Considering present world-wide birth rates and figures relative to the incidence of congenital heart disease, fewer children are given the opportunity for corrective surgery within a year with present facilities than are born eligible within a given day. This fact does not take into consideration surgical candidates with acquired heart disease. Open heart operations are feasible within hospitals at the community level. The equipment needed is not as complicated as so often anticipated, and the chances for success are good if the proper personnel equip themselves with certain unpurchasable principles and if confusing, complicating, and obstructing attitudes and gadgets are kept out of the operating room. Particular emphasis is placed on thorough indoctrination of the entire team in the laboratory. The necessary personnel can usually be found, and the equipment acquired, by smaller communities as well as by larger ones, leaving only certain intangible personal traits to decide success or failure.
Henderson AR, Meijer RR, Oteifa G. SOME NONTECHNICAL ASPECTS OF OPEN-HEART SURGERY IN THE COMMUNITY HOSPITAL. JAMA. 1959;170(1):28–32. doi:10.1001/jama.1959.03010010030006
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