An institution's initial experience with port-access minimally invasive cardiac surgery
Objective: To assess the learning curve associated with Port-Access minimally invasive cardiac surgery. Design: Retrospective. Setting: Single university hospital. Participants: Initial 10 patients undergoing Port-Access minimally invasive cardiac surgery. Intervention: Minimally invasive cardiac su...
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| Veröffentlicht in: | Journal of cardiothoracic and vascular anesthesia 1998-12, Vol.12 (6), p.617-619 |
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| container_title | Journal of cardiothoracic and vascular anesthesia |
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| creator | Chaney, Mark A. Nikolov, Mihail P. Tuchek, Michael Bakhos, Mamdouh |
| description | Objective: To assess the learning curve associated with Port-Access minimally invasive cardiac surgery.
Design: Retrospective.
Setting: Single university hospital.
Participants: Initial 10 patients undergoing Port-Access minimally invasive cardiac surgery.
Intervention: Minimally invasive cardiac surgery.
Measurements and Main Results: All 10 patients experienced an uneventful intraoperative and immediate postoperative course. Only one patient experienced postoperative cardiovascular morbidity, which was an episode of new onset atrial fibrillation after mitral valve surgery that was successfully treated with pharmacologic therapy. Extubation times and postoperative discharge times were less than historic controls receiving the same anesthetic technique at the same institution.
Conclusion: This institution's initial experience with 10 patients undergoing Port-Access minimally invasive cardiac surgery suggests an acceptable learning curve and decreased extubation and postoperative discharge times, which should translate into reduced health care costs. |
| doi_str_mv | 10.1016/S1053-0770(98)90230-0 |
| format | Article |
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Design: Retrospective.
Setting: Single university hospital.
Participants: Initial 10 patients undergoing Port-Access minimally invasive cardiac surgery.
Intervention: Minimally invasive cardiac surgery.
Measurements and Main Results: All 10 patients experienced an uneventful intraoperative and immediate postoperative course. Only one patient experienced postoperative cardiovascular morbidity, which was an episode of new onset atrial fibrillation after mitral valve surgery that was successfully treated with pharmacologic therapy. Extubation times and postoperative discharge times were less than historic controls receiving the same anesthetic technique at the same institution.
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Design: Retrospective.
Setting: Single university hospital.
Participants: Initial 10 patients undergoing Port-Access minimally invasive cardiac surgery.
Intervention: Minimally invasive cardiac surgery.
Measurements and Main Results: All 10 patients experienced an uneventful intraoperative and immediate postoperative course. Only one patient experienced postoperative cardiovascular morbidity, which was an episode of new onset atrial fibrillation after mitral valve surgery that was successfully treated with pharmacologic therapy. Extubation times and postoperative discharge times were less than historic controls receiving the same anesthetic technique at the same institution.
Conclusion: This institution's initial experience with 10 patients undergoing Port-Access minimally invasive cardiac surgery suggests an acceptable learning curve and decreased extubation and postoperative discharge times, which should translate into reduced health care costs.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cardiac Surgical Procedures - adverse effects</subject><subject>Cardiac Surgical Procedures - instrumentation</subject><subject>Cardiac Surgical Procedures - methods</subject><subject>Cardiology. Vascular system</subject><subject>Coronary heart disease</subject><subject>Female</subject><subject>Heart</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>minimally invasive cardiac surgery</subject><subject>Minimally Invasive Surgical Procedures - adverse effects</subject><subject>Minimally Invasive Surgical Procedures - instrumentation</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Port-Access cardiac surgery</subject><subject>Retrospective Studies</subject><issn>1053-0770</issn><issn>1532-8422</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtP3DAURq2qiFLan4CUBepjEXptx469qhCiDwmJBa26tDzOTesqkwy-zsD8e8zMlC5Z2dZ37sOHsRMOZxy4_nTDQcka2hY-WPPRgpBQwwt2xJUUtWmEeFnu_5BX7DXRXwDOlWoP2aE1qtFKH7Ff52MVR8oxzzlO43sqr5ijHyq8X2GKOAas7mL-U62mlGsfAhJVywIt_TBsCr32FNdYBZ-66ENFc_qNafOGHfR-IHy7P4_Zzy-XPy6-1VfXX79fnF_VQRqb69B0lttec86D1L6zQqIxxqJUPQgQTTBND0H1QhsJsODYtVqhbXu_AAkoj9m7Xd9Vmm5npOyWkQIOgx9xmslpC6aYaQqodmBIE1HC3q1S-UPaOA7uUajbCnWPtpw1bivUQak72Q-YF0vsnqr2Bkt-us89BT_0yY8h0v_mWjQAsmCfdxgWGeuIyVHYyu1iwpBdN8VnFnkAJkuSXw</recordid><startdate>19981201</startdate><enddate>19981201</enddate><creator>Chaney, Mark A.