Akron Children's’ Post

More evidence of the gender disparities in #cardiac care, as women have less good outcomes due to the lack of research on the right therapeutic approach for women in need of bypass surgery or stents. We must do research that is specific to women, and better understand the different and distinct approaches to cardiac care they require to achieve comparable outcomes to men. #cardiovascularhealth #cardiovasculardisease #womenshealth #heart #heartdisease #femalehealth

Hey Connections, Here is my Artcleon Cardiac catheterisation #snsdesignthinkers #snsinstitutions #snsthinkers Postoperative care is the care you receive after a surgical procedure. The type of postoperative care you need depends on the type of surgery you have, as well as your health history. It often includes pain management and wound care. Postoperative care begins immediately after surgery. It lasts for the duration of your hospital stay and may continue after you’ve been discharged. As part of your postoperative care, your healthcare provider should teach you about the potential side effects and complications of your procedure. Before you have surgery, ask your doctor what the postoperative care will involve. This will give you time to prepare beforehand. Your doctor may revise some of their instructions after your surgery, based on how your surgery went and how well you’re recovering. Prepare ahead of time Ask as many questions as possible before your surgery, and ask for updated instructions before you’re discharged from the hospital. Many hospitals provide written discharge instructions. Ask your doctor questions such as: How long will I be expected to remain in the hospital? Will I need any special supplies or medications when I go home? Will I need a caregiver or physical therapist when I go home? What side effects can I expect? What complications should I watch out for? What things should I do or avoid to support my recovery? When can I resume normal activity? The answers to these questions can help you prepare ahead of time. If you expect to need help from a caregiver, arrange for it before your surgery. It’s also important to learn how to prevent, recognize, and respond to possible complications. Depending on the type of surgery you have, there are many potential complications that can arise. For example, many surgeries put patients at risk of infection, bleeding at the surgical site, and blood clots caused by inactivity. Prolonged inactivity can also cause you to lose some of your muscle strength and develop respiratory complications. Ask your doctor for more information about the potential complications of your specific procedure. Postoperative care in the hospital After your surgery is complete, you will be moved to a recovery room. You’ll probably stay there for a couple of hours while you wake up from anesthesia. You’ll feel groggy when you wake up. Some people also feel nauseated. While you’re in the recovery room, staff will monitor your blood pressure, breathing, temperature, and pulse. They may ask you to take deep breaths to assess your lung function. They may check your surgical site for signs of bleeding or infection. They will also watch for signs of an allergic reaction. For many types of surgery, you will be placed under general anesthesia. Anesthesia can cause an allergic reaction in some people. Once you’re stable, you’ll be moved to a hospital room if you’re staying overnight.

-- **Understanding CABG: A Lifesaving Procedure for Heart Health** Coronary Artery Bypass Grafting (CABG) is one of the most common and effective procedures performed to treat severe coronary artery disease (CAD). This surgery plays a critical role in improving blood flow to the heart, especially for patients who suffer from blocked or narrowed arteries. **Why is CABG important?** When lifestyle changes and medications aren't enough to manage CAD, CABG offers a surgical solution that can significantly reduce symptoms such as chest pain (angina) and the risk of a heart attack. By creating a new path for blood to flow around the blocked arteries, CABG can extend life expectancy and improve the quality of life for patients. **How does CABG work?** During the procedure, a surgeon uses a healthy blood vessel from another part of the body to bypass the blocked coronary artery. This "detour" restores proper blood flow to the heart muscle, ensuring it receives the oxygen and nutrients it needs to function effectively. **The road to recovery** While CABG is a major surgery, many patients return to their daily activities within a few months. However, adopting a heart-healthy lifestyle post-surgery is crucial to maintaining the benefits of the procedure. This includes regular exercise, a balanced diet, and avoiding smoking. At CityHeart Superspeciality Hospital, we are committed to providing top-tier cardiac care. Our experienced cardiac surgeons and comprehensive rehabilitation programs are dedicated to guiding our patients through every step of their heart health journey. Let's continue to raise awareness about the importance of CABG and support those who have undergone this life-changing surgery. ❤️ #CardiacCare #HeartHealth #CABG #CoronaryArteryBypass #Healthcare #HeartSurgery #cityheartsuperspecialityhospital #drgagankhullar

