Asian Annals
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Andrew J Drain
Samer AM Nashef
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Drain, A. J
Right arrow Articles by Nashef, S. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Drain, A. J
Right arrow Articles by Nashef, S. A.
Related Collections
Right arrow Education
Right arrow Coronary disease
Right arrow Valve disease
Asian Cardiovasc Thorac Ann 2007;15:307-309
© 2007 Asia Publishing EXchange Ltd

ORIGINAL CONTRIBUTIONS

Blood, Sweat, Toil, and Tears of Surgical Training. Part I: Blood

Andrew J Drain, FRCS, Jonathon I Ferguson, FRCS, Sharon Wilkinson, BSc, Samer AM Nashef, FRCS

Department of Surgery, Papworth Hospital, Cambridge, United Kingdom

For reprint information contact: Andrew J Drain, MRCS Tel: 44 1480 364 299 Fax: 44 1480 364 744 Email: andrewdrain{at}doctors.org.uk, Papworth Hospital, Cambridge CB3 8RE, United Kingdom.

There may be conflict between the requirements of surgical training and those of the clinical service if training has an impact on clinical outcomes. One area of potential impact is perioperative blood loss. We compared total and 12-hour blood loss after 2,079 consecutive cardiac operations performed over 2 years by trainees and consultants. One- and two-way analyses of variance with EuroSCORE and surgeon status as factors were carried out to evaluate the impact of surgeon status on blood loss. There was no difference in blood loss between consultants and trainees. We also compared the rates between consultants and trainees of patients returning to the operating room due to bleeding. This showed a significant difference, with trainees having a higher rate of investigation for bleeding. Cardiac surgical training can be achieved without an adverse effect on blood loss, but it may be associated with a higher rate of re-intervention for bleeding.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2007 by the Asia Publishing EXchange Ltd.