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Keeping the Cycle of Change Safe (EP Video)
Bill Debois explains how to keep the cycle of change in the operating room safe (42:42 minutes).
Surviving and Thriving 1 Year After Cardiac Surgery: Frailty and Delirium Matter
Preoperative frailty alone did not negatively affect cardiac surgery patients’ functional outcomes up to 1 year, but coexisting frailty and POD led to substantial loss of independence on 3 to 4 ADLs and a 30.2-fold higher likelihood of dying 1 year after surgery. Because frailty led to a 4.9-fold increase in POD risk, frailty may serve as a presurgical screen to identify patients who would likely benefit from delirium prevention and functional recovery programs to maximize 1-year postsurgical outcomes.
New Clinical Practice Guidelines Recommend Use of Arteries Rather than Veins in Heart Bypass Surgery
he Society of Thoracic Surgeons has released new clinical practice guidelines that recommend expanding the use of arteries from the chest and forearm rather than using veins from the leg when performing coronary artery bypass grafting (CABG) surgery in certain patients.