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Author: Medical Services Advisory Committee, MSAC. Publisher: ISBN: 9780642820365 Category : Coronary arteries Languages : en Pages : 142
Book Description
Beating heart surgery, or off-pump coronary artery bypass (OPCAB), is a less invasive alternative to conventional coronary artery bypass graft surgery (CABG) and aims to avoid the surgical trauma caused by cardiopulmonary bypass. For the purpose of this review OPCAB was defined as off-pump CABG with full merdian sternotomy. Seven randomised controlled trials and twenty-five non-randomised controlled trials comparing OPCAB with CABG were available for review. The methodological inaccuracies and poor evidence quality of many of the studies meant that only very general conclusions could be deawn from the data. Perioperative morbidity and mortality was generally similar or lower during OPCAB, in comparison to CABG. Overall, there was no discernible difference between difference in short-term safety outcomes between OPCAB and CABG, while major complications appeared less likely to occur following OPCAB. However, the lack of long-term follow-up precluded an assessment of the long-term safety of OPCAB. The limited data indicated that perioperative effectiveness outcomes were similar for both OPCAB and CABG. However, the number of grafts performed per patient was significatly lower during OPCAB.
Author: Medical Services Advisory Committee, MSAC. Publisher: ISBN: 9780642820365 Category : Coronary arteries Languages : en Pages : 142
Book Description
Beating heart surgery, or off-pump coronary artery bypass (OPCAB), is a less invasive alternative to conventional coronary artery bypass graft surgery (CABG) and aims to avoid the surgical trauma caused by cardiopulmonary bypass. For the purpose of this review OPCAB was defined as off-pump CABG with full merdian sternotomy. Seven randomised controlled trials and twenty-five non-randomised controlled trials comparing OPCAB with CABG were available for review. The methodological inaccuracies and poor evidence quality of many of the studies meant that only very general conclusions could be deawn from the data. Perioperative morbidity and mortality was generally similar or lower during OPCAB, in comparison to CABG. Overall, there was no discernible difference between difference in short-term safety outcomes between OPCAB and CABG, while major complications appeared less likely to occur following OPCAB. However, the lack of long-term follow-up precluded an assessment of the long-term safety of OPCAB. The limited data indicated that perioperative effectiveness outcomes were similar for both OPCAB and CABG. However, the number of grafts performed per patient was significatly lower during OPCAB.
Author: Medical Services Advisory Committee, MSAC. Publisher: ISBN: 9780642820358 Category : Coronary arteries Languages : en Pages : 140
Book Description
MIDCAB (minimally invasive direct coromary artery bypass) is a coronary artery bypass procedure done on a beating heart, through a minimal access incision. For the purpose of this review MIDCAB is defined as a off-pump coronary artery bypass (OPCAB) grafting undertaken a full median sternotomy. No differences in mortality rates could be detected between MIDCAB and CCABG groups and there was some limited evidence that MIDCSB may be assiciated with less perioperative and postoperative morbidity (less need for transfusion, lower rates of atrial fibrillation and myocardial injury, and reduced inflammatory response) than for CCABG. However, the evidence came from mostly small randomised controlled trials and non-randomised studies. There was insufficient evidence to etsablish whether MIDCAB reduced postoperative pain. No difference in patency rates could be detected between MIDCAB and CCABG groups. The MIDCAB procedure may be associated with shorter operating times and shorter hospital stays than for CCABG procedures. However, there may be more need for re-intervention in MIDCAB compared to CCABG. There is insufficient evidence to determine whether MIDCAB procedures were less costly than CCABG procedures, although shorter operating times and shorter hospital stays are likely to make MIDCAB less costly than CCABG.
Author: Raymond Cartier Publisher: ISBN: 9781587064043 Category : Coronary artery bypass Languages : en Pages : 0
Book Description
The recent revival of a coronary artery bypass technique without extracorporeal assistance is a revolution in cardiovascular procedures that has occasioned much controversy. Cartier (cardiac surgery, Montreal Heart Institute) has collected these papers to optimize the technique, test its limits and to find its place in the evolution of surgery.
Author: Narain Moorjani Publisher: CRC Press ISBN: 1444137573 Category : Medical Languages : en Pages : 208
Book Description
Highly Commended, BMA Medical Book Awards 2014The development of new techniques as well as the refinement of established procedures has led to great progress in cardiac surgery. Providing an ideal synopsis of the growth in this area, Cardiac Surgery: Recent Advances and Techniques systematically reviews all the new developments in cardiac surgery,
Author: Tohru Asai Publisher: Springer ISBN: 4431549862 Category : Medical Languages : en Pages : 239
Book Description
This book is a valuable resource on the subject of off-pump coronary artery bypass (OPCAB) surgery, which has recently been developed as a promising technique for reducing surgical damage to patients. Because of the increasing number of older patients who are candidates for a coronary artery bypass graft (CABG) operation, less-invasive surgeries are becoming a priority all over the world. Despite some challenges, such as its technical difficulties, emerging questions, and controversies involved, OPCAB surgery in CABG is now the gold standard in Japan. This book, written by OPCAB experts, examines the procedure established and its chief benefits. Its coverage ranges from a careful evaluation of the evidence for and against OPCAB surgery to preoperative and intraoperative management of patients undergoing coronary bypass surgery. It also contains a description of advanced techniques for every aspect of the procedure. The authors[share essential insights into the latest trends in cardiovascular surgery for professionals and residents, presenting detailed descriptions of the exposure of the heart, stabilization of each coronary artery target, construction of distal anastomoses, and other important factors. The book offers an invaluable reference guide for cardiac surgeons, cardiologists, anesthesiologists, and other medical staff in operating rooms around the world.
