Research Topics
| Keyvan KarkoutiSummaryAffiliation: University of Toronto Country: Canada Publications
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Detail Information
Publications
Predicting difficult intubation: a multivariable analysisK Karkouti
Department of Anaesthesia, Toronto General Hospital, University Health Network, Ontario, Canada
Can J Anaesth 47:730-9. 2000..To develop a clinically useful and valid model for predicting difficult laryngoscopic tracheal intubation in patients with seemingly normal airways by adhering to the principles of multivariable model development...
Variability and predictability of large-volume red blood cell transfusion in cardiac surgery: a multicenter studyKeyvan Karkouti
University Health Network, Toronto General Hospital, Department of Anesthesia, Ontario, Canada
Transfusion 47:2081-8. 2007..The objectives of this study were to measure the interinstitution variation and predictability of large-volume RBC transfusion...
Intravenous iron and recombinant erythropoietin for the treatment of postoperative anemiaKeyvan Karkouti
Toronto General Hospital, University Health Network, Department of Anesthesia, 3 Eaton North, 200 Elizabeth Street, Toronto, Ontario M5G 2C4, Canada
Can J Anaesth 53:11-9. 2006..To determine if early recovery from severe post-operative anemia is accelerated by iv iron therapy alone or in combination with recombinant erythropoietin (EPO)...
Platelet transfusions are not associated with increased morbidity or mortality in cardiac surgeryKeyvan Karkouti
Department of Anesthesia, University Health Network, University of Toronto, Toronto, Ontario, Canada
Can J Anaesth 53:279-87. 2006..To determine the independent relationship between leukoreduced platelet transfusions and adverse events in cardiac surgery...
A propensity score case-control comparison of aprotinin and tranexamic acid in high-transfusion-risk cardiac surgeryKeyvan Karkouti
Department of Anesthesia, University of Toronto, Toronto, Ontario, Canada
Transfusion 46:327-38. 2006..Prophylactic use of the antifibrinolytic drugs aprotinin and tranexamic acid is thought to prevent these hemostatic defects. Their relative clinical utility and safety in high-transfusion-risk cardiac surgery, however, is not known...
Prognostic value of postoperative proteinuria in cardiac surgery: a pilot studyKeyvan Karkouti
University Health Network, Toronto General Hospital, Department of Anesthesia, EN 3 402, 200 Elizabeth Street, Toronto, Ontario M5G 2C4, Canada
Can J Anaesth 53:500-6. 2006..The objective of this pilot study was to determine if postoperative proteinuria is associated with adverse outcomes following cardiac surgery with cardiopulmonary bypass...
Aprotinin is useful as a hemostatic agent in cardiopulmonary surgery: noK Karkouti
Department of Anesthesia, Health Network, University of Toronto, Toronto, ON, Canada
J Thromb Haemost 4:1879-81. 2006
Prediction of massive blood transfusion in cardiac surgeryKeyvan Karkouti
University Health Network, Toronto General Hospital, Department of Anesthesia, EN 3 402, 200 Elizabeth Street, Toronto, Ontario M5G 2C4, Canada
Can J Anaesth 53:781-94. 2006..The objective of this study was to develop a prediction rule for massive blood transfusion (MBT) that could be used to optimize the management of, and research on, at-risk patients...
Determinants of complications with recombinant factor VIIa for refractory blood loss in cardiac surgeryKeyvan Karkouti
University of Toronto, University Health Network, Department of Anesthesia, 3 Eaton North, 200 Elizabeth Street, Toronto, Ontario M5G 2C4, Canada
Can J Anaesth 53:802-9. 2006..Recombinant factor VIIa (rFVIIa) is being used for refractory, excessive blood loss (EBL) after cardiac surgery, but its safety for this indication is not known...
The effects of a treatment protocol for cardiac surgical patients with excessive blood loss on clinical outcomesK Karkouti
Department of Anaesthesia, University Health Network, University of Toronto, Toronto, Ontario, Canada
Vox Sang 91:148-56. 2006..The objective of this before/after study was to determine whether the implementation of a protocol for management of cardiac surgical patients with EBL was associated with improved clinical outcomes...
Acute kidney injury after cardiac surgery: focus on modifiable risk factorsKeyvan Karkouti
Department of Anesthesia and Health Policy, Management, and Evaluation, Toronto General Hospital, University of Toronto, 200 Elizabeth St, EN 3 402, Toronto, Ontario, Canada M5G 2C4
Circulation 119:495-502. 2009..Lacking effective therapies, risk factor modification may offer a means of preventing this complication. The objective of the present study was to identify and determine the prognostic importance of such risk factors...
