scholarly journals Intraoperative Transoesophageal Echocardiography: Impact on Adult Cardiac Surgery

1998 ◽  
Vol 26 (3) ◽  
pp. 287-293 ◽  
Author(s):  
D. C. Sutton ◽  
R. Kluger
Keyword(s):  
Cardiac Surgery ◽  
Prospective Observational Study ◽  
Case Reports ◽  
Transoesophageal Echocardiography ◽  
Surgical Patients ◽  
Cardiac Pathology ◽  
Therapeutic Implications ◽  
Multiple Case ◽  
The Impact ◽  
Adult Cardiac Surgery

Although multiple case reports have demonstrated the capability of transoesophageal echocardiography (TOE) to detect unsuspected cardiac pathology with important therapeutic implications, few studies have examined the effect of real-time interpretation of routine TOE on clinical management of a typical series of cardiac surgery patients. To assess the impact of intraoperative TOE on cardiac surgical management, we conducted a prospective observational study on 238 consecutive patients undergoing intraoperative TOE during adult cardiac surgery. Potentially important new diagnostic information was detected in 39 of 184 (21%) routine and in 53 of 54 requested TOE examinations, and led directly to different surgical procedures in 11 of 184 (6%) routine and in 12 of 54 (22%) requested TOE examinations. Our data suggests that intraoperative TOE may be a valuable tool in the routine management of adult cardiac surgical patients.

The impact of age on outcome of adult cardiac surgery patients

2004 ◽  
Vol 21 (Supplement 33) ◽  
pp. 14-15
Author(s):  
C. Naughton ◽  
J. Roxburgh ◽  
R. O. Feneck
Keyword(s):  
Cardiac Surgery ◽  
The Impact ◽  
Adult Cardiac Surgery

Impact of the Coronavirus Disease 2019 Pandemic on Cardiac Surgical Education in North America

2021 ◽  
pp. 155698452110114
Author(s):  
Jessica G. Y. Luc ◽  
Tom C. Nguyen ◽  
Niv Ad
Keyword(s):  
Cardiac Surgery ◽  
North America ◽  
Geographic Distribution ◽  
Surgical Education ◽  
High Burden ◽  
Surgery Training ◽  
Virtual Institutions ◽  
Licensing Examination ◽  
The Impact ◽  
Adult Cardiac Surgery

Objective We report the impact of the coronavirus disease 2019 (COVID-19) pandemic on cardiac surgery trainee education in North America. Methods A survey was sent to participating academic adult cardiac surgery centers in North America. Data regarding the effect of COVID-19 on cardiac surgery training were analyzed. Results Responses were received from 53 academic institutions with diverse geographic distribution. Cardiac surgery trainee re-deployment to alternative clinical duties peaked at the height of the pandemic. We stratified institutions based on high ( n = 20) and low burden ( n = 33) of patients hospitalized with COVID-19. The majority of institutions have converted didactics (high burden 90% vs low burden 73%) and interviews for jobs/fellowships (high burden 75% vs low burden 73%) from in-person to virtual. Institutions were mixed in preference for administration of the licensing examination, with the most common preference for examinations to be held remotely on normal timeline (high burden 45% vs low burden 30%) or in person with more than 3-month delay (high burden 20% vs low burden 33%). Despite the challenges experienced during the COVID-19 pandemic on trainee clinical experience, re-deployment, and decreased operative volume, institutions expected their trainees to graduate on schedule (high burden 95% vs low burden 91%). Conclusions Our study demonstrates that actions taken during the COVID-19 pandemic has led to disruptions in cardiac surgery training with transition of didactics and interviews virtually and re-deployment to alternative duties. Despite this, institutions remain optimistic that their trainees will graduate on schedule.

The impact of hyperlactatemia on postoperative outcome after adult cardiac surgery

2011 ◽  
Vol 26 (2) ◽  
pp. 174-178 ◽  
Author(s):  
Alexander Kogan ◽  
Sergey Preisman ◽  
Alex Bar ◽  
Leonid Sternik ◽  
Jacob Lavee ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Postoperative Outcome ◽  
The Impact ◽  
Adult Cardiac Surgery

scholarly journals The Impact of Preoperative Frailty on the Clinical and Cost Outcomes of Adult Cardiac Surgery in Alberta, Canada: A Cohort Study

CJC Open ◽  
2020 ◽  
Author(s):  
Carmel L. Montgomery ◽  
Nguyen X. Thanh ◽  
Henry T. Stelfox ◽  
Colleen M. Norris ◽  
Darryl B. Rolfson ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Cohort Study ◽  
The Impact ◽  
Cost Outcomes ◽  
Adult Cardiac Surgery

Improved Outcomes With Integrated Intensivist Consultation for Cardiac Surgery Patients

