J Dunning

Summary

Country: UK

Publications

  1. ncbi request reprint Does clopidogrel rather than aspirin plus a proton-pump inhibitor reduce the frequency of gastrointestinal complications after cardiac surgery?
    Maren Ziegelin
    Department of Cardiothoracic Surgery, Wythenshawe Hospital, University Hospital of South Manchester NHS Foundation Trust, Manchester, UK
    Interact Cardiovasc Thorac Surg 6:534-7. 2007
  2. ncbi request reprint Is thrombolysis or surgery the best option for acute prosthetic valve thrombosis?
    Moloy Das
    Department of Cardiology and Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK
    Interact Cardiovasc Thorac Surg 6:806-11. 2007
  3. pmc Modifiable risk factors remain significant causes of medium term mortality after first time Coronary artery bypass grafting
    Babu Kunadian
    Department of Cardiothoracic Surgery, Blackpool Victoria Hospital, UK
    J Cardiothorac Surg 2:51. 2007
  4. ncbi request reprint Stentless vs. stented aortic valve bioprostheses: a prospective randomized controlled trial
    J Dunning
    Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, TS4 3BW, UK
    Eur Heart J 28:2369-74. 2007
  5. pmc Coronary bypass grafting using crossclamp fibrillation does not result in reliable reperfusion of the myocardium when the crossclamp is intermittently released: a prospective cohort study
    Joel Dunning
    Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK
    J Cardiothorac Surg 1:45. 2006
  6. pmc Derivation of the children's head injury algorithm for the prediction of important clinical events decision rule for head injury in children
    J Dunning
    Emergency Department, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
    Arch Dis Child 91:885-91. 2006
  7. ncbi request reprint The Cardiac Surgery Advanced Life Support Course (CALS): delivering significant improvements in emergency cardiothoracic care
    Joel Dunning
    Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, United Kingdom
    Ann Thorac Surg 81:1767-72. 2006
  8. pmc The implications of NICE guidelines on the management of children presenting with head injury
    J Dunning
    Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
    Arch Dis Child 89:763-7. 2004
  9. doi request reprint Is it safe to cover the left subclavian artery when placing an endovascular stent in the descending thoracic aorta?
    Joel Dunning
    Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK
    Interact Cardiovasc Thorac Surg 7:690-7. 2008
  10. doi request reprint Coronary artery bypass grafting is associated with excellent long-term survival and quality of life: a prospective cohort study
    Joel Dunning
    Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, United Kingdom
    Ann Thorac Surg 85:1988-93. 2008

Collaborators

Detail Information

Publications66

  1. ncbi request reprint Does clopidogrel rather than aspirin plus a proton-pump inhibitor reduce the frequency of gastrointestinal complications after cardiac surgery?
    Maren Ziegelin
    Department of Cardiothoracic Surgery, Wythenshawe Hospital, University Hospital of South Manchester NHS Foundation Trust, Manchester, UK
    Interact Cardiovasc Thorac Surg 6:534-7. 2007
    ..Either aspirin or clopidogrel combined with a proton pump inhibitor are equally effective for these patients...
  2. ncbi request reprint Is thrombolysis or surgery the best option for acute prosthetic valve thrombosis?
    Moloy Das
    Department of Cardiology and Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK
    Interact Cardiovasc Thorac Surg 6:806-11. 2007
    ..Surgery for these patients may remain the mainstay of treatment unless the clot burden is particularly small or the patient's co-morbidities make surgery unacceptably high-risk...
  3. pmc Modifiable risk factors remain significant causes of medium term mortality after first time Coronary artery bypass grafting
    Babu Kunadian
    Department of Cardiothoracic Surgery, Blackpool Victoria Hospital, UK
    J Cardiothorac Surg 2:51. 2007
    ....
  4. ncbi request reprint Stentless vs. stented aortic valve bioprostheses: a prospective randomized controlled trial
    J Dunning
    Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, TS4 3BW, UK
    Eur Heart J 28:2369-74. 2007
    ..We sought to assess the haemodynamic profile of the Freedom stentless aortic valve compared with a stented bioprosthesis in a randomized controlled trial using echocardiography...
