Sal’s Stars of the Week:
(Introduced by Kwabena Osei-Bonsu)
This week’s SALS star from the Resp Therapy & Perfusion departments goes to Kyle Nickart and Jean-Claude (J-C) Simard for their foresight and patient advocacy in the care of a status asthmaticus patient who was sent over St Boniface hospital for an ECMO consult.
While many may not be aware, care for status asthmaticus at St Boniface Hospital has significantly changed in the past few months thanks to capital investments and significant staff buy in. St Boniface RT department was supported with an adjunct to one of our ventilators which allows us to ventilate patients with status asthmaticus using a mix of helium and oxygen. In addition, SBH RT has also rolled out a continuous nebulization policy in the critical care units which allows for continuous delivery of concentrated Ventolin continuously without constant refilling of the medication. Recently also adding syringe pump management competency to the list
When this was rolled out, we soon received a patient from HSC for an ECMO consult following decompensation due to worsening status asthmaticus. With the foresight and courage to put education they just received to use, J-C preemptively placed the appropriate ventilator in the room prior to the patient coming and Kyle managed to pitch a case to the attending physician at the time to trial this therapy. This foresight eventually led to no indication for ECMO and the management of the patient with heliox and continuous nebulization until extubation and discharge from the ICMS. Both J-C and Kyle have been working at SBH since graduation and we are proud to have them as part of the team and for the continued bedside excellence!
Some Good News
Reported from SA Nancy Luxa-La Blanc
We performed an EVH saphenous vein harvest January 13, 2023 for the first time on a young man in his 50’s who was a daily runner. The support from the foundation for this opportunity will improve patients post op care and lives.
The incision was approximately one inch and I was able to retrieve 2 pieces of vein from the thigh. Normally that would require an incision from the knee up to the groin. Over time and experience we will be able to harvest vein from the ankle to groin with the same one inch incision.
As a result, patients are able to ambulate quicker. In centres where the leg infection rate is 17-20% the EVH system decreased the risk to less than 1%.
Well, tomorrow will be the next harvest. My goal will be for the same success.
Cheers
Nancy
Fantastic news, Nancy. Thank you for sharing and congratulations!
Physician of the Week
In the Doctors Manitoba publication, our very own Dr. Malik has been awarded physician of the week. Please see the link and please join us in congratulating Dr. Malik as a physician of the week.
https://doctorsmanitoba.ca/news-events/physician-of-the-week/physician-of-the-week
This Week’s Faculty Publications
Stephen Shannon, Nitin Ghorpade, S Allan Schaffer Decommission of a Heartmate 3 LVAD in a patient with left ventricular recovery J Card Surg. 2022 Dec;37(12):5528-5530. doi: 10.1111/jocs.17155. Epub 2022 Nov 9.
Muhanad A Aboud, Virendra K Arya, Vikas Dutta, Robin Ducas, Waiel Al-Moustadi, Subhrashis Guha Niyogi Anesthetic Considerations for Adult Patients With Both Down Syndrome and Congenital Heart Disease Undergoing Noncardiac Surgery: A Review Article J Cardiothorac Vasc Anesth. 2022 Dec 10;S1053-0770(22)00890-4. doi: 10.1053/j.jvca.2022.12.001. Online ahead of print.
Abdul Mannan Khan Minhas, Dmitry Abramov, Joshua S Chung, Jay Patel, Mamas A Mamas, Shelley Zieroth, Richa Agarwal, Marat Fudim, David G Rabkin Current status of perioperative temporary mechanical circulatory support during cardiac surgery J Card Surg. 2022 Dec;37(12):4304-4315. doi: 10.1111/jocs.17020. Epub 2022 Oct 13.
Eugene Wang, Emilie P Belley-Côté, Jack Young, Henry He, Haris Saud, Frederick D’Aragon, Kevin Um, Waleed Alhazzani, Joshua Piticaru, Matthew Hedden, Richard Whitlock, C David Mazer, Hessam H Kashani, Sarah Yang Zhang, Amanda Lucas, Nicholas Timmerman, Cameron Nishi, Davinder Jain, Aaron Kugler, Chris Beaver, Shelley Kloppenburg, Sam Schulman, Flavia K Borges, Morvarid Kavosh, Chihiro Wada, Sabrina Lin, Serena Sibilio, Mandy Lauw Alexander Benz, Wojciech Szczeklik, Arastoo Mokhtari, Eric Jacobsohn, Jessica Spence Effect of perioperative benzodiazepine use on intraoperative awareness and postoperative delirium: a systematic review and meta-analysis of randomised controlled trials and observational studies Br J Anaesth. 2023 Jan 6;S0007-0912(22)00662-6. doi: 10.1016/j.bja.2022.12.001. Online ahead of print.
Spyridon Kostantinis, Bahadir Simsek, Judit Karacsonyi, Khaldoon Alaswad, Oleg Krestyaninov, Dmitrii Khelimskii, Dimitri Karmpaliotis, Farouc A Jaffer, Jaikirshan J Khatri, Paul Poommipanit, James W Choi, Wissam A Jaber, Stéphane Rinfret, William Nicholson, Mitul P Patel, Ehtisham Mahmud, Philip Dattilo, Sevket Gorgulu, Michael Koutouzis, Ioannis Tsiafoutis, Basem Elbarouni, Abdul M Sheikh, Barry F Uretsky, Ahmed M ElGuindy, Brian K Jefferson, Taral N Patel, Jason Wollmuth 19 , Robert F Riley, Stewart M Benton Jr, Rhian E Davies, Raj H Chandwaney, Catalin Toma, Robert W Yeh, Daniel R Schimmel, Nidal Abi Rafeh, Omer Goktekin, Jimmy L Kerrigan, Olga C Mastrodemos, Bavana V Rangan, Santiago Garcia, Yader Sandoval, M Nicholas Burke, Emmanouil Brilakis In-hospital outcomes and temporal trends of percutaneous coronary interventions for chronic total occlusion EuroIntervention. 2022 Dec 2;18(11):e929-e932. doi: 10.4244/EIJ-D-22-00599.
Weiang Yan, Michael H Yamashita Commentary: Using the right tools for the job: Revisiting renal preservation during open thoracoabdominal aortic aneurysm repair J Thorac Cardiovasc Surg. 2023 Feb;165(2):580-581. doi: 10.1016/j.jtcvs.2021.03.046. Epub 2021 Mar 18.
