Nicole An’s Post

Current Outcome after Surgery for Type A Aortic Dissection. Ann Surg 2023;278(4):e885-e892 Replacement of the aortic root and aortic arch did not decrease the risk of aortic reoperation in patients with TAAD. Relative survival of TAAD patients is poor and suggests that the causes underlying aortic dissection may impact late mortality despite surgical repair of the dissected aorta. DOI: 10.1097/SLA.0000000000005840

Can SGLT2 inhibitors be used in cardiac surgery patients in the early postoperative period to prevent the occurrence of atrial fibrillation? We discuss this ground-breaking concept in an invited editorial in the International Journal of Cardiology along with the Assistant Professor of Cardiac Surgery and a dear friend Dimos Karangelis https://lnkd.in/dGrJTHDp

📢 Pioneering Advances in Cardiac Surgery: “Hybrid System for Extracorporeal Circulation” The groundbreaking article “First worldwide use of the hybrid system for extracorporeal circulation in heart transplant” by Kaan Kirali et al., published in the Journal of Cardiothoracic Surgery, presents an unprecedented case report that marks a significant milestone in cardiac surgery. This report details the first-ever global use of the Hybrid System from Spectrum Medical in a heart transplant procedure, showcasing its innovative approach to improving patient outcomes during cardiopulmonary bypass (CPB). Perfusion Times advocates for content grounded in evidence-based medicine, drawing from prestigious academic journals open access peer-reviewed.  #follow #PerfusionTimes #CardiacSurgery #HybridSurgery #ExtracorporealCirculation #HeartInnovation #SurgicalAdvancements #CardiovascularTech #HybridCardiacSystem #HeartHealth #MedicalTechnology #PioneeringMedicine #InnovativeSurgery #CardiacCare #HealthInnovation

Extracorporeal Blood Purification and Acute Kidney Injury in Cardiac Surgery The SIRAKI02 Randomized Clinical Trial JAMA. Published online October 9, 2024. Doi:10.1001/jama.2024.20630 Cardiac surgery–associated acute kidney injury (CSA-AKI) remains a significant problem following cardiopulmonary bypass (CPB). Various strategies are proposed to attenuate CSA-AKI, including extracorporeal blood purification (EBP), but little is known about the effect of EBP through an acrylonitrile-sodium methallylsulfonate/polyethyleneimine membrane during CPB This study aims to determine whether the use of an EBP device in a nonemergent cardiac surgery population reduces CSA-AKI after CPB.

I am happy to announce the publication of my first scientific article: "Measuring quality of recovery (QoR-15) after degenerative spinal surgery: A prospective observational study" in Brain & Spine, marking a significant milestone in my PhD journey! This article presents the findings of our quantitative study, examining the quality of recovery among spinal surgery patients during the initial 14 days post-discharge. A big thanks to my co-authors, Casper Friis Pedersen, Jane Clemensen, Leah Carreon, and Mikkel Østerheden Andersen, for their invaluable contributions to this research. The findings of my research aim to serve as a crucial foundation for developing a solution that can assist patients in their postoperative recovery journey. Looking forward to continuing this vital research and contributing to scientific advancement in this field. Read the article here https://lnkd.in/df84whVf.

“What makes you want to come to work every day is the joy of working and the satisfaction of helping people who might not otherwise have the means to get this care.” For many years, Gregory Grillone, MD, and James Holsapple, MD, have been building out and bolstering the multidisciplinary skull base surgery team at BMC. Today, the team includes ophthalmologists, otolaryngologists, oral surgeons, neurosurgeons, neuroradiologists, neuro-oncologists, radiation oncologists and more. #HealthCity shares how our multidisciplinary team is increasing access to some of the most complicated procedures done in medicine: https://bit.ly/3y5bZqg

The development and introduction of minimally invasive techniques has revolutionized various surgical disciplines, especially cardiac surgery, offering patients less invasive options with less trauma and faster recovery time compared to traditional open heart surgery. In our current article, we describe the anesthesiological management of minimally invasive cardiac surgery according to the protocol of the Bonn Heart Center. PD Florian Piekarski, Dr. Marc Rohner; PD Nadejda Monsefi,  Prof. Farhad Bakhtiary, Prof. Markus Velten Herzzentrum Bonn, Universitätsklinikum Bonn, EACTAIC - European Association of Cardiothoracic Anaesthesiology and Intensive Care, EACTS - European Association for Cardio-Thoracic Surgery, CTSNet / Cardiothoracic Surgery Network, Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin e.V. (DGAI), #Anesthesia #MinimallyInvasiveHeartSurgery #MICS #Cardiacsurgery #Cardiacanesthesia #CardiothoracicSurgery #CardiacAnaesthesia #ERACS #Kardioanästhesie #Kardioanästhesiologie

Great article on the benefits of spinal endoscopy!

Lets talk about Neuromonitoring in spine surgeries: Neuromonitoring technology was first utilized in spine surgeries to monitor anterior portion of the spine using Transcranial motor evoked potentials (TcMEPs)and later posterior spine monitoring was introduced with use of somatosensory evoked potentials (SSEPs) that detect ischaemic changes to the spinal cord especially in scoliosis surgeries where the spinal cord manipulations might compromise blood flow to the cord. Electromyography (EMG) both free run and stimulated EMGs is also one of the most important modality especially where nerve root irritation is suspected to happen like in nerve decompression procedures. In Neuroguard Neuromonitoring, we utilize above multi modalities including Train of four (TOF) to detect the level of anesthesia which is one of the factors to consider for safe and reliable monitoring of the mentioned modalities. For Monitoring services, we are a phone call away to have a safer surgery without post operative complications. #ionm #neuromonitoring #spinesurgeon #orthopedicsurgeon #orthopedicsurgery #neurosurgeons #neurophysiology #kenyaspinesurgeons #kenyaneurosurgeons #surgicalsocietyofkenya #kmpdc #kenyaneurophysiology

Dealing with deformities poses significant challenges. While the easy solution is often T10-Pelvis, dedicating more time to preoperative evaluation and questioning conventional approaches while addressing deformity principles can lead to exceptional outcomes with less extensive surgical procedures in specific cases. In a highlighted case, a patient presented with persistent back pain, notable coronal and moderate sagittal balance issues, and a "dynamic" deformity that displayed a significant difference between supine and upright imaging during preoperative assessment. I opted for stand-alone MIS lateral L2-5 and L5/S1 ALIF. A two-year follow-up revealed outstanding imaging and clinical results. Barrow Neurological Institute AANS/CNS Section on Disorders of the Spine and Peripheral Nerves Winward Choy Alphatec Spine Scoliosis Research Society Society for Minimally Invasive Spine Surgery (SMISS)