Comprehensive Canadian review of the off-label use of recombinant activated factor VII in cardiac surgeryKeyvan Karkouti
University Health Network, Toronto General Hospital, Department of Anesthesia, EN 3 402, 200 Elizabeth St, Toronto, Ontario, Canada M5G 2C4
Circulation 118:331-8. 2008..This observational study sought to identify the off-label use pattern of recombinant activated factor VII (rFVIIa) in cardiac surgery and to identify predictors of its effectiveness and risk...
The influence of baseline hemoglobin concentration on tolerance of anemia in cardiac surgeryKeyvan Karkouti
Department of Anesthesia, University Health Network, University of Toronto, Toronto, Ontario, Canada
Transfusion 48:666-72. 2008..Nonetheless, "normal" Hb concentrations vary widely in the population, and this variability may influence patients' tolerance of acute anemia. This retrospective cohort study was carried out to test this hypothesis...
Risk associated with preoperative anemia in cardiac surgery: a multicenter cohort studyKeyvan Karkouti
Department of Anesthesia, University Health Network, University of Toronto, Toronto, Ontario, Canada, M5G 2C4
Circulation 117:478-84. 2008..Whether preoperative anemia also is an independent risk factor for adverse outcomes after cardiac surgery, however, has not been fully elucidated...
Low hematocrit during cardiopulmonary bypass is associated with increased risk of perioperative stroke in cardiac surgeryKeyvan Karkouti
Department of Anesthesia, University Health Network, Toronto, Ontario, Canada
Ann Thorac Surg 80:1381-7. 2005..The objective of this observational study was to evaluate the relationship between nadir hematocrit during CPB and perioperative stroke while adjusting for variables known to have an association with stroke and anemia...
The role of recombinant factor VIIa in on-pump cardiac surgery: proceedings of the Canadian Consensus ConferenceKeyvan Karkouti
University Health Network, Toronto General Hospital, Department of Anesthesia, Toronto, Ontario, Canada
Can J Anaesth 54:573-82. 2007..A Canadian Consensus Conference was convened to generate recommendations for rFVIIa use in on-pump cardiac surgery...
Pro: Preoperative autologous blood donation has a role in cardiac surgeryKeyvan Karkouti
Department of Anesthesia and Perioperative Blood Conservation Program, University Health Network, University of Toronto, Toronto, Ontario, Canada
J Cardiothorac Vasc Anesth 17:121-5. 2003
The risk-benefit profile of aprotinin versus tranexamic acid in cardiac surgeryKeyvan Karkouti
Department of Anesthesia, University of Toronto, and Toronto General Hospital, Toronto, ON, Canada M5G 2C4
Anesth Analg 110:21-9. 2010..It remains unclear whether its risk-benefit profile differs among low-, moderate-, and high-risk cardiac surgical patients...
The independent association of massive blood loss with mortality in cardiac surgeryKeyvan Karkouti
Department of Anesthesia, University of Toronto, Toronto, Ontario, Canada
Transfusion 44:1453-62. 2004..The objective of this cohort study was to quantify the independent association of MBL in cardiac surgery with all-cause in-hospital mortality...
Influence of erythrocyte transfusion on the risk of acute kidney injury after cardiac surgery differs in anemic and nonanemic patientsKeyvan Karkouti
Department of Anesthesia, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada
Anesthesiology 115:523-30. 2011..Two important risk factors for AKI are preoperative anemia and perioperative erythrocyte transfusion, and elucidating their relationship may help in devising preventive strategies...
A multivariable model for predicting the need for blood transfusion in patients undergoing first-time elective coronary bypass graft surgeryK Karkouti
Department of Anesthesia, University Health Network, Toronto General Hospital, Centre for Research in Women s Health, Ontario, Canada
Transfusion 41:1193-203. 2001..Multivariable analysis techniques were used in this study to develop a prediction rule for such a purpose...
Hemodilution during cardiopulmonary bypass is an independent risk factor for acute renal failure in adult cardiac surgeryK Karkouti
Department of Anesthesia, University Health Network, University of Toronto, Ontario, Canada
J Thorac Cardiovasc Surg 129:391-400. 2005..This observational study sought to determine whether the degree of hemodilution during cardiopulmonary bypass is independently related to perioperative acute renal failure necessitating dialysis support...
Erythropoietin is an effective clinical modality for reducing RBC transfusion in joint surgeryKeyvan Karkouti
Department of Anesthesia, Unversity Health Network, University of Toronto, Ontario, Canada
Can J Anaesth 52:362-8. 2005..The purpose of this observational, cohort study was to assess the effectiveness of this practice in reducing red blood cell (RBC) transfusion...
