Abstract
We conducted a prospective, observational study in a level III multidisciplinary neonatal intensive care unit. We enrolled twenty-five (n=25) neonates undergoing major surgery (for gastroschisis, atresia of the small intestine, congenital diaphragmatic hernia, esophageal atresia, coarctation of the...
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PMID: 20440673
PDF is available here.
Abstract
We conclude that intraoperative administration of dexamethasone for anti-emetic purposes may confer an increased risk of postoperative infection....
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PMID: 20715728
PDF is available here.
Abstract
We report herein the case of a 48-year-old woman with a previous history of hip joint surgery due to congenital hip dislocation who experienced massive bleeding during a second operation. Postoperative pelvic angiography revealed large, complex arteriovenous fistulas with combined venous aneurysm. S...
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PMID: 20661703
PDF is available here.
Aaron S Fink,
Allan V Prochazka,
William G Henderson,
Debra Bartenfeld,
Carsie Nyirenda,
Alexandra Webb,
David H Berger,
Kamal Itani,
Thomas Whitehill,
James Edwards,
Mark Wilson,
Cynthia Karsonovich and
Patricia Parmelee
Abstract
RB implemented within an electronic informed consent system improved patient comprehension. The additional time required was acceptable to providers. RB should be considered as an enhancement to surgical informed consent.This clinical trial was registered at http://www.clinicaltrials.gov (Identifier...
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PMID: 20562609
PDF is available here.
Abstract
We analyzed retrospective data from 239,286 patients 65 years of older who underwent major noncardiac surgery in 1997 to 2004 at veteran hospitals nationwide. Propensity-score matching was used to adjust for differences between patients who received intraoperative blood transfusions (9.4%) and those...
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PMID: 20505504
PDF is available here.
Abstract
We demonstrate, in simulated and live-operating environments, that eye metrics can reliably distinguish nonexpert from expert surgeons. As current medical educators rely on subjective measures of surgical skill, eye metrics may serve as the basis for objective assessment in surgical education and cr...
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PMID: 20562602
PDF is available here.
Abstract
The 47 patients in the CS group were similar to the 47 in the no-CS group for all matched variables. Patients in the CS group received an average of 819 mL of autologous CS blood. The CS group received fewer intraoperative (2 vs 4 U; P = .002) and total (4 vs 8 U; P < .001) units of allogeneic packe...
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PMID: 20644133
PDF is available here.
Abstract
The incidences of sepsis and septic shock exceed those of pulmonary embolism and myocardial infarction. The risk factors for mortality include age older than 60 years, the need for emergency surgery, and the presence of any comorbidity. This study emphasizes the need for early recognition of patient...
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PMID: 20644134
PDF is available here.
Abstract
Increasing glucose concentrations exert considerable opposing effects on several well-established innate immunologic processes. The opposing findings might contribute to recent clinical controversies. Physician judgment and experience are essential to imminent treatment of critically ill and periope...
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PMID: 20510806
PDF is available here.
Abstract
Microcirculatory alterations have been repeatedly observed in patients with severe sepsis, but recent findings show that these also occur in patients with severe heart failure and in those submitted to high-risk surgery. More severe and more persistent alterations are observed in patients with a poo...
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PMID: 20179590
PDF is available here.
Abstract
The traditional on-call system for the management of acute general surgical admissions is inefficient and outdated. A new model, Acute Surgical Unit (ASU), was developed at Nepean Hospital in 2006. The ASU is a consultant-driven, independent unit that manages all acute general surgical admissions. T...
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PMID: 20618194
PDF is available here.
Abstract
IMPORTANCE OF THE FIELD: To date, surgical dissection is based only on mechanical forces. The use of a chemical product that is able to ease tissue dissection represents an important advance. MESNA (sodium-2-mercaptoethanesulfonate) has recently been validated for chemically assisted tissue dissecti...
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PMID: 20433403
PDF is available here.
Abstract
We estimate four distinct cross-sectional multivariate regression models to predict health care utilization at the county level and the metropolitan statistical area (MSA) level using data from 2007. Our study focuses on health care utilization in the United States using inpatient admissions, outpat...
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PMID: 20385438
PDF is available here.
Abstract
An earlier peak in IL-1beta levels and a consistent decrease in TNF-alpha were seen in healing intestinal tissues; but no clear pattern of increased anti-inflammatory or regulatory cytokines was seen, which might explain the earlier healing of intestinal tissues. Additional studies are required to d...
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PMID: 19697130
PDF is available here.
Abstract
After surgery, in sepsis and various critical illnesses, factors such as severity of the acute phase response, liver dysfunction, and hemodilution from blood loss have cumulative impacts in decreasing cholesterol; therefore, degree of hypocholesterolemia often reflects severity of illness. The direc...
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PMID: 19828282
PDF is available here.
Abstract
Hospitalization is a complex experience; this can be made worse if surgical intervention is required, especially when the patient is a child. When surgery is suspended, patient and family can experience feelings of insecurity, distress, and anxiety. The objective of this study was to identify and de...
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PMID: 20642047
PDF is available here.