Discipline MCP5847 Basic and Translational Research Models in Organ Transplantation and Cardiothoracic Surgery
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Frater, Robert
Oral History Interview with Robert Frater Cardiothoracic Surgeon St. Jude’s Medical Center FDA Oral History Program Final Edited Transcript May 2003 Table of Contents Oral History Abstract ...................................................................................................................... 2 Keywords ........................................................................................................................................ 2 Citation Instructions ........................................................................................................................ 2 Interviewer Biography ..................................................................................................................... 3 FDA Oral History Program Mission Statement .............................................................................. 3 Statement on Editing Practices ....................................................................................................... 3 Index ............................................................................................................................................... 4 Interview Transcript ........................................................................................................................ 5 Robert Frater Oral History 1 Oral History Abstract This interview was conducted in an effort to collect background information on the development of cardiothoracic surgery and heart valve design and surgical implantation. Dr. Frater was a pioneer in the development -
General Pulmonology Track (August 7, 2014) Ballroom a & B
PCCP MIDYEAR CONVENTION August 7, 2014, Crowne Plaza Ballroom A&B General Pulmonology Track (August 7, 2014) Ballroom A & B Time Topic Topic 9:00- Spirometry, Lung volumes, DLCO, Ventilator waveforms 9:45 airway resistance, MVV interpretation interpretation John Clifford E. Aranas, MD, FPCCP Celeste Mae L. Campomanes, MD, FPCCP 9:45- CPET interpretation Non-invasive ventilation trouble shooting 10:30 May N. Agno, MD, FPCCP Newell R. Nacpil, MD, FPCCP 10:30- Perioperative Pulmonary Evaluation for Sleep Study interpretation 11:15 Virginia S. delos Reyes, MD, FPCCP Lung Resection Vincent M. Balanag, Jr., MD, FPCCP 11:15- Perioperative Management for Non-thoracic Imaging in Pulmonary Medicine 12:00 Joseph Leonardo Z. Obusan, MD, FPCR Surgery Abundio A. Balgos, MD, FPCCP 12:00- Luncheon Symposium Luncheon Symposium 1:30 1:30- Ventilator waveforms Spirometry, Lung volumes, DLCO, airway 2:15 interpretation resistance, MVV interpretation Albert L. Rafanan, MD, FPCCP Rachel Lee-Chua, MD, FPCCP 2:15- Non-invasive ventilation trouble CPET interpretation 3:00 shooting Josephine Blanco-Ramos, MD, FPCCP Jubert P. Benedicto, MD, FPCCP 3:00- Perioperative Pulmonary Evaluation Sleep Study interpretation 3:45 for Lung Resection Aileen Guzman-Banzon, MD, FPCCP Benilda B. Galvez, MD, FPCCP 3:45- Perioperative Management for Non- Imaging in Pulmonary Medicine 4:30 thoracic Surgery Maria Lourdes S. Badion, MD, FPCR Eileen G. Aniceto, MD, FPCCP LEARNING OBJECTIVES Spirometry, Lung volumes, DLCO, airway resistance, MVV interpretation 1. Specify the indications for pulmonary function testing. 2. Describe how the following pulmonary function tests are performed a. Spirometry i. lung volumes ii. DLCO iii. airway resistance iv. -
Regarding the SARS Cov-2 Pandemic
Guidance from the International Society of Heart and Lung Transplantation regarding the SARS CoV-2 pandemic REVISED: August 19, 2020 An international group of ISHLT members representing Infectious Diseases, Pulmonology, Cardiology, Cardiothoracic Surgery and Pharmacy was appointed by the Executive Board of the ISHLT to discuss frequently asked questions related to the current pandemic caused by SARS- CoV-2 (virus) causing the disease coronavirus disease 2019 (COVID-19). The group has met frequently to update this document as more data and experience become available. This guidance is pertinent to care providers of patients with chronic lung/ heart disease and transplant, mechanical circulatory support, and pulmonary