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Section 8 - Miscellaneous Topics

Published online by Cambridge University Press:  12 May 2020

Joseph Arrowsmith
Royal Papworth Hospital, Cambridge
Andrew Roscoe
Singapore General Hospital
Jonathan Mackay
Royal Papworth Hospital, Cambridge
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Publisher: Cambridge University Press
Print publication year: 2020

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Further Reading

Besser, MW, Klein, AA. The coagulopathy of cardiopulmonary bypass. Crit Rev Clin Lab Sci 2010; 47: 197212.CrossRefGoogle ScholarPubMed
Besser, MW, Ortmann, E, Klein, AA. Haemostatic management of cardiac surgical haemorrhage. Anaesthesia 2015; 70 Suppl 1: 8795.CrossRefGoogle ScholarPubMed
Choxi, AA, Patel, PA, Augoustides, JG, et al. Bivalirudin for cardiopulmonary bypass in the setting of heparin-induced thrombocytopenia and combined heart and kidney transplantation – diagnostic and therapeutic challenges. J Cardiothorac Vasc Anesth 2017; 31: 354–64.CrossRefGoogle ScholarPubMed
Edwin, F, Aniteye, E, Tettey, M, et al. Hypothermic cardiopulmonary bypass without exchange transfusion in sickle-cell patients: a matched-pair analysis. Interact Cardiovasc Thorac Surg 2014; 19: 771–6.Google Scholar
Estcourt, LJ, Birchall, J, Allard, S, et al. Guidelines for the use of platelet transfusions. Br J Haematol 2017; 176: 365–94.CrossRefGoogle ScholarPubMed
Hung, M, Ortmann, E, Besser, M et al. A prospective observational cohort study to identify the causes of anaemia and association with outcome in cardiac surgical patients. Heart 2015; 101: 107–12.CrossRefGoogle ScholarPubMed
Nickel, KF, Long, AT, Fuchs, TA, Butler, LM, Renne, T. Factor XII as a therapeutic target in thromboembolic and inflammatory diseases. Arterioscler Thromb Vasc Biol 2017; 37: 1320.CrossRefGoogle ScholarPubMed
Ortmann, E, Besser, MW, Klein, AA. Antifibrinolytic agents in current anaesthetic practice. Br J Anaesth 2013; 111: 549–63.Google Scholar
Rodeghiero, F, Tosetto, A, Abshire, T, et al. ISTH/SSC bleeding assessment tool: a standardized questionnaire and a proposal for a new bleeding score for inherited bleeding disorders. J Thromb Haemost 2010; 8: 2063–5.CrossRefGoogle Scholar
Royston, D. Aprotinin; an economy of truth? J Thorac Cardiovasc Surg 2008; 136: 798-9.CrossRefGoogle ScholarPubMed
Staibano, P, Arnold, DM, Bowdish, DM, Nazy, I. The unique immunological features of heparin-induced thrombocytopenia. Br J Haematol 2017; 177: 198207.CrossRefGoogle ScholarPubMed
Thachil, J, Warkentin, TE. How do we approach thrombocytopenia in critically ill patients? Br J Haematol 2017; 177: 2738.CrossRefGoogle ScholarPubMed

Further Reading

Chandrasekhar, S, Cook, CR, Collard, CD. Cardiac surgery in the parturient. Anesth Analg 2009; 108: 777–85.CrossRefGoogle ScholarPubMed
Knight, M, Nair, M, Tuffnell, D, et al. (eds.) on behalf of MBRRACE-UK. Saving Lives, Improving Mothers’ Care – Surveillance of maternal deaths in the UK 2012–14 and lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009–14. Oxford: National Perinatal Epidemiology Unit, University of Oxford; 2016. Scholar
Pieper, PG, Hoendermis, ES, Drijver, YN. Cardiac surgery and percutaneous intervention in pregnant women with heart disease. Neth Heart J 2012; 20: 125–8.Google ScholarPubMed
Regitz-Zagrosek, V, Roos-Hesselink, JW, Bauersachs, J, et al. 2018 ESC guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J 2018; 39: 3165–241.Google ScholarPubMed
Salaunkey, K. Pregnancy and cardiovascular disorders. In Valchanov, K, Jones, N, Hogue, CW (eds), Core Topics in Cardiothoracic Critical Care, 2nd edn. Cambridge: Cambridge University Press; 2018, pp. 408–17.Google Scholar
Yuan, SM. Infective endocarditis during pregnancy. J Coll Physicians Surg Pak 2015; 25: 134–9.Google Scholar

Further Reading

Almoustadi, WA, Lee, TW, Klein, J, et al. The effect of total spinal anesthesia on cardiac function in a large animal model of brain death. Can J Physiol Pharmacol 2012; 90: 1287–93.CrossRefGoogle Scholar
Benzon, HT, Avram, MJ, Green, D, Bonow, RO. New oral anticoagulants and regional anaesthesia. Br J Anaesth 2013;111(Suppl 1): 196113.CrossRefGoogle ScholarPubMed
Cantó, M, Sánchez, MJ, Casas, MA, Bataller, ML. Bilateral paravertebral blockade for conventional cardiac surgery. Anaesthesia 2003; 58: 365–70.Google Scholar
Chaney, MA. Intrathecal and epidural anesthesia and analgesia for cardiac surgery. Anesth Analg 2006; 102: 4564.CrossRefGoogle ScholarPubMed
Ho, AM, Chung, DC, Joynt, GM. Neuraxial blockade and hematoma in cardiac surgery: estimating the risk of a rare adverse event that has not (yet) occurred. Chest 2000; 117: 551–5.CrossRefGoogle Scholar
Horlocker, TT, Vandermeuelen, E, Kopp, SL, et al. Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine evidence-based guidelines (fourth edition). Reg Anesth Pain Med 2018; 43: 263309.CrossRefGoogle ScholarPubMed
Kowalewski, RJ, MacAdams, CL, Eagle, CJ, Archer, DP, Bharadwaj, B. Anaesthesia for coronary artery bypass surgery supplemented with subarachnoid bupivacaine and morphine: a report of 18 cases. Can J Anaesth 1994; 41: 1189–95.CrossRefGoogle ScholarPubMed
Lee, TW, Kowalski, S, Falk, K, et al. High spinal anesthesia enhances anti-inflammatory responses in patients undergoing coronary artery bypass graft surgery and aortic valve replacement: randomized pilot study. PLoS One 2016; 11: e0149942.CrossRefGoogle ScholarPubMed
Lee, TWR, Jacobsohn, E. Spinal anesthesia in cardiac surgery. Tech Reg Anesth Pain Manag 2008;12: 54–6.CrossRefGoogle Scholar
Petropolis, A, Maguire, D, Grocott, H, et al. High Spinal Anesthesia and Delirium Incidence After Cardiac Surgery. CCCF ePoster library. Oct 27, 2015; 117369. (accessed December 2018).Google Scholar
Svircevic, V, van Dijk, D, Nierich, AP, et al. Meta-analysis of thoracic epidural anesthesia versus general anesthesia for cardiac surgery. Anesthesiology 2011; 114: 271–82.Google ScholarPubMed
Tabatabaie, O, Matin, N, Heidari, A, et al. Spinal anesthesia reduces postoperative delirium in opium dependent patients undergoing coronary artery bypass grafting. Acta Anaesthesiol Belg 2015; 66: 4954.Google ScholarPubMed

