C E E X A M Earn CE Credits at Home You will be awarded continuing educa- tion (CE) credits toward your recertifica- tion after reading the designated arti- cle and completing the test with a score of 70% or better. If you do not pass the test, it will be returned along with your payment. Send the original answer sheet from the journal and make a copy for your records. If possible use a credit card (debit or credit) for payment. It is a faster option for processing of credits and offers more flexibility for correct payment. When submitting multiple tests, you do not need to submit a separate check for each journal test. You may submit multiple journal tests with one check or money order. Members this test is also available online at www.ast.org . No stamps or checks and it posts to your record automatically! Members: $6 per credit (per credit not per test) Nonmembers: $10 per credit (per credit not per test plus the $400 nonmember fee per submission) After your credits are processed, AST will send you a letter acknowledging the number of credits that were accepted. Members can also check your CE credit status online with your login information at www.ast.org. 3 WAYS TO SUBMIT YOUR CE CREDITS Mail to: AST, Member Services, 6 West Dry Creek Circle Ste 200, Littleton, CO 80120-8031 Fax CE credits to: 303-694-9169 E-mail scanned CE credits in PDF format to:
[email protected] For questions please contact Member Services -
[email protected] or 800-637-7433, option 3. Business hours: Mon-Fri, 8:00a.m. - 4:30 p.m., MT tively. The surgeon injects local anesthetic, and begins placing sternal wires for sternal closure. After the chest is closed, the surgeon and surgical assistant use a #1 polyglactin 910 suture on a CTX needle for the fascia, 2-0 polyglactin 910 sutures on CT-1 needles for the dermis, and finally, 3-0 poliglecaprone 25 sutures on PS-1 needles for the skin.The chest tubes are connected to an atrium, and the dressings are applied. P O S T - O P R E C O V E R Y The patient is admitted to the Cardiovascular Recovery Unit, and is extu- bated after approximately 24 hours. The patient stays in the hospital for five to seven days, closely monitored to ensure there are no post-operative complications. During the patient’s stay, a normal diet is resumed, and the nursing staff assists the patient with moving from the bed to a chair, and with walks in the hallway. Follow-up appointments with a cardiologist are very important in the first four to six weeks. A B O U T T H E A U T H O R Alex Burke has been a CST for 3 years at Indiana Univer- sity Health Bloomington Hospital. He specializes mainly in orthopedics and cardiovascular, while having expe- rience in other specialties as well. Aortic valve replace- ments are his favorite cases, but he also enjoys total joint replacements and orthopedic trauma cases. R E F E R E N C E S 1. Jagdish Butany, Manmeet S. Ahluwalia, Cristina Fayet, Craig Munroe, Patrick Blit, Chris- tina Ahn. Hufnagel valve: The first prosthetic mechanical valve. Cardiovasc Pathol . Else- vier. 2002;11(6):351-353. https://www.cardiovascularpathology.com/article/S1054- 8807(02)00132-1/fulltext AccessedAugust 2018. 2. Elliot L. Chaikof, M.D., Ph.D.The Development of Prosthetic Heart Valves – Lessons in Form and Function. N Engl J Med. 2007;357:1368-1371. https://www.nejm.org/doi/full/10.1056/ NEJMp078175AccessedAugust 2018. 3. Wanpen Vongpatanasin, M.D., L. David Hillis, M.D., Richard A. Lange, M.D. Prosthet- ic Heart Valves. N Engl J Med. 1996; 335:407-416. https://www.nejm.org/doi/full/10.1056/ NEJM199608083350607AccessedAugust 2018. 4. Albert Starr.Artificial heart valves. 1961.Animal Research Info. http://www.animalresearch. info/en/medical-advances/timeline/artificial-heart-valves/ AccessedAugust 2018. 5. Vincent LGott,M.D.,Diane E.Alejo,Duke E.Cameron,M.D.Mechanical heart valves: 50 years of evolution. The Ann of Thorac Surg. 2003;76(6):S2230-S2230.. https://www.annalsthoracic - surgery.org/article/S0003-4975(03)01815-0/fulltext AccessedAugust 2018. 6. Yuting P.Chiang,B.A.,Joanna Chikwe,M.D.,Alan J.Moskowitz,M.D.,et al.Survival and Long- term Outcomes Following Bioprosthetic vs Mechanical Aortic Valve Replacement in Patients Aged 50 to 69 Years. JAMA. 2014;312(13):1323-1329. https://jamanetwork.com/journals/ jama/fullarticle/1910112Accessed September 2018 7. Aortic Valve Regurgitation. Mayo Clinic. 2017. https://www.mayoclinic.org/diseases-condi- tions/aortic-valve-regurgitation/symptoms-causes/syc-20353129AccessedAugust 2018. 8. Michael A. Chen, M.D., PhD. Aortic stenosis. MedlinePlus. 2018. https://medlineplus.gov / ency/article/000178.htmAccessedAugust 2018. 9. Ani Anyanwu,M.D.Surgical AorticValve Replacement: BiologicValves Are Better Even in the Young Patient.American College of Cardiology. 2015. https://www.acc.org/latest-in-cardiol- ogy/articles/2015/03/03/09/28/surgical-aortic-valve-replacement-biologic-valves-are-better- even-in-the-young-patient AccessedAugust 2018. 10. Heart Valve Repair and Replacement. Cedars-Sinai. https://www.cedars-sinai.edu/Patients/ Health-Conditions/Heart-Valve-Repair-and-Replacement.aspx AccessedAugust 2018. 11. Tissue Heart Valves. Abbott. November 17, 2016. https://www.sjm.com/en/patients/ heart-valve-disease/our-solutions/tissue-heart-valves?clset=af584191-45c9-4201-8740- 5409f4cf8bdd%3ab20716c1-c2a6-4e4c-844b-d0dd6899eb3a AccessedAugust 2018. 12. Rizwan A. Manji,Whayoung Lee, David K.C. Cooper. Xenograft bioprosthetic heart valves: Past, present and future. Int J of Surg . Elsevier. 2015;23(Part B):280-284. https://www.science- direct.com/science/article/pii/S174391911500374XAccessedAugust 2018. | The Surgical Technologist | JANUARY 2019 18