vascular disease. NEW INFORMATION IN THIS REVISION: - updated donor and recipient selection for cardiothoracic transplant - lung transplant listing criteria for COVID-19 related acute respiratory distress syndrome CONTRIBUTORS: Chair: Saima Aslam Infectious Diseases: Lara Danziger-Isakov, Me-Linh Luong, Shahid Husain, Fernanda P. Silveira, Paolo Grossi Cardiology: Eric Adler, Marta Farrero, Maria Frigerio, Enrico Ammirati, Luciano Potena, Mandeep R. Mehra, Jeffrey Teuteberg, Raymond Benza Pulmonology: Are Holm, Federica Meloni, Lianne Singer, Erika Lease, Stuart Sweet, Christian Benden, Maria M. Crespo, Marie Budev, Peter Hopkins, Andrew Courtwright Cardiothoracic Surgery: Stephan Ensminger, Jan Gummert, Marcelo Cypel, Daniel Goldstein Pharmacy: Michael Shullo, Patricia Ging 1 INDEX 1. Risk factors and severity of COVID-19 Page 3 2. Reducing risk of infection with SARS-CoV-2 Pages 3-5 3. SARS-CoV-2 testing Page 5-6 4. Management of a patient with chronic lung/heart disease and Pages 6-8 transplant, mechanical circulatory support or pulmonary vascular disease with confirmed COVID-19 5. -
Variability in Anesthesia Models of Care in Cardiac Surgery
Preprints (www.preprints.org) | NOT PEER-REVIEWED | Posted: 25 November 2020 doi:10.20944/preprints202010.0085.v2 Communication Variability in Anesthesia Models of Care In Cardiac Surgery Dianne McCallister 1, Bethany Malone 2 , Jennifer Hanna3, and Michael S Firstenberg 3,* 1 Diagnosis Well, Inc, Greenwood Village, Colorado, USA; [email protected]. 2 Department of Surgery, Summa Akron City Hospital, Akron, Ohio, USA; [email protected]. 3 Department of Cardiothoracic and Vascular Surgery, The Medical Center of Aurora, Aurora, Colorado, USA; [email protected]. * Correspondence: [email protected] Abstract: The operating room in a cardiothoracic surgical case is a complex environment, with multiple handoffs often required by staffing changes, and can be variable from program to program. This study was done to characterize what types of practitioners provide anesthesia during cardiac operations to determine the variability in this aspect of care. A survey was sent out via a list serve of members of the cardiac surgical team. Responses from 40 programs from a variety of countries showed variability across every dimension requested of the cardiac anesthesia team. Given that anesthesia is proven to have influence on the outcome of cardiac procedures, this study indicates the opportunity to further study how this variability influences outcomes, and to identify best practices. Keywords: Cardiothoracic Surgery; Anesthesia Staffing Models; Outcomes; Operating Room Staffing; Handoffs; Quality; Communication 1. Introduction The operating room is a complex environment, with multiple team members, many of whom may move on and off the team based on shifts and other factors. The use of handoffs is a common procedure that can be employed to try to create continuity of care. -
Minimally Invasive Tricuspid Valve Surgery
1992 Review Article on Minimally Invasive Cardiac Surgery Minimally invasive tricuspid valve surgery Abdelrahman Abdelbar^, Ayman Kenawy, Joseph Zacharias Department of Cardiothoracic surgery, Lancashire Heart Centre, Blackpool Teaching Hospital, Blackpool, UK Contributions: (I) Conception and design: A Abdelbar, J Zacharias; (II) Administrative support: J Zacharias; (III) Provision of study materials or patients: A Abdelbar, A Kenawy; (IV) Collection and assembly of data: A Abdelbar, A Kenawy; (V) Data analysis and interpretation: All authors; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Abdelrahman Abdelbar, FRSC C-Th. Department of Cardiothoracic Surgery, Lancashire Heart Centre, Blackpool Teaching Hospital, Whinny Heys Rd, Blackpool, UK. Email: [email protected]. Abstract: Tricuspid valve disease carries a very unfavorable prognosis when medically treated. Despite that, surgical intervention is still underperformed for tricuspid valve disease due to the reported high morbidity and mortality from a sternotomy approach. This had led to a shift towards maximizing medical therapy for right ventricular failure and, as a result, a more significant delay in surgical referrals with surgical risks when patients are finally referred. Tricuspid valve patients usually have other co-morbidities resulting from their systemic venous congestion and low flow cardiac output. Minimally invasive tricuspid valve surgery provides less tissue injury and, as a result, less trauma during surgery. This provides a hope for both patients and treating doctors to be more open for providing this procedure with less complications. Isolated minimally invasive tricuspid valve surgery is still not performed as widely as expected. This can be partly due to the adverse outcomes historically labelled to tricuspid valve surgery or by the long journey of learning the surgical team would need to commit to with a minimal access approach. -
Get Answers to Cardiothoracic Surgery Residency Faqs
Cardiothoracic Surgery Residency Frequently Asked Questions What percentage of graduating CT surgery fellows (integrated vs traditional) are getting jobs within the first 12 months after graduation? Overall, the job market is doing very well. Anecdotal evidence from the University of Michigan, MD Anderson, and Emory shows that in the past 2 years, CT surgery residents applying for cardiac surgery (private practice) and general thoracic surgery (academic and private practice) positions have had a large increase in the number of job interviews. Current trainees are going on five to seven interviews each. The exact number of fellows being hired within 12 months is difficult to provide. The Thoracic Surgery Residents Association (TSRA) conducts a survey of all trainees during the In-Training Examination every spring. The survey asks those trainees who are actively looking for a job to identify how many job interviews they have had at the time of the survey. The question is broken up by the type of job that is being pursued (private practice, academic cardiac, academic general thoracic, etc.); data on the frequency of job interviews overall are not available. Among the respondents who were completing residency in 2016 who reported they were seeking employment, the percentage of trainees who had at least one job interview by spring 2016 by job type is: 71% mixed adult cardiac/general thoracic private practice 41% general thoracic private practice 49% adult cardiac private practice 29% mixed adult cardiac/general thoracic academic practice 51% general thoracic academic practice 58% adult cardiac academic practice 7% congenital heart surgery academic practice Some respondents may have been looking within multiple types of jobs (i.e., both a thoracic private practice and a thoracic academic practice), so the true percentage of job interviews for each trainee may be higher. -
Cardiac Privileges
Privileges in Cardiothoracic Surgery Name: 1. 2. 3. 4. Required Qualifications Education/Training Successful completion of an ACGME or AOA accredited postgraduate Residency in Cardiothoracic surgery or foreign equivalent training. AND Current certification or active participation in the examination process leading to certification in Cardiovascular Surgery by the American Board of Thoracic Surgery or in by the American Osteopathic Board of Surgery or foreign equivalent training/board. AND Documentation or attestation of the performance of at least 100 cardiothoracic surgical procedures during the past two years, or demonstrated successful completion of a hospital-affiliated formalized fellowship in cardiothoracic surgery Published: 5/8/2019 Cardiothoracic Surgery Page 1 of 7 [applicant] Provide care on LPCH patients in specific areas of SHC Request Request all privileges listed below. Service Uncheck any privileges that you do not want to request. Chief Rec Additional Request ONLY provide care of patients in the SHC Emergency Department, ASC, Cath Lab, Cancer Center or Endo Unit - requires Active or Courtesy Status at LPCH Published: 5/8/2019 Cardiothoracic Surgery Page 2 of 7 [applicant] ASSIST ONLY Request Request all privileges listed below. Service Uncheck any privileges that you do not want to request. Chief Rec ASSIST ONLY - Serving as Assist Only [CRITERIA - Initial - must meet initial Education/Training criteria above. Qualifications Additional Information No Admitting Privileges Must have primary surgeon in attendance for all procedures scheduled Renewal Must maintain reappointment activity of 11+ per year Maintain current certification or active participation in the examination process leading to certification in Cardiovascular Surgery by the American Board of Thoracic Surgery or in surgery by the American Osteopathic Board of Surgery or foreign equivalent training/board. -
Perioperative Morbidity and Mortality of Cardiothoracic Surgery in Patients with a Do-Not-Resuscitate Order Bryan G
Perioperative morbidity and mortality of cardiothoracic surgery in patients with a do-not-resuscitate order Bryan G. Maxwell1, Robert L. Lobato2, Molly B. Cason1 and Jim K. Wong3 1 Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA 2 Department of Anesthesia, Cedars-Sinai Medical Center, Los Angeles, CA, USA 3 Department of Anesthesia, Stanford University School of Medicine, Stanford, CA, USA ABSTRACT Background. Do-not-resuscitate (DNR) orders are often active in patients with mul- tiple comorbidities and a short natural life expectancy, but limited information exists as to how often these patients undergo high-risk operations and of the perioperative outcomes in this population. Methods. Using comprehensive inpatient administrative data from the Public Dis- charge Data file (years 2005 through 2010) of the California OYce of Statewide Health Planning and Development, which includes a dedicated variable recording DNR status, we identified cohorts of DNR patients who underwent major cardiac or thoracic operations and compared them to age- and procedure-matched comparison cohorts. The primary study outcome was in-hospital mortality. Results. DNR status was not uncommon in cardiac (n D 2;678, 1.1% of all admis- sions for cardiac surgery, age 71:6 ± 15:9 years) and thoracic (n D 3;129, 3.7% of all admissions for thoracic surgery, age 73:8 ± 13:6 years) surgical patient populations. Relative to controls, patients who were DNR experienced significantly greater in- hospital mortality after cardiac (37.5% vs. 11.2%, p < 0:0001) and thoracic (25.4% vs. 6.4%) operations. -
Surgical Management of Tricuspid Stenosis
Art of Operative Techniques Surgical management of tricuspid stenosis Marisa Cevasco, Prem S. Shekar Division of Cardiac Surgery, Brigham and Women’s Hospital, Boston, MA, USA Correspondence to: Prem S. Shekar, MD. Chief of Cardiac Surgery, 75 Francis Street, Boston, MA 02115, USA. Email: [email protected]. Tricuspid valve stenosis (TS) is rare, affecting less than 1% of patients in developed nations and approximately 3% of patients worldwide. Detection requires careful evaluation, as it is almost always associated with left-sided valve lesions that may obscure its significance. Primary TS is most frequently caused by rheumatic valvulitis. Other causes include carcinoid, radiation therapy, infective endocarditis, trauma from endomyocardial biopsy or pacemaker placement, or congenital abnormalities. Surgical management of TS is not commonly addressed in standard cardiac texts but is an important topic for the practicing surgeon. This paper will elucidate the anatomy, pathophysiology, and surgical management of TS. Keywords: Tricuspid stenosis (TS); tricuspid valve replacement (TVR) Submitted Feb 26, 2017. Accepted for publication Apr 21, 2017. doi: 10.21037/acs.2017.05.14 View this article at: http://dx.doi.org/10.21037/acs.2017.05.14 Introduction has also been accommodated in the design of annuloplasty rings, which have a gap in the ring in this area. Anatomy The anterior papillary muscle provides chordae to the The tricuspid valve consists of three leaflets (anterior, anterior and posterior leaflets, the posterior papillary muscle posterior, and septal), their associated chordae tendineae provides chordae to the posterior and septal leaflets, and the and papillary muscles, the fibrous tricuspid annulus, and the septal wall gives chordae to the anterior and septal leaflets. -
USF Health Cardiothoracic Surgery & Transplantation Primary Care
