scholarly journals A National Survey of Antimicrobial Prophylaxis in Adult Cardiac Surgery Across Canada

2002 ◽  
Vol 13 (1) ◽  
pp. 21-27 ◽  
Author(s):  
Fran L Paradiso-Hardy ◽  
Patti Cornish ◽  
Chantal Pharand ◽  
Stephen E Fremes
Keyword(s):  
Cardiac Surgery ◽  
Antimicrobial Prophylaxis ◽  
Single Agent ◽  
Cardiac Surgical Procedures ◽  
Cross Sectional ◽  
Regional Patterns ◽  
Cardiac Procedures ◽  
Telephone Reminder ◽  
Sectional Analysis ◽  
Adult Cardiac Surgery

OBJECTIVE: To characterize national and regional patterns of antimicrobial prophylaxis in adult cardiac surgery across Canada.DESIGN: Retrospective, cross-sectional analysis.SETTING: Thirty-three adult cardiac surgical centres across Canada.INTERVENTIONS: A one-page questionnaire collecting information regarding institutional demographics and antimicrobial prophylaxis regimens for adult cardiac surgical procedures was mailed to all adult surgical centres across Canada. If a response was not received within one month, a second survey was mailed, followed by a telephone reminder within two weeks of the second mailing.MAIN RESULTS: The overall response rate was 100%. Prophylactic antimicrobials were used in all of the adult cardiac centres; single-agent prophylaxis was used in 97% (32 of 33) of centres. Single-dose antimicrobial prophylaxis was used in only 3% (one of 33) of centres. Preoperative and postoperative antimicrobial prophylaxis regimens varied both between provinces and within provinces across Canada. Cefazolin was the antimicrobial used in 88% (38 of 43) and 87% (33 of 38) of the reported preoperative and postoperative prophylaxis regimens, respectively. Antimicrobial prophylaxis was initiated in the operating room 72% (26 of 36) of the time, and intraoperative supplemental antimicrobial doses were administered for cardiac procedures that took longer than a median of 4 h (range 4 to 8 h). Overall, the median duration of antimicrobial prophylaxis treatment was 36 h (range 8 to 96 h).CONCLUSIONS: Despite the availability of various published guidelines, the present survey identified several areas for improvement with respect to antimicrobial prophylaxis in adult cardiac surgery across Canada.

scholarly journals EARLY OUTCOME OF ADULT CARDIAL SURGERY IN LOW VOLUME COMMUNITY HOSPITAL EXPERIENCES OF YOUNG SURGEON FROM DEVELOPING COUNTRY

2017 ◽  
Vol 52 (2) ◽  
pp. 136
Author(s):  
Yan Efrata Sembiring
Keyword(s):  
Cardiac Surgery ◽  
Cardiac Disease ◽  
Community Hospital ◽  
Early Outcome ◽  
Young Surgeon ◽  
Cardiac Procedures ◽  
Cardiac Surgeon ◽  
Low Volume ◽  
Adult Cardiac Surgery

After finishing training, every young cardiac surgeon wants to start a good carrier as fast as they can. We describe the early outcome of adult cardiac surgery that have been done by a young in low volume community hospital in Surabaya – Indonesia within periods December 2010 – December 2013. A retrospective study of 133 adult cardiac cases during December 2010 – December 2013 at Division of Thoracic, Cardiac and Vascular Surgery Dr. Soetomo Hospital Surabaya provides a comprehensive data concerning adult cardiac procedures which collected and analyzed. In last 3 years, the total number of adult cardiac disease which is undergone a surgery was 133 cases. The procedures were involved CABG (85 cases, 63.91%); valve procedures (7 cases, 5.26%); and others procedures (6 cases, 4.51%). All cases were done by a young surgeon. Thirty day early follow up, there were 3 patients suffered from wound infection, 7 patients undergone re-do procedures due to mediastinal bleeding and cardiac tamponade. Mortality rate was 1.5%. The conclusion, good mentoring from senior surgeon and good training give a good result of adult surgery done by a young surgeon in low volume community hospital.

scholarly journals The Perception of Evidence for Venous Thromboembolism Prophylaxis Current Practices after Cardiac Surgery: A Canadian Cross-Sectional Survey

