KISS approach to open heart surgery

Srougi, Victor; Kabeer, M

doi:10.1007/bf02664018

Cited by 11 publications

(5 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Cardiac surgery is known to be a technologically dependent area of clinical practice with a reliance on single use consumables ( 41 ). This was recognised as early as the 1980's with the development of the ‘KISS (Keep It Simple and Safe)’ approach which aimed to provide treatment to the maximum number of patients within the context of limitations of funding, equipment and manpower ( 42 ). Whilst some degree of technology is essential for even the most basic cardiac surgery, international teams will likely find resource limitations a constant challenge.…”

Section: Discussionmentioning

confidence: 99%

A Case Report Examining Early Extubation Following Congenital Heart Surgery in a Low Resource Setting

Howes

2019

Front. Pediatr.

View full text Add to dashboard Cite

This case report aims to critically analyse the evidence surrounding early extubation in the post-operative phase following complex congenital cardiac surgery. Child A was an 8 year old female who had undergone complex congenital cardiac surgery during an international surgical charity mission. On admission to the paediatric intensive care unit Child A appeared to be in good condition and no major complications had occurred intra-operatively. This was considered alongside the situational pressures of resource limitations and the mission's aim to offer surgery to as many children as possible during the available time frame. The decision was made by the team that Child A was a suitable candidate for ‘early extubation.’ Some members of the team were uncomfortable with this approach and felt it could lead to poorer outcomes for patients. Current evidence surrounding early extubation both within international surgical mission trips to low-income and middle-income countries and established cardiac centres within high-income countries is examined and discussed alongside the context of resource limitation. Although the process and implications of early extubation following cardiac surgery needs further research, on the basis of the evidence currently available clinicians could potentially encourage the use of early extubation within clinical practice (for appropriately selected patients) through the utilisation of a multidisciplinary approach, both within the UK and during international surgical charity missions to low-income and middle-income countries.

show abstract

Section: Discussionmentioning

confidence: 99%

A Case Report Examining Early Extubation Following Congenital Heart Surgery in a Low Resource Setting

Howes

2019

Front. Pediatr.

View full text Add to dashboard Cite

show abstract

“…31 Investment and training of manpower is very important, as availability of trained intensivist, respiratory therapist, and nursing staff should reduce the intensive care unit stay and resource consumption. Many centres in India, Argentina and in Latin America adopted these principles as an ingenious multiprinciple adaptive work, the so-called KISS approach, meaning ''Keep It Simple and Safe,'' 32 to help more patients with the available funds, equipment, and manpower, with significant reduction in the costs.…”

Section: Charges In the Intensive Care Unitmentioning

confidence: 99%

Reducing the costs of surgical correction of congenitally malformed hearts in developing countries

et al. 2008

View full text Add to dashboard Cite

A large number of patients in developing countries require surgical correction of congenitally malformed hearts. Unfortunately, only a limited number of centres offer these patients surgery at an affordable cost. In this review, we discuss the problems in managing these patients, with an emphasis on reduction of costs, so that the maximum number of patients can benefit. It is apparent that containing costs requires a multipronged approach, which begins with timely referral, and continues with early surgical correction and adequate postoperative care carried out in a scientific manner. Indigenization, innovation, training of manpower, and building a team, are essential to cut the costs, and to improve the quality of care.

show abstract

“…Professor Victor in Madras in the 1970s adopted an even more bare-bones approach and refi ned the principles. 3 Such extreme improvisations may not be necessary in the 21st century. Even with fi nancial constraints, insist on acquiring a pump with at least 3 roller heads and provision for add-ons.…”

Section: Setting Up An Ohs Center Ghoshmentioning

confidence: 99%