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Sensing Savvy

Do Adult ECMO Outcomes Depend on Institutional Volume?

Posted by Roger DeLong, CP, PE, MBA on Feb 20, 2017 6:30:00 AM

Extracorporeal membrane oxygenation (ECMO) was instituted in 1972 as a last ditch effort to save children experiencing cardiac and or respiratory failure. During the first decades of ECMO therapy, it was not widely used in adults because studies had not shown benefits for the adult population. However, within the last decade with better ECMO technology, patient management and the H1N1 swine flu epidemic of 2007-2008 that left patients with adult respiratory distress syndrome (ARDS), there has been a significant increase in adult ECMO.

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Topics: Cardiovascular, cardiac care

Pioneers in Cardiothoracic Surgery: Dr. René Favaloro

Posted by Susan Eymann, MS on Feb 16, 2017 12:00:00 PM

Dr. René Gerónimo Favaloro was an Argentine cardiac surgeon who pioneered coronary artery bypass surgery while at the Cleveland Clinic. He was born and raised in La Plata, capital of the province of Buenos Aires, Argentina to carpenter Juan B. Favaloro and Ida Y. Raffaelli, a dressmaker, both immigrants from Sicily, Italy.

Soon after completing his undergraduate degree in 1941, Favaloro was inducted into the Argentine army where he served for five years. In 1946, he left the service and continued his medical studies at La Universidad Nacional de La Plata, graduating in 1949. He would spend the next 12 years in a small farming community, La Pampa, as a rural physician. There, he educated patients about preventive medicine, established the first “mobile” blood bank in this area, and built his own operating room, where he trained general and surgical nurses. He later wrote about this period of his life in his book Memoirs of a Country Doctor.

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Topics: Cardiothoracic, cardiothoracic surgery

Pioneers in Cardiothoracic Surgery: Dr. Christiaan Barnard

Posted by Susan Eymann, MS on Feb 13, 2017 7:00:00 AM

On Dec. 3, 1967, a medical milestone was made in Cape Town, South Africa. A 54-year-old grocer, Louis Washkansky, received a heart transplanted from a young woman who died in a fatal accident while crossing the street. A medical team of 30 under the direction of Dr. Christiaan Barnard, assisted by his right-hand man and brother Marius, performed the nine-hour operation. Washkansky survived the operation and lived for 18 days before succumbing to pneumonia.

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Topics: Cardiothoracic, cardiothoracic surgery

Pioneers in Cardiothoracic Surgery: Dr. Norman Shumway

Posted by Susan Eymann, MS on Feb 8, 2017 7:00:00 AM

Norman Edward Shumway M.D., Ph.D., Stanford University Frances and Charles Field Professor of Cardiovascular Surgery, Emeritus, was born February 9, 1923, in Kalamazoo, Michigan. His father ran a creamery. Shumway was quiet, witty, irreverent and intuitive about people and about what would and would not work. Despite his fame as the father of heart transplantation, he shunned publicity.

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Topics: Cardiothoracic, cardiothoracic surgery

Why Your Dialysis Clinic Needs a Vascular Access Coordinator

Posted by Deborah Brouwer-Maier RN, CNN on Feb 6, 2017 6:30:00 AM

Often referred to as the Achilles heel of hemodialysis, the vascular access is the lifeline of the patient — successful hemodialysis depends on it.

When an access fails, serious complications can occur. The patient is at risk for infection, sepsis — even death. For a dialysis clinic, these patient complications can result in missed appointments, delayed scheduling and surgery cancellations, which can hurt a clinic’s bottom line.

For many clinics, continuity of care is a major concern.

What if one new hire could help ensure continuity of care and address access issues before they occur?

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Topics: Hemodialysis

Pioneers in Cardiothoracic Surgery: Dr. Denton Cooley

Posted by Susan Eymann, MS on Feb 2, 2017 7:00:00 AM

"What he did, more than anyone else, was make heart surgery safe." —O.H. Frazier, M.D. (Denton Cooley protégé)

Denton Cooley, one of the greatest heart surgeons of the 20th century, was a third-generation Houstonian. He was born in 1920 in comfortable economic circumstances. His father was a successful dentist; his maternal grandfather, a physician. As a young scholar and athlete, Cooley showed great promise. As a youth, he was inspired by his parents and a family friend who also was his mother’s obstetrician, Dr. E.W. Bertner, who later founded the Texas Medical Center.

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Topics: Cardiothoracic, cardiothoracic surgery

Kidney Care News to Know for January

Posted by Deborah Brouwer-Maier RN, CNN on Jan 30, 2017 6:30:00 AM

Nephrology Practices & Optimizing Performance

To help nephrologists determine whether compensation is the best it could have been this year, the Renal Physicians Association has published its biennial nephrology business survey results in an interactive tool. The tool “helps practices identify areas of excellence and those that can be improved upon in ways not previously available,” according to Nephrology News & Issues. The survey found many practices have seen an increase in patients and they rely more heavily on advanced practitioners to provide this care.

Source: Nephrology News & Issues

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Topics: Hemodialysis

Pioneers in Cardiothoracic Surgery: Dr. John Kirklin

Posted by Susan Eymann, MS on Jan 25, 2017 7:00:00 AM

When professor Stephen Westaby, a heart surgeon at John Radcliffe Hospital, Oxford, England, decided to go to the United States to refine his surgical skills, he was advised, “Go to Kirklin. There you will learn discipline.”

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Topics: Cardiothoracic, cardiothoracic surgery

Pioneers in Cardiothoracic Surgery: Dr. Clarence Walton “Walt” Lillehei

Posted by Susan Eymann, MS on Jan 23, 2017 6:30:00 AM

In the second half of the 20th century, a group of surgeons advanced the work of early pioneers in cardiothoracic surgery who had first introduced surgical procedures to relieve heart disease. Two of these men were from institutions in America’s heartland: Dr. John Kirklin worked at the Mayo Clinic in Rochester, Minnesota, while at nearby University of Minnesota in Minneapolis; and Dr. Clarence Walton “Walt” Lillehei pioneered open heart surgery.

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Topics: Cardiothoracic, cardiothoracic surgery

Pioneers in Cardiothoracic Surgery: Dr. Michael Ellis DeBakey

Posted by Susan Eymann, MS on Jan 18, 2017 7:00:00 AM

Perhaps no one person embodies the advancements in the surgical treatment of cardiovascular diseases during the 20th century more than Dr. Michael Ellis DeBakey. As a world-renowned scientist, innovator, medical educator, administrator, author, medical statesman and humanitarian, his name has become synonymous with firsts in surgery, biomedical innovations and the establishment of several educational and medical institutions.

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Topics: Cardiothoracic, cardiothoracic surgery