Survival Benefit of Multiple Arterial Grafting in a 25-Year Single-Institutional Experience: The Importance of the Third Arterial Graft
In a single-institution experience, the use of multiple arterial grafting is independently associated with superior outcomes.
Off-Pump Coronary Artery Bypass Surgery is Associated with Worse Arterial and Saphenous Vein Graft Patency and less Effective Revascularization: Results from the Veterans Affairs Randomized On/Off Bypass (ROOBY) Trial
Off-pump CABG resulted in significantly lower FitzGibbon A patency for arterial and saphenous vein graft conduits and less effective revascularization than on-pump CABG.
Development of Post-Pericardiotomy Syndrome is Preceded by an Increase in Pro-Inflammatory and a Decrease in Anti-Inflammatory Serological Markers
The post-pericardiotomy syndrome (PPS) is a common complication after cardiac surgery, occuring in 10-40% of patients.
Do Residents and Nurses Communicate Safety Relevant Concerns? : Simulation Study on the Influence of the Authority Gradient
Residents and nursing staff are seldom able to challenge the attending physicians when patient safety is at risk.
Case and Commentary: Using Simulation to Address Hierarchy Issues During Medical Crises
This article describes a case that uses misdirection and the possibility of simulated "death" to facilitate learning among experienced clinicians about the potentially deadly effects of an unchallenged, inappropriate order.
Leaders’ and Followers’ Individual Experiences during the Early Phase of Simulation-Based Team Training: An Exploratory Study
Current simulation-based team training (SBTT) programmes most often include targets and feedback focused on the whole team and/or leader, ignoring the follower as a unique entity.
Video Review Using a Reliable Evaluation Metric Improves Team Function in High-Fidelity Simulated Trauma Resuscitation
Video review with debriefing is an effective means of teaching team competencies and improving team function in simulated trauma resuscitation.
Simulation-Based Trial of Surgical-Crisis Checklists
In a high-fidelity simulation study, checklist use was associated with significant improvement in the management of operating-room crises.
Coronary Subclavian Steal Syndrome Causing Acute Myocardial Infarction in a Patient Undergoing Coronary Artery Bypass Grafting
Coronary subclavian steal syndrome with retrograde blood flow in the left internal mammary-coronary bypass graft is a rare but severe complication of cardiac surgery.
Centrifugal Pump and Roller Pump in Adult Cardiac Surgery: A Meta-Analysis of Randomized Controlled Trials
The meta-analysis of RCTs comparing CP and RP in adult cardiac surgery suggests no significant difference for hematological variables, postoperative blood loss, transfusions, neurological outcomes, or mortality.
Is a Cell Saver Necessary in Off-Pump Coronary Artery Bypass Surgery?
The use of a cell saver in off-pump surgery is useless in most cases.
Impact of Competitive Flow on Hemodynamics in Coronary Surgery: Numerical Study of ITA-LAD Model
Competitive flow from native coronary artery is considered as a major factor in the failure of the coronary artery bypass grafts.