Transesophageal Echocardiography

Aug 24, 2016 by in ANESTHESIA Comments Off on Transesophageal Echocardiography

KEY POINTS  1. The majority of cardiac surgical transesophageal echocardiography (TEE) imaging uses 2-dimensions, which is accomplished via phased array transducers consisting of 64 to 128 small crystals activated sequentially….

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Anesthetic Management of Cardiac Transplantation

Aug 24, 2016 by in ANESTHESIA Comments Off on Anesthetic Management of Cardiac Transplantation

KEY POINTS  1. Nonischemic cardiomyopathy (53%) is the most common pretransplant diagnosis worldwide.  2. Nearly 70% of recipients in the United States require some form of life support prior to…

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Blood Transfusion

Aug 24, 2016 by in ANESTHESIA Comments Off on Blood Transfusion

KEY POINTS  1. Both anemia and transfusion carry significant risks. Balancing these risks is the key to appropriate blood transfusion decisions.  2. Despite published guidelines about transfusion, clinical transfusion practice…

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Intraoperative Myocardial Protection

Aug 24, 2016 by in ANESTHESIA Comments Off on Intraoperative Myocardial Protection

KEY POINTS  1. Mechanisms of myocardial ischemic injury are multifactorial and include some of the following: Depletion of high-energy phosphates, intracellular acidosis, alterations in intracellular calcium homeostasis, complement activation, generation…

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