Identifying the Effect of the Surgical Team on Cardiac Surgery Operation Time: A Retrospective Analysis

Abstract Background Congenital heart disease (CHD) accounts for the most common birth defects in China, pressuring both the physical and mental health in children. The inaccessibility of CHD children in rural China due to financial difficulties is demanding inputs from both the government and society. The Heartguard project is a program developed to improve the delivery of CHD care in rural China. Methods The Heartguard project partners with county hospitals and performs CHD screening to diagnose patients with CHD in rural China. Diagnosed children with CHD who are unable to afford therapy will subsequently receive treatment sponsored by the financial partners. All patients are followed up by the local partner and visiting surgical team members. Results More than 10,000 children across 9 provinces underwent CHD screening. A total of 240 (accounting for an incidence of 2.4%) was treated by the program, of which 226 patients were managed invasively, the other 14 patients conservatively. Open surgery was performed in 162 patients, while endovascular procedures were applied in another 64. No mortality or significant complications occurred during the transfer. There was no perioperative or late death. Conclusion This humanitarian cardiac surgery program is able to promote accessibility of care for CHD children in rural China. The quality of life of these patients can be improved with continuous input from the society.

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Clinical Study of Postoperative Bleeding after Tonsillectomy in 497 Cases

International Journal of Practical Otolaryngology ◽

10.1055/s-0041-1723787 ◽

2021 ◽

Vol 4 (01) ◽

pp. e17-e20

Author(s):

Takeshi Tanaka ◽

Kenji Ishii ◽

Kyoko Matsumoto ◽

Koushirou Miura ◽

Ayako Kihara ◽

...

Keyword(s):

Risk Factors ◽

Body Mass Index ◽

Clinical Study ◽

General Anesthesia ◽

Retrospective Analysis ◽

Body Mass ◽

Smoking Habit ◽

Postoperative Bleeding ◽

Operation Time ◽

History Of

AbstractWe conducted a retrospective analysis of 497 patients who underwent tonsillectomy at Kamio Memorial Hospital from September 2015 to August 2018. A total of 35 cases (7.0%) developed postoperative bleeding and three cases (0.6%) needed a second operation under general anesthesia to stop the bleeding. Postoperative bleeding most frequently occurred between 24 hours and 6 days after the operation. The incidence of postoperative bleeding was significantly higher in males and in patients aged 20 to 39 years old. The operation time, body mass index, smoking habit, and history of hypertension were not identified as clinical risk factors for bleeding after tonsillectomy in this study.

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Variability in Anesthesia Models of Care in Cardiac Surgery

Surgeries ◽

10.3390/surgeries2010001 ◽

2021 ◽

Vol 2 (1) ◽

pp. 1-8

Author(s):

Dianne McCallister ◽

Bethany Malone ◽

Jennifer Hanna ◽

Michael S. Firstenberg

Keyword(s):

Cardiac Surgery ◽

Best Practices ◽

Operating Room ◽

Models Of Care ◽

Surgical Team ◽

Cardiac Anesthesia ◽

Complex Environment ◽

Surgical Case ◽

Cardiac Procedures ◽

Cardiac Operations

The operating room in a cardiothoracic surgical case is a complex environment, with multiple handoffs often required by staffing changes, and can be variable from program to program. This study was done to characterize what types of practitioners provide anesthesia during cardiac operations to determine the variability in this aspect of care. A survey was sent out via a list serve of members of the cardiac surgical team. Responses from 40 programs from a variety of countries showed variability across every dimension requested of the cardiac anesthesia team. Given that anesthesia is proven to have an influence on the outcome of cardiac procedures, this study indicates the opportunity to further study how this variability influences outcomes and to identify best practices.

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Risk factors of mid-term mortality after aortic valve replacement for severe calcified tricuspid aortic valve stenosis A retrospective analysis of Perioperative Events aSSessment in Adult Cardiac surgery (PESSAC) Registry

Journal of Cardiothoracic and Vascular Anesthesia ◽

10.1053/j.jvca.2021.08.018 ◽

2021 ◽

Author(s):

A. Beurton ◽

T. Ferté ◽

S. Mion ◽

T. Besnard ◽

O. Jecker ◽

...