Further Reading

Barr, J, Fraser, GL, Puntillo, K, et al. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med 2013; 41: 263306.CrossRefGoogle ScholarPubMed
Gélinas, C. Management of pain in cardiac surgery ICU patients: have we improved over time? Intensive Crit Care Nurs 2007; 23: 298303.CrossRefGoogle ScholarPubMed
Gélinas, C, Fillion, L, Puntillo, KA, Viens, C, Fortier, M. Validation of the critical-care pain observation tool in adult patients. Am J Crit Care 2006; 15: 420–7.CrossRefGoogle ScholarPubMed
Henry, TD, Satran, D, Jolicoeur, EM. Treatment of refractory angina in patients not suitable for revascularization. Nat Rev Cardiol 2014; 11: 7895.CrossRefGoogle Scholar
Holdcroft, A, Jaggar, S (eds.). Core Topics in Pain. Cambridge: Cambridge University Press; 2005.CrossRefGoogle Scholar
Lahtinen, P, Kokki, H, Hynynen, M. Pain after cardiac surgery: a prospective cohort study of 1-year incidence and intensity. Anesthesiology 2006; 105: 794800.CrossRefGoogle ScholarPubMed
Mueller, XM, Tinguely, F, Tevaearai, HT, et al. Pain location, distribution, and intensity after cardiac surgery. Chest 2000; 118: 391–6.CrossRefGoogle ScholarPubMed
Reimer-Kent, J. From theory to practice: preventing pain after cardiac surgery. Am J Crit Care 2003; 12: 136–43.CrossRefGoogle ScholarPubMed
van Gulik, L, Janssen, LI, Ahlers, SJ, et al. Risk factors for chronic thoracic pain after cardiac surgery via sternotomy. Eur J Cardiothorac Surg 2011; 40: 1309–13.Google ScholarPubMed

Further Reading

Baddour, LM, Wilson, WR, Bayer, AS, et al. Infective endocarditis in adults: diagnosis, antimicrobial therapy, and management of complications: a scientific statement for healthcare professionals from the American Heart Association. Circulation 2015; 132: 1435–86.CrossRefGoogle ScholarPubMed
Centre for Clinical Practice at NICE. Clinical guideline CG64. Prophylaxis against Infective Endocarditis: Antimicrobial Prophylaxis against Infective Endocarditis in Adults and Children Undergoing Interventional Procedures. London: National Institute for Health and Care Excellence (UK); updated July 2016.Google Scholar
Kohler, P, Kuster, SP, Bloemberg, G, et al. Healthcare-associated prosthetic heart valve, aortic vascular graft, and disseminated Mycobacterium chimaera infections subsequent to open heart surgery. Eur Heart J 2015; 36: 2745–53.CrossRefGoogle ScholarPubMed
National Collaborating Centre for Women’s and Children’s Health, commissioned by the National Institute for Health and Clinical Excellence. Surgical Site Infection Prevention and Treatment of Surgical Site Infection. London: RCOG Press; 2008.Google Scholar
Public Health England. Start smart then focus: antimicrobial stewardship toolkit for English hospitals. London: Public Health England; March 2015. (accessed December 2018).Google Scholar
Public Health England. Updated guidance on the management and treatment of Clostridium difficile infection. London: Public Health England; May 2013. (accessed December 2018).Google Scholar
Sandoe, JAT, Barlow, G, Chambers, JB, et al. Guidelines for the diagnosis, prevention and management of implantable cardiac electronic device infection. Report of a joint working party project on behalf of the British Society for Antimicrobial Chemotherapy (BSAC, host organization), British Heart Rhythm Society (BHRS), British Cardiovascular Society (BCS), British Heart Valve Society (BHVS) and British Society for Echocardiography (BSE). J Antimicrob Chemother 2015; 70: 325–59.CrossRefGoogle Scholar
Scottish Intensive Care Society Audit Group. VAP Prevention Bundle Guidance for Implementation. Edinburgh: NHS National Services Scotland; 2008.Google Scholar
Scottish Intercollegiate Guidelines Network (SIGN). Antibiotic Prophylaxis in Surgery. Edinburgh: SIGN publication no.104; 2008. Available from Scholar
The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). 2015 ESC Guidelines for the management of infective endocarditis. Eur Heart J 2015; 36: 3075–128.Google Scholar

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