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JCM
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Cardiothoracic and Vascular Anesthesia—Clinical Management and Challenges
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Cardiothoracic and Vascular Anesthesia—Clinical Management and Challenges

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Anesthesiology".

Deadline for manuscript submissions: 31 January 2026 | Viewed by 101

Special Issue Editors

Dr. Marko Zdravković

E-Mail Website
Guest Editor
Department of Anesthesiology, University Medical Centre Maribor, Maribor, Slovenia
Interests: cardio-thoracic anesthesia; cardio-thoracic intensive care; hemodynamics; airway management; mechanical ventilation; pain management; diversity, equity and inclusion
Prof. Dr. Vlatka Sotosek

E-Mail Website
Guest Editor
Department of Anesthesiology, Reanimatology, Emergency and Intensive Care Medicine, Faculty of Medicine Rijeka, University of Rijeka, Rijeka, Croatia
Interests: cardio-thoracic anesthesia; cardio-thoracic intensive care; pain management; immune response; hemodynamics; endothelium
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Due to the increasing number of patients with cardiovascular diseases, anesthesiologists and intensivists are confronted with an increasing number of cardiothoracic and vascular procedures. Advances in surgical and endovascular interventions arose from technological development. Similarly, anaesthetic techniques and perioperative patient management have evolved significantly over the last few decades. Both surgical and anaesthetic procedures impact the course of patient management, from prehabilitation to intervention and immediate treatment and rehabilitation. In addition, new strategies in the intensive care are leading to a better recovery.

In this Special Issue, we invite authors to submit articles on clinical findings and innovations in cardio-thoracic and vascular anesthesia. We look forward to original research articles and reviews. 

Dr. Marko Zdravković
Prof. Dr. Vlatka Sotosek
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • cardiac anesthesia
  • thoracic anesthesia
  • vascular anesthesia
  • innovation
  • perioperative medicine
  • healthcare
  • outcomes
  • challenges

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Published Papers (1 paper)

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Research

15 pages, 854 KB  
Article
Respiratory System Compliance Predicts Outcome After Lung Transplantation—A Retrospective Single Center Study
by Cecilia Veraar, Stefan Schwarz, Peter Wohlrab, Johannes Geilen, Arabella Fischer, Thomas Neugebauer, Caroline Hillebrand, Bernhard Moser, Konrad Hoetzenecker, Martin Dworschak, Marcus J. Schultz and Edda M. Tschernko
J. Clin. Med. 2025, 14(19), 6941; https://doi.org/10.3390/jcm14196941 - 30 Sep 2025
Abstract
Background: Outcome prediction in patients undergoing lung transplantation (LUTX) for end-stage pulmonary disease can be challenging. We examined the prognostic value for mortality of respiratory system compliance (CRS) and mechanical power of ventilation (MP) at end of surgery in patients undergoing [...] Read more.
Background: Outcome prediction in patients undergoing lung transplantation (LUTX) for end-stage pulmonary disease can be challenging. We examined the prognostic value for mortality of respiratory system compliance (CRS) and mechanical power of ventilation (MP) at end of surgery in patients undergoing LUTX for end-stage pulmonary disease. Methods: In this single-center retrospective study, we included 755 patients undergoing LUTX between 2014 and 2023. The primary endpoint of this study was 1-year mortality, with 30-day mortality serving as a secondary endpoint. We conducted both univariate and multivariate analyses and constructed Receiver Operating Characteristic curves. Results: Of 755 patients, 1.9% and 12.2% patients died within 30 days and 1 year after LUTX. Fifteen-point four percent of all patients required extracorporeal membrane oxygenation (ECMO) prolongation into the early postoperative period. CRS, but not MP was higher in 1-year survivors compared to non-survivors [median 25.8 mL/cmH2O (20.1, 32.1) and 22.5 mL/cmH2O (15.2, 28.4); p < 0.001] and [median 10.0 J/min (7.8, 12.0) and 9.3 J/min (6.2, 13.1); p = 0.329]. Moreover, low CRS < 25.1 mL/cmH2O remained an independent factor for increased 1–year mortality after LUTX. Additionally, increased MP and CRS were predictive for 30–day survival with an acceptable area under the curve of 0.758 (95% CI: 0.6–0.8; p < 0.001) and 0.735 (95% CI: 0.5–0.9; p = 0.003), and a sensitivity and specificity of 51% and 75.5% for MP and 50% and 85% for CRS, respectively. Conclusions: Postoperative CRS serves as a significant independent predictor for short and long-term outcome in patients undergoing LUTX with and without ECMO prolongation into the early postoperative period. Full article
(This article belongs to the Special Issue Cardiothoracic and Vascular Anesthesia—Clinical Management and Challenges)
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