  5. pmc Coronary bypass grafting using crossclamp fibrillation does not result in reliable reperfusion of the myocardium when the crossclamp is intermittently released: a prospective cohort study
    Joel Dunning
    Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK
    J Cardiothorac Surg 1:45. 2006
    ..Cross-clamp fibrillation is a well established method of performing coronary grafting, but its clinical effect on the myocardium is unknown. We sought to measure these effects clinically using the Khuri Intramyocardial pH monitor...
  6. pmc Derivation of the children's head injury algorithm for the prediction of important clinical events decision rule for head injury in children
    J Dunning
    Emergency Department, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
    Arch Dis Child 91:885-91. 2006
    ..Although there are several large, well-conducted studies on adults enabling accurate selection of patients with head injury at high risk for computed tomography scanning, no such study has derived a rule for children...
  7. ncbi request reprint The Cardiac Surgery Advanced Life Support Course (CALS): delivering significant improvements in emergency cardiothoracic care
    Joel Dunning
    Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, United Kingdom
    Ann Thorac Surg 81:1767-72. 2006
    ..We sought to determine the effect of this course on the management of simulated critically ill and cardiac arrest patients...
  8. pmc The implications of NICE guidelines on the management of children presenting with head injury
    J Dunning
    Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
    Arch Dis Child 89:763-7. 2004
    ..In place of skull radiography and admission, computed tomography (CT) is advocated. The impact of these guidelines on service provision in the UK is unknown...
  9. doi request reprint Is it safe to cover the left subclavian artery when placing an endovascular stent in the descending thoracic aorta?
    Joel Dunning
    Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK
    Interact Cardiovasc Thorac Surg 7:690-7. 2008
    ..An absent right vertebral artery, diseased carotid arteries or an incomplete Circle of Willis is a contraindication to left subclavian artery coverage without prior transposition or bypass grafting of the left subclavian artery...
  10. doi request reprint Coronary artery bypass grafting is associated with excellent long-term survival and quality of life: a prospective cohort study
    Joel Dunning
    Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, United Kingdom
    Ann Thorac Surg 85:1988-93. 2008
    ..We investigated the long-term outcome of coronary artery bypass grafting both in terms of survival and quality of life...
  11. ncbi request reprint A meta-analysis of clinical correlates that predict significant intracranial injury in adults with minor head trauma
    Joel Dunning
    Department of Accident and Emergency Medicine, Manchester Royal Infirmary, Manchester, United Kingdom
    J Neurotrauma 21:877-85. 2004
    ..These risks should prove invaluable to clinicians for the assessment of individual patients as well as the assessment of guidelines presented for the management of minor head injuries...
  12. ncbi request reprint A validated rule for predicting patients who require prolonged ventilation post cardiac surgery
    Joel Dunning
    Manchester Royal Infirmary, Oxford Road, Manchester M13 3BW, UK
    Eur J Cardiothorac Surg 24:270-6. 2003
    ..We thus sought to derive and validate a clinical decision rule to predict patients at high risk of prolonged ventilation, so that the timing of operations on high risk patients can be optimised in the context of the workload of the CSU...
  13. pmc A meta-analysis of variables that predict significant intracranial injury in minor head trauma
    J Dunning
    Emergency Medicine Research Group EmeRGe, Manchester Royal Infirmary, UK
    Arch Dis Child 89:653-9. 2004
    ..Previous studies have presented conflicting results regarding the predictive effect of various clinical symptoms, signs, and plain imaging for intracranial pathology in children with minor head injury...
  14. pmc The NICE guidelines in the real world: a practical perspective
    J Dunning
    Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 3BW, UK
    Emerg Med J 21:404-7. 2004
    ..This review examines the derivation of the NICE guidelines and discusses some of the problems of putting research into practice...
  15. doi request reprint Guideline for resuscitation in cardiac arrest after cardiac surgery
    Joel Dunning
    Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK
    Eur J Cardiothorac Surg 36:3-28. 2009
    ..This guideline is subject to continuous informal review, and when new evidence becomes available...
