS Foundation Trust, Manchester, UK; Department of Anaesthesiology and Intensive Care, The Prince Charles Hospital, The University of Queensland, Critical Care Research Group, Brisbane, Australia; Department of Anaesthesiology and Intensive Care, Philipps University, Marburg, Germany.

Rhabdomyoma is the most common cardiac tumor in infancy and commonly located in the ventricles causing outflow obstruction or arrhythmias. We report a rare pediatric (7 month old) case of a right atrial rhabdomyoma presenting with severe cyanosis and low cardiac output from significant tricuspid inflow obstruction with right to left shunt across a stretched patent foramen ovale. We present an emergency cardiac surgery for right atrial tumor resection, and the management of separating the patient with failing right ventricle from cardiopulmonary bypass using a Glenn shunt, since extracorporeal membrane oxygenation (ECMO) or nitric oxide was not available. Read More

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http://www.annals.in/text.asp?2018/21/4/430/243539
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http://dx.doi.org/10.4103/aca.ACA_233_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206783PMC
October 2018
22 Reads

Traumatic aortic dissection pseudoaneurysm with multiple entry: Role of transesophageal echocardiography.

Ann Card Anaesth 2018 Oct-Dec;21(4):427-429

Department of Cardiothoracic and Vascular Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Traumatic aortic dissection following sudden deceleration injury requires urgent treatment as it may result in formation of aneurysm that may expand or rupture leading to catastrophe. Confirmation of diagnosis of aortic dissection often requires contrast-enhanced computed tomography (CECT) or magnetic resonance imaging, which is time-consuming. Often, there is a significant time lag between the CECT chest and surgical intervention. Read More

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http://dx.doi.org/10.4103/aca.ACA_218_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206789PMC
October 2018
3 Reads

Congenital combined atresia of the left main coronary with supravalvar aortic stenosis.

Ann Card Anaesth 2018 Oct-Dec;21(4):423-426

Kermanshah Cardiovascular Research Centre, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Congenital atresia of the left main coronary artery (LMCA) is an exceedingly rare phenomenon, and in the most of them, coronary artery bypass graft is required. We here describe a rare case of this anomaly that concomitantly was associated with supravalvar aortic stenosis and coronary-pulmonary fistula without the presence of conventional collateral circulation in a 16-year-old boy. The patient was admitted to our center with chest pain and dyspnea. Read More

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http://www.annals.in/text.asp?2018/21/4/423/243533
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http://dx.doi.org/10.4103/aca.ACA_217_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206800PMC
October 2018
10 Reads

Scales of measurement and presentation of statistical data.

Ann Card Anaesth 2018 Oct-Dec;21(4):419-422

Department of Haematology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Measurement scale is an important part of data collection, analysis, and presentation. In the data collection and data analysis, statistical tools differ from one data type to another. There are four types of variables, namely nominal, ordinal, discrete, and continuous, and their nature and application are different. Read More

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http://www.annals.in/text.asp?2018/21/4/419/243522
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http://dx.doi.org/10.4103/aca.ACA_131_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206790PMC
October 2018
10 Reads

A prospective, randomized, comparison study on effect of perioperative use of chloride liberal intravenous fluids versus chloride restricted intravenous fluids on postoperative acute kidney injury in patients undergoing off-pump coronary artery bypass grafting surgeries.

Ann Card Anaesth 2018 Oct-Dec;21(4):413-418

Department of Anaesthesia, Sri Siddhartha Medical College, Tumakur, Karnataka, India.

Context And Aims: Off-pump coronary artery bypass graft (OPCABG) is a form of CABG surgery. It is performed without the use of cardiopulmonary bypass machine as a surgical treatment for coronary heart disease. Acute kidney injury (AKI) is one of the common postoperative complications of OPCABG. Read More

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http://dx.doi.org/10.4103/aca.ACA_230_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206797PMC
October 2018
3 Reads

Evaluation of local intra-pleural application of tranexamic acid on postoperative blood loss in lung decortication surgery, a prospective, randomized, double-blind, placebo-controlled study.

Ann Card Anaesth 2018 Oct-Dec;21(4):409-412

Department of Cardiothoracic Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt.