The incremental value of thrombelastography for prediction of excessive blood loss after cardiac surgery: an observational studyMarcin Wasowicz
Toronto General Hospital, 200 Elizabeth St, 3EN 402 Toronto, ON, Canada M5G 2C4
Anesth Analg 111:331-8. 2010..Accurate risk stratification may help reduce the burden of excessive blood loss after cardiac surgery. We measured the incremental value of thrombelastography to an existing risk prediction model for excessive blood loss in cardiac surgery...
Derivation of a risk index for the prediction of massive blood transfusion in liver transplantationStuart A McCluskey
Department of Anesthesia and Pain Management, University of Toronto, Toronto, Ontario, Canada
Liver Transpl 12:1584-93. 2006..The ROC for this risk index was 0.79. MBT in liver transplantation surgery can be accurately predicted by 7 readily available preoperative predictors...
The influence of perioperative coagulation status on postoperative blood loss in complex cardiac surgery: a prospective observational studyKeyvan Karkouti
Department of Anesthesia, Toronto General Hospital, 200 Elizabeth St, EN3 402, Toronto, ON, Canada M5G 2C4
Anesth Analg 110:1533-40. 2010..In this prospective cohort study, we measured patients' coagulation status before and after cardiopulmonary bypass (CPB) and examined their relationships with postoperative blood loss...
Acute surgical anemia influences the cardioprotective effects of beta-blockade: a single-center, propensity-matched cohort studyW Scott Beattie
Department of Health Policy Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
Anesthesiology 112:25-33. 2010....
Evaluating surrogate measures of renal dysfunction after cardiac surgeryDuminda N Wijeysundera
Department of Anaesthesia, University of Toronto, Ontario, Canada
Anesth Analg 96:1265-73, table of contents. 2003..Both measures were correlated with clinical outcomes. Creatinine clearance had the advantage of a distribution suitable for parametric statistical tests...
Recombinant factor VIIa for intractable blood loss after cardiac surgery: a propensity score-matched case-control analysisKeyvan Karkouti
Department of Anesthesia, University of Toronto, University Health Network, Toronto, Ontario, Canada
Transfusion 45:26-34. 2005..Recombinant factor VIIa (rF-VIIa) is being increasingly used as rescue therapy in such cases, but little information is available on its safety and efficacy for this indication...
Improving the identification of patients at risk of postoperative renal failure after cardiac surgeryDuminda N Wijeysundera
Department of Anesthesia, Toronto General Hospital and University of Toronto, Ontario, Canada
Anesthesiology 104:65-72. 2006..Calculated creatinine clearance (CrCl) is an alternative measure of renal function that may allow better estimation of renal reserve...
Advance targeted transfusion in anemic cardiac surgical patients for kidney protection: an unblinded randomized pilot clinical trialKeyvan Karkouti
Department of Anesthesia and Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada
Anesthesiology 116:613-21. 2012..Prophylactic erythrocyte transfusion in anemic patients may, therefore, protect against AKI...
N-acetylcysteine is associated with increased blood loss and blood product utilization during cardiac surgeryDuminda N Wijeysundera
Department of Anesthesia, Toronto General Hospital and University of Toronto, Toronto, Ontario, Canada
Crit Care Med 37:1929-34. 2009..We, therefore, performed a post hoc analysis of a recent randomized controlled trial in cardiac surgery to determine whether N-acetylcysteine was associated with increased blood loss and blood product transfusion...
Acupressure wristbands for the prevention of postoperative nausea and vomiting in adults undergoing cardiac surgeryAndrew A Klein
Department of Anesthesia, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada
J Cardiothorac Vasc Anesth 18:68-71. 2004..CONCLUSION: Acupressure treatment did not lead to a reduction in nausea, vomiting, or antiemetic requirements in patients after cardiac surgery...
The clinical utility of an index of global oxygenation for guiding red blood cell transfusion in cardiac surgeryDavid Orlov
Faculty of Medicine, Department of Anesthesia, Toronto General Hospital, Toronto, Ontario, Canada
Transfusion 49:682-8. 2009....
The pharmacokinetic profile of recombinant human erythropoietin is unchanged in patients undergoing cardiac surgeryStuart A McCluskey
Department of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, Eaton North 3 405, 200 Elizabeth Street, Toronto, ON M5G 2C4, Canada
Eur J Clin Pharmacol 65:273-9. 2009..In anticipation of future studies, we examined the pharmacokinetics profile of erythropoietin (EPO) in patients undergoing cardiac surgery...
