Surgical intervention in older people is increasing in prevalance but is associated with higher rates of adverse postoperative outcomes as compared to younger people. Current models of preoperative risk assessment and optimisation may be indequate for this complex surgical population.
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Surgery
March 4, 2016
The optimal timing of tracheotomy in critically ill patients remains a topic of debate. The Authors performed a systematic review to clarify the potential benefits of early versus late tracheotomy. Three categories of timing of tracheotomy (within 4 versus after 10 days, within 4 versus after 5 days, within 10 versus after 10 days) were analyzed.
February 1, 2016
A retrospective analysis of patients suffering blunt cardiac injury was performed to identify factors associated with mortality. Death was not associated with abnormal ECG or the site or number of bone fractures. Mortality was related to hypotension, elevated lactate, and elevated troponins.
January 9, 2016
The authors performed a randomized control study of 178 patients with heart failure and systolic dyssynchrony who were accepted for CABG, randomizing the participants into two groups: CABG alone (n=87) and CABG + concomitant epicardial CRT (n=91). CRT was activated postoperatively.
December 16, 2015
PREVENT IV trial participants who had undergone either a RIMA or LIMA to LAD anastomosis and underwent an angiogram at 1 to 1.5 years (n=1539) were analyzed for mammary graft failure (defined as >75% stenosis).
October 14, 2015
During the 2013 In-Training Exam for cardiothoracic surgery residents, 312 residents were surveyed regarding their training.
July 23, 2015
Transoesophageal stimulation for motor-evoked potentials monitoring was evaluated in dogs. The method was feasible with technical ease and small interindividual variability and therefore warrants further studies. The project won the 2014 EACTS Hans G. Borst Award.
July 15, 2015
The University of Pennsylvania group, in a porcine model of ischemic mitral regurgitation (IMR), compared echocardiographic surface coaptation in two groups of pigs: Those undergoing MV repair with a flat semirigid annuloplasty ring vs. with a saddle-shaped rigid annuloplasty ring.
June 24, 2015
Patients with afib undergoing elective surgery or invasive procedure who were on coumadin were randomized to bridging with low molecular weight heparin or placebo preoperatively. The incidence of arterial thromboembolism was .03% in the bridge group and 0.4% in the placebo group, demonstrating non-inferiority of placebo. The bleeding complication r
March 2, 2015
This retrospective review of outcomes after reconstruction of the intervalvular fibrous trigone combined with aortic and mitral valve replacement tracked patients who were operated upon for either severe endocarditis (n=26) or severe calcification (n=14) involving the trigone.