Blood sugar: how low should we go?

Van den Berghe G, Bouillon R, & Mesotten D. Glucose control in critically ill patients. New England Journal of Medicine 2009; 361: 89

RHH Journal Club. July 11th, 2013. Dr Pavan Battu

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Does normalisation of blood glucose levels with insulin therapy improve the prognosis of critically ill patients?

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The origin of DO2 and the magic 600….

Shoemaker WC, Appel PL, Kram HB, Waxman K, & Lee TS. Prospective trial of supranormal values of survivors as therapeutic goals in high-risk surgical patients. CHEST Journal  1988; 94: 1176-1186.

RHH Journal Club. June 13th, 2013. Dr Andy Cruikshanks

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Does the targeting of supranormal oxygen delivery reduce mortality in high-risk surgical patients?

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PAFC: the yellow snake of death?

Sandham JD, Hull RD, Brant RF et al.  A randomized, controlled trial of the use of pulmonary-artery catheters in high-risk surgical patients. New England Journal of Medicine 2003; 348: 5-14.

RHH Journal Club. May 23th, 2013. Dr Kris Sivarajan

Full-text article (if available)

Does the use of a PA catheter improve in hospital mortality in surgical patients?

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Transfuse or not in #NOF…..

Carson JL, Terrin ML, Noveck H et al. Liberal or restrictive transfusion in high-risk patients after hip surgery. New England Journal of Medicine 2011; 365: 2453-2462.

RHH Journal Club. April 18th, 2013. Dr Amy Thomas

Full-text article (if available)

To compare a liberal with a restrictive blood transfusion policy after surgery for fractured neck of femur in an elderly population with ischaemic heart disease (IHD) or with risk factors for IHD.

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Why you should engage with checklists….

de Vries EN, Prins HA, Crolla RM et al. Effect of a comprehensive surgical safety system on patient outcomes. New England Journal of Medicine 2010; 363: 1928-1937.

RHH Journal Club. December 4th, 2012. Dr Surya Kasa

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Does implementation of comprehensive multidisciplinary check list with pre, intra & post op components improve outcome? 

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Why we starting siting epidurals in high-risk laparotomies

MP Yeager, DD Glass, RK Neff, T Brinck-Johnsen. Epidural Anesthesia and Analgesia in High-risk Surgical Patients Anesthesiology 1987; 66:729-736

RHH Journal Club. December 8th, 2011. Dr Ilias Kanellopoulos

Full-text article  (if available)

Does the use of epidural anaesthesia for postoperative analgesia improve outcomes in high-risk surgical patients?

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