Thrombosis ◽  
2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Hani N. Mufti ◽  
Roger J. F. Baskett ◽  
Rakesh C. Arora ◽  
Jean-Francois Légaré
Keyword(s):  
Health Care ◽  
Cardiac Surgery ◽  
Venous Thromboembolism ◽  
Health Care Professionals ◽  
Daily Practice ◽  
Cross Sectional Survey ◽  
Thromboembolism Prophylaxis ◽  
Cross Sectional ◽  
Vte Prophylaxis ◽  
Adult Cardiac Surgery

Background. Venous thromboembolism (VTE) is the third leading cause of cardiovascular death in patients undergoing surgery. However, VTE prophylaxis practices in cardiac surgery are based on noncardiac surgical literature. The objective of our study was to extract current patterns of VTE prophylaxis practices in cardiac surgery patients. We also aimed to identify health care professionals knowledge of available evidence supporting VTE prophylaxis in adult cardiac surgery patients. Methods. A web-based survey was developed and sent to all Canadian cardiac surgery centers with the intent to have the survey distributed to all personnel involved in the perioperative care of adult cardiac surgery patients. Participation in the questionnaire was voluntary and anonymized. Results. Thirty-five responses were obtained. Sixty-nine percent reported having an established protocol for VTE prophylaxis. However, 83% reported using VTE prophylaxis in their daily practice despite lack of protocol. The majority (60%) believed that the class of recommendation was high despite the lack of evidence. Conclusions. Our survey demonstrated the following. (a) Majority of Canadian centers employ VTE prophylaxis, with considerable variability. (b) There is a misconception among health care professionals about the strength of evidence supporting VTE prophylaxis in cardiac surgery. Our findings highlight the need for appropriately designed studies to fill this knowledge gap.

Seizures After Adult Cardiac Surgery and Interventional Cardiac Procedures

2018 ◽  
Vol 32 (5) ◽  
pp. 2323-2329 ◽  
Author(s):  
Ekaterina Pataraia ◽  
Rebekka Jung ◽  
Susanne Aull-Watschinger ◽  
Keso Skhirtladze-Dworschak ◽  
Martin Dworschak
Keyword(s):  
Cardiac Surgery ◽  
Cardiac Procedures ◽  
Adult Cardiac Surgery

Risk of Pediatric Cardiac Surgery Increased in Patients Undergoing Tracheal Surgery During the Same Hospitalization

2021 ◽  
pp. 215013512110376
Author(s):  
Kyle W. Riggs ◽  
Dennis Wells ◽  
Farhan Zafar ◽  
David L. S. Morales ◽  
Roosevelt Bryant ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Hospital Mortality ◽  
Chromosomal Abnormalities ◽  
Health Information System ◽  
Cardiac Surgical Procedures ◽  
Tracheal Surgery ◽  
Cardiac Procedures ◽  
Increased Risk ◽  
National Databases ◽  
The Impact

Background The impact of complex tracheal surgery (TS) on outcomes of children undergoing cardiac surgery has rarely been investigated in large national databases and could impact anticipated outcomes in those patients. Methods The Pediatric Health Information System database was reviewed from January 1, 2005 to December 31, 2014, for pediatric (<18 years) patients undergoing select cardiac surgical procedures using International Classification of Disease-9 procedural coding. Patients were divided based upon having TS (excluding tracheostomy) during the same hospitalization. Patients with tracheal and cardiac surgeries (CHS + TS) were propensity matched in a 1 : 2 fashion to patients undergoing isolated cardiac surgeries without TS (CHS) based upon cardiac procedure(s), age at surgery, gender, and discharge year. Hospital mortality and other outcomes were compared between the 2 matched groups. Results The 283 CHS + TS patients were similar to the 566 CHS patients in gender, race, age, cardiac procedures, and presence of chromosomal abnormalities, all P > .05. Hospital mortality was 13.8% ( n = 39) for CHS + TS and 5.8% ( n = 33) for CHS patients with an unadjusted 2.58 hazard ratio of death (95% confidence interval: 1.59-4.20; P < .001). CHS + TS was also associated with a greater length of stay (63 days vs 12 days), a higher cost per hospitalization ($322 402 vs $80 273), and more readmissions (64.3% [ n = 182] vs 41.8% [ n = 243]), all P < .001. Conclusions Patients undergoing cardiac and TS in the same hospitalization are at greater risk of in-hospital mortality than patients undergoing similar cardiac surgeries alone and incur higher resource utilization thereafter. The increased risk of mortality is currently underappreciated, but it is important to recognize when discussing expectations with families and providers.

