A review of the literature on aortic aneurysms is carried out, focusing abdominal as most frequent location. After introducing topic (concept, frequency, natural history disease, consequences -mortality-, etc.), focuses individualized treatment this entity and improvements obtained during last decade, both in elective non-elective situations, which have led to a reduction mortality. These are d...

BACKGROUND Water enema multidetector computed tomography (WE-MDCT) is currently considered the most accurate imaging modality to provide high-resolution multiplanar visualisation of the colonic wall and surrounding structures. METHODS This pictorial review presents our experience with WE-MDCT applications outside colorectal tumour staging, particularly for investigating diverticular disease a...

OBJECTIVES To assess the influence of investor owned for-profit (IOFP) status on upcoding pediatric inpatient admissions for inconsequential injuries as emergency when urgent or elective would be more suitable. STUDY DESIGN Using Florida inpatient discharge data for children 15 years and younger during 2001 to 2010, we examined injuries originating from the emergency departments (EDs) resulti...

Background: Remote ischemic preconditioning (RIPC) protects other organs from subsequent lethal ischemic injury, but uncertainty remains. We investigated if RIPC could prevent acute kidney injury (AKI) in patients undergoing coronary artery bypass graft (CABG) surgery.Methods: This parallel-group, double-blind, randomized, controlled trial was done on adults undergoing elective or urgent on-pum...

Uncalibrated semi-invasive continous monitoring of cardiac index (CI) has recently gained increasing interest. The aim of the present study was to compare the accuracy of CI determination based on arterial waveform analysis with transpulmonary thermodilution. Fifty patients scheduled for elective coronary surgery were studied after induction of anaesthesia and before and after cardiopulmonary b...

Is it realistic to think of separating NHS hospital sites more effectively for “cold” (elective) and “hot” (acute urgent) care, so that outbreaks or seasonal surges don’t lead elective care being cancelled delayed? This month over five million people were waiting planned surgery, procedures, tests, outpatient appointments in England—the highest figure on record.1 The Times reported “NHS chiefs ...

The purpose of this study was to investigate the operative results and the clinical outcomes for octogenarians who underwent cardiac surgery. Twenty consecutive octogenarians who had cardiac operations at Samsung Medical Center from October 1994 through December 2004 were included in the study. The medical records were retrospectively reviewed and the follow-up results were obtained by the inte...

Pediatric telephone triage programs have been initiated to reduce overcrowding of pediatric medical facilities, yet it is unclear what impact these programs have on reducing after hours room visits. This study used a decision analysis model and data from reference literature to investigate the effectiveness of this program and determine the factors that influence the results. The decision analy...

BACKGROUND AND OBJECTIVES Percutaneous cardiopulmonary support (PCPS) has proven to be a valuable technique in high-risk coronary patients undergoing percutaneous coronary intervention (PCI). However, there have been few studies on PCI associated with PCPS in Korea. We summarized our experience with PCPS-supported PCI. SUBJECTS AND METHODS We retrospectively reviewed 19 patients with PCPS-sup...