The Impact of New Technology on Cardiothoracic Surgical Practice

Pennington, D. Glenn

doi:10.1016/j.athoracsur.2005.11.031

Cited by 18 publications

(11 citation statements)

References 46 publications

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“…1 For the first 3 decades after its inception, the demand for coronary artery bypass graft (CABG) surgery grew exponentially; this demand still continues to increase at a modest rate. 2,3 Advances in surgical technology and expanding accessibility, combined with the increasing burden of coronary heart disease (CHD) and aging of the population, suggest that this escalating trend will continue in the years to come.…”

mentioning

confidence: 99%

Coronary Artery Bypass Graft Surgery

Sawatzky

Naimark

2009

Journal of Cardiovascular Nursing

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Although the literature is replete with evidence related to physiological predictors and short-term outcomes of coronary artery bypass graft (CABG) surgery, there is still a paucity of data that encompass a broader perspective of risk and outcomes. The primary objective of this prospective cohort study was to explore the physiological and psychosocial dimensions of preoperative status that may be predictive of the short- and longer term outcomes of CABG surgery. Patients (N = 136) scheduled for elective/urgent CABG surgery were followed from the time of placement on the waiting list until 6 months after the surgery. Significant predictors of intensive care unit length of stay (LOS) included the following: age, urgency of operation, and perioperative complications. Hospital LOS was best predicted by baseline unemployment, longer bypass time, and perioperative complications. Baseline unemployment and less optimism regarding surgery outcomes were predictive of postdischarge home care utilization. Lower baseline physical functioning predicted postdischarge emergency room visits. Sex and baseline mental status predicted quality of life/health satisfaction scores at 6 weeks and 6 months after discharge. The ability to predict patient outcomes has implications for program planning, patient education, and policy development. The findings of this study provide rationale for clinicians, educators, and administrators to consider a broader scope of physiological and psychosocial parameters to predict outcomes of CABG surgery. Although the sample size was relatively small, the broader perspective on risk and outcomes provides insight for strategies to optimize overall outcomes for the CABG surgery population. These findings also establish the cornerstone for ongoing CABG surgery outcomes evaluation and research.

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confidence: 99%

Coronary Artery Bypass Graft Surgery

Sawatzky

Naimark

2009

Journal of Cardiovascular Nursing

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“…11 In many cases the anesthetic management of these more innovative cardiac procedures is more demanding than the staple coronary artery bypass graft procedure. Projections by Pennington 49 and Etzioni and colleagues 48 indicate that overall demand for cardiac surgery will continue to rise, although the types of surgical interventions will be different. Surgical specialties likely to be busiest in the future appear in Table 1.…”

Section: Physician Anesthesia Workforce Outlookmentioning

confidence: 98%

Staffing the Operating Room Suite: Perspectives from Europe and North America on the Role of Different Anesthesia Personnel

Halbeis

Schubert

2008

Anesthesiology Clinics

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“…The surgical robot technology, especially the robot which can be controlled by magnet at the end of the catheter, has a great influence on cardiothoracic operation and intubation in cardiovascular surgery. 109,110 The remote image-guided magnetic catheter guidance system has been used in ablation operation for the treatment of AF 111,112 and tachycardia. [113][114][115] Robotic-assisted catheter technology has also been widely used in mitral valve repair, 116,117 and robotics have been used in minimally invasive surgery to treat coronary artery stenosis 118,119 or to assist in navigation in thickened hypertrophic obstructive cardiomyopathy with septum myectomy, 120 which is associated with sudden cardiac death syndrome.…”

Section: Application Of Nanotechnology In Cardiac and Cardiothoracic mentioning

confidence: 99%

Nanotechnology, an alternative with promising prospects and advantages for the treatment of cardiovascular diseases

Li¹,

Liang²,

Xiao³

et al. 2018

IJN

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Cardiovascular diseases (CVDs) are one of the most important causes of mortality and affecting the health status of patients. At the same time, CVDs cause a huge health and economic burden to the whole world. Although a variety of therapeutic drugs and measures have been produced to delay the progress of the disease and improve the quality of life of patients, most of the traditional therapeutic strategies can only cure the symptoms and cannot repair or regenerate the damaged ischemic myocardium. In addition, they may bring some unpleasant side effects. Therefore, it is vital to find and explore new technologies and drugs to solve the shortcomings of conventional treatments. Nanotechnology is a new way of using and manipulating the matter at the molecular scale, whose functional organization is measured in nanometers. Because nanoscale phenomena play an important role in cell signal transduction, enzyme action and cell cycle, nanotechnology is closely related to medical research. The application of nanotechnology in the field of medicine provides an alternative and novel direction for the treatment of CVDs, and shows excellent performance in the field of targeted drug therapy and the development of biomaterials. This review will briefly introduce the latest applications of nanotechnology in the diagnosis and treatment of common CVDs.

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The Impact of New Technology on Cardiothoracic Surgical Practice

Cited by 18 publications

References 46 publications

Coronary Artery Bypass Graft Surgery

Coronary Artery Bypass Graft Surgery

Staffing the Operating Room Suite: Perspectives from Europe and North America on the Role of Different Anesthesia Personnel

Nanotechnology, an alternative with promising prospects and advantages for the treatment of cardiovascular diseases

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