Benjamin Milne
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View article: Adoption of a novel biomarker-guided quality improvement treatment bundle for patients with subclinical acute kidney injury after cardiac surgery
Adoption of a novel biomarker-guided quality improvement treatment bundle for patients with subclinical acute kidney injury after cardiac surgery Open
BACKGROUND Evidence-based peri-operative practices can deliver improved patient outcomes, but their benefits may be limited by obstacles to implementation into routine practice. A multicentre randomised controlled trial demonstrated a redu…
View article: Factors associated with symptom-to-surgery time in patients undergoing surgical repair for acute type A aortic dissection: an exploratory analysis from a prospective cohort study
Factors associated with symptom-to-surgery time in patients undergoing surgical repair for acute type A aortic dissection: an exploratory analysis from a prospective cohort study Open
Objectives The primary objective of this study was to investigate perioperative factors associated with symptom-to-surgery (STS) time in patients diagnosed with hyper-acute aortic dissection (AAD). The secondary objective was to develop a …
View article: 2024 EACTS/EACTAIC/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery
2024 EACTS/EACTAIC/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery Open
sponsorship: European Association of Cardiothoracic Anaesthesiology and Intensive Care, and the European Board of Cardiovascular Perfusion, European Association for Cardio-Thoracic Surgery
View article: 2024 EACTS/EACTAIC/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery
2024 EACTS/EACTAIC/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery Open
The current document presents a revision of the 2019 EACTS/EACTA/EBCP guidelines on cardiopulmonary bypass in adult cardiac surgery, emerging from a collaborative effort among the EBCP, EACTAIC and EACTS to establish guidance for unified c…
View article: Time critical diagnoses and transfers of patients with acute type A aortic dissection in the <scp>UK</scp> : national audit of current practice*
Time critical diagnoses and transfers of patients with acute type A aortic dissection in the <span>UK</span> : national audit of current practice* Open
Summary Background Type A aortic dissection repair is one of the most common emergency cardiac surgical procedures undertaken in the UK and has a high mortality. Early diagnosis and prompt surgery by an expert cardiac surgical team is cruc…
View article: Comparison between propofol and total inhalational anaesthesia on cardiovascular outcomes following on-pump cardiac surgery in higher-risk patients: a randomised controlled pilot and feasibility study
Comparison between propofol and total inhalational anaesthesia on cardiovascular outcomes following on-pump cardiac surgery in higher-risk patients: a randomised controlled pilot and feasibility study Open
Objectives Myocardial revascularisation and cardiopulmonary bypass (CPB) can cause ischaemia-reperfusion injury, leading to myocardial and other end-organ damage. Volatile anaesthetics protect the myocardium in experimental studies. Howeve…
View article: Comparison between Propofol and Total Inhalational Anaesthesia on Cardiovascular Outcomes Following On-pump Cardiac Surgery in Higher-Risk Patients – A Randomised Controlled Pilot and Feasibility Study
Comparison between Propofol and Total Inhalational Anaesthesia on Cardiovascular Outcomes Following On-pump Cardiac Surgery in Higher-Risk Patients – A Randomised Controlled Pilot and Feasibility Study Open
Objectives Myocardial revascularisation and cardiopulmonary bypass (CPB) can cause ischemia-reperfusion injury, leading to myocardial and other end-organ damage. Volatile anaesthetics protect the myocardium in experimental studies, however…
View article: Adverse renal effects associated with cardiopulmonary bypass
Adverse renal effects associated with cardiopulmonary bypass Open
Cardiac surgery on cardiopulmonary bypass (CPB) is associated with postoperative renal dysfunction, one of the most common complications of this surgical cohort. Acute kidney injury (AKI) is associated with increased short-term morbidity a…
View article: High-Fidelity Dynamics Modelling for the Design of a High-Altitude Supersonic Sounding Rocket
High-Fidelity Dynamics Modelling for the Design of a High-Altitude Supersonic Sounding Rocket Open
The accurate modelling and simulation of vehicle dynamics is a fundamental prerequisite for the design and experimental flight testing of aerospace vehicles. In the case of high-altitude supersonic sounding rockets, it is critically import…
View article: Neurologic complications after cardiopulmonary bypass – A narrative review
Neurologic complications after cardiopulmonary bypass – A narrative review Open
Neurologic complications, associated with cardiac surgery and cardiopulmonary bypass (CPB) in adults, are common and can be devastating in some cases. This comprehensive review will not only consider the broad categories of stroke and neur…
View article: Frailty and perioperative patient-reported disability in patients undergoing cardiac surgery: a pilot study
Frailty and perioperative patient-reported disability in patients undergoing cardiac surgery: a pilot study Open
Disability burden in frail patients improves continuously postoperatively, whereas in non-frail patients, it worsens at 1 month before improving at 3 months postoperatively. This positive trajectory of patient-centred outcomes in frail pat…
View article: Developing guidance for the management of intraoperative anaesthetic machine failure
Developing guidance for the management of intraoperative anaesthetic machine failure Open
Intraoperative anaesthetic machine failure represents an immediate risk to patient safety, as well as risking long-term harm in the form of accidental awareness under general anaesthesia. Currently, there is no widely accepted consensus gu…
View article: Neuromonitoring and Neurocognitive Outcomes in Cardiac Surgery: A Narrative Review
Neuromonitoring and Neurocognitive Outcomes in Cardiac Surgery: A Narrative Review Open
Neurocognitive dysfunction after cardiac surgery can present with diverse clinical phenotypes, which include postoperative delirium, postoperative cognitive dysfunction, and stroke, and it presents a significant healthcare burden for both …
View article: Awake tracheal intubation for blunt airway trauma
Awake tracheal intubation for blunt airway trauma Open
Summary A 64‐year‐old man sustained blunt trauma to the anterior neck following a mechanical fall resulting in an isolated laryngeal fracture of the left cricoarytenoid complex. Although there was no acute airway compromise, he developed w…