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Biomedical subjects

J Dattolo

Publications and source records attributed to J Dattolo.

4 recordsLinked to original sources
PubMed1998

Minimally invasive cardiac surgery: surgical techniques and nursing considerations.

Coronary artery bypass grafting is a well-established procedure. Less invasive procedures have been developed to provide bypass grafting without median sternotomy, cardiopulmonary bypass, or cross clamping. Using a small anterior thoracic incision, and occasionally with the aid of the thoracoscope, the minimally invasive direct coronary artery bypass graft (MIDCAB) procedure was developed. The MIDCAB procedure results in a decreased length of hospital stay, fewer postoperative complications, and a more rapid recovery for the patient. The MIDCAB, however, has other ramifications, including changes in staffing requirements, bed allocations, and staff training. Advantages and limitations are discussed.

Coronary Artery Bypass↗
PubMed1994

Factors influencing prehospital delay in patients experiencing chest pain.

BACKGROUND: Patients experiencing chest pain (or other cardiac symptoms) in the community delay hours, even days, in seeking medical care. Given the potential effectiveness of thrombolytic therapy, it is important to determine patterns of patient delay. OBJECTIVES: A descriptive study was conducted to determine the amount of time patients delayed in seeking medical care when experiencing chest pain and the characteristics of patients delaying longer than 3 hours. METHODS: Adult patients (N = 77) admitted to an emergency department with chest pain participated. Data were obtained using the Response to Symptoms Questionnaire and chart review. RESULTS: The mean prehospital delay times (ie, symptom onset to hospital arrival) was 25.4 hours (+/- 46.5), and the median was 5 hours. Delay groups were divided into those arriving less than 3 hours (n = 31 or 40%) and those arriving more than 3 hours (n = 46 or 60%) after symptom onset. Three hours was chosen based on a mean time, taken from the literature, of 84 minutes spent in the emergency department so that patients in the first group would be able to receive thrombolysis within 4 hours. Univariate statistical analyses revealed that advanced age, symptom onset with a family member present, and self-determination of symptoms as not being serious in nature all contributed to a delay of longer than 3 hours. CONCLUSIONS: Critical care nurses and physicians should focus on patients at high risk for prolonged delay and educate the public about action to take if a family member experiences cardiac symptoms.

Adult↗
PubMedDate not supplied

Home health care and burn care: an educational and economical program.

Changes in health care reimbursement have challenged providers of health care to work smarter instead of harder, with more efficient and effective use of resources. Patients with burn injuries remain hospitalized for dressing changes that could be completed in the home environment by health care professionals. An early discharge for a select group of patients from a resource-intensive hospital stay to a quality, cost-effective home care program was achieved. An educational program was developed to provide home care nurses the necessary knowledge and skill to care for the patient with burn injuries at home. This program combines didactic classroom lectures with a clinical orientation for home care registered nurses. The outcome for patients is a well-integrated continuity of care with a decreased length of hospital stay.

Algorithms↗