Ziae Totonchi

Publications44
h-index12
Citations373
Highly Influential Citations19
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Impact of Vitamin C Supplementation on Post-Cardiac Surgery ICU and Hospital Length of Stay
TLDR
Vitamin C can decrease the length of hospital stay, drainage volume in the ICU and in the first 24 postoperative hours, intubation time and some complications in patients after cardiac surgery; perhaps by decreasing inflammatory factors.
Factors Influencing Prolonged ICU Stay After Open Heart Surgery
TLDR
Evaluating possible risk factors influencing prolonged ICU stay in 280 adult patients undergoing cardiac surgery in a tertiary care center for cardiovascular patients in Tehran, Iran found that up to 30% of the patients had a prolongedICU stay of > 96 hours.
Predictors of Prolonged Mechanical Ventilation after Open Heart Surgery
TLDR
The findings reinforce that risk stratification for predicting delayed extubation should be an important aspect of preoperative clinical evaluation in all anesthesiology settings.
Hyperglycemia or high hemoglobin A1C: Which one is more associated with morbidity and mortality after coronary artery bypass graft surgery?
TLDR
Higher levels of both HbA1C and FBS contribute to the increased risk of morbidity but not mortality rates in post-CABG surgery patients; yet further studies are required to distinguish "a better predictor" of postoperative adverse events.
Comparison of Two Pain Assessment Tools, “Facial Expression” and “Critical Care Pain Observation Tool” in Intubated Patients After Cardiac Surgery
TLDR
The sensitivity of CPOT was higher for detection and evaluation of pain in intubated postoperative patients compared with “Facial Expression”, and best agreement between these tools was observed in two extremes of pain intensity.
Comparison between Prothrombin Complex Concentrate (PCC) and Fresh Frozen Plasma (FFP) for the Urgent Reversal of Warfarin in Patients with Mechanical Heart Valves in a Tertiary Care Cardiac Center
TLDR
Fresh frozen plasma and prothrombin complex concentrate reverses anticoagulation both effectively and safely while having the advantage of obviating the need to extra doses.
Anesthetic Management in a Patient With Type A Aortic Dissection and Superior Vena Cava Syndrome
TLDR
Femoro-femoral bypass prior to initiation of sternotomy is a safe and easy method in patients with aortic dissection and SVC syndrome in whom earlier endotracheal intubation may not be feasible.
Hemodynamic Changes Following Endotracheal Intubation With Glidescope® Video-Laryngoscope in Patients With Untreated Hypertension
TLDR
Hemodynamic fluctuations in patients with uncontrolled hypertension after endotracheal intubation were lower with the GVL than the MDL technique.
Predictors of Prolonged Mechanical Ventilation in Pediatric Patients After Cardiac Surgery for Congenital Heart Disease
TLDR
The results of this study indicated that PMV predictors could be specific for each center and a good administration program is needed for each pediatric cardiac surgery center for the preoperative management of patients undergoing congenital heart surgeries.
Feasibility of On-table Extubation After Cardiac Surgery with Cardiopulmonary Bypass: A Randomized Clinical Trial
TLDR
Combined inhalational-intravenous anesthesia along with using multiple anesthesia monitoring systems allows reducing the dose of total anesthetics and maintaining adequate anesthesia depth during noncomplex cardiac surgery with cardiopulmonary bypass and extubation of the trachea in the OR is feasible in patients.
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