8 in 8 Series

The Society’s new 8 in 8 Series offers quick access to important topics in cardiothoracic surgery. Each informative video is narrated by an expert in the field and covers one topic using eight slides in 8 minutes. 

STS invites viewers to provide feedback, submit topics and ask questions. Please email education@sts.org.

Please note: No CME credit is associated with the viewing of web-based content. STS retains sole rights to these materials.

8 in 8 Series: Critical Care

ECMO in Lung Transplantation
Extracorporeal membrane oxygenation (ECMO) is an invaluable tool in lung transplantation. Originally developed to support patients in critical heart or respiratory failure, it often is used as a bridge to organ transplant, during lung transplant surgery, and for severe primary graft dysfunction. This video highlights the essentials of ECMO in lung transplantation with a focus on intraoperative management.

Presenter: 
Mauricio Villavicencio, MD, MBA

Massachusetts General Hospital
 

 

LVAD Implantation via Thoracotomy
This video addresses the options for left ventricular assist device (LVAD) implantation via thoracotomy and covers topics, including the benefits of different surgical approaches, cannulation strategies, and special considerations for patients with a short/leftward aorta, left internal mammary artery grafts, or mediastinal adhesions.

Presenter:
Jay D. Pal, MD

University of Colorado

 

Right Ventricular Failure in Cardiac Surgery
Right ventricular (RV) failure occurs when the right ventricle does not maintain enough blood flow through the pulmonary circulation to achieve adequate left ventricular filling. This video reviews the pathophysiology, diagnosis, and management of RV failure after cardiac surgery.

Presenters: 
Nathalie Roy, MD 

Harvard University, Boston Children’s Hospital

Hitoshi Hirose MD, PhD
Thomas Jefferson University

 

Opioid Reduction Strategies in Cardiac Surgery
Cardiac surgery is an underappreciated contributor to the opioid crisis, with patients commonly utilizing opioid prescriptions months after their index procedure. This video addresses the historical basis for opioid-based anesthesia and analgesia in cardiac surgery and describes five programmatic strategies to reduce the perioperative use of opioids.  

Presenter:
Michael C. Grant, MD, MSE
Johns Hopkins Medicine

 

ECMO Circuit Monitoring: The Essentials of Pressure and Flow 
Understanding the dynamics of extracorporeal membrane oxygenation (ECMO) circuit pressure and flow is essential to guide decisions, including how much ECMO blood flow is appropriate during management, weaning, and specific clinical scenarios such as North-South or Harlequin syndrome. This video highlights the circuit-patient management interface for physicians.  

Presenters:
Rita Karianna Milewski, MD, PhD, MSEd

University of Pennsylvania

Cory M. Alwardt, PhD 
Mayo Clinic


Diagnostic Ultrasound for Postop Hypotension
Point-of-Care Ultrasound (POCUS) is a bedside tool that increasingly is available in the health care setting. This video will demonstrate how to obtain images easily and how they can help clinicians diagnose and treat postoperative hypotension in critically ill patients.  

Presenters:
Jeffrey R. Kangas, MD

Detroit Medical Center

Frank A. Baciewicz Jr., MD
Wayne State University 


Toxicity of Inadequate Pericardial Drainage After Surgery: Implications for Patient Recovery
Postoperative atrial fibrillation is the most common complication following heart surgery. This video will describe potential inflammatory components that contribute to this problem found in the pericardial space.  

Presenter:
Spencer J. Melby, MD

Barnes Jewish Hospital, Washington University in St. Louis

 

Ideal Ventilatory Settings for Venovenous ECMO
This video sheds light on ventilatory management in the use of venovenous extracorporeal membrane oxygenation (ECMO), highlighting contemporary evidence to guide bedside decision-making.

Presenters:
J.W. Awori Hayanga, MD, MPH
West Virginia University Medicine

HelenMari Merritt-Genore, DO
Methodist Health System

 

Lactate and Cardiac Surgery
Lactate production is a consequence of cardiac surgery and cardiopulmonary bypass. Patients with elevated lactate levels have increased 30-day mortality. This video addresses the etiology of elevated lactate and aggressive treatment to ensure the best postoperative outcome.

Presenters:
Shahnur Ahmed 
Wayne State University 

Frank A. Baciewicz Jr., MD
Wayne State University 

 

 

Postoperative Delirium
This video highlights the importance of considering delirium as a medical emergency in the postoperative cardiac surgery patient. It defines postoperative delirium, identifies patients who are at risk, and explains the diagnostic process, as well as how to provide care.

Presenters:
Rita Karianna Milewski, MD, PhD, MSEd

University of Pennsylvania

Rakesh C. Arora, MD
University of Manitoba

 

Vasoplegic Shock
Vasoplegic shock after cardiopulmonary bypass is characterized by refractory hypotension and high cardiac output with systemic vasodilatation. It also is associated with increased mortality. In this video, the latest strategies to prevent, mitigate, and treat this common problem are discussed.

Presenter: 
Subhasis Chatterjee, MD
Baylor College of Medicine

Contributor:
Joseph Rabin, MD

University of Maryland Medical Center

 

8 in 8 Series: General Thoracic

Lung Resection in Patients with Marginal Pulmonary Function
This video covers risk assessment and stratification, as well as operative and non-operative treatment options for lung resection in patients with marginal pulmonary function. The presenters recommend that surgeons integrate all available data in a careful process of joint decision-making, resulting in an individualized approach that is compatible with the preferences and goals of the patient.

Presenters: 
Janet P. Edwards, MD

University of Calgary

Robert E. Merritt, MD
Ohio State Wexner Medical Center