JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA心胸血管麻醉杂志
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA(英文缩写 J CARDIOTHOR VASC AN),ISSN 1053-0770,eISSN 1532-8422,中文译名:心胸血管麻醉杂志 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-28 至 2026-09-28，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 2.894 | Q3 |
| 2022 | 2.800 | Q3 |
| 2023 | 2.300 | Q2 |
| 2024 | 2.100 | Q2 |
| 2025 | 2.600 | Q2 |
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA 最新收录文献
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1. Cardiopulmonary Bypass Priming Practices and Blood Product Availability in Neonatal Cardiac Surgery: A European Survey.
PMID:日期:2026-10-01Neonatal cardiac surgery requires cardiopulmonary bypass (CPB) strategies that minimize hemodilution while maintaining adequate oxygen delivery and hemostatic balance. Despite increasing emphasis on patient blood management (PBM), contemporary CPB priming and perioperative hemostasis practices across European neonatal cardiac surgery programs remain poorly characterized. This prospective, 26-item, web-based cross-sectional survey was designed to evaluate current practices in CPB priming, availability of blood products, and perioperative coagulation management strategies in neonatal cardiac surgery across Europe. The participants included anesthesiologists, congenital cardiac surgeons, and perfusionists from active neonatal cardiac surgery programs. A 26-item survey was distributed to 122 identified European neonatal cardiac surgery centers; 71 centers from 32 countries responded (58% response rate). Three main CPB machine platforms and four oxygenator types were reported. Priming volumes varied substantially across centers, ranging from 75 mL to 450 mL. Packed red blood cells were incorporated into the CPB prime in 58 centers (82%), while plasma products were used in 37 centers (52%). Coagulation factor concentrates were available in nearly half of the responding centers, and 64% reported that their use did not require hematology approval. Point-of-care coagulation testing was used to guide intraoperative hemostasis management in 86% of centers, although device availability and turnaround times varied widely. These results provide a contemporary snapshot and highlight substantial heterogeneity across European neonatal cardiac surgery programs in CPB priming strategies, blood product availability, and perioperative hemostasis management. While many centers have adopted point-of-care-guided PBM approaches and targeted factor replacement strategies, considerable variability persists in circuit configuration, priming volume, and transfusion resources. These findings highlight opportunities for collaborative research and for developing consensus-driven PBM frameworks to optimize neonatal CPB and perioperative hemostasis management.
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2. Corrigendum to 'Unifying Weaning Success Criteria to Bridge the Extracorporeal Membrane Oxygenation Gap: Variations in Determinants Based on Definitions of Successful Weaning' [Journal of Cardiothoracic and Vascular Anesthesia, Volume 39, Issue 8, (2025), Pages 2102 - 2110].
PMID:日期:2026-10-01该文献暂无摘要。
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4. Machine Learning‒Based Predictors of Prolonged Mechanical Ventilation Duration Following Coronary Artery Bypass Grafting.
PMID:日期:2026-10-01This study aims to develop a machine learning model for predicting whether patients will experience prolonged mechanical ventilation and to elucidate the roles of various factors in disease prediction. A retrospective study investigating influencing factors of prolonged mechanical ventilation in patients after coronary artery bypass grafting, PARTICIPANTS: The study cohort consisted of patients undergoing coronary artery bypass grafting selected from the MIMIC-IV 2.2 database. The study endpoint was prolonged mechanical ventilation, characterized by mechanical ventilation lasting more than 24 hours. Patients were stratified into normal duration and prolonged duration groups. Feature selection was performed using recursive partitioning and regression trees (RPART), random forest (RF), light gradient boosting machine (LightGBM), kernel k-nearest neighbors (K-KNN), and naive Bayes (NB) machine learning algorithms. Algorithm performance was assessed through multiple metrics including area under the receiver operating characteristic curve, area under the precision-recall curve, accuracy, misclassification rate, sensitivity, and specificity. The predictive importance of features in the top-performing model was quantified using SHapley Additive exPlanations (SHAP) values. The study cohort comprised 2,356 patients who received coronary artery bypass grafting. The machine learning models incorporated 40 baseline features and 5 composite metrics. Assessment revealed that the random forest model achieved superior comprehensive performance, exhibiting an area under the receiver operating characteristic curve of 0.9976 and an area under the precision-recall curve of 0.9976. It maintained high accuracy and low classification error rate. The model preserved remarkably high sensitivity and specificity. SHAP analysis revealed that delirium, percutaneous oxygen saturation, glycemic variability, and Sequential Organ Failure Assessment (SOFA) score made predominant contributions. The random forest model exhibited optimal predictive capability for prolonged mechanical ventilation after coronary artery bypass grafting. Delirium and blood glucose fluctuations served as the key predictive factors in this model.
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5. Postoperative Outcomes Following Prolonged One-Lung Ventilation in Thoracic Surgery in Relation to Intraoperative Ventilation Practice: A Registry-Based Multicenter Study.