  16. doi request reprint Should adrenaline be routinely used by the resuscitation team if a patient suffers a cardiac arrest shortly after cardiac surgery?
    Myrto Tsagkataki
    Department of Cardiothoracic Surgery, James Cook University Hospital, Marton Road, Middlesbrough, TS4 3BW, UK
    Interact Cardiovasc Thorac Surg 7:457-62. 2008
    ....
  17. doi request reprint Should additional antibiotics or an iodine washout be given to all patients who suffer an emergency re-sternotomy on the cardiothoracic intensive care unit?
    ElaineYee Ling Yap
    Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK
    Interact Cardiovasc Thorac Surg 7:464-9. 2008
    ..It is common practice also to give additional antibiotics and a povodine-iodine washout although we could identify no studies other than uncontrolled cohort studies in support of this...
  18. doi request reprint Can a mini-bypass circuit improve perfusion in cardiac surgery compared to conventional cardiopulmonary bypass?
    Anastasia Alevizou
    Department of Cardiothoracic Anaesthesia, James Cook University Hospital, Middlesbrough, UK
    Interact Cardiovasc Thorac Surg 8:457-66. 2009
    ..Mini-bypass seems to be a promising technique with many documented benefits in studies reporting as many as 1000 patients undergoing this technique...
  19. doi request reprint Is reduction aortoplasty (with or without external wrap) an acceptable alternative to replacement of the dilated ascending aorta?
    Michael Gill
    Department of Cardio Thoracic Surgery, James Cook University Hospital, Middlesbrough, TS4 3BW, UK
    Interact Cardiovasc Thorac Surg 9:693-7. 2009
    ..It should also be acknowledged that the external wrap is not without risk and wrap dislocation, erosion or fistula formation are recognised complications...
  20. doi request reprint Could we use abdominal compressions rather than chest compression in patients who arrest after cardiac surgery?
    Zulfiquar Adam
    Department of Cardiology, James Cook University Hospital, Middlesbrough, UK
    Interact Cardiovasc Thorac Surg 8:148-51. 2009
    ..We conclude that currently there is very little evidence to support abdominal only CPR although these studies may support the concept that it may potentially increase the coronary and cerebral perfusion pressure...
  21. ncbi request reprint What cardioversion protocol for ventricular fibrillation should be followed for patients who arrest shortly post-cardiac surgery?
    Lydia Richardson
    Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK
    Interact Cardiovasc Thorac Surg 6:799-805. 2007
    ..If these do not succeed the chance of a 4th shock succeeding is likely to be <10% and, thus, immediate chest reopening should be performed. (This is a Class-IIa recommendation using ILCOR guideline recommendations.)...
  22. ncbi request reprint What is the patency of the short saphenous vein when used for coronary artery bypass grafting?
    Samuel Jacob
    Department of Cardio Thoracic Surgery, Aberdeen Royal Infirmary, Aberdeen, AB25 2ZN, UK
    Interact Cardiovasc Thorac Surg 6:783-5. 2007
    ..The lesser saphenous vein may be considered as an alternative to brachial or cephalic vein in patients with unsuitable long saphenous vein, and unsuitable mammary, radial or gastroepiploic arteries...
  23. ncbi request reprint Is internal massage superior to external massage for patients suffering a cardiac arrest after cardiac surgery?
    Darragh Twomey
    Department of Cardiology, James Cook University Hospital, Middlesbrough, UK
    Interact Cardiovasc Thorac Surg 7:151-6. 2008
    ....
  24. doi request reprint Should patients undergoing cardiac surgery with atrial fibrillation have left atrial appendage exclusion?
    Alan G Dawson
    Department of Cardiothoracic Surgery, Aberdeen Royal Infirmary, Aberdeen, AB25 2ZN, UK
    Interact Cardiovasc Thorac Surg 10:306-11. 2010
    ..Currently, the evidence is insufficient to support LAA occlusion and may indeed cause harm especially if incomplete exclusion occurs...
  25. doi request reprint Does the use of non-steroidal anti-inflammatory drugs after cardiac surgery increase the risk of renal failure?
