Time-Driven Activity-Based Costing for Cataract Surgery in Canada: The Case of the Kensington Eye Institute.

Time-driven activity-based costing (TDABC) has received considerable attention globally as a way to measure value in healthcare systems. This study aimed to apply TDABC for cataract surgery at the Kensington Eye Institute (KEI). During a field evaluation, a detailed process map was created for cataract surgery at KEI.

Outcome of patients treated with molecular adsorbent recirculating system albumin dialysis: A national multicenter study.

Background And Aim: The molecular adsorbent recirculating system (MARS) is the most widely used device to treat liver failure. Nevertheless, data from widespread real-life use are lacking.

Methods: This was a retrospective multicenter study conducted in all French adult care centers that used MARS between 2004 and 2009.

[Causes of early mortality after liver transplantation: a twenty-years single centre experience].

Objective: To define the causes of mortality of patients who died within the first three months after a liver transplantation.

Type Of Study: Retrospective, observational, and single centre study.

Patients And Methods: Between March 1989 and July 2010, all patients who died within three months after a liver transplantation were included.

[Tigecycline for treatment of severe infections in intensive care: a drug use evaluation].

Objectives: To report our experience of tigecycline use in a medical and surgical intensive care unit. To describe its prescription, microbiology findings, tolerance and efficacy.

Study Design: Prospective, observational, single center study.

Outcomes of patients with acute respiratory failure after abdominal surgery treated with noninvasive positive pressure ventilation.

Objectives: Little is known about the physiologic and clinical effects of noninvasive positive pressure ventilation (NPPV) in patients who have acute respiratory failure (ARF) after abdominal surgery. We evaluated our clinical experience with the use of NPPV in the treatment of ARF after abdominal surgery.

Methods: We prospectively evaluated NPPV use during a 2-year period in a medical-surgical ICU of a university hospital.

Cytomegalovirus infection in critically ill patients: associated factors and consequences.

Objective: To determine the prevalence, associated findings, and consequences of cytomegalovirus (CMV) antigenemia in critically ill patients.

Design: A retrospective, case-control clinical study.

Setting: A 12-bed university hospital medical-surgical ICU.

Post-extubation stridor in intensive care unit patients. Risk factors evaluation and importance of the cuff-leak test.

Objective: To evaluate the incidence and identify factors associated with the occurrence of post-extubation stridor and to evaluate the performance of the cuff-leak test in detecting this complication.

Design: Prospective, clinical investigation.

Setting: Intensive care unit of a university hospital.

Comparison of the effects of heat and moisture exchangers and heated humidifiers on ventilation and gas exchange during non-invasive ventilation.

Objective: To compare the short-term effects of a heat and moisture exchanger (HME) and a heated humidifier (HH) during non-invasive ventilation (NIV).

Design: Prospective, clinical investigation.

Setting: Intensive care unit of a university hospital.

[Spontaneous Listeria monocytogenes peritoneal infection complicating hepatic transplantation].

The incidence of listeriosis is increased in immunosuppressed patients. We report a case of spontaneous bacterial peritonitis with bacteraemia caused by Listeria monocytogenes in a 47-year old woman with liver transplantation. Complete recovery was achieved after amoxicillin and amikacin therapy.

Failure of ursodeoxycholic acid to prevent acute cellular rejection after liver transplantation.

Background/aims: Acute rejection is still a major problem after liver transplantation. Ursodeoxycholic acid has beneficial effects in cholestasis by reducing the expression of major histocompatibility complex antigens.

Methods: We have performed a double-blind randomised study comparing ursodeoxycholic acid with placebo for the prevention of acute cellular rejection after liver transplantation.

Leiomyosarcoma of the inferior vena cava presenting as Budd-Chiari syndrome. Vena cava replacement under veno-venous bypass and liver hypothermic perfusion.

We report the first case of leiomyosarcoma of the middle and upper part of the vena cava successfully treated by surgical resection, complete vena cava replacement and disobliteration of the hepatic veins under veno-venous bypass and liver hypothermic perfusion as described in "ex situ, in vivo liver surgery".

Lethal acute graft-versus-host disease in a liver transplant recipient: relations with cell migration and chimerism.

We report herein the case of a patient who developed fatal acute graft-versus host disease (GvHD) after liver transplantation (LT). GvHD occurred 18 days after LT and was characterized by skin epidermolysis, diarrhea and leucopenia. Skin biopsy showed epidermal dyskeratosis with epithelial necrosis, a lesion consistent with GvHD.

[Heterotopic hepatic transplantation. Apropos of a case treated in the terminal stage of decompensated alcoholic cirrhosis].

Heterotopic liver transplantation is an exceptional indication for acute or chronic liver disease. The authors report a case of auxiliary liver transplantation performed for end-stage alcoholic cirrhosis. The patient was contra-indicated for orthotopic transplantation because of poor general and nutritional status.