🏥 Cardiology Care Made Easy Cure Bridge connects you to the forefront of cardiac care. Our platform brings you closer to the latest in heart health technology and expert cardiology teams. 💚 Comprehensive Cardiac Services: Preventive Care: Access to screenings and lifestyle guidance to keep your heart healthy. Advanced Surgeries: Find top surgeons for procedures like bypass or open-heart surgery through our network. Post-Surgery Support: Comprehensive follow-up care to ensure a smooth recovery. 🤝 Seamless Healthcare Journey From booking appointments to managing treatment plans, Cure Bridge simplifies every step of your cardiac care. 📣 Heart to Heart Got questions about heart health or surgery? Reach out to us, and let’s start a conversation that matters. 👉 Stay Heart-Smart Follow Cure Bridge for updates on how we’re connecting patients to life-saving cardiac treatments and services1. #CardiacCare #HeartHealth #CureBridgeCardiology #PreventiveCardiology #AdvancedHeartSurgery #HeartSmart #CardiologyExperts #HeartSurgerySupport #LifestyleForHeart #CardiacWellness #BypassSurgery #OpenHeartInnovation #HeartRecoveryJourney #HealthyHeartTips #CardiacScreenings

When it comes to babies and toddlers, parents are taught to be very careful about small parts, due to the risk of choking. But another risk that has to be taken in consideration is aspiration, as in this case where little Asher was thankfully saved 🙏 FBA (Foreign Body Aspiration) is when food, drink or other material accidentally enters the airway tube and travels down to the lungs, instead of entering the food tube and travelling down to the stomach. This can cause serious health problems, such as pneumonia. On one side it allows more time for treatment, compared to choking incidents, but on the other hand the symptoms may be so "silent" to make it difficult to be detected (especially if parents are not aware of what happened, with infants not being able to explain), allowing the infection to grow severe before getting treatment. Be very careful about food and objects that can be very small and light, which increases the risk of being accidentally breathed in. Examples: popcorn, tiny marshmallows, small round chips such as the cheesy ones, powdered sugar, small polystyrene foam pieces... A good way to easily assess the risk of aspiration is to place the small parts on the palm of your hand and blow very gently. If they move very easily, better to keep them away from your small ones (or mitigate in your safety risk assessment, if likely to enter in contact with infants or toddlers) #productsafety #childrensafety #aspiration

The gender disparity in heart surgery outcomes is disappointing. Women are three to five years older than men when undergoing bypass surgery, in part because coronary artery disease is recognized more easily and earlier in men. As a result, women may have different symptoms, including fatigue, shortness of breath, and back or stomach pain. Furthermore, fewer than 20% of patients enrolled in clinical trials are female, so what we’ve been taught is based essentially on research in men. Women are also more likely to have developed health problems like diabetes, high blood pressure, and vascular conditions, which increase risk in cardiac surgery. They also have smaller, more fragile blood vessels, which can make surgery more complex. These disparities affect other forms of cardiac treatment and surgery, too. A 2020 review of randomized trials reported that women have worse outcomes than men five years after receiving a stent.( adapted from NYT article) #healthdisparities #diagnosticdelay#patientsafety #womenshealth Society to Improve Diagnosis in Medicine ECRI The Joint Commission ACGME IHI

Cardiac Tamponade In EMS, chest pain and chest injuries are some of the most critical and time-sensitive patients we encounter. Cardiac Tamponade is no different. Cardiac tamponade is a buildup of fluid in the pericardial sac that surrounds the heart which impairs the heart’s ability to contract and the ventricles to fill normally. When the ventricles are not allowed to fill as they want, we see a decrease in stroke volume, a drop in cardiac output, and visible signs of shock. Cardiac tamponade often occurs as a result of trauma to the chest. Trauma can come from external, blunt, or penetrating forces to the chest wall itself, or it can come indirectly from things like surgery. Myocardial infarctions can also cause cardiac tamponade when they result in cardiac rupture. Further, there are different types of infections that can cause cardiac tamponade. Beck’s Triad: Low arterial blood pressure, distended neck veins, and muffled heart tones Treatment: 1- Apply high concentration oxygen 2- Consider C-spine and full spinal immobilization if suspected trauma 3- Check vital signs every 5 minutes Monitor ECG rhythms for any signs of arrhythmia 4- Ensure the patient is kept warm 5- Rapid transport to an appropriate facility 6- Establish IV access and administer fluids as needed Definitive Treatment: Pericardiocentesis is the definitive treatment that few EMS personnel can perform. This is a procedure where a needle is inserted into the pericardial sac so that the excess fluid can be removed #EMT #EMS #Paramedic #EM #Cardiac #Emergency

