IT TAKES A TEAM: IMPLEMENTATION OF A MULTIDISCIPLINARY ENDOCARDITIS HEART TEAM AT A CANADIAN TERTIARY CARE REFERRAL CENTRE

2021 ◽  
Vol 37 (10) ◽  
pp. S81-S82
Author(s):  
L Lau ◽  
I Kandil ◽  
A Charlebois ◽  
K Chan ◽  
K Suh ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Heart Team ◽  
Referral Centre ◽  
Team Implementation

Pre-operative Plasma Levels of Thrombin-Antithrombin III Complexes Correlate with the Development of Venous Thrombosis after Major Hip or Knee Surgery

1995 ◽  
Vol 74 (02) ◽  
pp. 602-605 ◽  
Author(s):  
Jeffrey S Ginsberg ◽  
Patrick Brill-Edwards ◽  
Akbar Panju ◽  
Ameen Patel ◽  
Joanne McGinnis ◽  
...  
Keyword(s):  
Antithrombin Iii ◽  
Tertiary Care ◽  
Knee Surgery ◽  
Referral Centre ◽  
Study Objective ◽  
Cut Points ◽  
Vein Thrombosis ◽  
Major Orthopedic Surgery ◽  
The Mean ◽  
Deep Vein

SummaryStudy objective. To determine whether levels of thrombin-antithrombin III (TAT) in plasma, taken two weeks pre-operatively, predict the development of deep vein thrombosis (DVT) in patients undergoing major hip or knee surgery.Design. Prospective cohort.Setting. Tertiary-care referral centre, university-affiliated hospital.Patients. Ninety eight consecutive patients undergoing elective hip or knee surgery.Intervention. All eligible consenting patients were seen in a preoperative clinic two weeks prior to surgery and had blood taken for measurement of plasma TAT level. After surgery, they received a combination of unfractionated heparin 5000 Units 12-hourly subcutaneously, and antiembolism stockings (TEDS), as prophylaxis against DVT. Contrast venography was performed prior to discharge, and according to the results, patients were classified as having proximal (popliteal and/or more proximal) DVT (n = 12), calf DVT (n = 7) or no DVT (n = 79).Measurements and Results. The mean TAT level was significantly higher in patients who developed DVT (5.7 μg/l) than in those who did not (4.1 μg/l), p = 0.035. Using cut-points of 3.5 and 5.5 μg/l for the TAT level, patients could be categorized as high, intermediate, and low risk for the development of DVT. The proportion of patients with TAT levels of ≥3.5μg/l who developed calf or proximal DVT was significantly higher than the proportion of patients with TAT levels of <3.5 μg/l who developed calf or proximal DVT (p = 0.02). The proportion of patients with TAT levels >5.5 μg/l who developed proximal DVT was significantly higher than the proportion of patients with TAT levels of ≤5.5 μg/l who developed proximal DVT (p = 0.03).Conclusions. This study demonstrates that pre-operative TAT levels correlate with the risk of developing DVT after major orthopedic surgery. Further studies are needed to determine the reason(s) for this observation and whether rational recommendations about prophylaxis and screening for DVT can be made based on the results of a pre-operative TAT level.

Hepatoblastoma in Children—Analysis of Treatment Outcome from a Tertiary Care Referral Centre in South India

2015 ◽  
Vol 5 ◽  
pp. S64
Author(s):  
Naresh Shanmugam ◽  
Chaya Kelgeri ◽  
Vimal Kumar ◽  
Julius Scott ◽  
Priya Ramachandran ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
South India ◽  
Tertiary Care ◽  
Referral Centre

Realtime ultrasound diagnosis over a wide-area network (WAN) using off-the-shelf components

1997 ◽  
Vol 3 (1_suppl) ◽  
pp. 28-30 ◽  
Author(s):  
J Falconer ◽  
W Giles ◽  
H Villanueva
Keyword(s):  
Tertiary Care ◽  
Area Network ◽  
Ultrasound Images ◽  
Care Centre ◽  
Wide Area Network ◽  
Referral Centre ◽  
Tertiary Care Centre ◽  
John Hunter ◽  
Microwave Link ◽  
Obstetric Referral

A trial system was developed for relaying realtime ultrasound images from an obstetric referral centre, the Maitland Hospital, to a tertiary-care centre, the John Hunter Hospital in Newcastle. The sites were approximately 30 km apart and connected by a microwave link at 2 Mbit/s. The pilot study demonstrated the feasibility of realtime ultrasound transmission using commonly available components.

Neuroblastoma: Outcome over a 14 year period from a tertiary care referral centre in India

2014 ◽  
Vol 49 (8) ◽  
pp. 1280-1285 ◽  
Author(s):  
Sandeep Agarwala ◽  
Ankur Mandelia ◽  
Sameer Bakhshi ◽  
M. Srinivas ◽  
Minu Bajpai ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Referral Centre

Hydrogen peroxide fogging in an overcrowded tertiary care referral centre: some practical queries

2005 ◽  
Vol 60 (1) ◽  
pp. 85 ◽  
Author(s):  
N. Taneja ◽  
M. Biswal ◽  
R. Emmanuel ◽  
M. Singh ◽  
M. Sharma
Keyword(s):  
Hydrogen Peroxide ◽  
Tertiary Care ◽  
Referral Centre
Sign in / Sign up

Export Citation Format

Share Document