The British journal of surgery
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Review Meta Analysis Comparative Study
Meta-analysis of colloids versus crystalloids in critically ill, trauma and surgical patients.
There is uncertainty regarding the safety of different volume replacement solutions. The aim of this study was systematically to review evidence of crystalloid versus colloid solutions, and to determine whether these results are influenced by trial design or clinical setting. ⋯ Current general restrictions on the use of colloid solutions are not supported by evidence.
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Retirement policies for surgeons differ worldwide. A range of normal human functional abilities decline as part of the ageing process. As life expectancy and their population increases, the performance ability of ageing surgeons is now a growing concern in relation to patient care. The aim was to explore the effects of ageing on surgeons' performance, and to identify current practical methods for transitioning surgeons out of practice at the appropriate time and age. ⋯ Competence should be assessed at an individual level, focusing on functional ability over chronological age; this should inform retirement policies for surgeons.