Nian Hwang - Academia.edu (original) (raw)

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Papers by Nian Hwang

Research paper thumbnail of Preventive Strategies for Minimizing Hemodilution in the Cardiac Surgery Patient During Cardiopulmonary Bypass

From the *Cardiothoracic Anaesthesia Service, Department of Anaesthesiology, Singapore General Ho... more From the *Cardiothoracic Anaesthesia Service, Department of Anaesthesiology, Singapore General Hospital, Singapore; and †Department of Cardiothoracic Anaesthesia, National Heart Centre Singapore (NHCS), Singapore. Address reprint requests to Nian Chih Hwang, FFARCSI, Department of Anaesthesiology, Singapore General Hospital, Outram Road, Singapore 169608. E-mail: hwang.nian.chih@sgh.com.sg © 2015 Elsevier Inc. All rights reserved. 1053-0770/2601-0001$36.00/0 http://dx.doi.org/10.1053/j.jvca.2015.08.002

Research paper thumbnail of Is conventional predictive risk modelling for surgical aortic valve replacement still relevant in this minimally invasive era?

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Conduct of virtual summative anesthesiology Objective Structured Clinical Examination during the COVID-19 pandemic

Canadian Journal of Anesthesia/Journal canadien d'anesthésie

Research paper thumbnail of Conventional Ultrafiltration—No More Role in Elective Adult Cardiac Surgery?

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Red-Colored Urine in the Cardiac Surgical Patient—Diagnosis, Causes, and Management

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Intravenous Fluids and Hyperchloremia in Cardiac Surgery: Not the End of the Story?

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Sodium Abnormalities in Cardiac Surgery With Cardiopulmonary Bypass in Adults: A Narrative Review

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Is Serum Phosphate Concentration a Biomarker for Renal Injury and Recovery in Cardiac Surgery?

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of From Trial to Implementation, Bringing Team-Based Learning Online—Duke-NUS Medical School’s Response to the COVID-19 Pandemic

Research paper thumbnail of Redesigning team-based learning facilitation for an online platform to deliver preclinical curriculum: A response to the COVID-19 pandemic

Research paper thumbnail of Academic coaching of medical students during the COVID‐19 pandemic

Research paper thumbnail of Grit protects medical students from burnout: a longitudinal study

BackgroundBurnout is a serious issue plaguing the medical profession with potential negative cons... more BackgroundBurnout is a serious issue plaguing the medical profession with potential negative consequences on patient care. Burnout symptoms are observed as early as medical school. Based on a Job Demands-Resources model, this study aims to assess associations between specific job resources measured at the beginning of the first year of medical school with burnout symptoms occurring later in the first year.MethodsThe specific job resources of grit, tolerance for ambiguity, social support and gender were measured in Duke-NUS Medical School students at the start of Year 1. Students were then surveyed for burnout symptoms at approximately quarterly intervals throughout the year. Using high ratings of cynicism and exhaustion as the definition of burnout, we investigated the associations of the occurrence of burnout with student job resources using multivariable logistic regression analysis. ResultsOut of 59 students, 19 (32.2%) indicated evidence of burnout at some point across the first...

Research paper thumbnail of Volatile anesthesia vs total intravenous anesthesia during cardiopulmonary bypass - a narrative review on the technical challenges and considerations

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Incorporating indices of postoperative glycemic variability in postoperative outcome prediction modeling - how accurate can it get?

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Fast tracking in cardiac surgery - is it the patient or the protocol?

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Deep Sternal Wound Infection: Diagnosis, Treatment and Prevention

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Vasoplegia: more magic bullets?

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Acute Kidney Injury After Cardiac Surgery: A Narrative Review of the Literature

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Frailty in Cardiac Surgery

Journal of cardiothoracic and vascular anesthesia, Jan 22, 2018

Research paper thumbnail of Advances in Left Ventricular Assist Devices and Mechanical Circulatory Support

Journal of cardiothoracic and vascular anesthesia, Jun 1, 2018

Recent technologic advances have resulted in the availability of percutaneous and minimally invas... more Recent technologic advances have resulted in the availability of percutaneous and minimally invasive surgical devices for temporary mechanical circulatory support. These may be deployed rapidly without the requirement for sternotomy or cardiopulmonary bypass. In addition, third generation implantable left ventricular assist devices have been compared with second generation devices in 2 recent randomized controlled trials. The aim of this article is to provide a current review of the recent literature relating to left ventricular assist devices and mechanical circulatory support.

