By Dr. Ross Feldman,
Medical Lead,
Cardiac Sciences Manitoba

March 22, 2020

Mitral Rumbles – March 22 2020

It is a Captain Obvious statement that we are in a much different place than we were two weeks ago, or even last weekend, as we now head into our first week under a state of emergency. Upon reflecting on the past 2 weeks from a CSP perspective I just wanted to share 2 observations, both of which I am grateful for.

Firstly, I am truly appreciative of the work done by so many of you in developing the specifics of i) how we translate infection prevention and control policies into action on the wards, the OR and labs, and clinics and ii) the guidances for implementing the progressive reductions in cardiac services. You have responded to the call and allowed us to put together a thoughtful, rational, comprehensive and consistent set of policies that may be needed as we progress further into this tunnel. Special call out to Reid, whose diligence to the day-to-day (and night-to-night) operation of cardiac services has been monumental.

Secondly, I appreciate how quickly all of you understood and accepted the importance of acting WITHIN the community, together, and respecting the organization of that community in developing and executing the plan for providing cardiac services under pandemic conditions. Especially, for those of us who are physicians, operating within a “collective” may not be our first nature. For much of what we do, we are mostly responsible to our patients and ourselves for our actions. However, providing services in a state of emergency requires all of us to work together and especially, respect our reporting lines- sometimes deferring to decisions that we might not have made ourselves, but accepting them nonetheless when made “above our pay grade”. Your ability on a community basis, to respect the organizational structure and work together across inter-professional silos will really help us weather this difficult period that we are still on the brink of.


Congratulations to Chris Kuzminski, his wife Angela and their son Michael on the arrival of their daughter/sister Olivia Violet!

Publications by our Faculty this Week

Arcinas LA, Kass M, Hanif H, Morris AL. “I Tripped and Broke My Heart”: A Case Report of Right Atrial Rupture. CJC Open. 2020 Feb 5;2(2):74-76. doi: 10.1016/j.cjco.2020.01.001. eCollection 2020 Mar.

Bednarczyk JM, Arora RC. Commentary: Can a health care quality lens clarify transfusion practice in perioperative cardiac surgery? J Thorac Cardiovasc Surg. 2020 Mar;159(3):974-975. doi: 10.1016/j.jtcvs.2019.02.070. Epub 2019 Feb 28. No abstract available.

Kehler DS, Arora RC. Commentary: Leading the way to better surgical outcomes. J Thorac Cardiovasc Surg. 2020 Mar;159(3):985-986. doi: 10.1016/j.jtcvs.2019.04.080. Epub 2019 May 16. No abstract available.

Maguire D, Maguire D. Emerging Agents for Vasoplegia: Don’t Forget to Take Your Vitamins: B12. Anesth Analg. 2020 Mar 12. doi: 10.1213/ANE.0000000000004720. [Epub ahead of print] No abstract available.

Grocott HP. Commentary: Optimizing cerebral oxygenation in cardiac surgery: Neurocognitive and perioperative outcomes. J Thorac Cardiovasc Surg. 2020 Mar;159(3):956-957. doi: 10.1016/j.jtcvs.2019.03.102. Epub 2019 Apr 23. No abstract available.

Grocott HP. Transversus Abdominis Plane Block: Comment. Anesthesiology. 2020 Mar 9. doi: 10.1097/ALN.0000000000003242. [Epub ahead of print] No abstract available.

Parr CJ, Yan W, Toleva O, Ducas J, Garber PJ. Spinal Epidural Hematoma Secondary to Tenecteplase for ST-Elevation Myocardial Infarction in the Setting of Trauma and Cervical Endplate Fracture. CJC Open. 2019 Dec 28;2(2):71-73. doi: 10.1016/j.cjco.2019.12.003. eCollection 2020 Mar.

Chung J, Stevens LM, Chu MWA, Dagenais F, Peterson MD, Boodhwani M, Bozinovski J, El-Hamamsy I, Yamashita MH, Atoui R, Bittira B, Payne D, Ouzounian M; Canadian Thoracic Aortic Collaborative (CTAC). The impact of age on patients undergoing aortic arch surgery: Evidence from a multicenter national registry. J Thorac Cardiovasc Surg. 2020 Feb 19. pii: S0022-5223(20)30423-2. doi: 10.1016/j.jtcvs.2020.02.032. [Epub ahead of print]