When older adults in their 80’s & 90’s or older come to clinic with structural heart issues, the mission is clear. Help find solutions to enhance quality of life and preserve independence. Shortness of breath, leg swelling, abdominal fullness and swelling, fatigue & disruption of quality of life removing ability to remain independent. These are symptoms that are commonly part of the presentation of patients with a leaky tricuspid valve and truly severe regurgitation. In some cases, diuretics are helpful, but in many cases are ineffective, a short-lived solution, and have destructive side effects. It used to be a heartbreaking situation where we just told them there was no option other than a high or prohibitive risk surgery. Many would decline, appropriately so and clinically circle the drain. It was very frustrating and heart-breaking to say there’s nothing else to offer. But it was the reality. We would often just follow patients along because we hoped that over time newer therapies would become available. It makes it all the more amazing that we are on the cusp of tricuspid interventions becoming routine and mainstream whether through availability of commercially available devices or through clinical device trials. It has absolutely changed the game for many patients who simply had no other options prior and can now thrive with a meaningful quality of life. Challenges remain including expense, ability to tackle all forms of anatomy, treat larger valve sizes, & overcome imaging challenges and infrastructure that are very real limitations preventing scaling of these therapies. The fact is though the first big steps have been taken and the progress is exciting. Device time for both cases shown in the video was approximately 30 minutes only. On the left is the commercially available tricuspid valve clip (Abbott | Cardiovascular) and on the right is tricuspid valve replacement as part of an early feasibility process (Medtronic Cardiac and Vascular ). The clinical impact of reducing TR to trace in both these cases was remarkable on follow up, so many patients stand to benefit! UAB Medicine Mouhamed Amr Sabouni Ali Ebrahimi Madhura Myla Baran Aksut Hassan Alkhawam James Davies Kyle W Eudailey, MD, Panos N. Vardas Sasha Still Amr Salama Abdullah Mahmood Weihan Chen Phillip Smith Darryl Prime Ashley Reed Raegan White Medtronic Jeffrey J. Popma Robby Hendrix Stedman Poe, CRNP Philips Imaging Paul M. Khait Alexander Haak Michael A. Donovan, MBA, Abbott Amy Woodard Michael Dove

Conclusions "The need for prolonged #mechanicalventilatory support is prevalent and associated with other perioperative complications. More important, after adjusting for other covariates, prolonged mechanical ventilation is an independent factor associated with increased longitudinal mortality." What if there is a safe, accessible, cost effective, easy to use and implement solution that can have a positive impact on care and outcomes for these patients? Let's do a quick dive into this, fun with concept mapping video below, take home overall is , solutions that can expedite weaning to reduce time on positive pressure ventilation, and also potentially avoid perioperative window complications from PPV has the potential to improve outcomes in the hospital and possibly long term - post discharge in the home. #bcv #respiratorycare #criticalcare #homecare #npv The impact of prolonged mechanical ventilation after acute type A aortic dissection repair Diaz-Castrillon, Carlos E. et al. The Journal of Thoracic and Cardiovascular Surgery, Volume 167, Issue 5, 1672 - 1679.e2 Chaturvedi RK, Zidulka AA, Goldberg P, deVarennes B, Iqbal S, Rahme E, Lachapelle K. Use of negative extrathoracic pressure to improve hemodynamics after cardiac surgery. Ann Thorac Surg. 2008 Apr;85(4):1355-60. doi: 10.1016/j.athoracsur.2007.10.002. PMID: 18355527. McBride WT, Ranaldi G, Dougherty MJ, Siciliano T, Trethowan B, Elliott P, Rice C, Scolletta S, Giomarelli P, Romano SM, Linton DM. The hemodynamic and respiratory effects of continuous negative and control-mode cuirass ventilation in recently extubated cardiac surgery patients: Part 2. J Cardiothorac Vasc Anesth. 2012 Oct;26(5):873-7. doi: 10.1053/j.jvca.2012.05.021. Epub 2012 Jul 13. PMID: 22795733. if you want to learn more about how BCV can help your patients in acute care or the home , it may make sense for us to speak or correspond, feel free to message me.

The Top-Ranked Heart Hospitals in the Great Plains Region: Among the top 50 rated U.S. hospitals for adult cardiology care in 23-24, four were based in the seven-state Great Plains region. This included the Mayo Clinic, the 3rd highest-rated heart hospital in the country. In the most recent (23-24) U.S. News & World Report survey of American hospitals, over 770 hospitals were scored on their proficiency in providing adult heart care, including heart surgery. In this survey, hospitals were scored on assorted metrics related to their experience with adult heart patients, the scope of their adult heart care programs, and the degree of distinction a hospital has earned within the adult cardiology care community. Here's a summary view of the top-rated heart hospitals in the Great Plains region and where they ranked nationally for adult heart care in the 23-24 survey: https://lnkd.in/g8sX4n2Y #cardiology #hearthospital #cardiovascular Barnes-Jewish Hospital, Leslie McGuire, Saint Luke's Mid America Heart Institute