Intensive care medicine
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Abstract
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Intensive care medicine · Jun 2018
LetterDo change of care and rehabilitation for patients with mechanical ventilation increase chances of return to work? : Discussion on organ support therapy in the intensive care unit and return to work: a nationwide, register-based cohort study.
Abstract
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Intensive care medicine · Jun 2018
ReviewPerioperative myocardial injury and the contribution of hypotension.
Mortality in the month following surgery is about 1000 times greater than anesthesia-related intraoperative mortality, and myocardial injury appears to be the leading cause. There is currently no known safe prophylaxis for postoperative myocardial injury, but there are strong associations among hypotension and myocardial injury, renal injury, and death. During surgery, the harm threshold is a mean arterial pressure of about 65 mmHg. ⋯ The threshold triggering injury on surgical wards remains unclear but may be in between. Much of the association between hypotension and serious complications surely results from residual confounding, but sparse randomized data suggest that at least some harm can be prevented by intervening to limit hypotension. Reducing hypotension may therefore improve perioperative outcomes.