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Cardiothoracic Surgery - Crossref

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Last Updated: 10 January 2023

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Comparison of the Effectiveness of Music Video Therapy and Music Therapy on Pain after Cardiothoracic Surgery in Preschool Children

The aim: To investigate the effects of music video therapy on pain among preschoolers following cardiothoracic surgery. Patients in the music video therapy group received a 30-minute music video intervention, while patients in the music therapy group received a 30-minute musical intervention. Conclusions: The MVT group showed a statistically significant decline in heart rate, mean arterial pressure, and respiratory rate at the first day after surgery and fever testing among the MT group and the MT group, but no significant difference was found in oxygen saturation. Conclusion: The findings add to the evidence supporting the use of music video therapy as a non-pharmaceutical therapy to reduce postoperative pain, reduce the use of analgesics, shorten the length of ICU and hospital stays in preschool children following the cardiothoracic surgery.

Source link: https://doi.org/10.1532/hsf.3509


Perceptions of Training Pathways from Recent Cardiothoracic Surgery Graduates

Background: There are three cardiothoracic surgery training paths available in the United States—u2014general surgery residency, followed by a CTS residency of 2-3 years, four years of general surgery, and three years of CTS residency, as well as an integrated 6-year path. The aim of this survey was to survey early career cardiothoracic surgeons regarding their education experiences. Participants were able to practice with a mean response of 79. 8; mean career satisfaction was 87. 6. Surgeons from 72 traditional pathway and 18/18 integrated pathway trained surgeons would opt for an integrated pathway. This is the first survey to explore the perceptions of training from early-career cardiothoracic surgeons from both educational backgrounds. This report provides insight into how to enhance CTS preparation for the next generation of surgeons by the next generation of surgeons.

Source link: https://doi.org/10.1532/hsf.3651


The impact of a postoperative multimodal analgesia pathway on opioid use and outcomes after cardiothoracic surgery

Abstract Goal The Enhanced Recovery After Surgery Cardiac Society recommends using multimodal analgesia for postoperative pain, however, evidence-based guidelines have yet to be developed. Methods Within a multicenter healthcare network, a postoperative MMA pathway was developed and implemented at two CTS intensive care units, but the remaining CTS ICU chose to keep the existing opioid-based route. Patients admitted to a CTS ICU within this healthcare network after traditional coronary bypass grafting and/or valve surgery from September 1, 2018 to June 30, 2019. A retrospective chart review was conducted on patients admitted to a CTS ICU within this healthcare network following traditional coronary artery bypass graft and/or valve surgery from September 1, 2018 to June 30, 2019. The MMA group was more likely to have mobility within one-day post-surgery, have a longer lead to first BM, and a longer wait for first zero RASS. Patients in the MMA group were also more likely to have prolonged time to first BM and first zero RASS, respectively.

Source link: https://doi.org/10.1186/s13019-022-02067-3


Predicting Adverse Events in the Cardiothoracic Surgery Intensive Care Unit Using Machine Learning: Results and Challenges

We randomly selected 1,383 patients from a group that did not experience any adverse events for the control program. The ensemble learning algorithm, random forest, was applied and outperformed the best reported logistic regression models for similar tasks by a 95% CI of [0. 81-0. 90], sensitivity of 0. 72 percent, PPV of 0. 91], and NPV of 0. 77 were all positive. We'd like to perform a similar evaluation process on a multicenter dataset and then use this static prediction model to create algorithms for real-time feedback to care teams. The ability to anticipate potentially lethal complications in acute care settings, such as the operating room and intensive care unit, will be enhanced by using supervised machine learning algorithms.

Source link: https://doi.org/10.1101/2022.12.16.22283463


Restrictive Spirometric Pattern and Postoperative Pulmonary Complications Following Non-cardiothoracic Surgery

Abstract: Despite a large population of patients with a strict spirometric profile, no studies have investigated postoperative respiratory problems in these patients after non-cardiothoracic surgery. We conducted a retrospective cohort study of 681 adults with a normal or restrictive spirometric pattern who were referred to preoperative evaluation of PPC risk before non-cardiothoracic surgery between March 2014 and January 2015. PPCs in patients with a restrictive spirometric profile were higher than those with normal spirometry. PPCs were more prevalent in the categories of restrictive spirometric pattern severity, increasing. PPCs in patients with a restrictive spirometric pattern were higher than those with a normal spirometric pattern, especially in patients with a moderately restrictive spirometric pattern. Patients with a moderate-to-severe restrictive spirometric pattern should be put in danger of developing PPCs following non-cardiothoracic surgery.

Source link: https://doi.org/10.1038/s41598-019-49158-1


The impact of gender bias in cardiothoracic surgery in Europe: a European Society of Thoracic Surgeons and European Association for Cardio-Thoracic Surgery survey

Abstract OBJECTIVES from the European Society of Thoracic Surgeons and the European Association for Cardio-Thoracic Surgery developed a questionnaire to investigate the effects of gender bias on a cardiothoracic surgery career. METHODS A 46-item survey on gender discrimination was created using online survey software from December 2020 to January 2021. A total of 66% of the women reported having no children compared to only 19% of the men. Compared to males, more women said they never had been a formal mentor than themselves. Contrasting to 13% of men, 55% of female respondents considered abandoning surgery as a result of stereotypes; 67% of women reported that discrimination was unfairly treated as a result of gender discrimination; 68% of women said they were discriminated against due to gender discrimination. CONCLUSIONS Women in cardiothoracic surgery had remarkably high rates of encounters with misogynism that could have barred qualified women from serving in leadership positions.

Source link: https://doi.org/10.1093/ejcts/ezac034


Evaluation of extracurricular medical education in cardiothoracic surgery and cardiology; students’ opinion on current medical training

Abstract: Medical students in the Netherlands have a poor history of cardiothoracic surgery and cardiology. This report aims to investigate the impact and benefits of an extracurricular education program on students' understanding of cardiothoracic surgery and cardiology, as well as potential career decision making factors. Methods: Six participants were enrolled in the extracurricular education program VECTOR and were included in a cross-sectional cohort study, with 66 participants participating. After the course, participants demonstrated a dramatic increase in their knowledge of cardiothoracic surgery and cardiology. After the course with a rise in academic interest in cardiovascular medicine and cardiothoracic surgery, significant improvement knowledge scores were recorded for all specified subdomains. Conclusion: This report reveals the value of an extracurricular education program in cardiothoracic surgery and cardiology for undergraduates, as well as students' preparation for clinical practice.

Source link: https://doi.org/10.21203/rs.3.rs-2357744/v1

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions