Prolonged mechanical ventilation after cardiac surgery: Outcome and predictors  Jean-Louis Trouillet, MD, Alain Combes, MD, PhD, Elisabeth Vaissier, MD,

Slides:



Advertisements
Similar presentations
Of mice and men and surgical transcatheter aortic valve insertion
Advertisements

Lost in translation The Journal of Thoracic and Cardiovascular Surgery
Manuel J. Antunes, MD, PhD, DSc 
The eighth edition TNM stage classification for lung cancer: What does it mean on main street?  Frank C. Detterbeck, MD  The Journal of Thoracic and Cardiovascular.
Prediction of severe acute kidney injury after pediatric cardiac surgery with the use of novel biomarkers: A new trend in clinical research and risk stratification 
Yesterday's heroic measure is now standard procedure: Extracorporeal membrane oxygenation as a bridge to lung transplant  Victor van Berkel, MD, PhD 
Ludhmila A. Hajjar, MD, PhD, Juliano P. Almeida, MD, Julia T
The days of future past  Neel K. Ranganath, MD, Aubrey C. Galloway, MD 
Ground glass opacity of the lung: The veil that needs lifting
Right internal thoracic artery or saphenous vein grafting
Intrinsic cardiac stem cells are essential for regeneration
Victor van Berkel, MD, PhD 
William M. DeCampli, MD, PhD 
Multilevel data analysis: What? Why? How?
The use of vancomycin paste to reduce sternal wound infections after cardiac surgery— why is this still a “sticky” subject  Harold L. Lazar, MD  The Journal.
Harold L. Lazar, MD  The Journal of Thoracic and Cardiovascular Surgery 
The lord of the rings  Antonio Miceli, MD, PhD 
Gastric conduit revision after esophagectomy: The raising of Lazarus
The variability of the mitral valve anatomy and terminology
Juan N. Pulido, MD  The Journal of Thoracic and Cardiovascular Surgery 
Michael Mack, MD, David Taggart, MD 
Innovation and science: The future of valve design
The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery  Vinay Badhwar, MD  The Journal of Thoracic and.
It's not “just a shunt” but sometimes it should be…
Fixing the supply problem
Military surgeons just want to have fun
A first start for lung transplantation?
Right ventricular failure after cardiac surgery: Why can't right ventricular assist device support fix the problem?  Francis D. Pagani, MD, PhD  The Journal.
Navigating the lung for hidden treasure
Joseph A. Dearani, MD, Michael J. Ackerman, MD, PhD 
A derived and validated score to predict prolonged mechanical ventilation in patients undergoing cardiac surgery  Vivek Sharma, MD, FRCA, Vivek Rao, MD,
Jeevanantham Rajeswaran, PhD, Eugene H. Blackstone, MD 
Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD 
Instrumental variable methods in clinical research
Attachment disorder in thoracoabdominal surgery
Uma M. Sachdeva, MD, PhD, Daniela Molena, MD 
Strict glycemic control reduces EuroSCORE expected mortality in diabetic patients undergoing myocardial revascularization  Cosimo D’Alessandro, MD, Pascal.
Video-assisted resection for lung cancer results in fewer complications  Lunxu Liu, PhD, MD, FRCS  The Journal of Thoracic and Cardiovascular Surgery 
We are the company we keep: The importance of the tumor microenvironment  Sai Yendamuri, MD, FACS  The Journal of Thoracic and Cardiovascular Surgery 
Passing the torch The Journal of Thoracic and Cardiovascular Surgery
The thoracoabdominal saga and heroes
Biomaterials for heart valve replacement: Conjectures and refutations
The origins of open heart surgery at the University of Minnesota 1951 to 1956  Richard A. DeWall, MD  The Journal of Thoracic and Cardiovascular Surgery 
Early extubation after cardiac surgery: The evolution continues
The Journal of Thoracic and Cardiovascular Surgery
Discussion The Journal of Thoracic and Cardiovascular Surgery
The future of cardiac surgery training: A survival guide
Apparently, size matters…in congenital heart disease and brain injury
The continuing challenge of congenital heart disease in China
When should the elephant (frozen elephant trunk) enter the room (aorta)?  Frank A. Baciewicz, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume.
Between a rock and a hard place
After neoadjuvant chemoradiation therapy, predicted pulmonary function may be reduced by 10%  Benny Weksler, MD, MBA  The Journal of Thoracic and Cardiovascular.
“The more things change…”: The challenges ahead
Commentary: Judgment day: Should you add atrial fibrillation ablation?
Why arch curvature affects arch resistance
Toward a more rational approach in treating type B aortic dissection
Commentary: Avoiding acute kidney injury after cardiac operations: Searching for the holy grail is not easy  Victor A. Ferraris, MD, PhD  The Journal.
First in line for robotic surgery: Would you want to know?
Ryan R. Davies, MD  The Journal of Thoracic and Cardiovascular Surgery 
Apples remain apples NO matter what
Energized lung resections
A large international single-center case-series of coronary artery fistulas in children: When high clinical research standards adopted globally create.
Preoperative PFTs: The answer is blowing in the wind
Did you like Terminator 3 better than Terminator 2
Samuel Kim, MD  The Journal of Thoracic and Cardiovascular Surgery 
How do we follow up our patients
Journal changes and initiatives
Descending thoracic and thoracoabdominal aortic aneurysms: “Busted”
Edward Y. Chan, MD, Michael J. Reardon, MD 
Deciding how much to pay for effective care
Presentation transcript:

Prolonged mechanical ventilation after cardiac surgery: Outcome and predictors  Jean-Louis Trouillet, MD, Alain Combes, MD, PhD, Elisabeth Vaissier, MD, Charles-Edouard Luyt, MD, Alexandre Ouattara, MD, Alain Pavie, MD, PhD, Jean Chastre, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 138, Issue 4, Pages 948-953 (October 2009) DOI: 10.1016/j.jtcvs.2009.05.034 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Receiver operating characteristics curve for predicting weaning failure with an additive score composed of urinary output of 500mL/24hours or more (3 points) + arterial bicarbonate level of 20mmol/L or more (2 points) + Glasgow coma score of 15 (1 point) + platelet count of 100g/L or more (1 point), + no epinephrine or norepinephrine (1 point) + no lung injury (1 point). Stars with numbers to the right correspond to different score thresholds. All score parameters were recorded on day 3 after cardiac surgery. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 948-953DOI: (10.1016/j.jtcvs.2009.05.034) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions