Scholars@Duke
Solomon Aronson

Solomon Aronson

Professor Emeritus of Anesthesiology
Anesthesiology, Cardiothoracic
arons002@mc.duke.edu
Box 3094 Med Ctr, Durham, NC 27710
201 Trent Drive, 101 Baker House, Durham, NC 27710
Office hours 8 am - 5 pm  
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Selected Publications

Pain management and opioid stewardship in adult cardiac surgery: Joint consensus report of the PeriOperative Quality Initiative and the Enhanced Recovery After Surgery Cardiac Society.

Journal Article J Thorac Cardiovasc Surg · December 2023 BACKGROUND: Opioid-based anesthesia and analgesia is a traditional component of perioperative care for the cardiac surgery patient. Growing enthusiasm for Enhanced Recovery Programs (ERPs) coupled with evidence of potential harm associated with high-dose o ... Full text Link to item Cite

Perioperative Quality Initiative and Enhanced Recovery After Surgery-Cardiac Society Consensus Statement on the Management of Preoperative Anemia and Iron Deficiency in Adult Cardiac Surgery Patients.

Journal Article Anesth Analg · September 1, 2022 Preoperative anemia is common in patients presenting for cardiac surgery, with a prevalence of approximately 1 in 4, and has been associated with worse outcomes including increased risk of blood transfusion, kidney injury, stroke, infection, and death. Iro ... Full text Link to item Cite

Validation of the perioperative nutrition screen for prediction of postoperative outcomes.

Journal Article JPEN J Parenter Enteral Nutr · August 2022 BACKGROUND: Preoperative nutrition risk is often underrecognized and undertreated. The perioperative nutrition screen (PONS) was recently introduced as an efficient tool to rapidly screen for preoperative nutrition risk. The relationship between identifica ... Full text Link to item Cite

Treatment through a preoperative anemia clinic is associated with a reduction in perioperative red blood cell transfusion in patients undergoing orthopedic and gynecologic surgery.

Journal Article Transfusion · April 2022 BACKGROUND: Preoperative anemia is associated with increased morbidity, mortality, and risk of transfusion. Treatment through a preoperative anemia clinic (PAC) may improve outcomes. STUDY DESIGN AND METHODS: Adult patients undergoing elective orthopedic a ... Full text Link to item Cite

Duke University Medical Center Perioperative Diabetes Management Program.

Journal Article Clin Diabetes · April 2021 Quality Improvement Success Stories are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and strategies ... Full text Link to item Cite

Unplanned hospital admission after ambulatory surgery: a retrospective, single cohort study.

Journal Article Can J Anaesth · January 2021 PURPOSE: We estimated the rate of unplanned hospital and intensive care unit (ICU) admissions following ambulatory surgery centre (ASC) procedures, and identified factors associated with their occurrence. METHODS: This retrospective cohort included adult p ... Full text Link to item Cite

How do I develop a process to effectively treat parturients with iron deficiency anemia?

Journal Article Transfusion · November 2020 Anemia is common in pregnant women and is associated with increased morbidity for the mother and the fetus, including increased risk of allogeneic blood transfusion. Iron deficiency is the most common etiology for anemia during pregnancy. Oral iron therapy ... Full text Link to item Cite

Tutorial: Development and Implementation of a Multidisciplinary Preoperative Nutrition Optimization Clinic.

Journal Article JPEN J Parenter Enteral Nutr · September 2020 Although much is known about surgical risk, little evidence exists regarding how best to proactively address preoperative risk factors to improve surgical outcomes. Preoperative malnutrition is a widely prevalent and modifiable risk factor in patients unde ... Full text Link to item Cite

Roadmap for Transforming Preoperative Assessment to Preoperative Optimization.

Journal Article Anesth Analg · April 2020 Preoperative assessment typically equates to evaluating and accepting the presenting condition of the patient (unless extreme) and commonly occurs only a few days before the planned surgery. While this timing enables a preoperative history and examination ... Full text Link to item Cite

Preoperative Risk Management in Perioperative Medicine and Value-based Care: What the United States Needs to Understand, What the United Kingdom Knows

Journal Article Techniques in Orthopaedics · January 1, 2020 In the United States, the economics of health has caused us to recognize that a national strategy is needed to quickly and effectively bend the cost curve of a system that is globally noncompetitive with respect to value and is unsustainable in its current ... Full text Cite

A Systematic Approach to Perioperative Smoking Cessation

Journal Article Techniques in Orthopaedics · January 1, 2020 Background:There is compelling evidence that smoking leads to poor postoperative outcomes including increased incidence of wound infection, respiratory infection, sepsis, cardiac arrest, and mortality. There is also compelling evidence that smoking cessati ... Full text Open Access Cite

Moving Toward Preoperative Optimization and Value-based Perioperative Care

Journal Article Techniques in Orthopaedics · January 1, 2020 Full text Cite

Preoperative Optimization Checklists Within the Comprehensive Care for Joint Replacement Bundle Have Not Decreased Hospital Returns for Total Knee Arthroplasty.

Journal Article J Arthroplasty · July 2019 BACKGROUND: The Comprehensive Care for Joint Replacement (CJR) model has resulted in the evolution of preoperative optimization programs to decrease costs and hospital returns. At the investigating institution, one center was not within the CJR bundle and ... Full text Link to item Cite

Perioperative Quality Initiative consensus statement on the physiology of arterial blood pressure control in perioperative medicine.

Journal Article Br J Anaesth · May 2019 BACKGROUND: Perioperative arterial blood pressure management is a physiologically complex challenge influenced by multiple factors. METHODS: A multidisciplinary, international working subgroup of the Third Perioperative Quality Initiative (POQI) consensus ... Full text Link to item Cite

Perioperative Quality Initiative consensus statement on postoperative blood pressure, risk and outcomes for elective surgery.

Journal Article Br J Anaesth · May 2019 BACKGROUND: Postoperative hypotension and hypertension are frequent events associated with increased risk of adverse outcomes. However, proper assessment and management is often poorly understood. As a part of the PeriOperative Quality Improvement (POQI) 3 ... Full text Link to item Cite

Perioperative Quality Initiative consensus statement on preoperative blood pressure, risk and outcomes for elective surgery.

Journal Article Br J Anaesth · May 2019 BACKGROUND: A multidisciplinary international working subgroup of the third Perioperative Quality Initiative consensus meeting appraised the evidence on the influence of preoperative arterial blood pressure and community cardiovascular medications on perio ... Full text Link to item Cite

Perioperative Quality Initiative consensus statement on intraoperative blood pressure, risk and outcomes for elective surgery.

Journal Article Br J Anaesth · May 2019 BACKGROUND: Intraoperative mortality is now rare, but death within 30 days of surgery remains surprisingly common. Perioperative myocardial infarction is associated with a remarkably high mortality. There are strong associations between hypotension and myo ... Full text Link to item Cite

Peri-operative care pathways: re-engineering care to achieve the 'triple aim'.

Journal Article Anaesthesia · January 2019 Elective surgical pathways offer a particular opportunity to plan radical change in the way care is delivered, based on patient need rather than provider convenience. Peri-operative pathway redesign enables improved patient experience of care (including qu ... Full text Link to item Cite

Pain management and opioid stewardship in adult cardiac surgery: Joint consensus report of the PeriOperative Quality Initiative and the Enhanced Recovery After Surgery Cardiac Society.

Journal Article J Thorac Cardiovasc Surg · December 2023 BACKGROUND: Opioid-based anesthesia and analgesia is a traditional component of perioperative care for the cardiac surgery patient. Growing enthusiasm for Enhanced Recovery Programs (ERPs) coupled with evidence of potential harm associated with high-dose o ... Full text Link to item Cite

Perioperative Quality Initiative and Enhanced Recovery After Surgery-Cardiac Society Consensus Statement on the Management of Preoperative Anemia and Iron Deficiency in Adult Cardiac Surgery Patients.

Journal Article Anesth Analg · September 1, 2022 Preoperative anemia is common in patients presenting for cardiac surgery, with a prevalence of approximately 1 in 4, and has been associated with worse outcomes including increased risk of blood transfusion, kidney injury, stroke, infection, and death. Iro ... Full text Link to item Cite

Validation of the perioperative nutrition screen for prediction of postoperative outcomes.

Journal Article JPEN J Parenter Enteral Nutr · August 2022 BACKGROUND: Preoperative nutrition risk is often underrecognized and undertreated. The perioperative nutrition screen (PONS) was recently introduced as an efficient tool to rapidly screen for preoperative nutrition risk. The relationship between identifica ... Full text Link to item Cite

Treatment through a preoperative anemia clinic is associated with a reduction in perioperative red blood cell transfusion in patients undergoing orthopedic and gynecologic surgery.

Journal Article Transfusion · April 2022 BACKGROUND: Preoperative anemia is associated with increased morbidity, mortality, and risk of transfusion. Treatment through a preoperative anemia clinic (PAC) may improve outcomes. STUDY DESIGN AND METHODS: Adult patients undergoing elective orthopedic a ... Full text Link to item Cite

Duke University Medical Center Perioperative Diabetes Management Program.

Journal Article Clin Diabetes · April 2021 Quality Improvement Success Stories are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and strategies ... Full text Link to item Cite

Unplanned hospital admission after ambulatory surgery: a retrospective, single cohort study.

Journal Article Can J Anaesth · January 2021 PURPOSE: We estimated the rate of unplanned hospital and intensive care unit (ICU) admissions following ambulatory surgery centre (ASC) procedures, and identified factors associated with their occurrence. METHODS: This retrospective cohort included adult p ... Full text Link to item Cite

How do I develop a process to effectively treat parturients with iron deficiency anemia?

Journal Article Transfusion · November 2020 Anemia is common in pregnant women and is associated with increased morbidity for the mother and the fetus, including increased risk of allogeneic blood transfusion. Iron deficiency is the most common etiology for anemia during pregnancy. Oral iron therapy ... Full text Link to item Cite

Tutorial: Development and Implementation of a Multidisciplinary Preoperative Nutrition Optimization Clinic.

Journal Article JPEN J Parenter Enteral Nutr · September 2020 Although much is known about surgical risk, little evidence exists regarding how best to proactively address preoperative risk factors to improve surgical outcomes. Preoperative malnutrition is a widely prevalent and modifiable risk factor in patients unde ... Full text Link to item Cite

Roadmap for Transforming Preoperative Assessment to Preoperative Optimization.

Journal Article Anesth Analg · April 2020 Preoperative assessment typically equates to evaluating and accepting the presenting condition of the patient (unless extreme) and commonly occurs only a few days before the planned surgery. While this timing enables a preoperative history and examination ... Full text Link to item Cite

Preoperative Risk Management in Perioperative Medicine and Value-based Care: What the United States Needs to Understand, What the United Kingdom Knows

Journal Article Techniques in Orthopaedics · January 1, 2020 In the United States, the economics of health has caused us to recognize that a national strategy is needed to quickly and effectively bend the cost curve of a system that is globally noncompetitive with respect to value and is unsustainable in its current ... Full text Cite

A Systematic Approach to Perioperative Smoking Cessation

Journal Article Techniques in Orthopaedics · January 1, 2020 Background:There is compelling evidence that smoking leads to poor postoperative outcomes including increased incidence of wound infection, respiratory infection, sepsis, cardiac arrest, and mortality. There is also compelling evidence that smoking cessati ... Full text Open Access Cite

Moving Toward Preoperative Optimization and Value-based Perioperative Care

Journal Article Techniques in Orthopaedics · January 1, 2020 Full text Cite

Preoperative Optimization Checklists Within the Comprehensive Care for Joint Replacement Bundle Have Not Decreased Hospital Returns for Total Knee Arthroplasty.

Journal Article J Arthroplasty · July 2019 BACKGROUND: The Comprehensive Care for Joint Replacement (CJR) model has resulted in the evolution of preoperative optimization programs to decrease costs and hospital returns. At the investigating institution, one center was not within the CJR bundle and ... Full text Link to item Cite

Perioperative Quality Initiative consensus statement on the physiology of arterial blood pressure control in perioperative medicine.

Journal Article Br J Anaesth · May 2019 BACKGROUND: Perioperative arterial blood pressure management is a physiologically complex challenge influenced by multiple factors. METHODS: A multidisciplinary, international working subgroup of the Third Perioperative Quality Initiative (POQI) consensus ... Full text Link to item Cite

Perioperative Quality Initiative consensus statement on postoperative blood pressure, risk and outcomes for elective surgery.

Journal Article Br J Anaesth · May 2019 BACKGROUND: Postoperative hypotension and hypertension are frequent events associated with increased risk of adverse outcomes. However, proper assessment and management is often poorly understood. As a part of the PeriOperative Quality Improvement (POQI) 3 ... Full text Link to item Cite

Perioperative Quality Initiative consensus statement on preoperative blood pressure, risk and outcomes for elective surgery.

Journal Article Br J Anaesth · May 2019 BACKGROUND: A multidisciplinary international working subgroup of the third Perioperative Quality Initiative consensus meeting appraised the evidence on the influence of preoperative arterial blood pressure and community cardiovascular medications on perio ... Full text Link to item Cite

Perioperative Quality Initiative consensus statement on intraoperative blood pressure, risk and outcomes for elective surgery.

Journal Article Br J Anaesth · May 2019 BACKGROUND: Intraoperative mortality is now rare, but death within 30 days of surgery remains surprisingly common. Perioperative myocardial infarction is associated with a remarkably high mortality. There are strong associations between hypotension and myo ... Full text Link to item Cite

Peri-operative care pathways: re-engineering care to achieve the 'triple aim'.

Journal Article Anaesthesia · January 2019 Elective surgical pathways offer a particular opportunity to plan radical change in the way care is delivered, based on patient need rather than provider convenience. Peri-operative pathway redesign enables improved patient experience of care (including qu ... Full text Link to item Cite

Preoperative Blood Management Strategy for Elective Hip and Knee Arthroplasty.

Journal Article J Healthc Qual · 2019 To improve quality and outcomes, a preoperative anemia clinic (PAC) was established to screen, evaluate, and manage preoperative anemia. A retrospective review of primary and revision hip and knee arthroplasty patients from August 2013 to September 2017 wa ... Full text Link to item Cite

In Response.

Journal Article Anesth Analg · July 2018 Full text Link to item Cite

Is Compliance With Surgical Care Improvement Project Cardiac (SCIP-Card-2) Measures for Perioperative β-Blockers Associated With Reduced Incidence of Mortality and Cardiovascular-Related Critical Quality Indicators After Noncardiac Surgery?

Journal Article Anesth Analg · June 2018 BACKGROUND: While continuation of β-blockers (BBs) perioperatively has become a national quality improvement measure, the relationship between BB withdrawal and mortality and cardiovascular-related critical quality indicators has not been studied in a cont ... Full text Link to item Cite

Temporal Trends in Difficult and Failed Tracheal Intubation in a Regional Community Anesthetic Practice.

Journal Article Anesthesiology · March 2018 BACKGROUND: When tracheal intubation is difficult or unachievable before surgery or during an emergent resuscitation, this is a critical safety event. Consensus algorithms and airway devices have been introduced in hopes of reducing such occurrences. Howev ... Full text Link to item Cite

A Perioperative Medicine Model for Population Health: An Integrated Approach for an Evolving Clinical Science.

Journal Article Anesth Analg · February 2018 Health care delivery in the United States continues to balance on the tight rope that connects its transition from volume to value. Value in economic terms can be defined as the amount something exceeds its commodity price and is determined by extraordinar ... Full text Link to item Cite

Platelet Counts and Postoperative Stroke After Coronary Artery Bypass Grafting Surgery.

Journal Article Anesth Analg · October 2017 BACKGROUND: Declining platelet counts may reveal platelet activation and aggregation in a postoperative prothrombotic state. Therefore, we hypothesized that nadir platelet counts after on-pump coronary artery bypass grafting (CABG) surgery are associated w ... Full text Open Access Link to item Cite

The Use of Topical Hemostatic Agents in Cardiothoracic Surgery.

Journal Article Ann Thorac Surg · July 2017 Topical hemostatic agents are used in conjunction with conventional procedures to reduce blood loss. They are often used in cardiothoracic surgery, which is particularly prone to bleeding risks. Variation in their use exists because detailed policy and pra ... Full text Link to item Cite

Perioperative enhancement for CHD patients.

Journal Article Cardiol Young · May 2017 Full text Link to item Cite

Fluid resuscitation practices in cardiac surgery patients in the USA: a survey of health care providers.

Journal Article Perioper Med (Lond) · 2017 BACKGROUND: Fluid resuscitation during cardiac surgery is common with significant variability in clinical practice. Our goal was to investigate current practice patterns of fluid volume expansion in patients undergoing cardiac surgeries in the USA. METHODS ... Full text Link to item Cite

High Postoperative Blood Pressure After Cardiac Surgery Is Associated With Acute Kidney Injury and Death.

Journal Article J Cardiothorac Vasc Anesth · December 2016 Featured Publication OBJECTIVES: Gaps and uncertainty exist regarding the understanding of optimal clinical goals for perioperative (ie, preoperative, intraoperative, and postoperative) blood pressure (BP) management in patients undergoing cardiac surgery and the consequences ... Full text Link to item Cite

Baseline Pulse Pressure, Acute Kidney Injury, and Mortality After Noncardiac Surgery.

Journal Article Anesth Analg · December 2016 BACKGROUND: Increased pulse pressure (PP) is an important independent predictor of cardiovascular outcome and acute kidney injury (AKI) after cardiac surgery. The objective of this study was to determine whether elevated baseline PP is associated with post ... Full text Open Access Link to item Cite

In Reply.

Journal Article Anesthesiology · August 2016 Full text Link to item Cite

Moving Toward a Cardiovascular Perioperative Enhancement Team.

Journal Article J Cardiothorac Vasc Anesth · August 2016 Full text Link to item Cite

The Future of Perioperative Medicine

Journal Article ASA Moniter · April 10, 2016 Open Access Cite

Platelet Counts, Acute Kidney Injury, and Mortality after Coronary Artery Bypass Grafting Surgery.

Journal Article Anesthesiology · February 2016 BACKGROUND: Cardiac surgery requiring cardiopulmonary bypass is associated with platelet activation. Because platelets are increasingly recognized as important effectors of ischemia and end-organ inflammatory injury, the authors explored whether postoperat ... Full text Open Access Link to item Cite

How do we develop and implement a preoperative anemia clinic designed to improve perioperative outcomes and reduce cost?

Journal Article Transfusion · February 2016 Treatment of anemia is one of the four pillars of patient blood management programs. Preoperative anemia is common and associated with increased perioperative morbidity after surgery and increased rates of blood transfusion. Effective treatment of preopera ... Full text Link to item Cite

Associations between ASA Physical Status and postoperative mortality at 48 h: a contemporary dataset analysis compared to a historical cohort.

Journal Article Perioper Med (Lond) · 2016 BACKGROUND: In this study, we examined the association between American Society of Anesthesiologists Physical Status (ASA PS) designation and 48-h mortality for both elective and emergent procedures in a large contemporary dataset (patient encounters betwe ... Full text Link to item Cite

A cost analysis of the impact of a new intravenous antihypertensive in managing perioperative blood pressure during cardiac surgery.

Journal Article Hosp Pract (1995) · August 2014 OBJECTIVE: To examine the impact of intravenous antihypertensive selection on hospital health resource utilization using data from the Evaluation of CLevidipine In the Perioperative Treatment of Hypertension Assessing Safety Events (ECLIPSE) trials. METHOD ... Full text Link to item Cite

Perioperative hypertensive emergencies.

Journal Article Curr Hypertens Rep · July 2014 The concept of "perioperative hypertensive emergency" must be defined differently from that of ambulatory hypertensive emergency in view of its unique clinical considerations in an atypical setting. It should be noted that moderately high normal blood pres ... Full text Link to item Cite

The future of cardiothoracic anesthesia.

Journal Article Anesthesiol Clin · June 2013 The future of cardiothoracic anesthesia, simply stated, depends on establishing and maintaining a unique and differentiated quality and identity that promotes and contributes positive value to patients, surgical colleagues, and health system administrators ... Full text Link to item Cite

The association of postcardiac surgery acute kidney injury with intraoperative systolic blood pressure hypotension.

Journal Article Anesthesiol Res Pract · 2013 Background. Postoperative acute kidney injury (AKI) is associated with high mortality and substantial cost after aortocoronary bypass graft (CABG) surgery. We tested the hypothesis that intraoperative systolic blood pressure variation is associated with po ... Full text Open Access Link to item Cite

Patterns of use of perioperative angiotensin-converting enzyme inhibitors in coronary artery bypass graft surgery with cardiopulmonary bypass: effects on in-hospital morbidity and mortality.

Journal Article Circulation · July 17, 2012 BACKGROUND: Despite proven benefit in ambulatory patients with ischemic heart disease, the pattern of use of angiotensin-converting enzyme inhibitors (ACEIs) in coronary artery bypass graft surgery has been erratic and controversial. METHODS AND RESULTS: T ... Full text Link to item Cite

A comparative evaluation of transesophageal and transthoracic echocardiography for measurement of left ventricular systolic strain using speckle tracking.

Journal Article J Cardiothorac Vasc Anesth · February 2012 OBJECTIVE: The authors hypothesized that the measurement of strain by speckle tracking with transesophageal echocardiography (TEE) is feasible and comparable to transthoracic echocardiography (TTE). DESIGN: A prospective observational comparative study. SE ... Full text Link to item Cite

Does perioperative systolic blood pressure variability predict mortality after cardiac surgery? An exploratory analysis of the ECLIPSE trials.

Journal Article Anesth Analg · July 2011 BACKGROUND: Few studies describe an association of perioperative blood pressure stability with postoperative outcome. We tested the hypothesis that systolic blood pressure (SBP) variability in patients undergoing cardiac surgery is associated with 30-day m ... Full text Link to item Cite

Utility of a simple algorithm to grade diastolic dysfunction and predict outcome after coronary artery bypass graft surgery.

Journal Article Ann Thorac Surg · June 2011 BACKGROUND: Inclusion of a measure of left ventricular diastolic dysfunction (LVDD) may improve risk prediction after cardiac surgery. Current LVDD grading guidelines rely on echocardiographic variables that are not always available or aligned to allow gra ... Full text Link to item Cite

Acute kidney injury following cardiac surgery: role of perioperative blood pressure control.

Journal Article Am J Nephrol · 2011 BACKGROUND/AIMS: Patients who develop acute kidney injury (AKI) after cardiac surgery continue to have a high mortality rate. Although factors that predispose to postoperative renal dysfunction have been identified, this knowledge has not been associated w ... Full text Link to item Cite

Intraoperative systolic blood pressure variability predicts 30-day mortality in aortocoronary bypass surgery patients.

Journal Article Anesthesiology · August 2010 BACKGROUND: Few data support an association between blood pressure variability and clinical outcomes during cardiac surgery. We tested the hypothesis that intraoperative systolic blood pressure variability outside a targeted blood pressure range predicts 3 ... Full text Link to item Cite

Pulse pressure and long-term survival after coronary artery bypass graft surgery.

Journal Article Anesth Analg · February 1, 2010 BACKGROUND: Data from longitudinal studies reveal that widened pulse pressure (PP) is a major predictor of coronary heart disease and mortality, but it is unknown whether PP similarly decreases survival after coronary artery bypass graft (CABG) surgery for ... Full text Link to item Cite

Myxoma

Chapter · January 1, 2010 Full text Cite

Renal Function Testing

Chapter · January 1, 2010 Full text Cite

Clevidipine in the treatment of perioperative hypertension: assessing safety events in the ECLIPSE trials.

Journal Article Expert Rev Cardiovasc Ther · May 2009 Clevidipine is an arterial, selective, dihydropyridine calcium channel blocker with an ultrashort half-life. In this prospective, randomized, open-label, parallel-comparison trial series, the safety and efficacy of intravenous clevidipine with nitroglyceri ... Full text Link to item Cite

The ECLIPSE trials: comparative studies of clevidipine to nitroglycerin, sodium nitroprusside, and nicardipine for acute hypertension treatment in cardiac surgery patients.

Journal Article Anesth Analg · October 2008 BACKGROUND: Acute hypertension during cardiac surgery can be difficult to manage and may adversely affect patient outcomes. Clevidipine is a novel, rapidly acting dihydropyridine L-type calcium channel blocker with an ultrashort half-life that decreases ar ... Full text Link to item Cite

Pulse pressure and risk of adverse outcome in coronary bypass surgery.

Journal Article Anesth Analg · October 2008 BACKGROUND: Among ambulatory patients, an increase in pulse pressure (PP) is a well-established determinant of vascular risk. The relationship of PP and acute perioperative vascular outcome among patients having coronary artery bypass graft (CABG) surgery ... Full text Link to item Cite

Beta-blocker therapy in non-cardiac surgery.

Journal Article Lancet · September 27, 2008 Full text Link to item Cite

Treatment of acute postoperative hypertension in cardiac surgery patients: an efficacy study of clevidipine assessing its postoperative antihypertensive effect in cardiac surgery-2 (ESCAPE-2), a randomized, double-blind, placebo-controlled trial.

Journal Article Anesth Analg · July 2008 BACKGROUND: Acute postoperative hypertension is a well-known complication of cardiac surgery and is associated with postoperative morbidity. Clevidipine, an ultrashort-acting, third-generation dihydropyridine calcium channel blocker, exerts vascular-select ... Full text Link to item Cite

The effect of aprotinin on outcome after coronary-artery bypass grafting.

Journal Article N Engl J Med · February 21, 2008 BACKGROUND: Aprotinin has recently been associated with adverse outcomes in patients undergoing cardiac surgery. We reviewed our experience with this agent in patients undergoing cardiac surgery at Duke University Medical Center. METHODS: We retrieved data ... Full text Link to item Cite

Effect of modified ultrafiltration on bivalirudin elimination and postoperative blood loss after on-pump coronary artery bypass grafting: assessment of different filtration strategies.

Journal Article J Card Surg · 2008 OBJECTIVE: Bivalirudin has a short elimination half-life of approximately 25 to 30 minutes, but no antidote is available. We assessed the effect of four different strategies of modified ultrafiltration after cardiopulmonary bypass on the bivalirudin elimin ... Full text Link to item Cite

Clevidipine effectively and rapidly controls blood pressure preoperatively in cardiac surgery patients: the results of the randomized, placebo-controlled efficacy study of clevidipine assessing its preoperative antihypertensive effect in cardiac surgery-1.

Journal Article Anesth Analg · October 2007 BACKGROUND: Clevidipine is an ultrashort-acting, third-generation IV dihydropyridine calcium channel blocker that exerts rapid and titratable arterial blood pressure reduction, with fast termination of effect due to metabolism by blood and tissue esterases ... Full text Link to item Cite

Off-pump coronary artery bypass with bivalirudin for patients with heparin-induced thrombocytopenia or antiplatelet factor four/heparin antibodies.

Journal Article Ann Thorac Surg · September 2007 BACKGROUND: This study assessed the use of bivalirudin as an alternative anticoagulant in patients with heparin-induced thrombocytopenia-thrombotic syndrome (HIT/TS) or antiplatelet factor four-heparin (anti-PF4/H) antibodies undergoing off-pump coronary a ... Full text Link to item Cite

Positive heparin-platelet factor 4 antibody complex and cardiac surgical outcomes.

Journal Article Ann Thorac Surg · May 2007 BACKGROUND: Given the large number of patients undergoing cardiac operations annually, it is important to identify populations at high risk for adverse outcomes. This observational study was conducted to determine the incidence of preoperative heparin-plat ... Full text Link to item Cite

Risk index for perioperative renal dysfunction/failure: critical dependence on pulse pressure hypertension.

Journal Article Circulation · February 13, 2007 BACKGROUND: An acute renal event after coronary bypass graft surgery is associated with high mortality and substantial additive cost. METHODS AND RESULTS: This prospective and descriptive study of 4801 patients having coronary bypass graft surgery with car ... Full text Link to item Cite

Bivalirudin during cardiopulmonary bypass in patients with previous or acute heparin-induced thrombocytopenia and heparin antibodies: results of the CHOOSE-ON trial.

Journal Article Ann Thorac Surg · February 2007 BACKGROUND: The coronary artery bypass grafting (CABG) heparin-induced thrombocytopenia thrombosis syndrome (HITTS) on- and off-pump safety and efficacy (CHOOSE-ON) trial was designed as a safety and efficacy trial of bivalirudin for use in anticoagulation ... Full text Link to item Cite

Renal pathophysiology

Journal Article · December 1, 2006 Full text Cite

Bivalirudin provides rapid, effective, and reliable anticoagulation during off-pump coronary revascularization: results of the "EVOLUTION OFF" trial.

Journal Article Anesth Analg · September 2006 In the EVOLUTION OFF trial, we evaluated the safety and efficacy of bivalirudin during off-pump coronary artery bypass grafting as compared with heparin-protamine. In this subanalysis of EVOLUTION OFF data of bivalirudin-treated patients, we assessed the p ... Full text Link to item Cite

A comparison of bivalirudin to heparin with protamine reversal in patients undergoing cardiac surgery with cardiopulmonary bypass: the EVOLUTION-ON study.

Journal Article J Thorac Cardiovasc Surg · March 2006 OBJECTIVES: Unfractionated heparin and its antidote, protamine sulfate, allow for rapid and reversible anticoagulation during cardiac surgery with cardiopulmonary bypass, yet limitations exist, including a variable dose-response, dependence on a cofactor f ... Full text Link to item Cite

Anticoagulation with bivalirudin for off-pump coronary artery bypass grafting: the results of the EVOLUTION-OFF study.

Journal Article J Thorac Cardiovasc Surg · March 2006 OBJECTIVES: Unfractionated heparin has many shortcomings, including indirect and partial inhibition of thrombin, antibody formation, and platelet activation. Bivalirudin, a short-acting direct thrombin inhibitor, avoids these limitations and has superior o ... Full text Link to item Cite

Hypertension: a new look at an old problem.

Journal Article Curr Opin Anaesthesiol · February 2006 PURPOSE OF REVIEW: This review reports the specific impact that hypertension, identified by its component subtype classification, has on perioperative outcomes. Most importantly, we review the risk of systolic hypertension and pulse pressure hypertension i ... Full text Link to item Cite

Renal Pathophysiology

Chapter · November 2, 2005 Full text Cite

Certification in perioperative TEE.

Journal Article Anesth Analg · June 2003 Full text Link to item Cite

Development and analysis of a new certifying examination in perioperative transesophageal echocardiography.

Journal Article Anesth Analg · December 2002 UNLABELLED: A key element in developing a process to determine knowledge and ability in applying perioperative echocardiography has included an examination. We report on the development of a certifying examination in perioperative echocardiography. In addi ... Full text Link to item Cite

Is there a long-term predictive value of intraoperative low-dose dobutamine echocardiography in patients who have coronary artery bypass graft surgery with cardiopulmonary bypass?

Journal Article Anesth Analg · September 2002 UNLABELLED: In patients with coronary artery disease, chronic regional left ventricular systolic dysfunction at rest may be caused by hibernating or by infarcted myocardium. Intraoperative low-dose dobutamine (LDD) echocardiography reliably predicts the im ... Full text Link to item Cite

Isolated systolic hypertension is associated with adverse outcomes from coronary artery bypass grafting surgery.

Journal Article Anesth Analg · May 2002 UNLABELLED: Isolated systolic blood pressure has not been sufficiently studied in the perioperative setting and may contribute to morbidity and mortality after coronary artery bypass grafting (CABG) surgery. Our objective was to determine the prevalence of ... Full text Link to item Cite

Papillary fibroelastoma of the aortic valve.

Journal Article J Am Soc Echocardiogr · April 2002 We hereby report the case of a patient with a papillary fibroelastoma involving the right coronary cusp of the aortic valve that was diagnosed with the use of transesophageal echocardiography after workup for recurrent transient ischemic attacks. ... Full text Link to item Cite

The effect of cardiopulmonary bypass and inspired oxygen concentration on left ventricular contrast opacification with optison, a second-generation ultrasound contrast agent.

Journal Article J Cardiothorac Vasc Anesth · April 2002 OBJECTIVE: To investigate the influence of cardiopulmonary bypass (CPB) and fraction of inspired oxygen (F(I)O(2)) on the contrast effect of Optison, a second-generation ultrasound contrast agent, in humans during coronary artery bypass graft (CABG) surger ... Full text Link to item Cite

Influence of transducer frequency and imaging modality on the intraoperative assessment of myocardial perfusion with transesophageal echocardiography.

Journal Article J Cardiothorac Vasc Anesth · December 2001 OBJECTIVE: To determine factors that improve intraoperative myocardial perfusion assessment with conventional ultrasound imaging and intravenous ultrasound agents. DESIGN: Prospective cohort study with repeated interventions on each patient. SETTING: Singl ... Full text Link to item Cite

Oliguria. A sign of renal success or impending renal failure?

Journal Article Anesthesiol Clin North Am · December 2001 Limiting renal impairment begins with identifying patients at increased risk for renal dysfunction (monitoring of renal function is important in these patients) and understanding the physiology of urine formation, the influence of anesthetic drugs, and int ... Link to item Cite

Changes in regional myocardial function after coronary artery bypass graft surgery are predicted by intraoperative low-dose dobutamine echocardiography.

Journal Article Anesthesiology · September 2000 BACKGROUND: Left ventricular dysfunction is often reversed after coronary artery bypass graft (CABG) surgery; however, this change is not easily predicted. The authors hypothesized that functional changes after a low dose of dobutamine (5 microgram. kg-1. ... Full text Link to item Cite

An unexpected echocardiographic image in a patient with dyspnea.

Journal Article J Cardiothorac Vasc Anesth · April 2000 Full text Link to item Cite

Perioperative cardiac imaging.

Journal Article Adv Card Surg · 2000 Link to item Cite

Case 6--1999. Off-pump coronary artery bypass graft surgery.

Journal Article J Cardiothorac Vasc Anesth · December 1999 Full text Link to item Cite

Fenoldopam: a new parenteral antihypertensive: consensus roundtable on the management of perioperative hypertension and hypertensive crises.

Other Am J Hypertens · July 1999 A panel of clinicians from anesthesiology, surgery, nephrology, hypertension, cardiology, and pharmacology was convened to discuss pharmacologic therapeutics in the management of hypertensive crisis and perioperative hypertension. The panel discussed the a ... Full text Link to item Cite

Assessing flow during minimally invasive coronary artery bypass: an Allen's test equivalent.

Journal Article Ann Thorac Surg · April 1999 The use of a provocative test to elicit selective regional myocardial dysfunction (detected with intraoperative TEE) as a method to infer adequacy of regional myocardial perfusion following MIDCAB is described. We liken the similarity of this technique to ... Full text Link to item Cite

Renal protection in vascular surgery

Journal Article Problems in Anesthesia · January 1, 1999 Improvements in operative techniques and perioperative care have reduced the morbidity and mortality associated with aortic reconstruction, which is still the gold-standard treatment for aneurysmal and occlusion disease of the aorta. However, the developme ... Cite

Intraoperative echocardiography for the patient undergoing minimally invasive heart surgery

Journal Article Seminars in Cardiothoracic and Vascular Anesthesia · January 1, 1999 Minimally invasive heart surgeries are commonly used to avoid large surgical incisions and facilitate early extubation and recovery after cardiac surgeries. Transesophageal echocardiography (TEE) is especially valuable in minimally invasive cardiac surgery ... Full text Cite

The influence of collateral flow on the antegrade and retrograde distribution of cardioplegia in patients with an occluded right coronary artery.

Journal Article Anesthesiology · November 1998 BACKGROUND: The predictive value of electrocardiography (ECG) and coronary angiography for cardioplegia distribution in patients with an occluded right coronary artery was evaluated. METHODS: Coronary angiograms and ECGs were evaluated in 15 patients with ... Full text Link to item Cite

Perioperative renal dysfunction and cardiovascular anesthesia: concerns and controversies.

Journal Article J Cardiothorac Vasc Anesth · October 1998 In patients with renal disease undergoing cardiovascular surgery, perioperative management continues to be a challenge. Traditional answers have turned into new questions with the introduction of new agents and the redesign of old techniques. For ARF preve ... Full text Link to item Cite

Identifying the cause of left ventricular systolic dysfunction after coronary artery bypass surgery: the role of myocardial contrast echocardiography.

Journal Article J Cardiothorac Vasc Anesth · October 1998 OBJECTIVE: Intraoperative myocardial contrast echocardiography was used to determine whether the identification of regional myocardial flow patterns during revascularization could predict myocardial contractile function immediately after separation from ca ... Full text Link to item Cite

Effect of collateral blood flow on cardioplegia distribution in patients with an occluded right coronary artery

Journal Article Journal of the American Society of Echocardiography · December 1, 1997 Introduction. The distribution of cardioplegia to the myocardium is a predictor of immediate recovery of ventricular function after cardiopulmonary bypass (CPB). An occluded right coronary artery (RCA) can impede antegrade cardioplegia (ACP) delivery to th ... Cite

Myocardial contrast echocardiography: Is it ready to be used as a clinical tool in the operating room?

Journal Article Seminars in Cardiothoracic and Vascular Anesthesia · December 1, 1997 Full text Cite

Intraoperative echocardiography is indicated in high-risk coronary artery bypass grafting.

Journal Article Ann Thorac Surg · August 1997 BACKGROUND: Intraoperative echocardiography is a valuable monitoring and diagnostic technology used in cardiac surgery. This reports our clinical study of the usefulness of intraoperative echocardiography to both surgeons and anesthesiologists for high-ris ... Full text Link to item Cite

Prosthetic mitral valve replacement: late complications after native valve preservation.

Journal Article Ann Thorac Surg · February 1997 Preservation of the mitral valve leaflet and tensor apparatus during valve replacement is believed to maintain left ventricular performance. The routine use of this technique may lead to left ventricular outflow or inflow obstruction as illustrated in the ... Full text Link to item Cite

Case 6--1996, Traumatic aortocoronary saphenous vein graft occlusion.

Journal Article J Cardiothorac Vasc Anesth · December 1996 Full text Link to item Cite

Assessing myocardial perfusion with Albunex during coronary artery bypass surgery: technical considerations and safety of aortic root injections.

Journal Article J Cardiothorac Vasc Anesth · October 1996 OBJECTIVE: To test the safety and report on limiting technical considerations, including optimal dosing of Albunex (Molecular Biosystems, Inc, Mallinckrodt Medical, St. Louis, MO) for myocardial opacification after intra-aortic root injections during cardi ... Full text Link to item Cite

Stress echocardiography, contrast echocardiography, and tissue characterization: applications for the future.

Journal Article Crit Care Clin · April 1996 During the last three decades the application of ultrasonography has expanded rapidly. The information available to the clinician from ultrasound imaging today is vastly more significant than it was in the early years of the development of this technology. ... Full text Link to item Cite

Contrast ultrasound imaging of the ocular circulation

Journal Article Investigative Ophthalmology and Visual Science · February 15, 1996 Purpose. Many ocular structures may be visualized using ultrasound. We speculated that, with use of an ultrasound contrast agent, it would be possible to obtain images of ocular blood vessels not usually visible because of their size or location. Also, we ... Cite

Ultrasound densitometric analysis: Comparison between an online digital acquisition acoustic program and an offline analog program

Journal Article Echocardiography · January 1, 1996 Videodensitometric analysis of myocardial contrast echocardiography is traditionally performed off line. Recently, an online contrast ultrasound analysis system, Acoustic Densitometry (Hewlett-Packard), was introduced. We compared pixel intensities acquire ... Full text Cite

Monitoring respiratory function.

Journal Article Int Anesthesiol Clin · 1996 Full text Link to item Cite

Retrograde-delivered cardioplegia is not distributed equally to the right ventricular free wall and septum.

Journal Article J Cardiothorac Vasc Anesth · April 1995 Right ventricular myocardial protection during cardiac surgery continues to be a challenge. Retrograde delivery of cardioplegia has been shown to perfuse left ventricular regions subtended by critical coronary stenosis and not adequately protected by anteg ... Full text Link to item Cite

Safety and feasibility of renal blood flow determination during kidney transplant surgery with perfusion ultrasonography.

Journal Article Anesth Analg · February 1995 Contrast-enhanced perfusion patterns of newly transplanted kidneys were determined in 10 patients. Albumin-stabilized sonicated microspheres were injected into the iliac-renal artery of the transplanted kidney while continuous two-dimensional ultrasound im ... Full text Link to item Cite

Evaluation of changes in skeletal muscle blood flow in the dog with contrast ultrasonography.

Journal Article Plast Reconstr Surg · January 1995 Intraoperative methods to assess skeletal muscle blood flow or muscle-flap perfusion during vascular reconstructive surgery are limited. At present, techniques enable only anatomic identification of the degree of patency of large vessels. We report here th ... Full text Link to item Cite

Enhancement of edge detection: Qualitative and quantitative effects of B-color

Journal Article Cardiovascular Imaging · January 1, 1995 The use of color in B-mode echocardiography, or B-color, refers to the display of images in previously defined 'pseudocolor' scales as compared to the standard gray scale display. The purpose of our study was to determine, both in vitro and in vivo, whethe ... Cite

Usefulness of creatinine clearance.

Journal Article Anesth Analg · August 1994 Full text Link to item Cite

The relationship between immediate outcome after cardiac surgery, homogeneous cardioplegia delivery, and ejection fraction.

Journal Article Chest · July 1994 BACKGROUND: Optimal myocardial protection during cardiac surgery with ischemic arrest is predicated on among other variables, homogeneous cardioplegia distribution. Contrast echocardiography has been shown to provide information regarding the intramyocardi ... Full text Link to item Cite

Intraoperative perfusion echocardiography.

Journal Article J Cardiothorac Vasc Anesth · February 1994 The ability to assess perfusion intraoperatively should enable end-organ evaluation of the effects of therapeutic choices and provide a basis for understanding the mechanisms of disease. Several experimental techniques for assessment of tissue perfusion ar ... Full text Link to item Cite

Predictive and diagnostic tests of renal failure: a review.

Journal Article Anesth Analg · January 1994 Postoperative acute renal insufficiency is a discouraging complication with a mortality rate that remains persistently high, despite improved techniques of dialysis and advances in the perioperative management of hemodynamic, metabolic, and infective compl ... Full text Link to item Cite

Association of preoperative risk factors with postoperative acute renal failure.

Journal Article Anesth Analg · January 1994 We performed a systematic review of 28 studies that examined preoperative risk factors for postoperative renal failure. Included in the studies were 10,865 patients who underwent either vascular, cardiac, general, or biliary surgery. No two studies used th ... Full text Link to item Cite

Assessment of renal blood flow with contrast ultrasonography.

Journal Article Anesth Analg · May 1993 Sonicated albumin microspheres, a digitalizing ultrasound system, and a mathematical model for flow were used to determine whether blood flow in the canine kidney could be assessed with contrast ultrasound. Albunex ultrasound contrast microspheres were inj ... Full text Link to item Cite

Identifying stunned myocardium during cardiac surgery: the role of myocardial contrast echocardiography.

Journal Article J Card Surg · March 1993 Differentiation of reversibly stunned myocardium from irreversibly damaged (infarcted) myocardium is critically important in patient management. Current methods for monitoring myocardial function yield only nonspecific assessments of myocardial viability. ... Full text Link to item Cite

Myocardial distribution of cardioplegic solution after retrograde delivery in patients undergoing cardiac surgical procedures.

Journal Article J Thorac Cardiovasc Surg · February 1993 The myocardial distribution of both antegrade and retrograde cardioplegia for cardiac surgical intervention, after induction of cardioplegia via the aortic root, was directly assessed and compared in 19 patients by means of contrast echocardiography. Two-d ... Link to item Cite

Pitfalls in quantitative contrast echocardiography: the steps to quantitation of perfusion.

Journal Article J Am Soc Echocardiogr · 1993 Current methods used clinically to assess myocardial perfusion are invasive and expensive. As the technology of ultrasound imaging improves, CE may provide a relatively inexpensive, noninvasive means of quantitating myocardial perfusion. Issues regarding s ... Full text Link to item Cite

Identifying stunned myocardium during cardiac surgery: The role of myocardial contrast echocardiography

Journal Article Journal of Cardiac Surgery · 1993 Differentiation of reversibly stunned myocardium from irreversibly damaged (infarcted) myocardium is critically important in patient management. Current methods for monitoring myocardial function yield only nonspecific assessments of myocardial viability. ... Cite

In vitro calculation of flow by use of contrast ultrasonography.

Journal Article J Am Soc Echocardiogr · 1993 Contrast echocardiography has been used for qualitative assessment of cardiac function, and its potential for quantitative assessment of blood flow is being explored. With the development of an ultrasound contrast agent capable of passage through the micro ... Full text Link to item Cite

A comparison of methods for the detection of myocardial ischemia during noncardiac surgery: automated ST-segment analysis systems, electrocardiography, and transesophageal echocardiography.

Journal Article Anesth Analg · November 1992 Clinicians often fail to detect intraoperative ischemic electrocardiographic (ECG) changes when viewing oscilloscopes. Automated ST-segment monitors promise to increase the detection of such ECG changes. We investigated the capacity of two commercially ava ... Full text Link to item Cite

Echocardiographic analysis of dysfunctional and normal myocardial segments before and immediately after coronary artery bypass graft surgery.

Journal Article Anesth Analg · August 1992 Echocardiography has revealed evidence of "subnormal" regional contraction patterns that result from myocardial ischemia and are often accompanied by nonadjacent "hyperkinetic" regions. Whether these regions of hyperkinetic wall motion persist unchanged or ... Full text Link to item Cite

The influence of intravenous Albunex injections on pulmonary arterial pressure, gas exchange, and left ventricular peak intensity.

Journal Article J Am Soc Echocardiogr · 1992 Contrast ultrasonography may be used to assess regional tissue perfusion. The purpose of this study was to evaluate the safety and efficacy of a new, commercially prepared ultrasound contrast agent (Albunex) in dogs. The injections were administered from p ... Full text Link to item Cite

Advances in contrast echocardiography: intraoperative perfusion assessment.

Journal Article Am J Physiol Imaging · 1992 Contrast ultrasound techniques provide on-line assessments of regional tissue perfusion. Intraoperative clinical studies of cardiac revascularization and renal transplantation have been performed and are currently under active clinical investigation. The p ... Link to item Cite

Assessment of retrograde cardioplegia distribution using contrast echocardiography.

Journal Article Ann Thorac Surg · October 1991 Retrograde cardioplegia has gained popularity in coronary and noncoronary cardiac operations. We have used contrast echocardiography in the open-chest canine model to compare the distribution of cardioplegia delivered antegrade in the aortic root versus re ... Full text Link to item Cite

Intraoperative contrast echocardiography.

Journal Article Am J Card Imaging · September 1991 Link to item Cite

Assessment of myocardial perfusion during CABG surgery with two-dimensional transesophageal contrast echocardiography.

Journal Article Anesthesiology · September 1991 No reliable, quantifiable index of tissue perfusion is currently available to assess the efforts of coronary artery bypass graft (CABG) surgery. We used two-dimensional transesophageal contrast echocardiography with sonicated Renografin-76 microbubbles to ... Full text Link to item Cite

Effects of fenoldopam on renal blood flow and systemic hemodynamics during isoflurane anesthesia.

Journal Article J Cardiothorac Vasc Anesth · February 1991 The authors compared the systemic hemodynamic and renal vascular effects of hypotension induced by fenoldopam with those produced by the most commonly used hypotensive agent, sodium nitroprusside, in 10 dogs. Mean arterial pressure decreased 26% +/- 3% fro ... Full text Link to item Cite

Preservation of renal blood flow during hypotension induced with fenoldopam in dogs.

Journal Article Can J Anaesth · April 1990 The introduction of drugs that could induce hypotension with different pharmacological actions would be advantageous because side effects unique to a specific drug could be minimized by selecting appropriate therapy. Specific dopamine-1, (DA1) and dopamine ... Full text Link to item Cite

Contrast echocardiography: a method to visualize changes in regional myocardial perfusion in the dog model for CABG surgery.

Journal Article Anesthesiology · February 1990 The ability of contrast echocardiography to assess regional myocardial perfusion during cardiopulmonary bypass in a dog model for coronary artery bypass surgery was evaluated. Sonicated Renograffin-76 microbubbles (meglumin diatrigoate and sodium diatrigoa ... Link to item Cite

Quantitation of renal blood flow by contrast ultrasonography: preliminary results.

Journal Article Cardiologia · December 1989 Contrast ultrasonography, employing tracers behaving like red blood cells, is a promising technique to study regional blood flow distribution. Aim of this note is to quantitate renal blood flow in the dog using contrast ultrasonography. Mathematical formul ... Link to item Cite

Does anesthetic technique make a difference? Augmentation of systolic blood pressure during carotid endarterectomy: effects of phenylephrine versus light anesthesia and of isoflurane versus halothane on the incidence of myocardial ischemia.

Journal Article Anesthesiology · December 1988 Whether anesthetic technique affected the incidence of myocardial ischemia in 60 patients undergoing carotid endarterectomy was investigated. The patients were randomly assigned to receive halothane or isoflurane (with nitrous oxide) either at a low concen ... Full text Link to item Cite

Venous admixture to radial artery blood samples during cardiopulmonary bypass.

Journal Article Chest · November 1987 The possibility that venous blood could be withdrawn through a radial artery cannula when venous pressure is high was examined in 30 patients during cardiopulmonary bypass for coronary artery bypass operation. Progressive desaturation of radial artery bloo ... Full text Link to item Cite

Injuries to the bronchi and lungs caused by laser-ignited endotracheal tube fires.

Journal Article Otolaryngol Head Neck Surg · December 1984 A CO2 laser attached to an operating room microscope was used to produce extraluminal and intraluminal ignition of various endotracheal tubes in dogs. Extraluminal ignition was produced in Silastic and red rubber endotracheal tubes. The red rubber tube ign ... Full text Link to item Cite

TISSUE EFFECTS FROM LASER-INDUCED ENDOTRACHEAL TUBE FIRES.

Journal Article LIA (Laser Institute of America) · December 1, 1984 A study was undertaken to examine the injury from laser ignited endotracheal tubes in the canine larynx, distal bronchi and lungs. Three endotracheal tubes were tested; the Rusch red rubber, the PVC polyvinylchloride and silicone. Two types of endotracheal ... Cite