PMID:日期:2026-10-01To evaluate the association between intraoperative ventilation parameters during prolonged one-lung ventilation (OLV) and postoperative outcomes. Retrospective multicenter cohort study. German Thorax Registry. Two thousand twenty-six patients who underwent thoracic surgery with OLV >60 minutes between 2016 and 2021. None. Parameters included peak pressure-derived driving pressure (DP), calculated as maximum airway pressure (pMax) minus positive end-expiratory pressure (PEEP); pMax; PEEP; and tidal volume (TV) per predicted body weight (PBW). Primary outcomes were overall postoperative complications and respiratory complications; in-hospital mortality was analyzed as a secondary outcome. Postoperative complications occurred in 34.1% of patients; respiratory complications, in 18.6%; and in-hospital mortality, in 1.8%. In unadjusted analyses, higher overall postoperative complication rates were observed above several ventilation thresholds, including DP >20 millibars (mbar), pMax >25 and >30 mbar, PEEP >7 and >8 mbar, and TV/PBW >4 and >5 mL/kg PBW (all p < 0.05). Higher overall postoperative complication rates also were observed for OLV duration >180 minutes compared with 61 to 90 minutes and for surgery duration >180 minutes compared with 31 to 60 minutes (both p < 0.001). Respiratory complications were significantly associated with DP >20 mbar (p = 0.009; DP >25 mbar: p = 0.013), pMax >25 mbar (p < 0.001; pMax >30 mbar: p = 0.022), and TV >5 mL/kg PBW (p = 0.032). Respiratory complication rates also were higher for OLV duration >180 minutes compared with 61 to 90 minutes and for surgery duration >180 minutes compared with 31 to 60 minutes (both p < 0.001). In-hospital mortality was significantly associated with DP >20 mbar (p = 0.023), pMax >25 mbar (p = 0.017; pMax >30 mbar: p < 0.001), PEEP >8 mbar (p = 0.027), and TV >8 mL/kg PBW (p = 0.034), but analysis was limited by the low number of events (n = 37). Several pressure-, volume-, and duration-related thresholds were associated with higher postoperative morbidity and in-hospital mortality in unadjusted analyses. These findings should not be interpreted as evidence to reduce PEEP routinely during OLV. In adjusted models, baseline patient risk and case complexity markers were the main contributors, suggesting that higher PEEP may partly reflect confounding by indication, intraoperative physiology, and procedural complexity. Prospective validation is warranted.
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8. Perioperative Hemodynamics and Clinical Outcomes of Cesarean Delivery Under Neuraxial Anesthesia in Women with Fontan Circulation: A Single-Center Retrospective Cohort Study.
PMID:日期:2026-10-01Cesarean delivery in women with Fontan circulation poses significant risks of hemodynamic instability. We aimed to characterize perioperative hemodynamic fluctuations and describe short-term maternal and neonatal outcomes in this population. Single-center retrospective cohort study. Tertiary referral center in Japan. Women with Fontan circulation undergoing cesarean delivery (2009-2025). Neuraxial anesthesia and cesarean delivery. Twelve deliveries (11 women) were analyzed. Median gestational age was 35.5 weeks; all patients were New York Heart Association class I at the initial visit. After neuraxial anesthesia, central venous pressure (CVP) fell from 17.0 to 11.0 mmHg (-6.0 mmHg [-8.5 to -4.0], p = 0.006), and systolic blood pressure fell from 129 to 107 mmHg (-24.5 mmHg [-30.5 to -17.5], p = 0.003). With vasopressor support, clinically significant hypotension was avoided in 11 of 12 deliveries. Immediately after delivery, systolic blood pressure decreased in all cases (estimated paired difference, -21.0 mmHg; 95% CI, -25.0 to -17.0; p = 0.003), whereas CVP showed no consistent change (estimated paired difference, 0.0 mmHg; 95% CI, -7.5 to 2.0; p = 0.96). No new-onset heart failure or arrhythmias requiring treatment occurred intraoperatively, though postoperative arrhythmias developed in 25% of deliveries. In this cohort of carefully selected patients with Fontan circulation, cesarean delivery was associated with manageable hemodynamic fluctuations and acceptable short-term outcomes when continuous CVP monitoring and timely pharmacologic interventions were implemented. These data may inform multidisciplinary peripartum management in this high-risk population.
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10. Heparin Activity Following Titration-Guided Protamine Reversal After Cardiopulmonary Bypass: Impact on Postoperative Bleeding.
PMID:日期:2026-10-01To evaluate postoperative residual and reappearing heparin activity after low-dose, titration-guided protamine reversal following cardiopulmonary bypass (CPB) in elective coronary artery bypass grafting (CABG). Prospective, controlled clinical study. Single-center university hospital. Forty adult patients undergoing elective CABG with CPB. Heparin and protamine dosing was guided by an automated titration system. Blood samples were obtained before induction, at the end of CPB, before and after protamine administration, on intensive care unit (ICU) arrival, 3 hours after ICU arrival, and on postoperative day 1. Heparin activity was assessed by anti-factor Xa (anti-FXa), activated partial thromboplastin time (aPTT), and thrombin time (TT). Global coagulation was evaluated using endogenous thrombin potential (ETP). The mean protamine to heparin (P/H) ratio was 0.54 ± 0.14 mg/100 U. On ICU arrival (82 ± 23 minutes after protamine), anti-FXa activity was 0.14 ± 0.15 U/mL, with 60% of patients showing detectable levels. The P/H ratio correlated negatively with TT (r = -0.48, p = 0.004) and aPTT (r = -0.50, p = 0.0015) and positively with ETP (r = 0.41, p = 0.0012). Three hours after ICU arrival, anti-FXa activity increased to 0.18 ± 0.10 U/mL (98% detectable), independent of P/H ratio. No association was found between heparin activity and postoperative bleeding. Residual heparin activity was common after low-dose, titration-guided protamine reversal and related to P/H ratio on ICU arrival. Reappearing heparin activity occurred independently of protamine dosing and was not associated with bleeding.