EACTA 2013 Abstracts The 28th Annual Meeting of the European Association of Cardiothoracic Anaesthesiologists Barcelona, Spain Edited by Bodil Steen Rasmussen (Denmark) and John Manners (United Kingdom) EACTA 2013 Abstract Committee: Guillermina Fita (Spain) Pilar Paniagua Iglesias (Spain) Wulf Dietrich (Germany) Jouko Jalonen (Finland) Romuald Lango (Poland) Vladimir Lomivorotov (Russia) David Charles Smith (UK) Alain Vuylsteke (UK) Harry van Wezel (Canada) Bodil Steen Rasmussen (Denmark), Chairman /53"7*5"- *$30$*3$6-"5*0/ ."(*/( /53"7*5"-*."(*/(0'5)&.*$30$*3$6-"5*0/3&13& 4&/54 " 4$*&/5*'*$ .&5)0% #3*%(*/( 5)& ("1 #&58&&/.0-&$6-"3.*$307"4$6-"33&4&"3$)"/% $-*/*$"- 456%*&4 ."(*/( %&7*$&4 */$-6%&4 */53"7*5"- .*$304$01: ! 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Carsten Wächter ................................................ 11 P1-2 When the numbers are wrong – Pitfalls and challenges in monitoring! Erik Jensen .................................................... 12 P1-3 Does technology make us risk averse or risk aware? John Kneeshaw ................................................. 13 P1-4 Wireless anaesthetic data management Andy Pybus ................................................... 15 P2-1 Cerebral Oximetry: Better monitoring, improved patient outcomes, both or neither? Hilary P. Grocott ................................................ 15 P2-2 Monitoring with Point-of-Care Hemostasis Testing. Does it affect Outcome? In Which patients? Linda Shore-Lesserson ............................................ 20 P2-3 Transcatheter AVR – Does this technology have merit and in whom? An anesthesiologist’s perspective. Jack Shanewise ................................................. 22 P3-1 What should a ‘cardiac’ anaesthesiologist teach a ‘thoracic’ anaesthesiologist? Patrick Wouters ................................................. 26 P3-2 What should a ‘thoracic’ anesthesiologist teach a ‘cardiac’ anesthesiologist? Peter Slinger ................................................... 26 P4-1 Fibrinogen: Necessary in cardiovascular surgery? Pro position Sibylle Kozek. 28 P4-2 Fibrinogen: Necessary in cardiovascular surgery? Con position Wulf Dietrich .................................................. 29 P5-1 Biomarkers in preoperative risk assessment and optimization in vascular surgery Miodrag Filipovic ............................................... 31 P5-2 Perioperative myocardial ischemia: diagnosis, prognostic significance and therapeutic strategies in vascular surgery Pablo Alonso, Pilar Paniagua, Philip J. Devereaux ....................... 34 P5-3 Neurological monitoring during vascular sugery Hans Knotzer .................................................. 36 P6-1 Indication, contraindication and controversies for endovascular aortic replacement in Abdominal Aortic Aneurysm and Thoracoabdominal Aneurysm Manfred Gschwendtner .......................................... 37 4 EACTA 2013 | Contents P6-2 Management of ruptured abdominal aortic aneurysms Janet T Powell .................................................. 38 P6-3 Anaesthetic and postoperative management in endovascular aortic replacement Simon Howell .................................................. 39 P7-1 Preoperative optimization of anemia improves outcome? Hans Gombotz ................................................. 46 P7-2 The bleeding patient Marcel Levi .................................................... 48 P7-3 Impact of the age of red blood cells and the outcome after cardiac surgery. Christian von Heymann .......................................... 49 P8-1 New antiplatelets. A problem in cardiac surgery? Jose Mateo .................................................... 50 P8-2 New oral anticoagulants in cardiac surgery – management of coagulation and haemostasis Wulf Dietrich .................................................. 50 P8-3 Alternatives to Heparin during Cardiopulmonary Bypass and in the Intensive Care Unit Dave Royston .................................................. 53 P9-1 Only cardiothoracic anaesthetists can be good cardiothoracic intensivists Sven-Erik Ricksten ............................................... 55 P9-2 Any intensivist can be a good cardiothoracic intensivist Andy Rhodes .................................................. 56 P10-1 Total circulatory arrest. What is new? Pascal Colson .................................................. 58 P10-2 Difffcult weaning from CPB: something different since 2000? Olivier Bastien ................................................. 61 P10-3 Pulmonary hypertension and right ventricular failure: new tools for an old problem? Didier Payen ................................................... 63 P11-1 Lung Ultrasound: enough evidence to support its routine use in anaesthesia and critical care medicine? Fabio Guarracino ............................................... 65 P11-2 Myocardial deformation imaging: a major step forward or just a waste of time? Current status. Patrick Wouters ................................................. 65 P11-3 Will 3D/4D become the mainstay soon: clinical evidence for its incremental value? G. Burkhard Mackensen .......................................... 65 P12-1 Are new technologies improving heart failure? ECMO is best Alain Combes .................................................. 66 P12-2 Are new technologies improving heart failure? VAD is best Michael Sander ................................................. 67 P13-1 Goal directed Monitoring in cardiotho-racic and vascular intensive care Christof K. Hofer ................................................ 70 P13-2 Echocardiography in cardiothoracic intensive care: just a new tool? Isabelle Michaux ................................................ 72 EACTA 2013 | Contents 5 P13-3 ECMO in organ failure: a step too far? Alain Vuylsteke ................................................. 74 P14-1 Restricted Therapy is best Peter Slinger ................................................... 75 P14-2 Free fluid therapy is best. Liberal or restricted fluid administration: Are we ready for a proposal of a restricted approch? Della Rocca G, Tripi G, Pompei L ................................... 77 P15-A-1 Lung Recruitment in Thoracic Surgery, is necessary? Pro position Mª Carmen Unzueta ............................................. 80 P15-A-2 Lung Recriutment in Thoracic Surgery. Con position Peter Slinger ................................................... 82 P15-B-1 Near-infrared spectroscopy (NIRS) in One Lung Ventilation, are really useful? Pro position Della Rocca G ................................................. 82 P15-B-2 Near-infrared spectroscopy (NIRS) in One Lung Ventilation, are really useful? Con position Béla Fülesdi, Tamás Végh ......................................... 84 P15-C-1 Double-lumen tubes (DLTs) are obso-lete, the future is bronchial blocker Edmond Cohen ................................................. 85 P15-C-2 DLTs are still the best for lung separation Joseph Marc Licker .............................................. 85 P15-D-1 Left-sided DLTs for everyone Mert Sentürk ................................................... 85 P15-D-2 Right-sided DLTs for left pulmonary resections Laszlo L. Szegedi ................................................ 86 P16-1 Optimalisation of ventilation using a new impedance tomography monitor Laszlo Szegedi ................................................. 87 P16-2 Usefulness of extracorporeal support systems during thoracic surgery Mert Sentürk ................................................... 88 P16-3 Volumetric capnography for monitoring and predicting the effect of PEEP on oxygenation during one-lung ventilation Tamás Végh ................................................... 89 P19-1 Basic mechanisms of acute lung injury Masao Takata ..................................................101 P19-2 Ischemia-reperfusion injury in lung transplantation Nandor