Intratidal compliance of the lung and the total respiratory system.

The worldwide rising quantity of surgeries and the corresponding need of mechanical ventilation means a rising number of patients are at risk of suffering from post-operative pulmonary complications. To prevent this risk, individual mechanics of the lung should be considered when setting the parameters of mechanical ventilation. Intratidal compliance analysis based on transpulmonal pressure would provide an estimate for individual lung mechanics.

Highlights of a ten-year experience with the Ross procedure.

Background: A review of a 10-year experience with the Ross procedure as a root replacement by a single group of surgeons featuring specific highlights is presented. Highlights include our results from a subset of patients with endocarditis and their management and a comparison of outcomes in patients with aortic insufficiency based on technical changes made after 5 years' experience.

Methods: The total patient group was 191, with 148 male and 43 female participants with an age range from 1 day to 69 years.

Complex valvular procedures: ross, mitral, redos--time enough?

The possibility of a lengthy ischemic time is considered when evaluating complex valvular procedures. This consideration or even worry may influence the choice of valve replacement, repair offered, or actual acceptance of the case because of expected outcomes. With the use of an integrated, streamlined blood cardioplegic delivery, we believe these complex valvular procedures, even combined with revascularization, can be managed with good results.

International nursing education: Istanbul, Turkey.

To assist Turkish nurses in reaching educational standards and goals, an international neonatal program was developed that would incorporate a train-the-trainer module. The primary goal was to develop and teach a neonatal intensive care course while exposing identified trainers to content, theory, teaching strategies, and concepts. The expectations of the future trainers were to use the knowledge they obtained from the course to enable them to provide future neonatal intensive care courses and serve as experts in the field of neonatal nursing.

Acceptance and versatility of the Ross procedure.

During the 31 years since the initial Ross procedure, data have been collected that have been helpful in assessing long-term performance of the autograft. The ongoing study of the pulmonary autograft supports the use of the Ross procedure in young patients, in females of childbearing age, and in patients with congenital aortic stenosis and complex left ventricular outflow tract obstruction. We continue to see little or no thromboembolism despite no anticoagulation therapy.