The debate over the utility of postoperative incentive spirometry continues. In this instance, the use of a high-tech incentive spirometer that included audible reminders and use tracking was associated with clinical benefit.
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April 12, 2019
March 1, 2019
Though medical care has become ever more dependent on teamwork, the profession has devoted relatively little attention to what makes for a good team. In this roundtable discussion moderated by Lisa Rosenbaum, panelists Amy Edmondson, Neel Shah, and Thoralf Sundt discuss empirical and cultural approaches to the pursuit of better collaboration.
February 22, 2019
Patient Care and General Interest
October 10, 2018
A brief viewpoint article (by the savior of baby Esperanza) from a widely read non-surgical journal on the debate on ECMO/EOLIA. I assume 'thoracotomy' implies 'sternotomy' as the standard surgical approach for ECMO cannulation in adults and larger children.
Heart Transplant Recipients on Left-Ventricular Assist Device Support at Higher Risk of Primary Graft Dysfunction and Death
October 2, 2018
Will await the full paper to test the titular preliminary assertion.
September 13, 2018
Exciting debate on the EOLIA trial! https://www.ctsnet.org/jans/extracorporeal-membrane-oxygenation-severe-a...
Non-Invasive Administration of Inhaled Nitric Oxide and Its Hemodynamic Effects in Patients With Acute Right Ventricular Dysfunction
August 9, 2018
This study shows the use of inhaled nitric oxide (NO) via noninvasive means (nasal prongs or high flow nasal cannulae) is an effective method for reduction of PV resistance. With right ventricular dysfunction becoming an increasingly recognised event after cardiac surgery, this allows for application of NO without the need for intubation.
Impact of Intubation Time on Survival Following Coronary Artery Bypass Grafting: Insights From the Surgical Treatment for Ischemic Heart Failure (STICH) Trial
August 9, 2018
This is a further report from the extensive dataset of the STICH Trial. This examines the impact of immediate postoperative events (length of time of intubation) on short- and long-term outcomes. If the time was >36 hours, there was significant correlation with increased mortality, both 30-day and one-year.
August 9, 2018
This is a look at the costs related to surgical site infections (SSI), as defined by CDC. They show the impact on the monetary costs as well as length of stay with a variety of treatment methods. The costs of a deep SSI add significanty to the overall procedure costs, mainly due to the additional length of stay.
May 24, 2018
A severe blow to the concept of venovenous extracorporeal membrane oxygenation for acute respiratory distress syndrome in the form of a well-executed randomized controlled trial.