    Metesh Acharya
    Imperial College London, Charing Cross Hospital, Fulham Palace Road, London W6 8RF, UK
    Interact Cardiovasc Thorac Surg 11:461-7. 2010
    ....
  26. doi request reprint Does re-expansion pulmonary oedema exist?
    Carlos Echevarria
    Department of Medicine, Sunderland Royal Hospital, Sunderland SR4 7TP, UK
    Interact Cardiovasc Thorac Surg 7:485-9. 2008
    ....
  27. doi request reprint Should patients with asymptomatic severe mitral regurgitation with good left ventricular function undergo surgical repair?
    Peter Ogutu
    Department of Cardiothoracic Surgery, James Cook University Hospital, Marton Road, Cleveland, TS4 3BW, UK
    Interact Cardiovasc Thorac Surg 10:299-305. 2010
    ..Patients may, therefore, be reassured that either strategy is acceptable...
  28. ncbi request reprint The frequency of pleural effusions after Bellovac drainage following coronary bypass grafting
    Joel Dunning
    Blackpool Victoria Hospital, The Department of Cardiothoracic Surgery, Whinney Heys Road, Blackpool FY3 8NR, UK
    Cardiovasc Surg 11:309-12. 2003
    ..Our aim was to see if the intra-operative insertion of a Bellovac drain to the pleural cavity, with drainage continuing for 4-days post operation, eliminates the complication of pleural effusion...
  29. ncbi request reprint External validation of established risk adjustment models for procedural complications after percutaneous coronary intervention
    B Kunadian
    Department of Cardiology, The James Cook University Hospital, Middlesbrough, UK
    Heart 94:1012-8. 2008
    ..Workable risk models for patients undergoing percutaneous coronary intervention (PCI) are needed urgently...
  30. doi request reprint Guideline on antiplatelet and anticoagulation management in cardiac surgery
    Joel Dunning
    Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK
    Eur J Cardiothorac Surg 34:73-92. 2008
    ..This guideline is subject to continuous informal review, and when new evidence becomes available. The formal review date will be at 5 years from publication (September 2013)...
  31. doi request reprint Does video-assisted thoracoscopic decortication in advanced malignant mesothelioma improve prognosis?
    Vivek Srivastava
    Department of Cardiothoracic Surgery, Victoria Hospital, Blackpool, UK
    Interact Cardiovasc Thorac Surg 8:454-6. 2009
    ..VATS provides a diagnostic tool, yielding tissue for histological diagnosis. Secondly, drainage of effusion and pleurectomy/decortication improves the quality of life and may increase survival as well...
  32. doi request reprint Rescue angioplasty after failed fibrinolysis for acute myocardial infarction: predictors of a failed procedure and 1-year mortality
    Babu Kunadian
    The James Cook University Hospital, Marton Road, Middlesbrough, Cleveland TS4 3BW, United Kingdom
    Catheter Cardiovasc Interv 71:138-45. 2008
    ..The latter may reflect a high-risk group or harm in some patients. Predictors of success or failure of rPCI may aid selection of patients to be treated...
  33. ncbi request reprint Should patients in cardiogenic shock undergo rescue angioplasty after failed fibrinolysis: comparison of primary versus rescue angioplasty in cardiogenic shock patients
    Babu Kunadian
    Department of Cardiology, The James Cook University Hospital, Marton Road, Middlesbrough, United Kingdom
    J Invasive Cardiol 19:217-23. 2007
    ..We compared the clinical, angiographic characteristics, 30-day and 1-year outcomes of cardiogenic shock patients undergoing rPCI with those undergoing primary percutaneous coronary intervention (PPCI)...
  34. doi request reprint Resuscitation after cardiac surgery: results of an international survey
    Zulfiquar Adam
    Department of Cardiology, James Cook University Hospital, Middlesbrough, UK
    Eur J Cardiothorac Surg 36:29-34. 2009
    ..A survey was conducted on CTSNet, the cardiothoracic network website in order to ascertain an international viewpoint on a range of issues in resuscitation after cardiac surgery...
