[HSF] Help in the OR
erdinç naseri
enaseri at hotmail.com.tr
Sun Jul 8 16:26:53 EDT 2007
One nurse and one fellow scrubbed. one janitor and one perfusionist.( in all cases)
erdinc> From: msfirst at gmail.com> Date: Sat, 7 Jul 2007 16:30:48 -0400> To: OpenHeart-L at lists.hsforum.com> CC: > Subject: [HSF] Help in the OR > > Just curious > What is the typical amount of help that you have scrubbed in the OR during a case? Obviosly a scrub nurse but what about a PA or two? Residents or fellows? RNFAs? Janitors? What is considered the least amount and level of experience that each would consider to do a major case with? > Michael Firstenberg <msfirst at gmail.com>> > -----Original Message-----> From: Hgrmd at aol.com> To: OpenHeart-L at lists.hsforum.com> Sent: 7/7/2007 1:18 PM> Subject: Re: [HSF] A. Fib.> > Ajit,> Excellent points. Nobody wants to have their chest split to get their AF > cured. The key is being able to offer a full set of lesions via a minimally > invasive approach. I can do that. I just submitted an abstract to the STS > that outlines my methods and results in 107 patients. Knowing the politics of > AF, I'll be surprised if it is accepted. What I mean by that is the current > big names in AF are on the payroll of certain device companies. It's an > uphill battle to get power sources from companies who don't play the game > published, even though they may be the most effective in my opinion. If I'm being > oblique and murky, I hope you can read between the lines (I'm becoming a > little more diplomatic in my old age.).> Your point about the "success" rate after a surgical maze is quite apt. > Cox's original papers showing a 95% success rate were based on telephone > interviews of the patients in which they asked the patient if they still had > palpitations and an irregular heartbeat. It is well known that patients often > lose the ability to perceive AF, presumably due to denervation. > My personal success rate is gauged on spot ECG's, 24 hr Holters, or pacer > checks. Only the last method is truly reliable in assessing the AF burden. > Because of my interest in this field, I'm now striving getting 24hr Holters > every 6 months for life. As you know, a small, but steady erosion in results > occurs with time.> > Hal> > > > ************************************** See what's free at http://www.aol.com.> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------> > _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------
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