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.
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.
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.
Prophylactic Intra-Aortic Balloon Pump in High-Risk Patients Undergoing Coronary Artery Bypass Surgery: A Meta-Analysis of Randomized Controlled Trials
This meta-analysis supports the use of prophylactic IABP in high-risk patients to reduce hospital mortality.
Depression, Anxiety, and Cardiac Morbidity Outcomes after Coronary Artery Bypass Surgery: A Contemporary and Practical Review
Following a comprehensive overview of recent literature, practical advice is described for clinicians taking into consideration possible screening aids to improve recognition of anxiety and depression among CABG surgery patients.
Cardiac Operative Risk Evaluation: The EuroSCORE II, Does it Make a Real Difference
The intention of this paper is to compare the use of the initial EuroSCORE and EuroSCORE II as a risk evaluation tool.
Alkaline Phosphatase Activity after Cardiothoracic Surgery in Infants and Correlation with Post-Operative Support and Inflammation: A Prospective Cohort Study
We sought to describe the change in alkaline phosphatase activity after cardiothoracic surgery in infants and to assess for a correlation with intensity and duration of post-operative support, markers of inflammation, and short-term clinical outcomes.
Sodium Bicarbonate Therapy for the Prevention of Contrast-Induced Acute Kidney Injury – A Systematic Review and Meta-Analysis
This updated meta-analysis demonstrates that sodium bicarbonate-based hydration is superior to sodium chloride in preventing CI-AKI of patients undergoing exposure to iodinated contrast media.
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.
Cognitive Dysfunction after Off-Pump Versus On-Pump Coronary Artery Bypass Surgery: A Meta-Analysis
Compared with CABG, OPCAB was found to be associated with a reduced incidence of early-stage POCD.
Association between Statins and Infections after Coronary Artery Bypass Grafting
Pre-operative statin use is associated with a decrease in overall incidence of post-operative infections after CABG.
Preoperative Anaemia is Common in Patients undergoing Major Gynaecological Surgery and is Associated with a Fivefold Increased Risk of Transfusion
This study demonstrates preoperative anaemia is common in women undergoing elective major gynaecological surgery and is associated with increased red cell transfusions.