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Coronary Artery Bypass Graph Case Study
Rationale for selecting article:
As a nurse, I have interacted with patients who have required coronary artery bypass graphs, although this is a recent experience; before this I had not been involved in these procedures. It is a serious medical procedure, as most procedures involving the internal organs are, particularly with regard to the human heart. CABG are used by surgeons to treat people with coronary heart disease (CHD). Plague within the heart hardens and then narrows the coronary arteries, reducing flow of blood to the heart which can result in a blood clot. CABG allow for the needed blood to get through the heart by bypassing the blocked artery. During the procedures, patients are anesthetized and then a healthy artery or vein is taken from another part of the body and connected to the blocked coronary artery. The article chosen is entitled "Percutaneous Coronary Intervention vs. Coronary-Artery Bypass Grafting for Severe Coronary Artery Disease" and examines the treatments available for patients with CAD and CHD and whether or not CABG is still a viable solution.
2. Problem Statement:
Researchers looked at both percutaneous coronary intervention and CABG to determine which of the two methods would best treat patients with CHD in modern hospital settings (Serruys et. Al. 2009,-page 961). There is as yet no one treatment which has gained universal acceptance as a means of treating or curing patients dealing with heart disease. CABG is a method which has been around longer and most medical technicians believe that it is the best treatment of all the ones available for treating coronary heart...
The two methods have never been directly compared in scientific research, which is the reason this survey was conducted.
3. Methodology:
A SYNTAX trial was conducted which looked at the consecutive enrollment of all eligible patients who had been diagnosed with three-vessel or left main coronary artery disease.
4. Research Design:
a. Setting:
85 different medical sites were chosen to participate in the experiment to get a wider range of results and thereby increase the validity and universality of the findings. These testing sites were in 17 different countries throughout both Europe and the United States (Surruys et. Al 2009,-page 963). The intention was to get as wide an array of subjects as possible in order to eliminate biases in the test.
b. Subjects included in the research:
A panel of medical professionals determined which patients of those who were diagnosed with the heart condition but who had not yet been treated should be included in the experiment. Criterion included whether they had had previous treatment and this was a recurrence which would have eliminated them from the study. Patients involved were chosen at random to have either CABG or PCI treatment. Those patients who could not safely be involved in the randomization where placed in a second registry: either the PCI registry for CABG-ineligible patients or the CABG registry for PCI-ineligible patients (Surruys et. Al 2009,-page 965).
c. Sample size / number of subjects in the study:
Of 4,337 patients who were examined as…
Works Cited
Serruys, P., Morice, M., Kappetein, P., Colombo, A., Holmes, D., Mack, M., Stahle, E.,
Feldman, T., van den Brand, M., Bass, E., Van Dyck, N., Leadley, K., Dawkins, K., and Mohr, F. (2009). Percutaneous coronary intervention vs. coronary-artery bypass grafting for severe coronary artery disease. The New England Journal of Medicine. 360. 961-72.
Interdisciplinary Care Providers CABG or coronary artery bypass graft surgery is advised for individuals suffering from CHD (coronary heart disease), for alleviating symptoms, prolonging lifespan, and improving QOL (quality of life) (Bayoumi, 2015). Improvements in mechanical ventilation-supported cardiac operation patient management continues to be a major focus area for better optimizing clinical results. The FTE (fast-track extubation) theory applied in case of cardiac operation patients is growing in popularity, in a bid to
Given the projected demographic trends and the actual statistics from the surrounding hospitals considered above, it is obvious that the "business" for open heart surgery is moving into the Cabarrus Memorial Hospital area. In the interim however, the hospital administrators on the Board will have to consider possible alternative strategies before making a "go/no-go" decision on the possible addition of the open heart program. Unfortunately, a helicopter medevac average price
Bibliography Fenton, Drew Evan (2010) Myocardial Infarction. eMedicine. 24 Jun 2010) Online available at: http://emedicine.medscape.com/article/759321-overview Fletcher GF, Balady G, Blair SN, et al. Statement on exercise: benefits and recommendations for physical activity programs for all Americans: a statement for health professionals by the Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology, American Heart Association. Circulation. 1996;94:857 -- 862. [PubMed] cited in Williams, Paul T. 2010) Physical Fitness and
For example, in these procedures it is often difficult to open the patient's mouth wide enough for laryngoscopy and intubation, thus creating the possibility that cardiopulmonary changes may be present and the "probability o lesions in oesophagus, bowel, kindneys, skin and joints." This information would not be known if not for this study and its reported findings. The study's conclusion is that the use of thoracic epidural anesthesia to sevoflurane
" (AAFP, nd) The Health Maintenance Organization further should "…negotiate with both public and private payers for adequate reimbursement or direct payment to cover the expenses of interpreter services so that they can establish services without burdening physicians…" and the private industry should be "…engaged by medical organizations, including the AAFP, and patient advocacy groups to consider innovative ways to provide interpreter services to both employees and the medically underserved." (AAFP,
More times than not, a patient will argue that he did not understand what the physician stated to him; even amidst documented proof the medical professional and the patient did engage in an informed conversation. "The fact that a meeting took place does not necessarily mean that there was a meeting of the minds" (Informed consent…, 2010, ¶ 5). This issue leads some health care providers to assert that