American journal of surgery
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Comparative Study
Effect of anesthetic technique on cardiac morbidity following carotid artery surgery.
To investigate the effect of anesthetic technique on cardiac morbidity after carotid artery surgery. ⋯ Major cardiac morbidity following carotid endarterectomy is independent of anesthetic technique.
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Comparative Study
Plasma supplementation is beneficial for coagulation during severe hemorrhagic shock.
Hemorrhagic shock (HS) often causes coagulopathy due, in part, to decreased coagulation proteins. This study assessed the efficacy of fresh frozen plasma (FFP) in preventing this coagulopathy following a canine model of HS designed to mimic bleeding with shock as seen in the emergency department followed by bleeding without shock as seen during operation for control of bleeding. ⋯ Severe HS beyond one blood volume exceeds the interstitial stores of coagulation protein, thus necessitating FFP supplementation.
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We describe our experience with a supraumbilical skin-fold incision for pyloromyotomy in infants. Our technique uses a vertical fascial incision. This approach provides excellent exposure to the pylorus, allows greater operative flexibility, and results in a superior cosmetic outcome compared to the traditional right upper-quadrant incision.