  35. pmc Diagnosis of pulmonary embolism with CT pulmonary angiography: a systematic review
    K Hogg
    Emergency Medicine Research Group, Emergency Department, Manchester Royal Infirmary, Manchester, UK
    Emerg Med J 23:172-8. 2006
    ..To appraise the evidence on the diagnostic accuracy of CT pulmonary angiography and the prognostic value of a negative CT pulmonary angiogram in the diagnosis of pulmonary embolism...
  36. pmc Best evidence topic report. Cardiopulmonary bypass and the survival of patients in cardiac arrest
    Joel Dunning
    Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
    Emerg Med J 21:499-501. 2004
    ..The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. A clinical bottom line is stated...
  37. ncbi request reprint Do coronary artery bypass grafts using cephalic veins have a satisfactory patency?
    Manoj Purohit
    Department of Cardiothoracic Surgery, Lancashire Cardiac Centre, Victoria Hospital, Blackpool, UK
    Interact Cardiovasc Thorac Surg 6:251-4. 2007
    ..Thus, in summary, the patency of the cephalic vein used for coronary artery bypass grafting is around 50% at three years...
  38. doi request reprint Should you stand on the left or the right of a patient with dextrocardia who needs coronary surgery?
    Rasheed A Saad
    Department of Cardio Thoracic Surgery, James Cook University Hospital, Marton Road, Middlesbrough, TS4 3BW, UK
    Interact Cardiovasc Thorac Surg 9:698-702. 2009
    ..The majority of patients were operated on from the left of the table. More cases were performed with the RIMA as the conduit of choice to the LAD...
  39. doi request reprint Does biventricular pacing provide a superior cardiac output compared to univentricular pacing wires after cardiac surgery?
    Paul Vaughan
    Department of Cardiothoracic Surgery, Morriston Hospital, Swansea, Wales, UK
    Interact Cardiovasc Thorac Surg 8:673-8. 2009
    ..Transoesophageal flow volume loops have been used to guide placement. Benefits seem greatest in patients with a poor ejection fraction and a wide QRS complex...
  40. pmc A maximally sensitive clinical decision rule to reduce the need for radiography in mandibular trauma
    C Charalambous
    Department of Emergency Medicine, Manchester Royal Infirmary, Manchester, UK
    Ann R Coll Surg Engl 87:259-63. 2005
    ..To identify clinical symptoms and signs that exclude the presence of mandibular fracture in patients presenting with mandibular trauma and thus devise a clinical decision rule that will rule out the need for radiography in some patients...
  41. pmc Best evidence topic report. S-100b protein levels as a predictor for long-term disability after head injury
    John Paul Lomas
    Department of Emergency Medicine, Manhester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
    Emerg Med J 22:889-91. 2005
    ..It is concluded that a raised level of S-100b is a marker of poorer long-term outcome after both major and minor head injury...
  42. ncbi request reprint Does reducing your salt intake make you live longer?
    Jay Walker
    Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK
    Interact Cardiovasc Thorac Surg 6:793-8. 2007
    ....
  43. ncbi request reprint Should the tricuspid valve be replaced with a mechanical or biological valve?
    Babu Kunadian
    Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK
    Interact Cardiovasc Thorac Surg 6:551-7. 2007
    ..Conversely up to 95% of patients with a bioprosthesis still receive anticoagulation. Survival in over 1000 prostheses pooled by meta-analysis was equivalent between biological and mechanical valves...
  44. ncbi request reprint Meta-analysis of valve hemodynamics and left ventricular mass regression for stentless versus stented aortic valves
    Babu Kunadian
    The James Cook University Hospital, Middlesbrough, United Kingdom
    Ann Thorac Surg 84:73-8. 2007
    ..Several high-quality randomized studies now exist on this topic, and we sought to summarize them by meta-analysis...
  45. doi request reprint Funnel plots for comparing performance of PCI performing hospitals and cardiologists: demonstration of utility using the New York hospital mortality data
    Babu Kunadian
    Department of Cardiology, The James Cook University Hospital, Middlesbrough, United Kingdom
    Catheter Cardiovasc Interv 73:589-94. 2009
    ..We aimed to demonstrate that funnel plots, which aid a meaningful interpretation of the results, can be derived from the New York PCI dataset...
