Internal and emergency medicine
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Randomized Controlled Trial Multicenter Study
0.9 % saline vs 6 % HES 130/0.4 for fluid resuscitation in critically ill patients.
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Randomized Controlled Trial Multicenter Study
Is coronary CT angiography useful in diagnosing acute coronary syndromes in the Emergency Department?
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Atrial Fibrillation management is still a matter for debate. Past research has largely been based on the outpatient setting in which patients are followed during ambulatory visits. Very little data exist on the optimal management of AF in the Emergency Department (ED). ⋯ Despite international guidelines being respected, AF management is heterogeneous in different ED settings. A rhythm control strategy with electrocardioversion and Class Ic drugs is more effective than a wait-and watch approach during the ED visit. Further research, toward an evidence-based approach to the emergent management of AF in the ED, is still needed.
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Multicenter Study
Clinical outcome of long-term home parenteral nutrition in non-oncological patients: a report from two specialised centres.
Forty-one (20 m, 21 f) non-oncological home parenteral nutrition (HPN) patients (52.0+/-16.6 years, BMI 20.2+/-4.0 kg/m(2)), enrolled from 1995 to 2005, underwent a clinical and biochemical follow-up at 3 months, 1 and 3 years. ⋯ The experience of the nutritional team and careful patient and caregiver training reduce CVC infection rate and the overall risk of complications possibly due to HPN.