Unannounced in Situ Simulations: Integrating Training and Clinical Practice
During our simulations we have identified a number of issues that, had they occurred during a real resuscitation attempt, may have led to patient harm or patient death. For these reasons we feel in situ simulation should be considered by every hospital as part of a patient safety initiative.
Type A Aortic Dissection in Patients with Bicuspid or Tricuspid Aortic Valves: A Retrospective Comparative Study in 288 Chinese Patients
The propensity for aortic aneurysm and dissection bestows bicuspid aortic valves (BAVs), the most common congenital cardiac abnormality, a potentially lethal aspect and considerable clinical concern. In the present study, we attempted to better characterize BAV patients with acute type A aortic dissection (AAD).
Glycemic Control during Coronary Artery Bypass Graft Surgery
This paper will report the pathophysiology responsible for the detrimental effects of perioperative hyperglycemia during cardiac surgery, show how continuous insulin infusions in the perioperative period have improved outcomes, and discuss the results of trials designed to determine what level of a glycemic control is necessary to achieve optimal clinical outcomes.
Fondaparinux as an Alternative Anticoagulant in Heparin-Induced Thrombocytopenia in the Patient with a Ventricular Assist Device
We present a patient who, after a heart transplant, and the need for a ventricular assist device, required anticoagulation. The patient developed heparin-induced thrombocytopenia.
Trends in the Incidence and Outcomes of Disseminated Intravascular Coagulation in Critically Ill Patients (2004-2010) – A Population Based Study
The incidence and outcomes of disseminated intravascular coagulation (DIC) are incompletely defined. Therefore, we aimed to evaluate the trends in incidence and outcomes of critically ill patients with DIC.
Management of heparin-induced thrombocytopenia during thrombolytic therapy for prosthetic valve thrombosis
The study aim was to investigate the development, diagnosis, and management of HIT during thrombolytic therapy (TT) of PHVT.
A New Phosphorylcholine-Coated Polymethylpentene Oxygenator for Extracorporeal Membrane Oxygenation: A Preliminary Experience
Phosphorylcholine coating has a major role in the improvement of biocompatibility, durability and antihrombogenicity of the circuit for extracorporeal membrane oxygenation (ECMO).
Blood Transfusion During Heart Surgery. A Retrospective Nested Case-Control Study
In this cohort of patients, intraoperative transfusion might independently predict higher risk of early acute kidney damage, prolonged postoperative mechanical ventilation, and a need for haemodynamic support, and reduced short term survival (adjusted OR for mortality: 1.30; 95% CI: 1.19-1.42), and longer hospital stays (4 days longer).
Early Restoration of Atrial Contractility After New-Onset Atrial Fibrillation in Off-Pump Coronary Revascularization
Short-term anticoagulation may be sufficient for the prevention of thromboembolic events in patients who underwent off-pump coronary artery bypass grafting and experienced new-onset AF because right and left atrial contractility was restored early after sinus conversion.
Optimal Timing of Coronary Artery Bypass Grafting in Acute Myocardial Infarction
We conducted a review of the literature to better understand the timing, scope, and risks of surgical coronary revascularization after an acute myocardial infarction.
Robot-Assisted Thoracoscopic Surgery: Current Status and Prospects
Advancing robot technology has a possibility to markedly change general thoracic surgery.
Accounting for the Relationship Between Per Diem Cost and LOS When Estimating Hospitalization Costs
Hospitalization costs in clinical trials are typically derived by multiplying the length of stay (LOS) by an average per-diem (PD) cost from external sources. This paper describes how to model the relationship between PD cost and LOS using flexible statistical modelling techniques.