<b>Objectives of the Study:</b> To identify factors causing high lactate levels in patients undergoing cardiac surgery under cardiopulmonary bypass (CPB) and to assess association between blood postoperative morbidity mortality. <b>Methods:</b> A retrospective observational study including 370 who underwent surgeries bypass. The were divided into 2 groups based on serum levels; those with greater than or equal 4 mmol/L considered as hyperlactatemia less mmol/L. Blood samples collected...

Fast tracking plays a crucial role in reducing perioperative morbidity and financial burden by facilitating early extubation discharge from hospital. Paravertebral block (PVB) is becoming more popular paediatric surgeries as an alternative to epidural caudal analgesia. There scarcity of data regarding the efficacy safety PVB cardiac surgery.We performed review records patients who underwent surgery under general anaesthesia with single shot compared analgesia postoperative outcomes matched...

<br>MICRA, miniaturized leadless single chamber pacemaker, is inserted directly into the right ventricular myocardium via transcatheter approach. We present a case of 66-year-old patient with Micra pacemaker scheduled for kidney-pancreas transplant. The dependent. preoperative cardiology consult did not comment on need reprogramming. One hour prior to surgery, anesthesia team was unable locate chest wall. Medtronic hotline called, and caregivers learned that particular buried within wall...

Background: The present study was designed to compare the effect of intravenous fentanyl and esmolol for attenuation hemodynamic responses laryngoscopy intubation. Materials Methods: Ninety patients undergoing elective surgical procedures were allocated into three groups viz., Group I (control): Identical volume normal saline intravenously (IV) 3 min before induction; II (fentanyl): Injection 2 mcg/kg IV III (esmolol): 0.2 mg/kg i.v induction. heart rate arterial blood pressure changes...

Over the years, there has been a growing recognition of potential negative sequelae allogeneic blood products on postoperative outcomes following cardiac surgery. In addition, followers Jehovah's Witness (JW) faith have religious restriction against receiving or components. Advances in perioperative care, cardiopulmonary bypass (CPB), and surgical technique minimized need for products. Specific conservation strategies include maximizing preoperative hematocrit coagulation function as well...

Oral activated charcoal (OAC), a potent adsorbent with no systemic absorption, has been used for centuries to treat poisoning. Recent studies have suggested its potential efficacy in protecting the colonic microbiota against detrimental effects of antibiotics. In dose-finding safety and feasibility clinical trial, 12 healthy volunteers not receiving antibiotics drank 4 different preparations made 2 possible OAC doses (12 or 25 grams) mixed solutions (water apple juice), 3 days week weeks....

Hypertrophic cardiomyopathy (HCM) is the most common genetic disease of heart and remains an important etiology sudden cardiac death in adolescents young adults. Autosomal dominant inheritance a mutation one numerous genes encoding for proteins myocardial sarcomere leads to abnormal myocyte growth pattern with hypertrophy. Perioperative management patients HCM any type surgical procedure carries increased risk morbidity mortality related propensity arrhythmias ischemia. During perioperative...

Total anomalous pulmonary venous return (TAPVR) is a rare congenital cardiac defect, accounting for 1.5-3% of cases heart disease. With prenatal ultrasonography, the majority these patients are diagnosed in utero with definitive surgery performed during neonatal period. However, as screening may not be available developing countries, present later infancy. We successful surgical repair 6-month-old infant TAPVR who presented medical care at 5 months age Lima, Peru. The late presentation such...

ABSTRACT Intravascular ventricular assist system (iVAS) is an investigative device in clinical trials for the management of advanced heart failure. It works on principle counterpulsation, similar to classic intra-aortic balloon counterpulsation (IABP). We present a case 66-year-old man with iVAS situ who required emergency laparotomy strangulated umbilical hernia. Patients mechanical circulatory devices (MCD) are presenting more frequently and even elective noncardiac operations. Managing...

Sir, A 22-year-old man presented with atypical chest pain for the past 3 months along history of familial disorder myoclonic jerks and was on anti-epileptic medication. On examination, vital signs were normal occasional involving upper limbs face. Pre-operative routine investigations revealed no significant abnormality. However, computerised tomography (CT) showed well-defined necrotic lesion within pericardium compressing right ventricular outflow tract (RVOT) without pulmonary involvement....

Hypertrophic cardiomyopathy (HCM) is the most common genetic disease of heart and remains an important etiology sudden cardiac death in adolescents young adults. Autosomal dominant inheritance a mutation one numerous genes encoding for proteins myocardial sarcomere leads to abnormal myocyte growth pattern with hypertrophy. Perioperative management patients HCM any type surgical procedure carries increased risk morbidity mortality related propensity arrhythmias ischemia. During perioperative...

Pump thrombosis (PT) is a rare and infrequent complication of HeartMate III left ventricular assist device (LVAD). While there are reports PT in the postoperative period, to our knowledge, have been no prior on intraoperative period. Here we present case 24-year-old female who required LVAD implantation for progressive heart failure period was complicated with PT. Managing challenging time-sensitive because its occurrence paucity recommendations diagnosing

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Pump thrombosis is a rare and infrequent complication of HeartMate III left ventricular assist device (LVAD). While there are reports pump in the postoperative period, to our knowledge, have been no prior on intraoperative period. Here we present case 24-year-old female who required LVAD implantation for progressive heart failure period was complicated with (PT). Managing PT challenging time-sensitive because its occurrence paucity recommendations diagnosing PT.