N-acetylcysteine to reduce renal failure after cardiac surgery: a systematic review and meta-analysisFinola Naughton
Department of Anesthesia and Pain Management, University Health Network, Toronto General Hospital, University of Toronto, Ontario, Canada
Can J Anaesth 55:827-35. 2008..To assess the effect of N-acetylcysteine (NAC) on acute renal failure and important clinical outcomes after cardiac surgery...
Off-pump coronary artery surgery for reducing mortality and morbidity: meta-analysis of randomized and observational studiesDuminda N Wijeysundera
Department of Anesthesia, Toronto General Hospital, Toronto, Ontario, Canada
J Am Coll Cardiol 46:872-82. 2005..The purpose of this study was to assess the effects of off-pump coronary bypass surgery (OPCAB) on mortality and morbidity...
Derivation and validation of a simplified predictive index for renal replacement therapy after cardiac surgeryDuminda N Wijeysundera
Department of Anesthesia, Toronto General Hospital and University of Toronto, Toronto, Ontario, Canada
JAMA 297:1801-9. 2007..A predictive index for renal replacement therapy (RRT; hemodialysis or continuous venovenous hemodiafiltration) after cardiac surgery may improve clinical decision making and research design...
Calcium antagonists are associated with reduced mortality after cardiac surgery: a propensity analysisDuminda N Wijeysundera
Department of Anesthesia, University of Toronto, EN 3-453, Toronto General Hospital, 200 Elizabeth Street, Toronto, Ontario M5G 2C4, Canada
J Thorac Cardiovasc Surg 127:755-62. 2004..This benefit also extends to the subgroup that underwent coronary artery bypass grafting. A large randomized controlled trial of perioperative calcium channel blockers is therefore warranted...
Mild to moderate atheromatous disease of the thoracic aorta and new ischemic brain lesions after conventional coronary artery bypass graft surgeryGeorge Djaiani
Department of Anesthesiology, Toronto General Hospital, University Health Network, University of Toronto, Canada
Stroke 35:e356-8. 2004..We sought to determine the role of proximal thoracic aortic atheroma in predicting embolic events and new ischemic brain lesions in patients undergoing conventional coronary revascularization surgery...
The utility of thromboelastography for guiding recombinant activated factor VII therapy for refractory hemorrhage after cardiac surgeryMarcin Wasowicz
Department of Anesthesia, Toronto General Hospital, Toronto, Ontario, Canada
J Cardiothorac Vasc Anesth 23:828-34. 2009..In this study, the authors assessed the ability of thromboelastography (TEG) in guiding rFVIIa therapy in this setting...
Risk associated with preoperative anemia in noncardiac surgery: a single-center cohort studyW Scott Beattie
Department of Anesthesia, University Health Network, Toronto General Hospital, Toronto, Ontario, Canada
Anesthesiology 110:574-81. 2009..The objective of this observational study was to measure the prevalence of preoperative anemia and assess the relationship between preoperative anemia and postoperative mortality...
The safety of perioperative esmolol: a systematic review and meta-analysis of randomized controlled trialsSavio K H Yu
Department of Anesthesia and Pain Management, University Health Network, of Toronto, Toronto, Ontario, M5G 2C4, Canada
Anesth Analg 112:267-81. 2011..Safety was assessed by analyzing the incidence of postoperative hypotension and bradycardia, and efficacy was assessed by analyzing the incidence of myocardial ischemia...
Does tight heart rate control improve beta-blocker efficacy? An updated analysis of the noncardiac surgical randomized trialsW Scott Beattie
Department of Anesthesia, Toronto General Hospital and University of Toronto, EN 3 450 200 Elizabeth St, Toronto, Ontario M5G 2C4, Canada
Anesth Analg 106:1039-48, table of contents. 2008..Tight control of heart rate (HR) has been suggested to improve these outcomes. Meta-analyses have not considered the influence of tight HR control on the efficacy of perioperative beta-blockade...
Association of echocardiography before major elective non-cardiac surgery with postoperative survival and length of hospital stay: population based cohort studyDuminda N Wijeysundera
Keenan Research Centre, Li Ka Shing Knowledge Institute of St Michael s Hospital, 80 Bond Street, Toronto, ON, Canada
BMJ 342:d3695. 2011..To determine the association of resting echocardiography before elective intermediate to high risk non-cardiac surgery with survival and length of hospital stay...
A cluster-randomized controlled trial of a blood conservation algorithm in patients undergoing total hip joint arthroplastyCindy J Wong
Robarts Research Institute, Department of Epidemiology and Biostatistics, University of Western Ontario, London, Ontario, Canada
Transfusion 47:832-41. 2007..The optimum strategy for reducing allogeneic blood transfusion in patients undergoing total hip joint arthroplasty (THJA) is unknown...