scholarly journals Future of cardiac surgery, introducing the interventional surgeon

2021 ◽  
Author(s):  
Ebrahim Al-Ebrahim ◽  
Turki Madani ◽  
Khalid Al_ebrahim
Keyword(s):  
Cardiac Surgery ◽  
Interventional Cardiology ◽  
Cardiac Surgical Procedures ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Valvular Surgery ◽  
The Status ◽  
Increasing Risk ◽  
And Training

The swift advances in interventional cardiology combined with the increasing risk of cardiac surgical procedures resulted in diminishing volume of coronary and valvular surgery and affected the future of cardiac surgery service and training. Application to cardiac surgery training programs have steadily declined. This cross-sectional study aimed at identifying main weakness facing cardiac surgery and advocating some recommendations to improve the status of current and future of cardiac surgery.

Ultramicrotomy as a Technique for Materials Specimen Preparation

1990 ◽  
Vol 48 (2) ◽  
pp. 428-429
Author(s):  
S.R. Glanvill
Keyword(s):  
Materials Science ◽  
Structural Information ◽  
Specimen Preparation ◽  
Preparation Technique ◽  
Cross Sectional ◽  
Surfaces And Interfaces ◽  
Beam Analysis ◽  
Flat Embedding ◽  
20 Nm ◽  
Sectional Analysis

This paper summarizes the application of ultramicrotomy as a specimen preparation technique for some of the Materials Science applications encountered over the past two years. Specimens 20 nm thick by hundreds of μm lateral dimension are readily prepared for electron beam analysis. Materials examined include metals, plastics, ceramics, superconductors, glassy carbons and semiconductors. We have obtain chemical and structural information from these materials using HRTEM, CBED, EDX and EELS analysis. This technique has enabled cross-sectional analysis of surfaces and interfaces of engineering materials and solid state electronic devices, as well as interdiffusion studies across adjacent layers.Samples are embedded in flat embedding moulds with Epon 812 epoxy resin / Methyl Nadic Anhydride mixture, using DY064 accelerator to promote the reaction. The embedded material is vacuum processed to remove trapped air bubbles, thereby improving the strength and sectioning qualities of the cured block. The resin mixture is cured at 60 °C for a period of 80 hr and left to equilibrate at room temperature.

Twitter Usage Using Common Reference to Tinnitus

2020 ◽  
Vol 29 (2) ◽  
pp. 206-217
Author(s):  
Jianyuan Ni ◽  
Monica L. Bellon-Harn ◽  
Jiang Zhang ◽  
Yueqing Li ◽  
Vinaya Manchaiah
Keyword(s):  
Nonprofit Organizations ◽  
Temporal Trends ◽  
Temporal Analysis ◽  
Cross Sectional ◽  
For Profit ◽  
Common Reference ◽  
Personal Experiences ◽  
Twitter Users ◽  
Sectional Analysis ◽  
Share Information

Objective The objective of the study was to examine specific patterns of Twitter usage using common reference to tinnitus. Method The study used cross-sectional analysis of data generated from Twitter data. Twitter content, language, reach, users, accounts, temporal trends, and social networks were examined. Results Around 70,000 tweets were identified and analyzed from May to October 2018. Of the 100 most active Twitter accounts, organizations owned 52%, individuals owned 44%, and 4% of the accounts were unknown. Commercial/for-profit and nonprofit organizations were the most common organization account owners (i.e., 26% and 16%, respectively). Seven unique tweets were identified with a reach of over 400 Twitter users. The greatest reach exceeded 2,000 users. Temporal analysis identified retweet outliers (> 200 retweets per hour) that corresponded to a widely publicized event involving the response of a Twitter user to another user's joke. Content analysis indicated that Twitter is a platform that primarily functions to advocate, share personal experiences, or share information about management of tinnitus rather than to provide social support and build relationships. Conclusions Twitter accounts owned by organizations outnumbered individual accounts, and commercial/for-profit user accounts were the most frequently active organization account type. Analyses of social media use can be helpful in discovering issues of interest to the tinnitus community as well as determining which users and organizations are dominating social network conversations.

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