Research paper thumbnail of Preventive Strategies for Minimizing Hemodilution in the Cardiac Surgery Patient During Cardiopulmonary Bypass

From the *Cardiothoracic Anaesthesia Service, Department of Anaesthesiology, Singapore General Ho... more From the *Cardiothoracic Anaesthesia Service, Department of Anaesthesiology, Singapore General Hospital, Singapore; and †Department of Cardiothoracic Anaesthesia, National Heart Centre Singapore (NHCS), Singapore. Address reprint requests to Nian Chih Hwang, FFARCSI, Department of Anaesthesiology, Singapore General Hospital, Outram Road, Singapore 169608. E-mail: hwang.nian.chih@sgh.com.sg © 2015 Elsevier Inc. All rights reserved. 1053-0770/2601-0001$36.00/0 http://dx.doi.org/10.1053/j.jvca.2015.08.002

Research paper thumbnail of Is conventional predictive risk modelling for surgical aortic valve replacement still relevant in this minimally invasive era?

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Conduct of virtual summative anesthesiology Objective Structured Clinical Examination during the COVID-19 pandemic

Canadian Journal of Anesthesia/Journal canadien d'anesthésie

Research paper thumbnail of Conventional Ultrafiltration—No More Role in Elective Adult Cardiac Surgery?

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Red-Colored Urine in the Cardiac Surgical Patient—Diagnosis, Causes, and Management

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Intravenous Fluids and Hyperchloremia in Cardiac Surgery: Not the End of the Story?

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Sodium Abnormalities in Cardiac Surgery With Cardiopulmonary Bypass in Adults: A Narrative Review

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Is Serum Phosphate Concentration a Biomarker for Renal Injury and Recovery in Cardiac Surgery?

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of From Trial to Implementation, Bringing Team-Based Learning Online—Duke-NUS Medical School’s Response to the COVID-19 Pandemic

Research paper thumbnail of Redesigning team-based learning facilitation for an online platform to deliver preclinical curriculum: A response to the COVID-19 pandemic

Research paper thumbnail of Academic coaching of medical students during the COVID‐19 pandemic

Research paper thumbnail of Grit protects medical students from burnout: a longitudinal study

BackgroundBurnout is a serious issue plaguing the medical profession with potential negative cons... more BackgroundBurnout is a serious issue plaguing the medical profession with potential negative consequences on patient care. Burnout symptoms are observed as early as medical school. Based on a Job Demands-Resources model, this study aims to assess associations between specific job resources measured at the beginning of the first year of medical school with burnout symptoms occurring later in the first year.MethodsThe specific job resources of grit, tolerance for ambiguity, social support and gender were measured in Duke-NUS Medical School students at the start of Year 1. Students were then surveyed for burnout symptoms at approximately quarterly intervals throughout the year. Using high ratings of cynicism and exhaustion as the definition of burnout, we investigated the associations of the occurrence of burnout with student job resources using multivariable logistic regression analysis. ResultsOut of 59 students, 19 (32.2%) indicated evidence of burnout at some point across the first...

Research paper thumbnail of Volatile anesthesia vs total intravenous anesthesia during cardiopulmonary bypass - a narrative review on the technical challenges and considerations

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Incorporating indices of postoperative glycemic variability in postoperative outcome prediction modeling - how accurate can it get?

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Fast tracking in cardiac surgery - is it the patient or the protocol?

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Deep Sternal Wound Infection: Diagnosis, Treatment and Prevention

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Vasoplegia: more magic bullets?

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Acute Kidney Injury After Cardiac Surgery: A Narrative Review of the Literature

Journal of Cardiothoracic and Vascular Anesthesia

Research paper thumbnail of Frailty in Cardiac Surgery

Journal of cardiothoracic and vascular anesthesia, Jan 22, 2018

Research paper thumbnail of Advances in Left Ventricular Assist Devices and Mechanical Circulatory Support

Journal of cardiothoracic and vascular anesthesia, Jun 1, 2018

Recent technologic advances have resulted in the availability of percutaneous and minimally invas... more Recent technologic advances have resulted in the availability of percutaneous and minimally invasive surgical devices for temporary mechanical circulatory support. These may be deployed rapidly without the requirement for sternotomy or cardiopulmonary bypass. In addition, third generation implantable left ventricular assist devices have been compared with second generation devices in 2 recent randomized controlled trials. The aim of this article is to provide a current review of the recent literature relating to left ventricular assist devices and mechanical circulatory support.

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