Abstract Purpose of Review This review summarizes the key issues for preoperative, peri- and intraoperative, postoperative patient management robotic-assisted thoracic surgery (RATS). It provides practical guidance anesthesiologists surgeons starting a RATS program. Recent Findings is new technological approach to execute minimal invasive chest operations. In patients, established ERAS principl...

Emergent cardiac surgery during transcatheter aortic valve implantation (TAVI): a weighted meta-analysis of 9,251 patients from 46 studies. EuroIntervention 2013;8:1072–80. [4] Vahanian A, Alfieri O, Andreotti F, Antunes MJ, Baron-Esquivias G, Baumgartner H et al. Guidelines on the management of valvular heart disease (version 2012): The Joint Task Force on the Management of Valvular Heart Dise...

At least every ten years, each specialty should reflect upon its past, its present and its future, in order to be able to reconfirm the direction in which it is headed, to adopt suggestions from inside and outside and, consequently, to improve. As such, the aim of this manuscript is to provide the interested reader with an overview of how aortic surgery and (perhaps more accurately) aortic medi...

MALLIANI, ALBERTO, PETER J. SCHWARTZ, and ALBERTO ZANCHETTI. A sympathetic rejex elicited by experimental coronary occlusion. Am. J. Physiol. 217(3): 703-709. 1969.-The effects of transient coronary occlusion on a sympathetic outflow presumably directed to the heart have been studied on cats. Single preganglionic fibers and a few multifiber strands have been isolated from the left third thoraci...

This document presents a professional view of evidence-based recommendations around the issues of antiplatelet and anticoagulation management in cardiac surgery. It was prepared by the Audit and Guidelines Committee of the European Association for Cardio-Thoracic Surgery (EACTS). We review the following topics: evidence for aspirin, clopidogrel and warfarin cessation prior to cardiac surgery; p...

This CT-scan shows an ossification of the flap of two intercostal muscles 6 months after a carinal resection with reconstruction of the tracheo-bronchial tree using the Barclay’s technique in a 39-year-old patient with a lowerthird tracheal adenoid cystic carcinoma. Some degree of stenosis can also be seen at the level of the right main bronchus. A stent was placed but migrated. The picture is ...

the lipid accumulation product is a novel, safe and inexpensive index of central lipid over accumulation based on waist circumference and fasting concentration of circulating triglycerides. this study was designed to investigate the ability of lipid accumulation product to predict cardio-metabolic risk factors in postmenopausal women. in this cross-sectional study, 264 postmenopausal women by u...

A best evidence topic in cardio thoracic surgery was written according to a structured protocol. The question addressed whether cardiac re-transplantation can be performed with an acceptable survival in patients who suffer primary graft failure? Altogether 458 papers were found using the reported search, of which 18 presented the best evidence to answer the clinical question. The author, journa...

THE Intensive Care Unit (ICU) in the Belfast City Hospital was opened on 1st September, 1978. The object of this paper is to present an audit of the first two years work. The ICU is a four-bedded unit which was intended to provide support for the needs of the acute services of the South Belfast Group. The main hospitals are the Belfast City Hospital (1116 beds) and the Musgrave Park Hospital (7...