A5018247341- Cardiac Valve Diseases and Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Aortic Disease and Treatment Approaches
- Heart Failure Treatment and Management
- Hemodynamic Monitoring and Therapy
- Aortic aneurysm repair treatments
- Atrial Fibrillation Management and Outcomes
- Cardiovascular Function and Risk Factors
- Cardiac electrophysiology and arrhythmias
- Thermoregulation and physiological responses
- Cardiac Imaging and Diagnostics
- Acute Myocardial Infarction Research
- Anesthesia and Pain Management
- Anesthesia and Neurotoxicity Research
- Knee injuries and reconstruction techniques
- Total Knee Arthroplasty Outcomes
- Body Composition Measurement Techniques
- Anesthesia and Sedative Agents
- Cardiac and Coronary Surgery Techniques
- Cardiac Ischemia and Reperfusion
- Cardiac Arrhythmias and Treatments
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- ECG Monitoring and Analysis
- Electrolyte and hormonal disorders
- Lower Extremity Biomechanics and Pathologies
Tampere University
2015-2024
Tampere University Hospital
2015-2024
Pirkanmaa Hospital District
2008-2024
Intensive Care Foundation
2003
Background: Cardiac surgery is a stress that causes insulin resistance, which leads to an increase in requirement. The aim of the present study was evaluate effect pre‐operative oral carbohydrate drink vs. overnight fasting on perioperative requirements non‐diabetic patients undergoing elective coronary artery bypass grafting (CABG) surgery. Methods: One hundred and one scheduled for CABG were enrolled study. After overnight, randomised into two groups. In control group (C), no given...
Occurrence and risk factors of late postoperative pericardial effusions requiring invasive treatment, i.e. pretamponade tamponade, following cardiac surgery are incompletely described in current literature. The purpose this study was to define the incidence presentation tamponade as well outline significant predisposing factors.A cohort 1356 consecutive patients treated a tertiary academic centre between January 2013 December 2014 followed up for 6 months after surgery. Pericardial effusion...
Acute Type A aortic dissection remains a life-threatening disease, but there are indications that its surgical mortality is decreasing. The aim of this report was to study how has changed and what influences those changes.Nordic Consortium for Aortic Dissection retrospective database comprising 1159 patients (mean age 61.6 ± 12.2 years, 68% male) treated acute at 8 centres in Denmark, Finland, Iceland Sweden from 2005 2014. Data gathered included demographics, symptoms, type procedure,...
To report long-term survival and predictors of mortality in patients included a large, contemporary, multicentre, multinational database: Nordic Consortium for Acute Type A Aortic Dissection (NORCAAD), which consists 8 centres 4 countries. Currently, NORCAAD includes 1159 operated between 2005 2014. In 30-day survivors (n = 955, 82%), the Kaplan–Meier Cox proportional hazard methods were used to analyse medium-term (up years) relative versus matched normal population. Pre- intraoperative...
Objectives. The Nordic Consortium for Acute Type A Aortic Dissection (NORCAAD) is a collaborative effort of cardiac surgery centers to study acute type aortic dissection (ATAAD). Here, we outline the overall objectives and design NORCAAD. Design. NORCAAD currently consists eight in Denmark, Finland, Iceland Sweden. Data was collected patients undergoing ATAAD from 2005 2014. total 194 variables were retrospectively including demographics, past medical history, preoperative medications,...
To describe the incidence of and risk factors for postoperative infections correlation between hyperglycemia despite tight blood glucose control with infectious other complications after contemporary cardiac surgery.The study comprised 1356 consecutive adult patients who underwent surgery January 2013 December 2014 were followed up 6 months. Patients surviving first 2 days included in analysis. Preoperative demographic information, medical history, procedural details, course recorded. The...
This study evaluated the effects of 7.5% saline on plasma and other extracellular fluid volumes. After baseline measurements, eight healthy postmenopausal female volunteers received 4 ml.kg-1 hypertonic over 30 min. infusion, were studied for 60 Plasma volume was measured using a dilution 125-iodine-labelled human albumin. Extracellular water cardiac output by whole body impedence cardiography. The infused (average 260 ml). increased rapidly during infusion (mean +/- standard deviation, 442...
Aortic valve replacement (AVR) surgery is associated with potential risk to cerebral injury. On the other hand, improved cardiovascular functioning after may have positive impact on brain health. The aim of this preliminary study was investigate AVR cognition, specifically higher cognitive control functions, i.e. executive that are typically implicated in decline due vascular origin.Patients (n = 16) undergoing elective aortic stenosis were recruited and their performance assessed using a...
Background: Long-term outcome of the three categories acute coronary syndrome (ACS) in real-life patient cohorts is not well known. The objective this study was to survey 10-year an ACS cohort admitted a university hospital and explore factors affecting outcome. Methods: A total 1188 consecutive patients (median age 73 years) with ST-elevation myocardial infarction (STEMI), non-ST-elevation (NSTEMI) or unstable angina pectoris (UA) 2002–2003 were included followed up for ≥ 10 years. Results:...
Background Persistent post‐sternotomy pain is a common problem, but the risk of developing it varies among patients. We sought to find out whether persistent could be predicted by measuring area acute sensory dysfunction around sternotomy wound. The secondary aim was determine factors for pain. Patients and methods Hundred patients who were scheduled undergo elective coronary artery bypass surgery recruited study. excluded if they had undergone previous cardiac or lacked co‐operation....
The intraoperative in-vivo mechanical function of the left ventricle has been studied thoroughly using echocardiography in past. However, due to technical and anatomical issues, ultrasound technology cannot easily be focused on right side heart during open-heart surgery, intervention remains largely unexplored. We used optical imaging digital image correlation for characterization motion deformation surgery. This work is a pilot study focusing one patient only with aim establishing framework...
Hypertonic saline can be used for initial fluid administration before spinal anesthesia. It is effective in small-volume resuscitation. This randomized double-blinded study compared the effects of 7.5% hypertonic (HS) and 0.9% normal (NS) doses containing 2 mmol/kg sodium 40 ASA physical status I–II patients undergoing arthroscopy or other lower limb surgery under We infused 1.6 mL/kg HS 13 NS anesthesia induced with a 10-mg dose 0.5% hyperbaric bupivacaine. Etilefrine was administered to...
Background: Prevention of hypotension during spinal anaesthesia is commonly achieved using fluid preloading. This may result in a substantial amount excess free water retained the body after anaesthesia. We aimed to evaluate effects 7.5% hypertonic saline on extracellular volume and haemodynamics when used for preloading before Methods: randomised double‐blind study evaluated 75 mg/ml (7.5%) (HS) haematocrit patients undergoing arthroscopy or other lower limb surgery under Amounts 1.6 ml/kg...