Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

87
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
87
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

334
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
334
Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

114
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
114
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

367
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
367
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

83
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
83
Imaging Studies for Cardiovascular System III: X-Ray01:20

Imaging Studies for Cardiovascular System III: X-Ray

333
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
333

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Root replacement after transcatheter aortic valve replacement in homograft explant.

Multimedia manual of cardiothoracic surgery : MMCTS·2026
Same author

Carcinoid Heart Disease: Surgical Timing, Right Ventricular Risk Stratification and Operative Strategy.

Journal of cardiovascular development and disease·2026
Same author

Comparative Outcomes of Total Versus Partial Pericardiectomy in Constrictive Pericarditis: A Two-Decade Single-Centre Experience.

Interdisciplinary cardiovascular and thoracic surgery·2026
Same author

CytoSorb® haemoadsorption in high-risk cardiac surgery: A focused review with proposed tiered patient selection.

Perfusion·2026
Same author

Large airway bronchial wash lipidomics as novel biomarkers for chronic lung allograft dysfunction.

The Journal of thoracic and cardiovascular surgery·2026
Same author

Ischemia with No Obstructive Coronary Artery Disease (INOCA): A Review.

Life (Basel, Switzerland)·2025

Related Experiment Video

Updated: Nov 3, 2025

Simulator Training for Endovascular Neurosurgery
08:08

Simulator Training for Endovascular Neurosurgery

Published on: May 6, 2020

3.9K

Is It Safe to Let Trainees Operate on High Risk Cardiac Surgery Cases?

Suvitesh Luthra1, Miguel M Leiva-Juarez2, Simon Duggan1

  • 1Division of Cardiac Surgery, Wessex Cardiothoracic Centre, University Hospital Southampton NHS Trust, Southampton, UK.

Seminars in Thoracic and Cardiovascular Surgery
|June 5, 2021
PubMed
Summary
This summary is machine-generated.

Trainees can perform high-risk cardiac surgery safely. This study found no significant difference in outcomes between trainee-performed and consultant-performed complex cardiac operations, ensuring patient care quality.

Keywords:
Cardiac surgeryHigh riskResidentSafetyTraining

More Related Videos

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

17.4K
Creation of Patient-Specific Silicone Cardiac Models with Applications in Pre-surgical Plans and Hands-on Training
09:15

Creation of Patient-Specific Silicone Cardiac Models with Applications in Pre-surgical Plans and Hands-on Training

Published on: February 10, 2022

3.8K

Related Experiment Videos

Last Updated: Nov 3, 2025

Simulator Training for Endovascular Neurosurgery
08:08

Simulator Training for Endovascular Neurosurgery

Published on: May 6, 2020

3.9K
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

17.4K
Creation of Patient-Specific Silicone Cardiac Models with Applications in Pre-surgical Plans and Hands-on Training
09:15

Creation of Patient-Specific Silicone Cardiac Models with Applications in Pre-surgical Plans and Hands-on Training

Published on: February 10, 2022

3.8K

Area of Science:

  • Cardiovascular Surgery
  • Surgical Education
  • Patient Outcomes

Background:

  • Increasing complexity of cardiac operations necessitates a discussion on trainee autonomy and competency.
  • Defining the required case volume for trainees to achieve surgical competency is crucial.
  • Evaluating patient outcomes based on surgeon experience (trainee vs. consultant) is essential for quality assurance.

Purpose of the Study:

  • To compare patient outcomes between high-risk cardiac operations performed by surgical trainees and experienced consultants.
  • To assess whether trainee involvement in complex cardiac procedures impacts patient safety and clinical results.
  • To investigate the relationship between surgeon experience and key perioperative outcomes in high-risk cardiac surgery.

Main Methods:

  • A retrospective review of 696 major high-risk cardiac operations (EuroSCORE >10) at a single institution.
  • Propensity score matching was used to balance baseline characteristics between trainee (n=158) and consultant (n=438) cases.
  • Outcomes analyzed included in-hospital mortality, composite adverse events, reoperation rates, cross-clamp/bypass times, and length of stay.

Main Results:

  • Multivariable analysis and propensity-matched comparisons showed no significant difference in in-hospital mortality or composite adverse outcomes between trainees and consultants.
  • Key adverse events such as deep sternal infection, stroke, new hemodialysis, and reoperation rates were similar between groups.
  • Operative times (cross-clamp and bypass) and length of stay were comparable, indicating no increased resource utilization or procedural delay with trainees.

Conclusions:

  • Surgical trainees can perform high-risk cardiac operations without compromising patient care quality or safety.
  • The study supports trainee autonomy in complex cardiac procedures when appropriate supervision and training structures are in place.
  • Factors like NYHA class, diabetes, and emergency surgery status were identified as predictors of adverse outcomes, independent of surgeon experience level.