Annals of surgery
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Comparative Study
Superiority of blood over saline resuscitation from hemorrhagic shock: a 31P magnetic resonance spectroscopy study.
To study the relation between blood and saline administration, postresuscitation hematocrit (Hct) level, and metabolic recovery after hemorrhagic shock. ⋯ The oxygen-carrying capacity of resuscitation fluid has an important impact on intracellular metabolism and outcome.
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Randomized Controlled Trial Clinical Trial
Prospective double-blind randomized trial of laparoscopic Nissen fundoplication with division and without division of short gastric vessels.
To determine whether division of the short gastric vessels (SGVs) and full mobilization of the gastric fundus is necessary to reduce the incidence of postoperative dysphagia and other adverse sequelae of laparoscopic Nissen fundoplication. ⋯ Division of the SGVs during laparoscopic Nissen fundoplication did not improve any clinical or objective postoperative outcome.
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Multicenter Study
Atrial fibrillation after cardiac surgery: a major morbid event?
The purpose of the study was to investigate the incidence, predictors, morbidity, and mortality associated with postoperative atrial fibrillation (AF) and its impact on intensive care unit (ICU) and postoperative hospital stay in patients undergoing cardiac surgery in the Department of Veterans Affairs (VA). ⋯ Atrial fibrillation after cardiac surgery occurs in approximately one third of patients and is associated with an increase in adverse events in all measurable outcomes of care and increases the use of hospital resources and, therefore, the cost of care. Strategies to reduce the incidence of AF after cardiac surgery should favorably affect surgical outcomes and reduce utilization of resources and thus lower cost of care.
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Randomized Controlled Trial Clinical Trial
Is hypothermia in the victim of major trauma protective or harmful? A randomized, prospective study.
The purpose of this randomized, prospective clinical trial was to determine whether hypothermia during resuscitation is protective or harmful to critically injured trauma patients. ⋯ Hypothermia increases fluid requirements and independently increases acute mortality after major trauma.
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Randomized Controlled Trial Clinical Trial
A prospective, randomized trial of early enteral feeding after resection of upper gastrointestinal malignancy.
The purpose of the study was to determine whether early postoperative enteral feeding with an immune-enhancing formula (IEF) decreases morbidity, mortality, and length of hospital stay in patients with upper gastrointestinal (GI) cancer. ⋯ Early enteral feeding with an IEF was not beneficial and should not be used in a routine fashion after surgery for upper GI malignancies.