Being Mortal: Medicine and What Matters in the End

Being Mortal: Medicine and What Matters in the End

Through eye-opening research and gripping stories of his own patients and family, Gawande reveals the suffering this dynamic has produced. Nursing homes, devoted above all to safety, battle with residents over the food they... read more

Advances in Critical Care Management of Patients Undergoing Cardiac Surgery

Advances in Critical Care Management of Patients Undergoing Cardiac Surgery

Cardiac surgery has been evolving to include minimally invasive, hybrid and transcatheter techniques. Increas‑ing patient age and medical complexity means that critical care management needs to adapt and evolve. Recent... read more

Risk Factors for HAI After Pediatric Cardiac Surgery

Risk Factors for HAI After Pediatric Cardiac Surgery

Mechanical ventilation greater than or equal to 3 days, dopamine use, genetic abnormality, and delayed sternal closure were associated with healthcare-associated infections after pediatric cardiac surgery. Since the use of... read more

Lower EGS Mortality Among Hospitals with Higher-Quality Trauma Care

Lower EGS Mortality Among Hospitals with Higher-Quality Trauma Care

Patients undergoing emergency general surgery (EGS) procedures are up to eight times more likely to die than patients undergoing the same procedures electively. This excess mortality is often attributed to nonmodifiable patient... read more

Prevention of Low Cardiac Output Syndrome After Pediatric Cardiac Surgery

Prevention of Low Cardiac Output Syndrome After Pediatric Cardiac Surgery

Dobutamine and milrinone are safe, well tolerated, and equally effective in prevention of low cardiac output syndrome after pediatric cardiac surgery. The hemodynamic response of the two drugs is comparable. In uncomplicated... read more

Near-Infrared Cerebral Oximetry to Predict Outcome After Pediatric Cardiac Surgery

Near-Infrared Cerebral Oximetry to Predict Outcome After Pediatric Cardiac Surgery

Increased SD of a smoothed cerebral tissue oxygen saturation signal and increased depth and duration of desaturation below the 50% saturation threshold were associated with longer PICU and hospital stays and with longer duration... read more

Accuracy of Ultrasound Exam Performed by EM vs. Radiology Residents in the Diagnosis of Acute Appendicitis

Accuracy of Ultrasound Exam Performed by EM vs. Radiology Residents in the Diagnosis of Acute Appendicitis

Although the traditional approach to the diagnosis of acute appendicitis (AA) is using clinical methods, experience has shown that strict reliance on clinical data can lead to mismanagement or unnecessary surgery. US has... read more

The Effect of 6% Hydroxyethyl Starch (130/0.4) On AKI in Pediatric Cardiac Surgery

The Effect of 6% Hydroxyethyl Starch (130/0.4) On AKI in Pediatric Cardiac Surgery

We have evaluated the effect of a colloid solution on acute kidney injury in paediatric cardiac surgery. A total of 195 patients were randomly divided into an hydroxyethyl starch group and a control group. In the starch group,... read more

Mechanical Ventilation Strategies for the Surgical Patient

Mechanical Ventilation Strategies for the Surgical Patient

The understanding on the protective roles of tidal volume and PEEP settings against PPCs has rapidly expanded. During intraoperative ventilation, low tidal volumes are protective, the protective role of high levels of PEEP... read more

Vascular Access in Critically Ill Pediatric Patients With Obesity

Vascular Access in Critically Ill Pediatric Patients With Obesity

Severe obesity is associated with decreased overall likelihood of placement of a vascular access device but increased likelihood of peripherally inserted central catheter placement and of device-related complications. Patients... read more

Principles And Practice of Mechanical Ventilation

Principles And Practice of Mechanical Ventilation

A comprehensive, authoritative coverage of all the clinical, pharmacological, and technical issues surrounding the use of mechanical ventilation. More than 100 authors, all of whom are at the forefront of research in their... read more

Dexmedetomidine Prevents AKI After Adult Cardiac Surgery

Dexmedetomidine Prevents AKI After Adult Cardiac Surgery

Perioperative administration of dexmedetomidine in adult patients undergoing cardiac surgery may reduce the incidence of postoperative AKI. Future trials are needed to determine the dose and timing of dexmedetomidine in improving... read more

A Cool Way to Save Trauma Patients

A Cool Way to Save Trauma Patients

Laboratory research like Dr. Alam's has helped to provide answers to some of these questions and demonstrated the feasibility of rapidly inducing hypothermia for exsanguinating trauma. Assuming that the pilot trial and... read more

Fluid Management in Cardiac Surgery

Fluid Management in Cardiac Surgery

Perioperative fluid management in cardiac surgery patients may have changed in the last few years in European centers. Balanced crystalloids now seem to be the preferred solutions, followed by synthetic colloids (mainly gelatins)... read more