AW: AW: [HSF] The fallacy of surgical research

[sekhar le]

In 1990 I was working as a resident in cardiac surgery and my duty included preparing cardioplegia     and all patients needed   dc shock after declamping.
 I thought it was normal. 
 After 6 months I joined some other hospital I did not see routine dc shocks after decamping. I enquired why it is so. They told me till 3 yrs back they had to shock every heart coming off clamp.
It changed when one of the anaesthetists who visited UK and   saw in that hospital routine dc shocks were not used and he brought their cardioplegia [st Thomas] ampoules with him and they were used in few cases. The chief was so impressed with its performance   they adopted it even though it was expensive.
That public hospital was so strict with cost containment that surgeons have to use only one suture for 2 aortic purse strings and all cannulae, and bypass tubings were recycled but they were willing to buy st Thomas cardioplegia   ampoules wisely. 
 
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