Chandigarh, October 2: Highlighting the importance of a comprehensive team approach in managing critical emergency cardiac patients, Dr Deepak Puri a senior CTVS surgeon at Max Hospital Mohali said that the patients managed by a comprehensive team approach in the last decade showed less ICU and hospital stay with mortality rate declining significantly.
The most challenging critical situation is acute ischemic heart failure. The team approach is necessary for better outcomes as well as reducing the cost involved, he maintained.
“These patients usually arrive at odd hours and are usually loaded with antiplatelet medication. Many have ventricular arrhythmias, even cardiac arrest with ongoing CPR before being shifted to the operation room,”
He said ,” We have done a comparative analysis of management of such critical patients along with case reviews of a few of the most challenging cases to show the comparative improvement in the short- and long-term outcome of such patients in the last decade,”
These patients managed by a comprehensive team approach in the last decade showed less conversion to pump, less mechanical complications, less IABP dependence and less inotropic requirement. Moreover, ICU stay, hospital stay, and mortality was significantly reduced, said Dr Puri.
Talking about video assisted thoracoscopic surgeries (VATS), Dr Puri said that it has an advantage of making thoracic surgery minimally invasive without compromising on outcome.
“VATS have an advantage of making thoracic surgery minimally invasive without compromising on outcome. VATS was usually performed through multiple ports but in patients with dense adhesions and complex locations many times accurate visibility was hindered making surgery difficult.”
Dr Puri also emphasized that new advancements of 3-dimensional imaging technology and advent of artificial intelligence help in establishing a more precise knowledge of the disease thereby facilitating the performance of surgery.
