Publications by authors named "Christopher C Harle"
Objective: Conversion to sternotomy is a primary bailout method for robotically assisted coronary artery bypass grafting procedures. The aims of this study were to identify the primary reasons for conversion from robotically assisted coronary artery bypass grafting to sternotomy and to evaluate the in-hospital outcomes in such patients.
Methods: Prospectively collected data from February 2004 to April 2017 were reviewed for 72 patients (56 men; mean age = 63.
Objective: Contemporary anesthetic techniques have enabled shorter sedation and early extubation in off-pump and minimally invasive coronary artery bypass (CABG) surgery. Robotic-assisted CABG represents the optimal surgical approach for ultrafast track anesthesia, with patients able to bypass the cardiac surgical intensive care unit with recovery in the postanesthesia care unit (PACU) and inpatient ward.
Methods: In-hospital postoperative outcomes from ninety patients who underwent either elective or urgent robotically-assisted CABG at our institution were reviewed.
Objective: Hybrid coronary revascularization offers and combines the advantages of both surgical and percutaneous revascularization and eliminates at the same time the disadvantages of both procedures. The objective of this study was to assess graft and stent patency at 6 months, rate of bleeding, intensive care unit and hospital stay, rate of reintervention, and long-term clinical follow-up.
Methods: From March 2004 to November 2015, a total of 203 patients underwent robotic-assisted minimally invasive direct coronary artery bypass graft of the left internal thoracic artery to the left anterior descending artery and PCI of a non-left anterior descending vessel in a single or two stage, at three different centers.
Background: Magnetic resonance imaging-guided transurethral ultrasound ablation (MRI-TULSA) is a novel minimally invasive technology for ablating prostate tissue, potentially offering good disease control of localized cancer and low morbidity.
Objective: To determine the clinical safety and feasibility of MRI-TULSA for whole-gland prostate ablation in a primary treatment setting of localized prostate cancer (PCa).
Design, Setting, And Participants: A single-arm prospective phase 1 study was performed at three tertiary referral centers in Canada, Germany, and the United States.
Objectives: To assess potential hypercoagulability during diabetic ketoacidosis in children.
Design: A prospective, controlled pilot study.
Setting: University-affiliated pediatric critical care unit and emergency department in a tertiary care children's hospital.
Objective: To compare the kaolin-activated coagulation time (K-ACT) to the MAX-ACT for monitoring anticoagulation with bivalirudin in patients undergoing hybrid off-pump coronary artery revascularization procedures.
Design: A prospective, observational study.
Setting: A cardiac surgical operating room of a university-affiliated hospital.
Article Synopsis
- This study compared the single-use GlideScope Cobalt videolaryngoscope and the conventional GlideScope for oral intubation in patients requiring elective surgery.
- A total of 100 patients were assessed by blinded observers, focusing on time to intubation (TTI) and the ease of intubation using a visual analogue scale.
- Results showed no significant differences in TTI, ease of intubation, glottic exposure, or failure rates between the two devices, suggesting they can be used interchangeably.
Background: In this study, we compared the effectiveness of direct laryngoscopy (DL) and the GlideScope videolaryngoscope (GVL) for nasotracheal intubation, as judged by the time to intubation (TTI-the primary outcome) and the ease of intubation.
Methods: Seventy patients requiring nasotracheal intubation for elective surgery were randomly allocated to intubation with the GVL or DL. TTI was assessed by a blinded observer.
Cardiopulmonary bypass has unpredictably deleterious effects on platelet function. Patients with cardiovascular disease have treatments aimed at reducing platelet aggregation and are at risk of excessive bleeding during surgery. Transfusion of blood products, particularly platelets, probably causes increased morbidity and mortality.
View Article and Find Full Text PDFPurpose: The GlideScope videolaryngoscope usually provides excellent glottic visualization, but directing an endotracheal tube (ETT) through the vocal cords can be challenging. The goal of the study was to compare the dedicated GlideScope-specific rigid stylet to the standard malleable stylet, assessed by time to intubation (TTI).
Methods: Eighty patients requiring orotracheal intubation for elective surgery were randomly allocated to either the GlideScope rigid stylet (GRS) or a standard malleable stylet to facilitate intubation using the GlideScope.
Purpose: The GlideScope videolaryngoscope usually provides excellent glottic visualization, but directing an endotracheal tube (ETT) through the vocal cords is sometimes difficult. The goal of the study was to determine which of two ETT angles (60 degrees vs 90 degrees ) and cambers (forward vs reverse) was better, as determined by time to intubation (TTI).
Methods: Two hundred patients requiring orotracheal intubation for elective surgery were randomly allocated to one of four groups: A) 90 degrees angle, forward camber; B) 90 degrees angle, reverse camber; C) 60 degrees angle, forward camber; D) 60 degrees angle, reverse camber.