R C Groom
Affiliation: Maine Medical Center
- High or low hematocrits during cardiopulmonary bypass for patients undergoing coronary artery bypass graft surgery? An evidence-based approach to the questionRobert C Groom
Maine Medical Center, Portland 04102, USA
Perfusion 17:99-102. 2002..Each open-heart center should consider the Hct question carefully, examining both the published literature and their own results related to CPB Hct and patient outcomes...
- Detection and elimination of microemboli related to cardiopulmonary bypassRobert C Groom
Cardiac Surgery and the Department of Anesthesia, Maine Medical Center, Portland, ME 04102, USA
Circ Cardiovasc Qual Outcomes 2:191-8. 2009..The aim of this work was to study the occurrence of cerebral embolism during CPB and to evaluate the effectiveness of evidence-based CPB circuit component and process changes on the exposure of the patient to emboli...
- Parallel replacement of the oxygenator that is not transferring oxygen: the PRONTO procedureR C Groom
Maine Medical Center, Portland, Maine 04102, USA
Perfusion 17:447-50. 2002..The technique is simple; it can be carried out rapidly. An important advantage of this technique is that it may be executed without interrupting blood flow to the patient, which may reduce the incidence of patient injury or death...
- Update on pediatric perfusion practice in North America: 2005 surveyRobert C Groom
Cardiac Surgery, Maine Medical Center, Portland 04102, USA
J Extra Corpor Technol 37:343-50. 2005..These surveys document the diffusion of innovation related to CPB during the past 16 years and areas of variation in practice that need further study...
- Highest core temperature during cardiopulmonary bypass and rate of mediastinitisRobert C Groom
Maine Medical Center, Portland, ME 04102, USA
Perfusion 19:119-25. 2004..9 degrees C during CPB is a significant risk factor for development of mediastinitis. Avoidance of higher temperatures during CPB may lower the risk of mediastinitis for diabetic patients undergoing CABG surgery...
- A model for cardiopulmonary bypass redesignR C Groom
Maine Medical Center, Cardiac Surgery Division, Portland, ME 04102, USA
Perfusion 19:257-61. 2004..The aim of our current work is to obtain a thorough understanding of the processes of care associated with the production of embolic activity, cerebral hypoperfusion, and hemodynamic aberrations that often occur during CPB...
- Pediatric cardiopulmonary bypass devices: trends in device use for cardiopulmonary bypass and postcardiotomy supportRobert C Groom
Department of Cardiovascular Perfusion, Maine Medical Center, Portland, ME 04102, USA
ASAIO J 51:525-9. 2005..Nearly 40% of centers use these alternate components in their ECLS systems. Costs, utility, safety and measurable benefit to the patient should guide decisions related to device selection...
- Same admission cardiac catheterization and cardiac surgery: is there an increased incidence of acute kidney injury?Robert S Kramer
Division of Cardiothoracic Surgery, Maine Medical Center R8, 22 Bramhall St, Portland, ME 04102, USA
Ann Thorac Surg 90:1418-23; discussion 1423-4. 2010..We hypothesized that patients undergoing cardiac catheterization and cardiac surgery during the same admission are more likely to develop AKI after cardiac surgery than patients for whom surgery is performed on a later admission...
- A systematic approach to the understanding and redesigning of cardiopulmonary bypassRobert C Groom
Maine Medical Center, Northern New England Cardiovascular Disease Study Group, Portland, USA
Semin Cardiothorac Vasc Anesth 9:159-61. 2005..se of this model provides the surgical team detailed information about these precursors to neurologic injury. This system provides a systematic approach to the understanding and redesigning of CPB...
- Repair of hypoplastic left heart syndrome of a 4.25-kg Jehovah's witnessRichard J Forest
Department of Cardiac Surgery, Maine Medical Center, Portland 04102, USA
Perfusion 17:221-5. 2002..The key to a successful outcome is a well-thoughtout plan by the surgeon, anesthesiologist and perfusionist. This plan should include careful monitoring of the patient's oxygenation and cardiovascular status...
- Microemboli from cardiopulmonary bypass are associated with a serum marker of brain injuryRobert C Groom
Cardiac Surgery, Maine Medical Center, Portland, Maine, USA
J Extra Corpor Technol 42:40-4. 2010..03). Microemboli leaving the CPB circuit were associated with increases in postoperative S100beta levels. Efforts aimed at reducing microembolic load leaving the CPB circuit should be adopted to reduce brain injury...
- Lowest core body temperature and adverse outcomes associated with coronary artery bypass surgeryGordon R DeFoe
Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA
Perfusion 18:127-33. 2003..Rates of intra- or postoperative use of an intra-aortic balloon pump are also higher with lower core temperatures. We concluded that temperature management strategy during CABG surgery has an important effect on patient outcomes...
- Intraoperative red blood cell transfusion during coronary artery bypass graft surgery increases the risk of postoperative low-output heart failureStephen D Surgenor
Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756
Circulation 114:I43-8. 2006..The impact of intraoperative red blood cell (RBC) transfusion to treat anemia during surgery is less understood. We examined the relationship between anemia during CPB, RBC transfusion, and risk of low-output heart failure (LOF)...
- Cardiopulmonary bypass recommendations in adults: the northern New England experienceChristian P DioDato
Concord Hospital, Concord, New Hampshire, USA
J Extra Corpor Technol 40:16-20. 2008..We continue to prospectively measure CPB practice relating to these recommendations to monitor and improve the care provided to our patients...
- A method for identifying mechanisms of neurologic injury from cardiac surgeryDonald S Likosky
Department of Surgery, Dartmouth College, Hanover, New Hampshire, USA
Heart Surg Forum 7:348-52. 2004....
- CollaborationRobert C Groom
J Extra Corpor Technol 40:3. 2008
- Embolic activity subsequent to injection of the internal mammary artery with papaverine hydrochlorideDonald S Likosky
Department of Surgery and Community and Family Medicine and Medicine, Dartmouth Medical School, Hanover, NH 03756, USA
Heart Surg Forum 8:E434-6. 2005..In this present study, we report an association between variations in the treatment of the internal mammary artery with the detection of cerebral embolic signals...