In 2016, demand for the presence of cardiothoracic anesthesiologists outside of the cardiac operating rooms continues to expand. This article is the second in this annual series to review relevant contributions in postoperative cardiac critical care that may impact the cardiac anesthesiologist. We explore the use of extracorporeal membrane oxygenation (ECMO), management of postoperative atrial fibrillation, coagulopathy, respiratory failure, and role of quality in cardiac surgery.
EvansASMazzeffiMIvascuNSDickersonSGutscheJT.Noteworthy articles in 2015 for cardiothoracic critical care. Semin Cardiothorac Vasc Anesth. 2016;20:24-33.
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HannaJMKeenanJEWangH. Use of human fibrinogen concentrate during proximal aortic reconstruction with deep hypothermic circulatory arrest. J Thorac Cardiovasc Surg. 2016;151:376-382.
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JeppssonAWaldenKRoman-EmanualCThimour-BergstromLKarlssonM.Preoperative supplementation with fibrinogen concentrate in cardiac surgery: a randomized controlled study. Br J Anaesth. 2016;116:208-214.
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RanucciMBaryshnikovaECrapelliGBRahe-MeyerNMenicantiLFrigiolaA.Randomized, double-blinded placebo controlled trial of fibrinogen concentrate supplementation after complex cardiac surgery. J Am Heart Assoc. 2015;4:e002066.
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EkezueBFSridharGOvanesovMV. Clotting factor product administration and same-day occurrence of thrombotic events, as recorded by a healthcare database during 2008-2013. J Thromb Haemost. 2015;13:2168-2179.
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MitrophanovAYSzlamFSniecinskiRMLevyJHReifmanJ.A step toward balance: thrombin generation improvement via procoagulant factor and antithrombin supplementation. Anesth Analg. 2016;123:535-546.
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MylesPMSmithJAForbesA. Stopping vs. continuing aspirin before coronary artery surgery. N Engl J Med. 2016;374:728-737.
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MazzeffiMGreenwoodJTanakaK. Bleeding, transfusion, and mortality on extracorporeal life support: ECLS working group on thrombosis and hemostasis. Ann Thorac Surg. 2016;101:682-689.
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Grosman-RimonLTumiatiLCFuksA. Increased cyclic guanosine monophosphate levels and continuous-flow left-ventricular assist devices: implications for gastrointestinal bleeding. J Thorac Cardiovasc Surg. 2016;151:219-227.
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PollariFFischleinTFittkauMSantarpinoG.Anti-coagulation with apixaban in a patient with a left ventricular assist device and gastrointestinal bleeding: a viable alternative to warfarin?J Thorac Cardiovasc Surg. 2016;151:e79-e81.
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MahlaEPruellerFFarziS. Does platelet reactivity predict bleeding in patients needing urgent coronary artery bypass grafting during dual antiplatelet therapy?Ann Thorac Surg. 2016;102:2010-2017.
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FabbroMGutscheJTMianoTAAugoustidesJGPatelPA.Comparison of thromboelastography-derived fibrinogen values at rewarming and following cardiopulmonary bypass in cardiac surgery patients. Anesth Analg. 2016;123:570-577.
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DeppeACWeberCZimmermannJ. Point of care thromboelastometry-based coagulation management in cardiac surgery: a meta-analysis of 8332 patients. J Surg Res. 2016;203:424-433.
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XueFSLiBWZhangGS. The influence of surgical sites on early postoperative hypoxemia in adults undergoing elective surgery. Anesth Analg. 1999;88:213-219.
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RanucciMBallottaALa RovereMTCastelvecchioS; Surgical and Clinical Outcome Research (SCORE) Group. Postoperative hypoxia and length of intensive care unit stay after cardiac surgery: the underweight paradox?PLoS One. 2014;9:e93992.
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CorleyACaruanaLRBarnettAGTronstadOFraserJF.Oxygen delivery through high-flow nasal cannulae increase end-expiratory lung volume and reduce respiratory rate in post-cardiac surgical patients. Br J Anaesth. 2011;107:998-1004.
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ParkeRLMcGuinnessSPEcclestonML.A preliminary randomized controlled trial to assess effectiveness of nasal high-flow oxygen in intensive care patients. Respir Care. 2011;56:265-270.
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StéphanFBarrucandBPetitP; BiPOP Study Group. High-flow nasal oxygen vs noninvasive positive airway pressure in hypoxemic patients after cardiothoracic surgery: a randomized clinical trial. JAMA. 2015;313:2331-2339.
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HernándezGVaqueroCGonzálezP. Effect of postextubation high-flow nasal cannula vs conventional oxygen therapy on reintubation in low-risk patients: a randomized clinical trial. JAMA. 2016;315:1354-1361.
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KangBJKohYLimCM. Failure of high-flow nasal cannula therapy may delay intubation and increase mortality. Intensive Care Med. 2015;41:623-632.
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MaggioreSMIdoneFAVaschettoR. Nasal high-flow versus Venturi mask oxygen therapy after extubation. Effects on oxygenation, comfort, and clinical outcome. Am J Respir Crit Care Med. 2014;190:282-288. doi:10.1164/rccm.201402-0364OC.
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FratJPThilleAWMercatA; FLORALI Study Group; REVA Network. High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure. N Engl J Med. 2015;372:2185-2196.
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HernándezGVaqueroCColinasL. Effect of postextubation high-flow nasal cannula vs noninvasive ventilation on reintubation and postextubation respiratory failure in high-risk patients: a randomized clinical trial. JAMA. 2016;316:1565-1574. doi:10.1001/jama.2016.14194. Erratum in: JAMA. 2016;316:2047-2048.
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GillinovAMBagiellaEMoskowitzAJ; CTSN. Rate control versus rhythm control for atrial fibrillation after cardiac surgery. N Engl J Med. 2016;374:1911-1921.
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PoslusznyJRycusPTBartlettRH. Outcome of adult respiratory failure patients receiving prolonged (≥14 days) ECMO. Ann Surg. 2016;263:573-581.
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MullerGFlecherELebretonG. The ENCOURAGE mortality risk score and analysis of long-term outcomes after VA-ECMO for acute myocardial infarction with cardiogenic shock. Intensive Care Med. 2016;42:370-378.
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AubinHPetrovGDalyanogluH. Suprainstitutional network for remote extracorporeal life support: a retrospective cohort study. JACC Heart Fail. 2016;4:698-708.
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SilberJHWilliamsSVKrakauerHSchwartzS.Hospital and patient characteristics associated with death after surgery. Med Care. 1992;30:615-629.
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EdwardsFHFerrarisVAKurlansky. Failure to rescue rates after coronary artery bypass grafting: an analysis from the Society of Thoracic Surgeons Adult Cardiac Surgery database. Ann Thorac Surg. 2016;102:458-464.
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ChuDChanPWeiLM. The effect of comprehensive Society of Thoracic Surgeons quality improvement on outcomes and failure to rescue. Ann Thorac Surg. 2015;100:2147-2150.
