How should I wean my next intra-aortic balloon pump

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 
Safety and efficacy of a novel temporary sternal spreader in the management of severe postcardiotomy cardiogenic shock: A preliminary report study  Francesco.
Intraoperative bypass graft flow in intra-aortic balloon pump–supported patients: Differences in arterial and venous sequential conduits  Francesco Onorati,
Cardiac index monitoring by pulse contour analysis and thermodilution after pediatric cardiac surgery  U. Fakler, MD, Ch. Pauli, MD, G. Balling, MD, H.P.
Expanding options to manage traumatic thoracic vascular injuries
In which patients is transcatheter aortic valve replacement potentially better indicated than surgery for redo aortic valve disease? Long-term results.
Amine Mazine, MD, MSc, Subodh Verma, MD, PhD, Bobby Yanagawa, MD, PhD 
Personalized cardiac surgery: Can noninvasive flow imaging lead to individualized resection strategies for bicuspid aortopathy?  Nicholas D. Andersen,
Neurologic complications after off-pump coronary artery bypass grafting with and without aortic manipulation: Meta-analysis of 11,398 cases from 8 studies 
Intrinsic cardiac stem cells are essential for regeneration
Victor van Berkel, MD, PhD 
William M. DeCampli, MD, PhD 
How should we treat air leaks?
Go on-pump or off-pump in diabetic patients?
Bicuspid aortic valve aortopathy: One size fits all?
An option for intraoperative placement of an intra-aortic balloon pump in patients with occlusive peripheral vascular disease  Domenico Calcaterra, MD,
The lord of the rings  Antonio Miceli, MD, PhD 
The variability of the mitral valve anatomy and terminology
Intra-aortic balloon pumps and continuous flow left ventricular assist devices: Don't let balloon pumps overstay their welcome  Kevin G. Soucy, PhD, Steven.
Juan N. Pulido, MD  The Journal of Thoracic and Cardiovascular Surgery 
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…
Michele Gallo, MD, Gino Gerosa, MD 
Military surgeons just want to have fun
A first start for lung transplantation?
Transcatheter aortic valve replacement and surgical aortic valve replacement: Both excellent therapies  J. James Edelman, MBBS(Hons), PhD, Vinod H. Thourani,
Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005  Scott D. Barnett, PhD,
The Journal of Thoracic and Cardiovascular Surgery
Joseph A. Dearani, MD, Michael J. Ackerman, MD, PhD 
Which is the “lord” of the aortic rings?
Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD 
Leora B. Balsam, MD, Abe DeAnda, MD 
Is parameter T staging influenced by tumor behavior?
Left atrial pressure measurement in a rat is currently impossible due to size limitations of balloon occlusion catheter  Filip Konecny, MSc, DVM, PhD 
Replicating the success of mitral valve repair in the aortic valve
Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD 
A fate worse than death  Jennifer S. Lawton, MD 
Attachment disorder in thoracoabdominal surgery
Commentary: Do the right thing! Ethical versus legal
Passing the torch The Journal of Thoracic and Cardiovascular Surgery
Patrick T. Roughneen, MD, Grant T. Fankhauser, MD, Abe DeAnda, MD 
Hans-Joachim Schäfers, MD 
First nights, the adrenal axis, and steroids
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
Severe tricuspid or mitral regurgitation in inoperable patients with aortic stenosis. Can we leave them alone?  Juan A. Crestanello, MD  The Journal of.
The future of cardiac surgery training: A survival guide
Do statins delay the progression of aortic stenosis?
Permanent pacemaker insertion following transcatheter aortic valve replacement: Not infrequent, not benign, and becoming predictable  Craig M. Jarrett,
The continuing challenge of congenital heart disease in China
Giuseppe D'Ancona, MD, PhD, Hüseyin Ince, MD, PhD 
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
Why arch curvature affects arch resistance
Toward a more rational approach in treating type B aortic dissection
Evaluating the best approach to treatment of aortic stenosis: The jury is still out  Glen B. Taksler, PhD  The Journal of Thoracic and Cardiovascular Surgery 
First in line for robotic surgery: Would you want to know?
Apples remain apples NO matter what
Preoperative PFTs: The answer is blowing in the wind
Did you like Terminator 3 better than Terminator 2
Journal changes and initiatives
Descending thoracic and thoracoabdominal aortic aneurysms: “Busted”
Zone zero thoracic endovascular aortic repair is all about “location, location, location”  Kevin L. Greason, MD  The Journal of Thoracic and Cardiovascular.
Deciding how much to pay for effective care
Presentation transcript:

How should I wean my next intra-aortic balloon pump How should I wean my next intra-aortic balloon pump? Differences between progressive volume weaning and rate weaning  Francesco Onorati, MD, PhD, Francesco Santini, MD, Enrico Amoncelli, MD, Francesco Campanella, MD, Bartolomeo Chiominto, MD, Giuseppe Faggian, MD, Alessandro Mazzucco, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 145, Issue 5, Pages 1214-1221 (May 2013) DOI: 10.1016/j.jtcvs.2012.03.063 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Cardiac index (CI) and (B) indexed systemic vascular resistance (ISVR). T0 to T8 as reported in the text. Values are presented as the mean ± standard deviation with 95% confidence intervals. Time-point asterisks indicate significant values at single intervals (univariate analysis). V, Weaning by progressive volume deflation; R, weaning by progressive ratio reduction. The Journal of Thoracic and Cardiovascular Surgery 2013 145, 1214-1221DOI: (10.1016/j.jtcvs.2012.03.063) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Cardiac cycle efficiency (CCE) and (B) central venous pressure (CVP). T0 to T8 as reported in the text. Values are presented as the mean ± standard deviation with 95% confidence intervals. Time-point asterisks indicate significant values at single intervals (univariate analysis). V, Weaning by progressive volume deflation; R, weaning by progressive ratio reduction. The Journal of Thoracic and Cardiovascular Surgery 2013 145, 1214-1221DOI: (10.1016/j.jtcvs.2012.03.063) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions