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Coagulopathy During Cardiac Surgery: The Role of Factor Concentrates
The EACTS/EACTA Guidelines on patient blood management for adult cardiac surgery. The EACTS/EACTA guidelines were published jointly by the Society of Cardiothoracic Anesthesia and Cardiac Surgery for patient blood management. In the bleeding patient with a low fibrinogen level (<1.5 g/L), fibrinogen substitution may be considered to reduce...
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New ESPEN Guidelines for Nutrition in the Critically Ill: Help, What Happened!?
ESPEN guidelines for nutrition in critical illness have shifted from optimistic anticipative nutritional pharmacotherapy towards cautious and balanced metabolic support. This important new orientation in ICU nutrition management is a consequence of recent strong RCT-based evidence. Introduction Recently, the new ESPEN guidelines for critically...
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New Trends in ICU Nutrition
The new trends in nutrition management included in the last guidelines are discussed, in particular the route and the dose of calories and proteins recommended. During the last decade, numerous paradigms and dogmas based on observational cohort studies were challenged by the publication of large multicentre prospective randomised controlled...
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Emerging Concepts in Nutritional Therapy for the Critically Ill Child
Prudent strategies to optimise nutrition for the critically ill child, improving long-term outcomes, and preserving quality of life. Introduction Optimal delivery of nutrients to the critically ill patient might prevent nutritional deterioration and expedite recovery. Prospective cohort studies have demonstrated the independent association...
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Obesity and Nutrition in Critical Illness
The role of nutrition in obese critically ill patients and an overview of the clinical guidelines for nutrition provision in this patient population. Introduction The World Health Organization defines obesity as an excess of abdominal fat that poses an increased risk to health. Characterised by a body mass index (BMI) ≥30 kg/m2, obesity...
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Knowledge Transfer to Improve Outcomes in Critically Ill Immunocompromised Patients
An overview on sharing information, improving clinician skills, and transferring knowledge to ICU specialists about the care of immunocompromised patients. Background Studies have reported a volume-outcome relationship for cancer patients admitted to the ICU. In acute respiratory failure, mortality in ICUs managing more than 2 patients...
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Putting Medical Radiation Protection First
Summary: How a European Society of Radiology flagship initiative is addressing quality and safety in medical imaging. EUROSAFE IMAGING has celebrated five years of success in its mission to support and strengthen medical radiation protection across Europe. Through its Stars network, EUROSAFE IMAGING makes efforts to give radiation protection...
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Cardiovascular Disease Prevention 2019: Quo Vadis?
Summary: Cardiovascular disease prevention strategies in 2019 remain a major healthcare issue, requiring an individualised approach for diagnostic and therapeutic decision making. Introduction Since investigators from the Framingham Heart Study first confirmed the existence and importance of cardiovascular disease (CVD) risk factors in...
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Nuclear Cardiology: Molecular Insights into the Heart
Summary: Nuclear cardiology is a promising field located between research, imaging, and patient care. Through close interdisciplinary cooperation, a variety of cardiovascular diseases (eg coronary artery, inflammatory and infiltrative cardiac diseases) can not only be investigated, but also efficiently treated in daily clinical routine. What...
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Transforming Colorectal Surgery Outcomes
How End to End Enhanced Recovery and Prehabilitation Transformed Colorectal Surgery Outcomes Complications in all types of surgery place a significant burden on patients’ quality of life and on all clinicians involved in the care pathway. In laparoscopic colorectal surgery, anastomotic leaks are of great concern to surgeons and can place considerable...
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