Cardiac Surgery - Cardiac Surgery - 719 · cardiac-surgery
    • CardiologyTalk

      Site: CardiologyTalk

    • Quick Links
      • Schedule An Interview
      • What Is Our Interview Process
    • 0
      • Portuguese
      • Spanish
      • Italian
      • Greek (Greece)
      • Sinhala
      • Polish
      • Arabic (Saudi Arabia)
      • Swedish (Sweden)
      • Portuguese (Brazil)
      • Hindi (India)
      • English (Australia)
      • Hebrew (Israel)
      • Czech
      • Hungarian (Hungary)
      • Chinese
      • Turkish
      • Japanese (Japan)
      • Dutch
      • French
      • German
      • Chinese (Traditional Han, Taiwan)
      • Korean (South Korea)
      • Thai
      • Spanish (Chile)
      • English (United States)
      • Russian
      • Danish (Denmark)
  • Home
  • Trending

  • Login

  • Audio and Video
  • Videos
  • Audio

  • Channels
  • Browse Channels

  • Categories
  • Acute Pulmonary Embolism 1
  • Amyloidosis 10
  • Angina 1
  • Anticoagulation Management 1
  • Aortic Stenosis 1
  • Arrhythmias and Clinical EP 2
  • Atrial Fibrillation 18
  • Autonomic Cardiology 1
  • Blood Pressure 1
  • Cardiac Implantable Electronic Devices 2
  • Cardiac Injury 3
  • Cardiac Surgery 13
  • Cardio-Oncology 17
  • Cardiogenic Shock 4
  • Cardiology 111
  • Cardiology Advocacy 16
  • Cardiomyopathy 5
  • Cardiorenal 2
  • Cardiorenal Syndrome 1
  • Cardiovascular Disease 17
  • Cardiovascular Imaging 2
  • Conference Coverage 63
  • Congenital Heart Disease 1
  • Coronary Artery Disease 11
  • Coronary Microvascular Dysfunction 3
  • Coronary Pharmacotherapy 1
  • Coronary Stent 2
  • COVID-19 81
  • Diabeto-Cardiology 2
  • Dyslipidemia 1
  • Echocardiograms 3
  • Heart Disease 1
  • Heart Failure and Cardiomyopathies 60
  • Heart Transplant 1
  • Heart Valve 3
  • Hemostasis 1
  • Hypertension 12
  • Hypertrophic Cardiomyopathy 2
  • Irregular Heart Rhythm 1
  • Ischemic Heart Disease 4
  • Myocardial Infarction 13
  • Prevention 4
  • Pulmonary Hypertension 2
  • Stroke 1
  • Structural Heart Disease 1
  • TAVR 3
  • Transcatheter Aortic Valve (TAVI) 3
  • Tricuspid Regurgitation 1
  • Valvular Heart Disease 2
  • Vasovagal Syncope 1
  • Ventricular Failure 1
  • Acute Coronary Syndromes 189

  • Install
  • Play a Link
  • About
  • Contact
Professor Daniel I Sessler @ClevelandClinic #PROTECT PROTECT Study Professor Daniel I Sessler @ClevelandClinic #PROTECT PROTECT Study
0:10:53

Professor Daniel I Sessler @ClevelandClinic #PROTECT PROT...

Professor Daniel I Sessler, Michael Cudahy Professor and Chair at the department of outcomes resesarch at Cleveland Clinic. In this video, he speaks about Aggressive intraoperative warming versus routine thermal management during non-cardiac surgery (PROTECT): a multicentre, parallel group, superiority trial.

 

Synopsis

 

Origins:

 

Intraoperative hypothermia of moderate severity causes myocardial damage, surgical site infections, and blood loss. It is unknown whether forceful warming to a true normothermic temperature approaching 37°C improves outcomes. We wanted to see if intensive intraoperative warming minimizes severe perioperative problems.

