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Colloids in the Intensive Care Unit
There are minimal differences in outcome between crystalloids and hypo-oncotic or iso-oncotic albumin for fluid resuscitation in severe sepsis; in select populations, such as patients undergoing cardiac surgery, the use of iso-oncotic albumin may confer a survival advantage and should be considered a first-line alternative.
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Axillary Cannulation: Antegrade Flow and Brain Protection (Quicktime Movie)
Axillary Cannulation: Antegrade Flow and Brain Protection (Quicktime Movie)
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Intraoperative Renal Hypoxia and Risk of Cardiac Surgery-Associated Acute Kidney Injury
Intraoperative change in pEPO does not predict AKI. However, UPO2 shows promise, particularly in patients with higher risk of operative mortality. The disparity between these two markers of renal hypoxia may indicate that UPO2 reflects medullary oxygenation whereas pEPO reflects cortical oxygenation.
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