USF Health Cardiothoracic Surgery & Transplantation Robert Hooker, MD, Erol Belli, MD, John Dunning, MD, Riad Meada MD Name:______________________________________ Phone:____________________ Address: _______________________________________________________ City: __________________________________ State: ______ Zip Code: ____________ Social Security #: ______- _____- _______ Date of Birth: ____/_____/_____ Age: _____ Marital Status: _____________ Employment: ____________________ E-mail Address: ________________________________________________ Emergency Contact:__________________________ Phone: _____________ Insurance Name:______________________ Policy #:___________________ Group #: _____ Name of Subscriber:_______________________________ Date of Birth: ____/_____/_____ Relationship to Subscriber: ______________________________________ Primary Care Physician: Cardiologist/Pulmonologist: Name:____________________________ Name:____________________________ Address:__________________________ Address:__________________________ Phone:___________________________ Phone:___________________________ Fax:_____________________________ Fax:_____________________________ Where you referred by your PCP or Cardiologist/Pulmonologist? If no, Please provide: ______________________________________ Reason for your visit: ______________________________________ 1 USF Health Cardiothoracic Surgery & Transplantation Robert Hooker, MD, Erol Belli, MD, John Dunning, MD, Riad Meada MD Review of Systems (continue): What Medications do you take? Please bring a list of -
Cardiac Surgery Made Ridiculously Simple General Rules
Cardiac Surgery Made Ridiculously Simple by Art Wallace, M.D., Ph.D. Cardiac surgery is a dangerous and complex field of medicine with significant morbidity and mortality. Quality anesthetic care with specific attention to detail can greatly enhance patient safety and outcome. Details that are ignored can lead to disaster. This document will attempt to describe the bare bones sequence for cardiac anesthesia for adult CABG and VALVE procedures with specific recommendations. It is not all inclusive or definitive but it is the minimal critical requirements. If you keep your head screwed on very tightly and pay 100% attention at all times, things will only go poorly some of the time. A good reference is: Cardiac Surgery in the Adult by L. Henry Edmunds, Jr., MD which is available online http://www.ctsnet.org/book/ An online reference text “Cardiothoracic Surgery Notes” for residents is available at http://www.ctsnet.org/residents/ctsn/ An online Johns Hopkins Cardiac Intern Survival Guide is available at http://www.ctsnet.org/doc/2695 Attendings: Mark Ratcliffe, M.D. Elaine Tseng, M.D. Fellow: Ted Wright, M.D. Rounds: M, T, W, Th, Fri, Sat, Sun Conference: Thursday 12:30 QI Meeting 203-3B-66 Friday 6:00 Rounds Friday 7:00 Case Discussion 1C-Teak Room Tuesday 4:30 Cath Conference: 1A-62 Thursday 1:30 Chest Conference MRI Conference Room Basement by MRI. Clinic: Thursday 9-12:30 General Rules: 1. Call fellow whenever in doubt. 2. If you don’t know, ask. 3. Never start or stop an inotrope infusion, without asking the fellow. -
David Tom Cooke, M.D., F.A.C.S
David Tom Cooke, M.D., F.A.C.S. Philosophy of Care Dr. Cooke’s philosophy of care motto is “Equality of Great Quality”. Dr. Cooke's theme Song is “Land of Hope and Dreams”, by Bruce Springsteen & The E Street Band. Clinical Interests Dr. Cooke specializes in complex general thoracic surgery, thoracic oncology with a special interest in Lung Cancer and Esophageal Cancer, minimally invasive thoracic surgery, including Robotic Surgery with special interest in Robotic Lung Surgery and Robotic Esophagectomy; interventional bronchoscopy, including EBUS and navigational bronchoscopy; esophageal stenting; tracheal and airway surgery; surgery for mesothelioma, surgical treatment of end-stage achalasia, hyperhidrosis surgery, diaphragm plication and diaphragm pacing; complex esophageal reconstruction for discontinuity. Additional interests include student mentoring, and community engagement and leadership. Research/Academic Interests Dr. Cooke's research interests involve clinical studies including oncologic trials, surgical outcomes/health services research, patient-centered outcomes research, translational research, surgical education and medical social media. Dr. Cooke has authored over 100 scholarly products, including peer-reviewed manuscripts and text-book chapters. Title Professor and Chief, Division of General Thoracic Surgery Vice Chair for Faculty Development & Wellness Task-Force Chair, Comprehensive Lung Cancer Screening Program Director, General Thoracic Surgery Robotics Program Program Director, Cardiothoracic Surgery Fellowship Specialty