Cardiac Surgery Procedures in a Rural Tertiary Care Teaching Hospital: Our Experience
Journal Title: Journal of Cardiovascular Medicine and Surgery - Year 2018, Vol 4, Issue 3
Abstract
Background: A successful cardiac surgery centre requires a lot of resources, skilled professionals, ancillary services and a defined patient population. Such centres are functional in super-specialty hospitals of big cities and is hard to reach for the rural poor. Hereby we are presenting the implementation process of a cardiac surgery centre in a rural tertiary care hospital and its successful service. Methods: our hospital is a 750 bedded tertiary care center with all specialties of medicine and is located in a rural area of Puducherry, India. We have cardiac cases reported from general medicine and general surgery. We built up team with a primary CT surgeon, an assistant surgeon, cardiac anesthesiologist, perfusionist, physician assistant, scrub nurses and the ICU & post operative ward nurses. Procurement of machines were made and was followed by setting up an operation theatre, ICU ward and post operative wards. Results: Our first case was an SVC type of Atrial Septal Defect, successfully operated on 21st April 2017. Till then we have completed 211 open heart procedures and our centre is getting advanced everyday. Conclusion: Establishing a cardiac surgery centre in a rural hospital setup is a challenging but feasible task. Emergence of such centers would help the rural community in terms of affordability and inconvenience in reaching super specialty centers of big cities.
Authors and Affiliations
Arasappa Arun Kumar
Keywords
Related Articles
- EP ID EP563763
- DOI 10.21088/jcms.2454.7123.4318.1
- Views 93
- Downloads 0
Does ‘Micro Ventilation’ during Cardio Pulmonary Bypass Help in Improving Oxygenation in the Immediate Postoperative Period after Cardiac Surgery?
Aims: Lung complications after cardiopulmonary bypass are well described. Various methods have been adopted by surgeons for lung protection. Lung preservation during cardiopulmonary bypass is controversial. In this study...
Lixisenatide in the Treatment of Diabetes
Diabetes and its complications continue to have a major impact on the morbidity and mortality in both the developed and developing world. While the condition does have a gamut of options at the physician’s disposal such...
Winking of an Infarct Related Artery Overlying Ventricular Septal Rupture Complicating Acute MI: An Angiographic “Winking Coronary” Sign
Background: Post myocardial infarction -Ventricular septal rupture is a fatal condition needing immediate attention. Objectives: This study intends to report a unique angiographic finding – “Winking coronary” sign of inf...
Epidemiology and Management of Junctional Ectopic Tachycardia after Cardiac Surgery: A Review
Junctional ectopic tachycardia is a form of supraventricular tachyarrhythmia which is very common after cardiac surgery. It is more often detected in pediatric age group. The development of JET is because of multiple ris...
Correlation between Serum High Sensitivity C-reactive Protein Level and Severity of Coronary Atherosclerosis Assessed by Angiographic Gensini Score in Patients with Acute Coronary Syndrome
Background and Objectives: Atherosclerosis is now known to be an active process of cell activation, inflammation and thrombosis [1]. To study, whether there is any correlation between the serum hs CRP level, a biomarker...