Dual antiplatelet therapy in patients requiring urgent coronary artery bypass grafting surgery: a position statement of the Canadian Cardiovascular SocietyDavid Fitchett
St Michael s Hospital, Toronto, Canada
Can J Cardiol 25:683-9. 2009..Clopidogrel should be restarted when hemostasis is assured to prevent recurrent acute ischemic events...
Hyperglycemia during cardiopulmonary bypass is an independent risk factor for mortality in patients undergoing cardiac surgeryTorsten Doenst
Division of Cardiovascular Surgery, Toronto General Hospital and University of Toronto, Toronto, Ontario, Canada
J Thorac Cardiovasc Surg 130:1144. 2005..3) or aortic crossclamp times (r = 0.4). CONCLUSIONS: A high peak serum glucose level during cardiopulmonary bypass is an independent risk factor for death and morbidity in diabetic patients and unexpectedly also in nondiabetic patients...
Case report: management of life-threatening oropharyngeal bleeding with recombinant factor VIIaSheila Riazi
Toronto General Hospital, University Health Network, Department of Anesthesia, Toronto, Ontario, Canada
Can J Anaesth 53:881-4. 2006....
Risk factors for major complications after extrapleural pneumonectomy for malignant pleural mesotheliomaMarc de Perrot
Division of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada
Ann Thorac Surg 85:1206-10. 2008....
Use of clinically based troponin underestimates the cardiac injury in non-cardiac surgery: a single-centre cohort study in 51,701 consecutive patientsW Scott Beattie
Department of Anesthesia and Pain Management, University Health Network, Toronto, ON, Canada
Can J Anaesth 59:1013-22. 2012....
Technical report: analysis of citrated blood with thromboelastography: comparison with fresh blood samplesMarcin Wasowicz
Department of Anesthesia, Toronto General Hospital, University Health Network, and Department of Health Policy, Management and Evaluation, University of Toronto, 200 Elizabeth St, EN3 424, Toronto, Ontario M5G 2C4, Canada
Can J Anaesth 55:284-9. 2008....
Case report: transfusion-related acute lung injury (TRALI) - a clear and present dangerYulia Lin
Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada
Can J Anaesth 54:1011-6. 2007....
Cryoprecipitate: the current state of knowledgeJeannie L Callum
Sunnybrook Health Sciences Centre and University Health Network, Toronto, Ontario, Canada
Transfus Med Rev 23:177-88. 2009..Despite 45 years of the use of this product, we still have a lot to learn regarding the optimal use of cryoprecipitate...
Relationship of erythrocyte transfusion with short- and long-term mortality in a population-based surgical cohortKeyvan Karkouti
Department of Anesthesia, Toronto General Hospital, University Health Network, Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada
Anesthesiology 117:1175-83. 2012..Nonetheless, unmeasured confounding may unduly influence this comparison. This unmeasured risk may have less influence on comparisons of patients undergoing surgery at hospitals with differing transfusion rates...
Con: Aprotinin has a good efficacy and safety profile relative to other alternatives for prevention of bleeding in cardiac surgeryW Scott Beattie
Anesth Analg 103:1360-4. 2006
Letter by Karkouti and Beattie regarding article "Aprotinin does not increase the risk of renal failure in cardiac surgery patients"Keyvan Karkouti
Circulation 117:e472; author reply e476. 2008
Case 6--2007: massive intraoperative thrombosis and death after recombinant activated factor VII administrationAdam D Lichtman
Department of Anesthesiology, Weill-Cornell Medical Center, New York, NY 10021, USA
J Cardiothorac Vasc Anesth 21:897-902. 2007
Transfusion practices for elective orthopedic surgeryBrian G Feagan
Department of Epidemiology and Biostatistics, London Clinical Trials Research Group, John P. Robarts Research Institute, Ont
CMAJ 166:310-4. 2002..4% of all cases). INTERPRETATION: The use of blood conservation techniques among hospitals in Canada remains low. Only a minority of eligible patients participated in an autologous blood donation program...
Pulmonary-artery catheters in high-risk surgical patientsKeyvan Karkouti
N Engl J Med 348:2035-7; author reply 2035-7. 2003
Blood transfusions and mortality among critically ill patientsKeyvan Karkouti
JAMA 289:1242. 2003
Perioperative blood conservation--the experts, the elephants, the clinicians, and the gauntletKeyvan Karkouti
Can J Anaesth 54:861-7. 2007
Platelet transfusions as a risk factor in cardiac surgeryKeyvan Karkouti
Transfusion 47:1739-40; author reply 1740. 2007
