A5091376709- Cardiac and Coronary Surgery Techniques
- Mechanical Circulatory Support Devices
- Blood transfusion and management
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Cardiac, Anesthesia and Surgical Outcomes
- Venous Thromboembolism Diagnosis and Management
- Cardiac Arrest and Resuscitation
- Diabetes Management and Research
- Cardiac Valve Diseases and Treatments
- Anesthesia and Pain Management
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Anesthesia and Sedative Agents
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Heparin-Induced Thrombocytopenia and Thrombosis
- Hip and Femur Fractures
- Atrial Fibrillation Management and Outcomes
- Long-Term Effects of COVID-19
- Respiratory Support and Mechanisms
- Intensive Care Unit Cognitive Disorders
- Pneumothorax, Barotrauma, Emphysema
Ghent University Hospital
2013-2024
KU Leuven
2007
Many cardiac procedures using cardiopulmonary bypass (CPB) still require intraoperative transfusion. Retrograde autologous priming (RAP) has been introduced to decrease haemodilution and the blood transfusion rate. This study is designed determine influence or RAP on haematocrit, its clinical consequences.The effect was retrospectively studied in 753 patients during contemporary surgery, targeting a haematocrit of 25%. Multivariate linear regression analysis performed identify independent...
Background Minimally invasive mitral valve (MV) surgery (MIVT) is increasingly performed with excellent clinical outcome, despite longer procedural times. This study analyzes outcomes and effects on secondary organ functions in a propensity-matched comparison conventional MV surgery. Methods Results Out of 439 patients undergoing from January 2005 to May 2017, 233 were included after propensity-matching: 90 sternotomy 143 MIVT patients. Endpoints focused survival, quality repair, function...
BACKGROUND: Viscoelastic tests (VETs) are recommended during cardiac surgery to monitor coagulation status and guide transfusion. We compared the results of two VETs, Sonoclot Analyzer ROTEM Sigma. Agreement between viscoelastic tests' subdiagnoses overall diagnosis severity was assessed. Correlations with conventional (CCT) discriminatory potential numerical VET outputs for transfusion thresholds determined.METHODS: Single-center, prospective observational study in a tertiary academic...
Abstract OBJECTIVES Research concerning cardiopulmonary bypass (CPB) management during minimally invasive cardiac surgery (MICS) is scarce. We investigated the effect of CPB parameters such as pump flow, haemoglobin concentration and oxygen delivery on clinical outcome renal function in a propensity matched comparison between MICS median sternotomy (MS) for atrioventricular valve surgery. METHODS A total 356 patients undergoing or MS 2006 2017 were analysed retrospectively. Propensity score...
Coronavirus disease 2019 (COVID-19) leads to thoracic complications requiring surgery. This is challenging, particularly in patients supported with venovenous extracorporeal membrane oxygenation (VV-ECMO) due the need for continuous therapeutic anticoagulation. We aim share our experience regarding safety and perioperative management of video-assisted surgery this specific population.Retrospective, single-center study between November 2020 January 2022 at ICU department a 1.061-bed tertiary...
Background: Minimally invasive mitral valve(MV) surgery(MIVT) is increasingly performed with excellent clinical outcome, despite longer procedural times. This study analyzes outcome and secondary organ function effects in a propensity-matched comparison conventional MV surgery. Methods Results: Out of 439 patients undergoing surgery from January 2005 to May 2017, 345 were included after propensity-matching: 95 sternotomy 250 MIVT patients. Endpoints focused on survival, quality repair...
We were pleased to receive Dr Gurbuz and colleagues' comments on our study [1]. Yet, we would like add some their remarks. Firstly, can state that there no differences between the control group concerning surgeons performing procedure. agree surgeon himself, often directly affects amount of blood lost intraoperatively. However, in hospital, transfusion strategies are result a team approach they same for each patient, regardless members present operating theatre. Secondly, as effect...
Hemeryck, M.; Verburgh, P.; Vandewiele, K.; Bouchez, S.; Wouters, De Hert, S. Author Information
Background: Several insulin infusion protocols have been developed to maintain glycaemia levels within normal limits during and after cardiac surgery with cardiopulmonary bypass (CPB). These are often complicated requiring regular adjustments using sophisticated algorhitms1. We an easy applicable protocol (University of Ghent Insulin Protocol or UGIP) for achieving a glucose level between 70 180 mg/dL surgery. In this protocol, continuous is started induction anaesthesia at calculated rate...
Implementing tight glycaemic control (TGC) in the ICU requires accurate blood glucose (BG) monitoring. We evaluated performance of two bedside glucometers (GM) patients.