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The most fascinating sections are those on factors that can affect surgical outcome. There are hair-raising sections on how despite disasters in cardiac surgery arising from surgeons handling Prolene sutures with metal instruments, or not locking knots, many surgeons continue to do this.
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But that climate is, thankfully, changing. Dr Steve Bolsin, a brave anaesthetist, was the man who blew the whistle on the unacceptably high incidence of deaths in Bristol, and he eventually left the UK. He trained as a cardiac surgeon, and devised a risk-assessment system for cardiac surgery patients, EuroSCORE, that has now been adopted throughout the world.