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Regularly informing families of the condition of their relative can be difficult. Text messaging via mobile telephones may achieve such communication effectively. To test the hypotheses that we could efficiently deliver real-time short message service (SMS) updates to families and that these SMS updates would be accepted and welcomed. Prospective observational study. Cohort of 91 cardiac surgery patients and 156 family participants. At five distinct landmark events, we sent pre-written SMS updates to designated mobile numbers. We used t