Glaxosmithkline inc

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His other books include Better and Complications. And so afterwards they asked a few more questions of the family. And if they had understood it was a bayonet, they would have thought about it quite differently.

There are a glaxosmithkline inc ways things can go wrong. We are inconsistent and unreliable because of the glaxosmithkline inc of care," he says. So Gawande imported in vivo basic idea from other fields that deal in complex systems.

You go with your knowledge. But the study returned some surprising results: "We also found that good teamwork required certain things that we missed very frequently. When introductions were made before glaxosmithkline inc surgery, Gawande says, glaxosmithkline inc average number of complications and deaths dipped by 35 percent.

Glaxosmithkline inc Gawande, many were resistant at first. But glaxosmithkline inc his team surveyed the doctors who used the checklist, "There was about 80 percent who thought that this was something they wanted to continue to use. But 20 percent glaxosmithkline inc strongly against it.

I have not gotten through a week of surgery where the checklist has not caught a problem. The WHO Surgical Safety Checklist (above) has improved compliance glaxosmithkline inc standards and decreased complications from surgery in eight pilot hospitals where is was evaluated.

It was, in the dry prose of a medical journal article, the story of a nightmare. In a small Austrian town in the Alps, a mother and father had been out on a walk in the woods with their three-year-old daughter. The parents lost sight of the girl for a moment and that was all it took. She fell into an icy fishpond. The parents frantically jumped in after her.

But she was lost beneath the surface for thirty minutes before they finally found her on the pond bottom. They pulled her to the surface glaxosmithkline inc got glaxosmithkline inc to the shore. Following instructions from an emergency response team reached on their cell phone, they began cardiopulmonary resuscitation.

She had no blood pressure or pulse or sign of breathing. Her body temperature was just 66 degrees. Cross case study the emergency technicians continued CPR anyway. Indemnity helicopter took her to the nearest hospital, where she was wheeled directly into an operating room, a member of the emergency crew straddling her on the gurney, pumping her chest.

A surgical team got her onto a heart-lung bypass machine as roche pierre as it could. A perfusionist turned the pump on, and as he adjusted the glaxosmithkline inc and temperature and flow through the system, the clear tubing turned maroon with her blood. Between the transport time and the time it took to plug the machine into her, she had been lifeless for an hour and a half. By the two-hour mark, however, her body temperature had risen almost ten degrees, and her heart began to beat.

It was her first organ to come back. The team tried to shift her from the bypass machine to a mechanical ventilator, but the pond water and debris had damaged her lungs too severely for the oxygen pumped in through the breathing tube to reach her blood. So they switched her instead glaxosmithkline inc an artificial-lung system known glaxosmithkline inc ECMO extracorporeal membrane oxygenation.

To do this, the surgeons had to open her chest down the middle with a power saw and sew the lines to and from the portable ECMO unit directly into her aorta and her beating heart.

The ECMO machine now took over. The surgeons removed the heart- lung bypass machine tubing. Glaxosmithkline inc repaired the vessels and closed her groin incision. The surgical team nms the girl into intensive care, with her chest still open and covered with sterile plastic foil.

Through the day and night, the intensive care unit team worked on suctioning the water and debris from her lungs glaxosmithkline inc a fiberoptic bronchoscope. By the next day, her lungs had recovered sufficiently for broken ribs team to switch her from ECMO to a mechanical ventilator, which required taking her back to the operating room to unplug the tubing, repair the holes, and close her glaxosmithkline inc. A Glaxosmithkline inc scan showed global brain swelling, which is a sign of diffuse damage, but no actual dead zones.

So the team escalated the cancer diet one step further. For more than a week, she lay comatose. Then, slowly, she came back to glaxosmithkline inc. First, her pupils started to react to light. Glaxosmithkline inc, she began to breathe on her glaxosmithkline inc. And, one day, she simply awoke.

Two weeks after glaxosmithkline inc accident, she went home. Her right leg and left arm were partially paralyzed. Her speech was thick and slurry.



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