This paper examines the strategic behavior of hospitals in one of their primary output markets: inpatient surgical procedures. High levels of learning-by-doing in surgical fields may act as a barrier to entry. I investigate whether incumbent hospitals facing prospective entry in a procedure market manipulate their procedure volumes to produce such a barrier. I derive straightforward empirical t...

This paper examines the strategic behavior of hospitals in one of their primary output markets: inpatient surgical procedures. High levels of learning-by-doing in surgical fields may act as a barrier to entry. I investigate whether incumbent hospitals facing prospective entry in a procedure market manipulate their procedure volumes to produce such a barrier. I derive straightforward empirical t...

There are several S3-guidelines that focus on the treatment of patients after cardiac surgery published by the German Medical Association (AWMF). These high quality guidelines cover the areas of haemodynamic monitoring and postoperative cardiovascular therapy (S3), the management of analgesia, sedation and delirium in intensive care and prevention (S3), diagnoses and therapy of sepsis (S2k). Al...

Introduction and objectives. The relationship between the annual number of cardiac procedures at a particular center (ie, volume) and surgical outcome is controversial. Several studies in western countries indicate that there is an inverse relationship between surgical volume and mortality. We studied the number of procedures carried out at several cardiac surgery units in Spain and their relat...

INTRODUCTION The present study compared measurements of cardiac output by an arterial pressure-based cardiac output (APCO) analysis method with measurement by intermittent thermodilution cardiac output (ICO) via pulmonary artery catheter in a clinical setting. METHODS The multicenter, prospective clinical investigation enrolled patients with a clinical indication for cardiac output monitoring...

abstract background: primary cardiac lymphoma is extremely rare. case report: in this care report, we present the case of a 46-year-old man with primary cardiac lymphoma involving left atrium and interatrial septum, presenting as dyspnea palpitation and irregular heart beat. the diagnosis was obtained by transthoracic echocardiography and surgical biopsy with subxiphoid approach which revealed ...

Non-invasive continuous monitoring of cardiac output could be very useful in clinical care and in research settings, particularly in elderly subjects. We studied whether Finapres arterial pulse wave analysis with Modelflow is a reliable non-invasive method for the assessment of cardiac output in healthy elderly subjects. We compared Modelflow cardiac output (MFCO) with thermodilution cardiac ou...

Cardiovascular surgical procedures/history/trends. The cardiovascular surgery was and has been intensely scrutinized and evaluated. Cardiac surgeons have, in turn, consistently directed the efforts in collecting, analyzing and applying the surgical results in order to improve quality and reassess conducts and procedures1. In this context, the Brazilian cardiac surgery is one of the most respect...