Author: Mohammed Minhaj Publisher: Oxford University Press ISBN: 0190884525 Category : Medical Languages : en Pages : 384
Book Description
Cardiac Anesthesia: A Problem-Based Learning Approach provides a comprehensive review of the dynamic and ever-changing field of cardiac anesthesia. Its problem-based format incorporates a pool of multiple-choice questions for self-assessment. Each of its 36 case-based chapters is accompanied by questions and answers, accessible online in a full practice exam. The cases presented are also unique, as each chapter starts with a case description, usually a compilation of several actual cases; it then branches out through case-based questions, to increasingly complex situations. This structure is designed to create an authentic experience that mirrors that of an oral board examination. The discussion sections that follow offer a comprehensive approach to the chapter's subject matter, thus creating a modern, complete, and up-to-date medical review of that topic.
Author: Frank W. Sellke Publisher: Elsevier Health Sciences ISBN: 0323790275 Category : Medical Languages : en Pages : 2794
Book Description
The only text to cover the full range of adult cardiac, thoracic, and pediatric chest surgery, Sabiston and Spencer Surgery of the Chest provides unparalleled guidance in a single, two-volume resource. This gold standard reference, edited by Drs. Frank Sellke, Pedro del Nido, and Scott Swanson, covers today’s most important knowledge and techniques in cardiac and thoracic surgery—the information you need for specialty board review and for day-to-day surgical practice. Meticulously organized so that you can quickly find expert information on open and endoscopic surgical techniques, this 10th Edition is an essential resource not only for all cardiothoracic surgeons, but also for physicians, residents, and students concerned with diseases of the chest. Features short, focused chapters divided into three major sections: Adult Cardiac Surgery, Pediatric Cardiac Surgery, and Thoracic Surgery. Presents the knowledge and expertise of global experts who provide a comprehensive view of the entire specialty. Provides full-color coverage throughout, helping you visualize challenging surgical techniques and procedures and navigate the text efficiently. Includes new chapters on dissection complications and percutaneous treatment of mitral and tricuspid valve disease. Offers extensively revised or rewritten chapters on surgical revascularization, acute dissection, vascular physiology, the latest innovations in minimally invasive cardiothoracic surgery and percutaneous devices, the molecular biology of thoracic malignancy, robotics in chest surgery, congenital valve reconstructions, novel hybrid procedures in pediatric cardiac surgery, and 3D visualization of cardiac anatomy for surgical procedure planning. Keeps you up to date with the latest developments in cardiothoracic imaging and diagnosis. Provides access to more than 30 surgical videos online, and features new figures, tables, and illustrations throughout.
Author: Vicki S. Good Publisher: Elsevier Health Sciences ISBN: 0323481493 Category : Medical Languages : en Pages : 912
Book Description
Awarded third place in the 2017 AJN Book of the Year Awards in the Critical Care- Emergency Nursing category. Learn to effectively address life-threatening and potentially life-threatening patient conditions, with Advanced Critical Care Nursing, 2nd Edition. Endorsed by the American Association of Critical-Care Nurses (AACN), this comprehensive, nursing-focused text centers on the clinical reasoning process as it helps you comprehend, analyse, synthesize, and apply advanced critical care knowledge and concepts. The book is organized within the structure of body systems along with synthesis chapters that address patient conditions involving multiple body systems. Numerous illustrations and graphs plus unfolding case studies further aid your understanding and help you apply text content. In all, Advanced Critical Care Nursing is the must-have resource dedicated to helping you oversee or care for critical care patients in any practice setting. Body systems organization emphasizes core systems and advanced concepts. Consistent chapter format features numerous illustrations, charts, and graphs in each chapter to enhance understanding. Synthesis chapters address patient conditions that involve multiple body systems — a common occurrence in critical care nursing. Unfolding case studies with decision point questions are included at the end of all disorders chapters, providing opportunities to apply advanced critical care content to actual scenarios. Medication tables incorporate common classifications of critical care drugs for specific disorders, including drugs, actions, and special considerations. NEW! Updated information throughout reflects the latest evidence-based content as well as national and international treatment guidelines. NEW! Streamlined content places a greater focus on the need-to-know information for today’s high acuity, progressive, and critical care settings. NEW! Expanded coverage of emerging and infectious diseases and multidrug-resistant infections keep readers up to date with the most topical diseases, such as the Zika virus. NEW! Additional content on alternative settings for critical care now includes the eICU and remote monitoring. NEW! Full-color design clarifies important concepts and improve the book's usability.
Author: Medical Services Advisory Committee, MSAC.
Author: Medical Services Advisory Committee, MSAC.
Author: N. Anne Scott
Author: Medical Services Advisory Committee, MSAC.
Author: Raymond Cartier
Author: ECRI Institute Staff
Author: Narain Moorjani
Author: Tohru Asai
Author: Mohammed Minhaj
Author: Frank W. Sellke
Author: Vicki S. Good