Canadian journal of surgery. Journal canadien de chirurgie
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Randomized Controlled Trial Clinical Trial
Coronary artery bypass surgery with heparin-coated perfusion circuits and low-dose heparinization.
To evaluate the safety and efficacy of heparin-coated perfusion circuits with low-dose heparinization and centrifugal pumping compared with the standard method during coronary artery bypass grafting. ⋯ Heparin-coated cardiopulmonary bypass with low-dose heparinization and centrifugal pumping is a safe practice but showed no advantages over the use of regular uncoated bypass circuits for coronary bypass surgery.
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To analyze experience at the McGill University Health Centre with cardiopulmonary bypass (CPB) in trauma, complemented by a review of the literature to define its role globally and outline indications for its expanded use in trauma management. ⋯ Although CPB has traditionally been used in the setting of cardiac trauma alone, a better understanding of its potential benefit in noncardiac injuries will likely make for improved outcomes in the increasingly diverse number of severely injured patients seen in trauma centres today. Further studies by other trauma centres will allow for standardized indications for the use of CPB in trauma.
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The infrastructure, focus and modus operandi of the Canadian Orthopaedic Association (COA) has been changed to effectively address the needs of the Association in this new century, as well as the possibility of a diminished interest in orthopedic surgery as a career choice. These issues are dealt with in this COA presidential address given at the COA annual general meeting in June 2001.