The CSP got some press this weekend both in the Free Press and by CBC- focusing on our cardiac OR cancelations. https://www.winnipegfreepress.com/local/cardiac-surgeries-put-on-hold-506582852.html
Both authors seemed to have tried to ascribe our surge in cancelations on the Government’s right-sizing initiatives. From my personal perspective, I agree with Real Cloutier’s view that the current state reflects (primarily) an aggravation of a longstanding issue relating to nursing staffing shortages – especially staffing of critical care units. It is important for members of CSP to appreciate that this issue is “front and centre” for both SBH and for WRHA and that we are making progress (although admittedly slow) in both short term and long terms fixes. Stay tuned.
ACS Network Update. Effective March 11, 2019 at 08:00 hours there will a few changes to the STEMI RED process, specifically:
1) We will now use only one term for STEMI (whether EMS or from another ED). They will now be referred to CODE STEMI EMS or CODE STEMI Grace Hospital or HSC….
2) We now have a new STEMI/Stroke Access Line. The new STEMI/Stroke Access Line number is 204-986-2622 to arrange transport – when diagnosis is certain the ED physician will activate transport immediately
3) STEMI algorithms are being updated and will be circulated to include these changes asap.
Publications by our Faculty this Week
Arbel Y, Ko DT, Yan AT, Cantor WJ, Bagai A, Koh M, Eberg M, Tan M, Fitchett D, Borgundvaag B, Ducas J, Heffernan M, Morrison LJ, Langer A, Dzavik V, Mehta SR, Goodman SG; TRANSFER-AMI Trial Investigators. Long-term Follow-up of the Trial of Routine Angioplasty and Stenting After Fibrinolysis to Enhance Reperfusion in Acute Myocardial Infarction (TRANSFER-AMI). Can J Cardiol. 2018 Jun;34(6):736-743. doi: 10.1016/j.cjca.2018.02.005. Epub 2018 Feb 10.
Christie S, Hiebert B, Seifer CM, Khoo C. Clinical outcomes of cardiac resynchronization therapy with and without a defibrillator in elderly patients with heart failure. J Arrhythm. 2018 Nov 14;35(1):61-69. doi: 10.1002/joa3.12131. eCollection 2019 Feb.
Dyck GJB, Raj P, Zieroth S, Dyck JRB, Ezekowitz JA. The Effects of Resveratrol in Patients with Cardiovascular Disease and Heart Failure: A Narrative Review. Int J Mol Sci. 2019 Feb 19;20(4). pii: E904. doi: 10.3390/ijms20040904. Review.
Kehler DS, Stammers AN, Horne D, Hiebert B, Kaoukis G, Duhamel TA, Arora RC. Impact of preoperative physical activity and depressive symptoms on post-cardiac surgical outcomes. PLoS One. 2019 Feb 28;14(2):e0213324. doi: 10.1371/journal.pone.0213324. eCollection 2019.
Chung J, Stevens LM, Ouzounian M, El-Hamamsy I, Bouhout I, Dagenais F, Cartier A, Peterson MD, Boodhwani M, Guo M, Bozinovski J, Yamashita MH, Lodewyks C, Atoui R, Bittira B, Payne D, Tarola C, Chu MWA; Canadian Thoracic Aortic Collaborative. Sex-Related Differences in Patients Undergoing Thoracic Aortic Surgery. Circulation. 2019 Feb 26;139(9):1177-1184. doi: 10.1161/CIRCULATIONAHA.118.035805.
Wildes TS, Mickle AM, Ben Abdallah A, Maybrier HR, Oberhaus J, Budelier TP, Kronzer A, McKinnon SL, Park D, Torres BA, Graetz TJ, Emmert DA, Palanca BJ, Goswami S, Jordan K, Lin N, Fritz BA, Stevens TW, Jacobsohn E, Schmitt EM, Inouye SK, Stark S, Lenze EJ, Avidan MS; ENGAGES Research Group. Effect of Electroencephalography-Guided Anesthetic Administration on Postoperative Delirium Among Older Adults Undergoing Major Surgery: The ENGAGES Randomized Clinical Trial. JAMA. 2019 Feb 5;321(5):473-483. doi: 10.1001/jama.2018.22005.
Grocott HP. Phenylephrine and paradoxically increased muscle tissue oxygenation: is the mechanism related to local venoconstriction or augmented venous return? J Clin Monit Comput. 2018 Dec;32(6):1143. doi: 10.1007/s10877-018-0102-y. Epub 2018 Jan 16. No abstract available.