American journal of surgery
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Six percent hetastarch is used as a volume expander but has been associated with poor outcomes. The aim of this study was to evaluate trauma patients resuscitated with hetastarch. ⋯ Because of the detrimental association with renal function and mortality, hetastarch should be avoided in the resuscitation of trauma patients.
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Randomized Controlled Trial
The role of antibiotic prophylaxis in totally implantable venous access device placement: results of a single-center prospective randomized trial.
This study evaluated whether prophylactic treatment with a cefazolin could prevent infections in patients who had a surgically inserted totally implantable venous access device (TIVAD). ⋯ We do not recommend the use of prophylactic antibiotics in TIVAD insertion because they will not decrease the already low rate of postoperative infectious complications. Registration number NCT00867295 (http://www.clinicaltrials.gov).