J. A. Gibson

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We describe the development, implementation, and evaluation of a standardized clinical pathway to facilitate safe discharge home at the earliest time after transfemoral transcatheter aortic valve replacement. Between May 2012 and October 2014, the Heart Team developed a clinical pathway suited to the unique requirements of transfemoral transcatheter aortic(More)
PURPOSE OF REVIEW Transcatheter aortic valve implantation (TAVI) is the recommended treatment for most patients with symptomatic aortic stenosis at high surgical risk. However, TAVI may be clinically futile for patients who have multiple comorbidities and excessive frailty. This group benefits from transition to palliative care to maximize quality of life,(More)
INTRODUCTION More than 75 million Americans have chronic pain. Pain accounts for 20% of all outpatient visits and over $100 billion dollars per year in direct and indirect costs; analgesics account for 12% of all prescriptions.Our aims were to review recent pain medicine studies and their key findings, and to discuss the implications of these findings for(More)
BACKGROUND Preoperative frailty predicts adverse postoperative outcomes. Despite the advantages of incorporating frailty assessment into surgical settings, there is limited research on surgical healthcare professionals' use of frailty assessment for perioperative care. METHODS Healthcare professionals caring for patients enrolled at a Canadian teaching(More)
A standard serial interfacing scheme is described. It<lb>is appropriate for the<lb>interfacing of a<lb>variety of peripherals to mini-<lb>computers, as well as for the interconnection of two or more<lb>mini-<lb>computers. The use<lb>of this serial interface simplifies the<lb>problem of<lb>compatibility<lb>of communications between computers and(More)