</creator><creator>Nikolov, Mihail P.</creator><creator>Tuchek, Michael</creator><creator>Bakhos, Mamdouh</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19981201</creationdate><title>An institution's initial experience with port-access minimally invasive cardiac surgery</title><author>Chaney, Mark A. ; Nikolov, Mihail P. ; Tuchek, Michael ; Bakhos, Mamdouh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-c4d919f6111c36ad923e8889e35f02024c84f0c5f268300b1ed765e97fab030e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cardiac Surgical Procedures - adverse effects</topic><topic>Cardiac Surgical Procedures - instrumentation</topic><topic>Cardiac Surgical Procedures - methods</topic><topic>Cardiology. Vascular system</topic><topic>Coronary heart disease</topic><topic>Female</topic><topic>Heart</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>minimally invasive cardiac surgery</topic><topic>Minimally Invasive Surgical Procedures - adverse effects</topic><topic>Minimally Invasive Surgical Procedures - instrumentation</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Port-Access cardiac surgery</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chaney, Mark A.</creatorcontrib><creatorcontrib>Nikolov, Mihail P.</creatorcontrib><creatorcontrib>Tuchek, Michael</creatorcontrib><creatorcontrib>Bakhos, Mamdouh</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiothoracic and vascular anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chaney, Mark A.</au><au>Nikolov, Mihail P.</au><au>Tuchek, Michael</au><au>Bakhos, Mamdouh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An institution's initial experience with port-access minimally invasive cardiac surgery</atitle><jtitle>Journal of cardiothoracic and vascular anesthesia</jtitle><addtitle>J Cardiothorac Vasc Anesth</addtitle><date>1998-12-01</date><risdate>1998</risdate><volume>12</volume><issue>6</issue><spage>617</spage><epage>619</epage><pages>617-619</pages><issn>1053-0770</issn><eissn>1532-8422</eissn><abstract>Objective: To assess the learning curve associated with Port-Access minimally invasive cardiac surgery.
Design: Retrospective.
Setting: Single university hospital.
Participants: Initial 10 patients undergoing Port-Access minimally invasive cardiac surgery.
Intervention: Minimally invasive cardiac surgery.
Measurements and Main Results: All 10 patients experienced an uneventful intraoperative and immediate postoperative course. Only one patient experienced postoperative cardiovascular morbidity, which was an episode of new onset atrial fibrillation after mitral valve surgery that was successfully treated with pharmacologic therapy. Extubation times and postoperative discharge times were less than historic controls receiving the same anesthetic technique at the same institution.
Conclusion: This institution's initial experience with 10 patients undergoing Port-Access minimally invasive cardiac surgery suggests an acceptable learning curve and decreased extubation and postoperative discharge times, which should translate into reduced health care costs.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>9854656</pmid><doi>10.1016/S1053-0770(98)90230-0</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1053-0770 |
| ispartof | Journal of cardiothoracic and vascular anesthesia, 1998-12, Vol.12 (6), p.617-619 |
| issn | 1053-0770 1532-8422 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Biological and medical sciences Cardiac Surgical Procedures - adverse effects Cardiac Surgical Procedures - instrumentation Cardiac Surgical Procedures - methods Cardiology. Vascular system Coronary heart disease Female Heart Humans Length of Stay Male Medical sciences Middle Aged minimally invasive cardiac surgery Minimally Invasive Surgical Procedures - adverse effects Minimally Invasive Surgical Procedures - instrumentation Minimally Invasive Surgical Procedures - methods Port-Access cardiac surgery Retrospective Studies |
| title | An institution's initial experience with port-access minimally invasive cardiac surgery |
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