 

Methodologies:

 

During non-cardiac surgery, patients were randomly assigned (1:1) to either aggressive warming to a target core temperature of 37°C (aggressively warmed group) or routine thermal management to a target of 35°C (routine thermal management group) at 12 sites in China and the Cleveland Clinic in the United States. Randomization was stratified by location, with randomly sized blocks generated by a computer. Eligible patients (aged 45 years) had at least one cardiovascular risk factor, were scheduled for inpatient non-cardiac surgery lasting 2–6 hours under general anaesthesia, and had at least half of the anterior skin surface available for warming. Patients on dialysis and those with a BMI more than 30 kg/m2 were excluded. In the modified intention-to-treat population, the primary outcome was a composite of myocardial damage (troponin increase, probably of ischemic origin), non-fatal cardiac arrest, and all-cause mortality within 30 days of surgery. NCT03111875, this study is registered with ClinicalTrials.gov.

 

Observations:

 

5056 participants were enrolled between March 27, 2017 and March 16, 2021, with 5013 included in the intention-to-treat population (2507 in the aggressively warmed group and 2506 in the routine thermal management group). Patients allocated to intense warming had a mean final intraoperative core temperature of 371°C (SD 03), whereas patients assigned to regular thermal care had a mean final intraoperative core temperature of 356°C (SD 03). At least one of the primary outcome components (myocardial damage following non-cardiac surgery, cardiac arrest, or mortality) occurred in 246 (99% of 2497) of the forcefully warmed patients and in 239 (96% of 2490) of the normal thermal care patients. The calculated common impact relative risk of active versus routine thermal management was 104 (95 percent CI 087–124; p=069). There were 39 adverse events (17 of which were significant) in patients assigned to intense warming and 54 in those assigned to normal thermal care (30 of which were serious). One major adverse event in a patient who had been intensively warmed was thought to be connected to thermal management.

 

Observation:

 

The 30-day composite of main cardiovascular events did not differ substantially between participants randomly assigned to 355°C or 37°C. There was no evidence that any significant consequence differed throughout a 15°C range from extremely mild hypothermia to full normothermia. In surgical patients, maintaining a core temperature of at least 355°C appears to be sufficient.

65 Views
11 months Ago
Cardiology News
Add to
Want to watch this again later?
Sign in to add this video to a playlist. Login

Cardiac Surgery Description
Cardiac Surgery

Podcast Ibrahim Sultan, MD @IbrahimSultanMD @HviUpmc @UPMC @UPMCPhysicianEd #CardioTwitter Non-RBC Blood Does Not Reduce Survival Following Surgery
0:05:45
Podcast Ibrahim Sultan, MD @IbrahimSultanMD @HviUpmc @UPM...
13 Views
10 months Ago
Cardiology News
Add to
Want to watch this again later?
Sign in to add this video to a playlist. Login
Ibrahim Sultan, MD @IbrahimSultanMD @HviUpmc @UPMC @UPMCPhysicianEd #CardioTwitter Non-RBC Blood Does Not Reduce Survival Following Surgery Ibrahim Sultan, MD @IbrahimSultanMD @HviUpmc @UPMC @UPMCPhysicianEd #CardioTwitter Non-RBC Blood Does Not Reduce Survival Following Surgery
0:05:45
Ibrahim Sultan, MD @IbrahimSultanMD @HviUpmc @UPMC @UPMCP...
FHD
18 Views
10 months Ago
Cardiology News
Add to
Want to watch this again later?
Sign in to add this video to a playlist. Login
Podcast Professor Daniel I Sessler @ClevelandClinic #PROTECT PROTECT Study
0:10:53
Podcast Professor Daniel I Sessler @ClevelandClinic #PROT...
33 Views
11 months Ago
Cardiology News
Add to
Want to watch this again later?
Sign in to add this video to a playlist. Login
Professor Daniel I Sessler @ClevelandClinic #PROTECT PROTECT Study Professor Daniel I Sessler @ClevelandClinic #PROTECT PROTECT Study
0:10:53
Professor Daniel I Sessler @ClevelandClinic #PROTECT PROT...
FHD
65 Views
11 months Ago
Cardiology News
Add to
Want to watch this again later?
Sign in to add this video to a playlist. Login
Podcast- P.J. Devereaux, MD- High-Sensitivity Troponin I after Cardiac Surgery and 30-Day Mortality @PHRIresearch @MacDeptMed #Troponin #CardiacSurgery
0:09:31
Podcast- P.J. Devereaux, MD- High-Sensitivity Troponin I ...
220 Views
1 year Ago
Cardiology News
Add to
Want to watch this again later?
Sign in to add this video to a playlist. Login
P.J. Devereaux, MD- High-Sensitivity Troponin I after Cardiac Surgery and 30-Day Mortality @PHRIresearch @MacDeptMed #Troponin #CardiacSurgery P.J. Devereaux, MD- High-Sensitivity Troponin I after Cardiac Surgery and 30-Day Mortality @PHRIresearch @MacDeptMed #Troponin #CardiacSurgery
0:09:31
P.J. Devereaux, MD- High-Sensitivity Troponin I after Car...
FHD
18 Views
1 year Ago
Cardiology News
Add to
Want to watch this again later?
Sign in to add this video to a playlist. Login
Podcast- Dr. Joseph Bavaria-  New Practice Guideline Addresses Diagnosis, Treatment of Type B Aortic Dissection @BavariaMd  @pennmedicine @STS_CTsurgery  @pennsurgery   #AorticDissection ...
0:21:23
Podcast- Dr. Joseph Bavaria- New Practice Guideline Addr...
57 Views
1 year Ago
Cardiology News
Add to
Want to watch this again later?
Sign in to add this video to a playlist. Login
Dr. Joseph Bavaria-  New Practice Guideline Addresses Diagnosis, Treatment of Type B Aortic Dissection @BavariaMd  @pennmedicine @STS_CTsurgery  @pennsurgery   #AorticDissection #Cardiology Dr. Joseph Bavaria-  New Practice Guideline Addresses Diagnosis, Treatment of Type B Aortic Dissection @BavariaMd  @pennmedicine @STS_CTsurgery  @pennsurgery   #AorticDissection #Cardiology
0:21:23
Dr. Joseph Bavaria- New Practice Guideline Addresses Dia...
FHD
275 Views
1 year Ago
Cardiology News
Add to
Want to watch this again later?
Sign in to add this video to a playlist. Login
Podcast- Mario Gaudino, MD - Coronary Artery Bypass Surgery After Transradial Catheterization @WeillCornell #CoronaryArteryBypass #TransradialCatheterization #Cardiology #Research
0:05:48
Podcast- Mario Gaudino, MD - Coronary Artery Bypass Surge...
23 Views
1 year Ago
Cardiology News
Add to
Want to watch this again later?
Sign in to add this video to a playlist. Login
Mario Gaudino, MD - Coronary Artery Bypass Surgery After Transradial Catheterization @WeillCornell #CoronaryArteryBypass #TransradialCatheterization #Cardiology #Research Mario Gaudino, MD - Coronary Artery Bypass Surgery After Transradial Catheterization @WeillCornell #CoronaryArteryBypass #TransradialCatheterization #Cardiology #Research
0:05:48
Mario Gaudino, MD - Coronary Artery Bypass Surgery After ...
FHD
51 Views
1 year Ago
Cardiology News
Add to
Want to watch this again later?
Sign in to add this video to a playlist. Login
Tanvi Khera, MD- Ultrasound-Guided Pecto-Intercostal Fascial Block for Postoperative Pain Management in Cardiac Surgery: A Prospective, Randomized, Placebo-Controlled Trial @tanvi_khera  ...
0:09:23
Tanvi Khera, MD- Ultrasound-Guided Pecto-Intercostal Fasc...
13 Views
1 year Ago
Cardiology News
Add to
Want to watch this again later?
Sign in to add this video to a playlist. Login
Tanvi Khera, MD- Ultrasound-Guided Pecto-Intercostal Fascial Block for Postoperative Pain Management in Cardiac Surgery: A Prospective, Randomized, Placebo-Controlled Trial @tanvi_khera  ... Tanvi Khera, MD- Ultrasound-Guided Pecto-Intercostal Fascial Block for Postoperative Pain Management in Cardiac Surgery: A Prospective, Randomized, Placebo-Controlled Trial @tanvi_khera  ...
0:09:23
Tanvi Khera, MD- Ultrasound-Guided Pecto-Intercostal Fasc...
FHD
16 Views
1 year Ago
Cardiology News
Add to
Want to watch this again later?
Sign in to add this video to a playlist. Login

CardiologyTalk Copyright 2020