Arch Surg Chicago
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Randomized Controlled Trial Clinical Trial
Nutritional approach in malnourished surgical patients: a prospective randomized study.
Perioperative administration of a supplemented enteral formula may decrease postoperative morbidity. ⋯ Perioperative immunonutrition seems to be the best approach to support malnourished patients with cancer.
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Intraoperative and postoperative variables contribute to the development of abdominal compartment syndrome (ACS) in general surgical patients. ⋯ The results of this study indicate that 24-hour fluid balance and peak airway pressure are 2 independent variables predictive of the development of ACS in nontrauma surgical patients.
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Patients undergoing trauma surgery for injury who have subsequent posttraumatic stress disorder (PTSD) or problem drinking will demonstrate significant impairments in functional outcomes compared with patients without these disorders. ⋯ Posttraumatic stress disorder persisted in 30% of patients 1 year after traumatic injury and was independently associated with a broad profile of functional impairment. The development of treatment intervention protocols for trauma patients with PTSD is warranted.