Keyword(s):

Risk Factors ◽

Cardiac Surgery ◽

Aortic Valve ◽

Aortic Valve Replacement ◽

Retrospective Analysis ◽

Valve Replacement ◽

Aortic Valve Stenosis ◽

Tricuspid Aortic Valve ◽

Adult Cardiac Surgery

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Anesthetic activities provided by the French forward surgical team in Abidjan, Ivory Coast: Four-year retrospective analysis

Médecine et Santé Tropicales ◽

10.1684/mst.2017.0721 ◽

2017 ◽

Vol 27 (4) ◽

pp. 383-386

Author(s):

B. Prunet ◽

S. Schmitt ◽

J. Le Gouellec ◽

J. Schmitt ◽

J. Cotte ◽

...

Keyword(s):

Retrospective Analysis ◽

Ivory Coast ◽

Surgical Team

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Intra-operative imaging in paediatric cardiac surgery: the reactions of parents who requested and watched a video of the surgery performed on their child

Cardiology in the Young ◽

10.1017/s1047951107000716 ◽

2007 ◽

Vol 17 (4) ◽

pp. 407-413 ◽

Cited By ~ 1

Author(s):

Ergin Kocyildirim ◽

Linda S. Franck ◽

Martin J. Elliott

Keyword(s):

Cardiac Surgery ◽

Exploratory Study ◽

Video Recording ◽

Parental Knowledge ◽

Parental Consent ◽

Surgical Team ◽

Complex Dynamic ◽

Potential Value ◽

Semistructured Interviews ◽

And Coping

AbstractObjectiveOur previous work demonstrated that digital video recording of operations is the best way to describe the morphological features and complex dynamic physiology of surgical treatment of congenitally malformed hearts. Parental consent is required for video recording, and some parents have requested, and obtained, a copy of the video of the operation performed on their child. Our present aim was to explore their feelings and opinions having viewed the recording of the surgical procedures.Design and participantsThis exploratory study examined the views of 17 parents, comprising 7 couples, 2 mothers, and 1 father, after requesting, and then watching, the recording of the operation performed on their child. The audio-taped, semistructured interviews were analyzed for the thematic content.ResultsAll parents watched the videos at least once, and no parent exhibited distress as a result. Curiosity and desire for learning, and wanting to know what exactly happened to the child during the operation, were the most common reasons for requesting the video. Parents reported that the videos were also useful in sharing the experience with family and friends. The videos had no effect on the attitudes of the parents towards the surgical team. Parents made recommendations to increase the length of the edited videos and add labels and voice-overs.ConclusionParents of children with congenitally malformed hearts want to watch the recording of the operation performed because of their need for information, and to understand the experience of their children when separated from them. Research is needed to assess the potential value of operative videos in facilitating parental knowledge and coping when children undergo major cardiac surgery.

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CONDITION OF FETOPLACENTIAL COMPLEX IN PATIENTS AFTER APPLICATION OF ART

Reproductive Medicine ◽

10.37800/rm2020-1-3 ◽

2020 ◽

pp. 7-13

Author(s):

S.Sh. Issenova ◽

G.Zh. Bodykov ◽

A.S. Shukirbaeva ◽

M.O. Kubesova ◽

L. Ziyat ◽

...

Keyword(s):

Blood Flow ◽

Cardiac Surgery ◽

Retrospective Analysis ◽

Histological Examination ◽

The State ◽

Placental Insufficiency ◽

Archival Material ◽

Spontaneous Pregnancy ◽

Comparative Group ◽

Inflammatory Changes

A retrospective analysis was carried out according to the archival material of the center of perinatology and pediatric cardiac surgery in Almaty for 2017-2018. The analysis was carried out in 2 groups: the main group - 250 histories of women giving birth after IVF and the comparative group - 250 histories of women giving birth to spontaneous pregnancy. The condition of the feto-placental complex was assessed by studying the data of ultrasound, Dopplerometry, CTG, histological examination. The study shows that in women after the use of ART, the absence of pronounced blood flow disorders in the mother-placenta-fetus system according to Dopple-rometry is important and significant, which contributes to the favorable course of pregnancy and the state of the fetus, as well as the presence of morphological signs of placental insufficiency in 68% of cases inflammatory changes in the placenta in 57% of cases of varying severity.

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