2018 ◽  
Vol 33 (6) ◽  
pp. 576-582 ◽  
Author(s):  
Omer W. Sultan ◽  
Lori L. Boland ◽  
Tyler G. Kinzy ◽  
Roman R. Melamed ◽  
Susan C. Seatter ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Retrospective Cohort ◽  
Care Center ◽  
Risk Of Mortality ◽  
Improved Outcomes ◽  
Time Periods ◽  
The Impact ◽  
Predicted Risk ◽  
Adult Cardiac Surgery ◽  
Ventilator Time

This study examined the impact of integrated intensivist consultation in the immediate postoperative period on outcomes for cardiac surgery patients. A retrospective cohort study was conducted in 1711 adult cardiac surgery patients from a single quaternary care center in Minnesota. Outcomes were compared across 2 consecutive 2-year time periods reflecting an elective intensivist model (n = 801) and an integrated intensivist model (n = 910). Patients under the 2 models were comparable with respect to demographics, comorbidities, procedure types, and Society for Thoracic Surgery predicted risk of mortality score; however, patients in the earlier cohort were slightly older and more likely to have chronic kidney disease ( P = .003). Integrated intensivist involvement was associated with reduced postoperative ventilator time, length of stay (LOS), stroke, encephalopathy, and reoperations for bleeding (all P < .01) but was not associated with mortality. Intensivist integration into the postoperative care of cardiac surgery patients may reduce ventilator time, LOS, and complications but may not improve survival.

scholarly journals THE IMPACT OF PRE-OPERATIVE FRAILTY ON THE COST OF ADULT CARDIAC SURGERY IN ALBERTA: A PROSPECTIVE COHORT STUDY

2019 ◽  
Vol 35 (10) ◽  
pp. S168
Author(s):  
C. Montgomery ◽  
N. Thanh ◽  
C. Norris ◽  
D. Rolfson ◽  
S. Meyer ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
The Cost ◽  
The Impact ◽  
Adult Cardiac Surgery

scholarly journals The impact of COVID-19 pandemic on adult cardiac surgery procedures

2020 ◽  
Author(s):  
George Lazaros ◽  
Evangelos Oikonomou ◽  
Panagiotis Theofilis ◽  
Alexandra Theodoropoulou ◽  
Konstantinos Triantafyllou ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
The Impact ◽  
Adult Cardiac Surgery

scholarly journals THE FACTORS INFLUENCING RENAL RECOVERY IN CARDIAC SURGERY ASSOCIATED ACUTE KIDNEY INJURY

2016 ◽  
pp. 49-54
Author(s):  
K. Zakon ◽  
V. Romanova ◽  
K. Tverdokhlib ◽  
V. Dudarenko ◽  
I. Arbuzova ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Prospective Observational Study ◽  
Univariate Analysis ◽  
Kidney Injury ◽  
Complete Recovery ◽  
Renal Recovery ◽  
Partial Recovery ◽  
Early Withdrawal ◽  
Adult Cardiac Surgery

Background. In-hospital mortality of cardiac surgery patients with AKI is 3-7 times higher than those without AKI. This prospective observational study was dedicated to evaluate a differential approach of applying continuous and intermittent modalities in CS-AKIpatients on the rate and grade of renalfunction recovery. Methods. One hundred and six adult cardiac surgery patients admitted hospital in 2008-2011 years, who had AKI and met inclusion criteria were allocated in CRRTorIRRTgroup. Results. Sixty eight cardiac surgery with AKI patients who needed RRT were discharged from hospital. Among them, recovery of renalfunction was observed in 54 patients (79,4%) and 14 patients (20,6%) remained RRT-depen- dant. Complete recovery of renalfunction was reached in 33 patients (48,5%), while partial was observed in 21 patients (30,9%). Univariate analysis showed that complete recovery of renalfunction in CS-AKI significantly associated with reducing of dopamine dose during thefirst day of RRT (p=0,01) and long-term use of dobutamine (p=0,009). Partial recovery was associated with early dobutamine withdrawal (p=0,005) and absence of MOT (p=0,016), while RRT- dependence at discharge was associated with absence of MOT (p=0,006) and escalation of dopamine dose on thefirst day of RRT (p=0,025). The rate of renal recovery was statistically significantly higher in patients with CS-AKI with MOFthan inpatients with CS-AKI without MOF. In univariate analysis RRT-dependance at discharge of patients with CS-AKI with MOF was statistically significantly associated with arising of dopamine dose during thefirst day of RRT (p=0,006) and no-use of dobutamine at RRT start (p=0,006). Partial recovery was associated with early withdrawal of dobutamine (p=0,038). Discussion. Frequency of renal recovery inpresented study was higher than in VA/NIHAcute Renal Failure Trial Network study because of differences inpatients'population and corresponds to otherstudies of CS-AKIpatients. Conclusions. Recovery of renalfunction in CS-AKI patients associated with decreasing dose of dopamine, prolonged use ofdobutamine, illness severity and does not associated with specific RRT modality.

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