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191


Assessment of the well-being of significant others of cardiothoracic surgeons

Ungerleider, Jamie D; Ungerleider, Ross M; James, Les; Wolf, Andrea; Kovacs, Melissa; Cerfolio, Robert; Litle, Virginia; Cooke, David T; Jones-Ungerleider, K Candis; Maddaus, Michael; Luc, Jessica G Y; DeAnda, Abe; Erkmen, Cherie P; Bremner, Kathy; Bremner, Ross M
OBJECTIVES/OBJECTIVE:We aimed to evaluate how the current working climate of cardiothoracic surgery and burnout experienced by cardiothoracic surgeons influences their spouses and significant others (SOs). METHODS:or independent samples t tests, as appropriate. RESULTS:Responses from 238 SOs were analyzed. Sixty-six percent reported that the stress on their cardiothoracic surgeon partner had a moderate to severe influence on their family, and 63% reported that their partner's work demands didn't leave enough time for family. Fifty-one percent reported that their partner rarely had time for intimacy, 27% reported poor work-life balance, and 23% reported that interactions at home were usually or always not good-natured. SOs were most affected when their partner was <5 years out from training, worked in private vs academic practice, and worked longer hours. Having children, particularly younger than age 19 years, and a lack of workplace support resources further diminished well-being. CONCLUSIONS:The current work culture of cardiothoracic surgeons adversely affects their SOs, and the risk for families is concerning. These data present a major area for exploration as we strive to understand and mitigate the factors that lead to burnout among cardiothoracic surgeons.
PMID: 37160214
ISSN: 1097-685x
CID: 5507952

Commentary: Come in from the cold [Editorial]

DeAnda, Abe; Yates, Sean G
PMID: 33863498
ISSN: 1097-685x
CID: 4846452

Commentary: Diameter and wall stress-Wrong Laplace, wrong time? [Editorial]

DeAnda, Abe; Rajagopal, Keshava; Griffith, Boyce E
PMID: 34217538
ISSN: 1097-685x
CID: 4932792

Commentary: When you wish upon a valve… [Editorial]

Levy, Gal; DeAnda, Abe
PMID: 33824014
ISSN: 1097-685x
CID: 4839222

Commentary: Genetic variants in thoracic aortic disease-the root of all evil? [Editorial]

Levy, Gal; DeAnda, Abe
PMID: 32192729
ISSN: 1097-685x
CID: 4352962

Simple and Effective Blood Salvage Technique for Extracorporeal Membrane Oxygenation Circuit

Suzuki, Yota; Roach, Jay; Leyva, Yolanda R; DeAnda, Abe; Levy, Gal
Return of circuit blood after discontinuing extracorporeal membrane oxygenation (ECMO) is an important blood conservation strategy for reducing the need for blood transfusion. This follows the current standard of circuit blood salvaging after cardiopulmonary bypass (CPB). There is a variety of strategies and techniques of blood salvage described associated with CPB but not with ECMO. We describe a simplified technique to salvage the blood in the ECMO circuit that requires no special equipment, is safe, and maximizes blood salvage.
PMID: 33181540
ISSN: 1538-943x
CID: 4665482

Cardiac surgeons' concerns, perceptions, and responses during the COVID-19 pandemic