  46. pmc Best evidence topic report. Antibiotics in acute exacerbations of chronic obstructive pulmonary disease
    Ross Murphy
    Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
    Emerg Med J 21:200-3. 2004
    ..The author, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these best papers are tabulated. A clinical bottom line is stated...
  47. ncbi request reprint Does pyloroplasty following esophagectomy improve early clinical outcomes?
    Omar A Khan
    Department of Cardiothoracic Surgery, Southampton General Hospital, UK
    Interact Cardiovasc Thorac Surg 6:247-50. 2007
    ..In addition, the incidence of complications from this procedure seems low. However, other significant improvements to outcomes such as mortality, nutrition, anastomotic leakage, gastric symptoms and aspiration are yet to be established...
  48. ncbi request reprint Guidelines on the prevention and management of de novo atrial fibrillation after cardiac and thoracic surgery
    Joel Dunning
    James Cook University Hospital, Middlesbrough, UK
    Eur J Cardiothorac Surg 30:852-72. 2006
  49. ncbi request reprint ICVTS on-line discussion A. 2007 STS guidelines for antibiotic prophylaxis
    Joel Dunning
    James Cook University Hospital, Middlesbrough TS4 3BW, UK
    Interact Cardiovasc Thorac Surg 6:446. 2007
  50. ncbi request reprint Meta-analysis of randomized trials comparing anti-embolic devices with standard PCI for improving myocardial reperfusion in patients with acute myocardial infarction
    Babu Kunadian
    Department of Cardiology, The James Cook University Hospital, Marton Road, Middlesbrough, United Kingdom
    Catheter Cardiovasc Interv 69:488-96. 2007
    ..Evidence from current studies has not shown a consistent benefit, but anti-embolic devices continue to be used...
  51. ncbi request reprint Towards an understanding of the role of rescue angioplasty for failed fibrinolysis: comparison of the MERLIN, RESCUE and REACT trials
    Babu Kunadian
    Department of Cardiology, The James Cook University Hospital, Middlesbrough, United Kingdom
    J Invasive Cardiol 19:359-68. 2007
    ..We compared the protocols, demographics and 6-month clinical outcomes of the MERLIN trial with the RESCUE I and REACT trials to assess their differences...
  52. doi request reprint Is it worth performing surgical ventricular restoration in patients with ischemic cardiomyopathy and akinetic but non-aneurysmal segments in the left ventricle?
    Hariharan Subramanian
    Cardiology Department, Drexel University College of Medicine, Philadelphia, PA, USA
    Interact Cardiovasc Thorac Surg 7:702-7. 2008
    ..CABG and SVR surgery. With first results expected in 2009, this study will be a landmark in providing the evidence base for the selection of patients for surgical ventricular restoration surgery...
  53. ncbi request reprint Evaluation of a cardiac surgery advanced life support course
    Deborah Danitsch
    University Hospital of North Staffordshire, Stoke on Trent
    Nurs Times 102:30-2. 2006
    ..This article evaluates a three-day cardiac surgery advanced life support course with protocols to manage critically ill cardiac surgical patients who suffer a cardiac arrest and who need their chest reopening...
  54. ncbi request reprint Should patients undergoing coronary artery bypass grafting with mild to moderate ischaemic mitral regurgitation also undergo mitral valve repair or replacement?
    Aseem Ranjan Srivastava
    Department of Cardiothoracic and Vascular Surgery, G B Pant Hospital, New Delhi, India
    Interact Cardiovasc Thorac Surg 6:538-46. 2007
    ..On balance, patients with moderate ischaemic mitral regurgitation having CABG should have mitral repair at the same time, although the evidence to support this is weaker than one might like...
  55. ncbi request reprint Does bilateral internal thoracic artery harvest increase the risk of mediastinitis?
