cardiac rupture, particularly rupture of the left ventricular wall, has a very high mortality rate. in this occasion, even if injured patients being alive when carried to the hospital, many of them will die due to following possible reasons: severe bleeding, cardiac tamponade, wasting time for routine and usual diagnostic procedures or transferring the injured to other hospital equipped for car...

All cardiac surgical procedures performed in 81 German cardiac surgical units throughout the year 2006 are presented in this report, based on a voluntary registry which is organized by the German Society for Thoracic and Cardiovascular Surgery. In 2006 a total of 97,123 cardiac surgical procedures (ICD and pacemakers procedures excluded) have been collected in this registry. More than 9.6 % of ...

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...

The cardiac surgical procedures are increasingly performed each year up to a number >700000 (data in 1997 in US) per year, of which >600000 are coronary artery bypass grafting (CABG) procedures. After 1997, there has been a gradual decrease in CABG procedures as percutaneous coronary interventions (PCI) grow. In 2005, a total of 699000 cardiac surgical procedures were reported, including 469000...

Emergency abdominal surgery, often termed emergency laparotomy, is a common surgical procedure undertaken in the United Kingdom (U.K), with approximately 30000 procedures annually. Patients presenting for surgery are heterogeneous and present diverse pathology, resulting challenges surgical, anaesthetic critical care team that manage them. by its very nature high-risk an estimated 30-day mortal...

Background Frailty assessment may inform surgical risk and prognosis not captured by conventional surgical risk scores. Purpose To evaluate the evidence for various frailty instruments used to predict mortality, functional status, or major adverse cardiovascular and cerebrovascular events (MACCEs) in older adults undergoing cardiac surgical procedures. Data Sources MEDLINE and EMBASE (witho...

BACKGROUND Recurrent abdominal cancer can manifest in many ways but there are certain situations that are a great challenge to clinicians. Emergency presentation is one such situation. Surgeons are faced with a therapeutic dilemma that on the one hand most of these patients have a limited life expectancy, and on the other surgical procedures are unavoidable. We reviewed our experience of recurr...

The incidence of ischemic heart disease (IHD) is increasing worldwide. number patients with IHD or without interventions coming for non-cardiac surgical procedures are increasing. These have an increased risk myocardial ischemia, infarction (MI), conduction disturbances, morbidity, and mortality during the peri-operative period.

BACKGROUND Abdominal surgeries for cancer are associated with postoperative complications and mortality. A view of the success of anaesthetic, surgical and critical care can be gained by analyzing factors associated with mortality in patients admitted to intensive care units (ICUs). The objective of this study was to identify the postoperative mortality rate and the causes of perioperative deat...

BACKGROUND Postoperative non-cardiac complication rates are as high as 11-28% after high-risk abdominal procedures. Emerging evidence indicates that postoperative cardiac troponin T elevations are associated with adverse outcome in non-cardiac surgery. The aim of this study was to determine the relationship between postoperative high-sensitive cardiac troponin T elevations and non-cardiac compl...