Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Case Reports
Intraoperative hemodialysis with supra- and infradiaphragmatic catheters for liver transplantation.
The benefits of intraoperative dialysis during orthotopic liver transplantation remain controversial. In patients with anuric renal failure and portopulmonary hypertension, maintaining venous return during caval clamping and unclamping along with minimizing fluid overload is critical to avoiding right ventricular strain and failure. ⋯ We report on the use two hemodialysis catheters in a patient undergoing orthotopic liver transplantation as a circuit for simultaneous anuric hepatorenal syndrome and moderate pulmonary hypertension with right ventricular dilation and dysfunction. We believe this technique was instrumental in the patient's successful transplant.
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The ordering of routine blood test panels in advance is common in intensive care units (ICUs), with limited consideration of the pretest probability of finding abnormalities. This practice contributes to anemia, false positive results, and health care costs. We sought to understand practices and attitudes of Canadian adult intensivists regarding ordering of blood tests in critically ill patients. ⋯ Most respondents to this survey perceived that unnecessary blood testing occurs in the ICU. The survey identified possible strategies to decrease the number of blood tests.
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Letter Case Reports
Transvenous catheter-directed embolectomy for pulmonary embolism.
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Editorial Letter Case Reports
Inferior vena cava collapsibility index: a unique point-of-care ultrasound tool to assess postinduction hypotension?
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Editorial Letter Comparative Study
Comparing approaches to the difficult airway.