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April 2018, Week 3


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"Kinzelman-Vesely, Elissa" <[log in to unmask]>
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Kinzelman-Vesely, Elissa
Thu, 19 Apr 2018 14:59:05 +0000
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Good morning to all,

I received a rather difficult lit search request from one of the clinical nurse specialists in cardiac surgery yesterday and I'm not finding any answers.  Maybe I'm approaching it the wrong way?

She is looking for the standard of care regarding the postoperative rechecking (via echocardiography) of patients with low ejection fractions (<35%) following coronary artery bypass or myocardial revascularization surgery.  In other words, when should the patient undergo echocardiography following surgery to determine whether the ejection fraction has improved?

If there is no standard of care, what is the postoperative risk for patients with low ejection fractions following revascularization?

Does anyone on the list have any recommendations or a brilliant search strategy?

Thanks in advance,

Elissa A. Kinzelman-Vesely, MA, MLIS
Medical Librarian, Library Services
Ascension Wisconsin 
3801 Spring Street
Racine, WI 53405 
T: 262-687-8921 
V: 414-585-5085
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