    Ioannis K Toumpoulis
    Department of Cardiothoracic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 77 Avenue Louis Paster, Room 144, Boston, MA 02115, USA
    Interact Cardiovasc Thorac Surg 6:787-91. 2007
    ..BITA grafting can be performed with acceptable risk in all patients including higher risk patients such as diabetics, in whom skeletonization of the internal thoracic arteries should be strongly considered rather than pedicled harvest...
  56. doi request reprint For which patients with left main stem disease is percutaneous intervention rather than coronary artery bypass grafting the better option?
    Pietro Giorgio Malvindi
    Department of Cardiac Surgery, Policlinico Hospital, University of Bari, Piazza Giulio Cesare 11, 70124 Bari, Italy
    Interact Cardiovasc Thorac Surg 7:306-14. 2008
    ....
  57. doi request reprint Is it ever worth contemplating an aortic valve replacement on patients with low gradient severe aortic stenosis but poor left ventricular function with no contractile reserve?
    Hariharan Subramanian
    Department of Cardiology, Hahneman University Hospital, Philadelphia, USA
    Interact Cardiovasc Thorac Surg 7:301-5. 2008
    ..It should be noted that surgery has only been reported in very few of these patients to date. B-natriuretic peptide has also been suggested as a further marker of better prognosis in these high-risk patients in one small study...
  58. ncbi request reprint A clinical tool for assessing risk after self-harm
    Jayne Cooper
    Centre for Suicide Prevention, University of Manchester, Manchester, England
    Ann Emerg Med 48:459-66. 2006
    ..Our aim is to develop a risk-stratification model for use by emergency department (ED) clinical staff in the assessment of patients attending with self-harm...
  59. ncbi request reprint Laws, guidelines and professional choice
    Joel Dunning
    Eur J Cardiothorac Surg 31:571-2. 2007
  60. ncbi request reprint Are the American College of Chest Physicians guidelines for the prevention and management of atrial fibrillation after cardiac surgery already obsolete?
    Joel Dunning
    Chest 129:1112; author reply 1112-3. 2006
  61. ncbi request reprint Is cardiac computed tomography a reliable alternative to percutaneous coronary angiography for patients awaiting valve surgery?
    Vivek Shrivastava
    Department of Interventional Radiology, Freeman Hospital, Newcastle, UK
    Interact Cardiovasc Thorac Surg 6:105-9. 2007
    ..5 mm. Further disadvantages include an inability to perform scans in patients with arrhythmias or atrial fibrillation, and a five times increased radiation dose compared to conventional angiography...
  62. doi request reprint Is blood cardioplegia superior to crystalloid cardioplegia?
    Samuel Jacob
    Department of Cardio Thoracic Surgery, Aberdeen Royal Infirmary, Aberdeen, AB25 2ZN, UK
    Interact Cardiovasc Thorac Surg 7:491-8. 2008
    ..The papers presented in our review support most of these practices!..
  63. ncbi request reprint What is the optimal level of anticoagulation in adult patients receiving warfarin following implantation of a mechanical prosthetic mitral valve?
    Andrew Bayliss
    Department of Cardiac Anaesthesia, Aberdeen Royal Infirmary, Aberdeen, AB25 2ZN, UK
    Interact Cardiovasc Thorac Surg 6:390-6. 2007
    ..In selected patients with a history of thromboembolic disease and/or coronary artery disease warfarin therapy consideration should be given to supplementing warfarin with low-dose aspirin...
  64. pmc The utility of the tongue blade test for the diagnosis of mandibular fracture
    Rashmi Malhotra
    Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
    Emerg Med J 20:552-3. 2003
    ..The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. A clinical bottom line is stated...
  65. pmc Ultrasonic guidance and the complications of central line placement in the emergency department
    Joel Dunning
    Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
    Emerg Med J 20:551-2. 2003
    ..The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. A clinical bottom line is stated...
  66. pmc Cumulative funnel plots for the early detection of interoperator variation: retrospective database analysis of observed versus predicted results of percutaneous coronary intervention
    Babu Kunadian
    Department of Cardiology, James Cook University Hospital, Middlesbrough TS4 3BW
    BMJ 336:931-4. 2008
    ....