Canadian journal of surgery. Journal canadien de chirurgie
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Hemorrhagic shock is a leading cause of death in trauma patients. Surgical control of bleeding and fluid resuscitation with both crystalloid and blood products remain the mainstay of therapy for injured patients with bleeding. However, there has been a recent re-evaluation of transfusion practice. ⋯ Avoiding overtransfusion is key, however, because transfusion is also associated with significant risks. This trend toward reducing allogenic blood exposure will likely continue. New technologies that have the potential of reducing blood loss and transfusion requirements in trauma patients with massive bleeding are being developed, and similar old technologies are being reapplied.
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Does supplemental perioperative oxygen reduce the risk of surgical wound infection after colorectal surgery? ⋯ Patients receiving supplemental oxygen have a significant reduction in risk of surgical site infection.