Heart surgery with or without extracorporeal circulation: role of the second surgeon
Aims of the assessment
To assess the need for a second surgeon during cardiac surgery, i.e. extracorporeal circulation (EC) surgery or beating-heart surgery (241 listed procedures).
Date
July 2007
Summary
The HAS defined the role, conditions for participation, and qualifications of the second surgeon and assessed the safety, clinical, organisational and economic issues relating to the presence of a second surgeon.
Method
A study of current French practice was undertaken using three methods: (i) a postal survey of all cardiac or vascular surgery teams with access to EC facilities; (ii) an analysis of hospital record databases, (iii) a formal consensus method. To perform comparisons, a questionnaire was mailed to professional societies, experts and health technology agencies in 10 countries
Target audience
Thoracic and Cardiovascular Surgeons
Requested by
UNCAM
Literature search
Databases for English and French publications (Medline, Pascal, HTA database, National guideline clearinghouse, Cochrane Library) were searched over the period 1996-2006.
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