Luc, Jessica G Y; Ad, Niv; Nguyen, Tom C; Arora, Rakesh C; Balkhy, Husam H; Bender, Edward M; Bethencourt, Daniel M; Bisleri, Gianluigi; Boyd, Douglas; Chu, Michael W A; de la Cruz, Kim I; DeAnda, Abe; Engelman, Daniel T; Farkas, Emily A; Fedoruk, Lynn M; Fiocco, Michael; Forcillo, Jessica; Fradet, Guy; Fremes, Stephen E; Gammie, James S; Geirsson, Arnar; Gerdisch, Marc W; Girard, Leonard N; Kaiser, Clayton A; Kaneko, Tsuyoshi; Kent, William D T; Khabbaz, Kamal R; Khoynezhad, Ali; Kiaii, Bob; Lee, Richard; Legare, Jean-Francois; Lehr, Eric J; MacArthur, Roderick G G; McCarthy, Patrick M; Mehall, John R; Merrill, Walter H; Moon, Marc R; Ouzounian, Maral; Peltz, Matthias; Perrault, Louis P; Preventza, Ourania; Ramchandani, Mahesh; Ramlawi, Basel; Salenger, Rawn; Sekela, Michael E; Sellke, Frank W; Stulak, John M; Sutter, Francis P; Timek, Tomasz A; Whitman, Glenn; Williams, Judson B; Wong, Daniel R; Yanagawa, Bobby; Ye, Jian; Zeigler, Sanford M
BACKGROUND:The coronavirus disease 2019 (COVID-19) pandemic has had an unprecedented impact on health care and cardiac surgery. We report cardiac surgeons' concerns, perceptions, and responses during the COVID-19 pandemic. METHODS:A detailed survey was sent to recruit participating adult cardiac surgery centers in North America. Data regarding cardiac surgeons' perceptions and changes in practice were analyzed. RESULTS:Our study comprises 67 institutions with diverse geographic distribution across North America. Nurses were most likely to be redeployed (88%), followed by advanced care practitioners (69%), trainees (28%), and surgeons (25%). Examining surgeon concerns in regard to COVID-19, they were most worried with exposing their family to COVID-19 (81%), followed by contracting COVID-19 (68%), running out of personal protective equipment (PPE) (28%), and hospital resources (28%). In terms of PPE conservation strategies among users of N95 respirators, nearly half were recycling via decontamination with ultraviolet light (49%), followed by sterilization with heat (13%) and at home or with other modalities (13%). Reuse of N95 respirators for 1 day (22%), 1 week (21%) or 1 month (6%) was reported. There were differences in adoption of methods to conserve N95 respirators based on institutional pandemic phase and COVID-19 burden, with higher COVID-19 burden institutions more likely to resort to PPE conservation strategies. CONCLUSIONS:The present study demonstrates the impact of COVID-19 on North American cardiac surgeons. Our study should stimulate further discussions to identify optimal solutions to improve workforce preparedness for subsequent surges, as well as facilitate the navigation of future healthcare crises.
PMID: 34118080
ISSN: 1540-8191
CID: 4911122

Commentary: Learning from a King [Editorial]

Mobli, Keyan; DeAnda, Abe
PMCID:8311444
PMID: 34318212
ISSN: 2666-2507
CID: 4949642

Commentary: Closing the gap on bicuspid aortic valve repair [Editorial]

Mobli, Keyan; DeAnda, Abe
PMCID:8311453
PMID: 34318214
ISSN: 2666-2507
CID: 4949652

Comparison of the Quantra QPlus System With Thromboelastography in Cardiac Surgery

DeAnda, Abe; Levy, Gal; Kinsky, Michael; Sanjoto, Peni; Garcia, Mary; Avandsalehi, Kurosh R; Diaz, Gabriel; Yates, Sean G
OBJECTIVES/OBJECTIVE:Use of viscoelastic testing, such as thromboelastography (TEG), is recommended in cardiac surgery to monitor coagulation and to guide the transfusion of blood products. The Quantra QPlus System is a novel point-of-care platform that uses ultrasonic pulses to characterize dynamic changes in viscoelastic properties of a blood sample during coagulation. Despite the ability to assess similar aspects of clot formation, limited studies addressing the interchangeability of viscoelastic testing parameters exist. The primary aim of the present study was to assess the correlation and agreement between Quantra and TEG5000 results using blood samples from cardiac surgery patients. DESIGN/METHODS:Tertiary care, academic medical center. SETTING/METHODS:Prospective observational study. PARTICIPANTS/METHODS:Twenty-eight patients undergoing elective cardiac surgery undergoing cardiopulmonary bypass were evaluated. MEASUREMENTS AND MAIN RESULTS/RESULTS: = 0.73, respectively). However, Quantra parameters demonstrated poor agreement compared with equivalent TEG5000 parameters. CONCLUSIONS:The Quantra QPlus System significantly correlated with TEG5000, suggesting that this test may be used in a similar clinical context. Despite the strength of correlation between Quantra and TEG parameters, measurements are not interchangeable.
PMID: 33384230
ISSN: 1532-8422
CID: 4731962