Background: During decortication surgery, fibrous peel over the lung was removed to allow expansion of the lung and therefore, wide raw area was created with surface oozing. The phenomenon of fibrinolysis usually activated after such procedure, resulting in increasing the postoperative bleeding. Tranexamic acid is one of antifibrinolytic therapies that could be used topically and to targets directly the source of bleeding and reducing the local activation of the fibrinolytic process and consequently reducing the postoperative bleeding. Read More

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http://dx.doi.org/10.4103/aca.ACA_231_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206794PMC
October 2018
1 Read

Predictors and outcome of early extubation in infants postcardiac surgery: A single-center observational study.

Ann Card Anaesth 2018 Oct-Dec;21(4):407-408

Department of Anesthesia and Intensive Care, PGIMER, Chandigarh, India.

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http://dx.doi.org/10.4103/aca.ACA_172_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206787PMC
December 2018
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Predictors and outcome of early extubation in infants postcardiac surgery: A single-center observational study.

Ann Card Anaesth 2018 Oct-Dec;21(4):402-406

Department of Pediatrics, Narayana Health, Bengaluru, Karnataka, India.

Objective: The objective of the current study was to evaluate the timing of first extubation and compare the outcome of patient extubated early with others; we also evaluated the predictors of early extubation in our cohort.

Materials And Methods: This prospective cohort study included children <1 year of age undergoing surgery for congenital heart disease. Timing of first extubation was noted, and patients were dichotomized in the group taking 6 h after completion of surgery as cutoff for early extubation. Read More

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http://dx.doi.org/10.4103/aca.ACA_209_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206803PMC
October 2018
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Is elevated blood glucose a marker of occult tissue hypoperfusion in off-pump coronary artery bypass grafting?

Ann Card Anaesth 2018 Oct-Dec;21(4):393-401

Department of Cardiac Anaesthesiology, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India.

Context: Hyperglycemia has been found to occur during myocardial infarction and cardiac surgery even in nondiabetic patients. These being essentially stressful processes associated with hypoperfusion, we decided to find a possible relationship between the occurrence of global tissue hypoperfusion (GTH) and elevated blood glucose level in adult nondiabetic patients undergoing elective off-pump coronary artery bypass grafting (CABG).

Aims: This study aims to observe for the occurrence of global tissue hypoperfusion and its effect on blood glucose level and whether raised blood glucose level can be used as a marker for GTH. Read More

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http://dx.doi.org/10.4103/aca.ACA_202_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206810PMC
October 2018
1 Read

Dreams content and emotional load in cardiac rehabilitation patients and their relation to anxiety and depression.

Ann Card Anaesth 2018 Oct-Dec;21(4):388-392

Cardiac Rehabilitation Center, Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Background: The assessment of a dream and its mechanisms and functions may help us to percept cognitions, emotions, and complex behaviors of patients. Hence, the present study aimed to assess (i) the rate of perceived dream and its emotional load and content and (ii) the relationship between functions of dream with anxiety and depression.

Methods: In this cross-sectional study, 167 cardiac patients who had undergone rehabilitation in the western part of Iran were assessed during May-October 2016. Read More

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http://dx.doi.org/10.4103/aca.ACA_210_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206785PMC
October 2018
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Usefulness of ultrasound-guided measurement of minimal transverse diameter of subglottic airway in determining the endotracheal tube size in children with congenital heart disease: A prospective observational study.

Ann Card Anaesth 2018 Oct-Dec;21(4):382-387

Department of Anesthesia, Christian Medical College, Vellore, Tamil Nadu, India.

Introduction: The search for an accurate and predictable method to estimate the endotracheal tube (ETT) size in pediatric population had led to derivation of many formulae. Of this, age-based formulae are the most commonly used. Studies have shown that minimal transverse diameter of subglottic airway (MTDSA) measurements using a high-frequency probe improves the success rate of predicting the airway diameter to about 90%. Read More

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http://www.annals.in/text.asp?2018/21/4/382/243535
Publisher Site
http://dx.doi.org/10.4103/aca.ACA_220_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206798PMC
October 2018
7 Reads