Archives of surgery (Chicago, Ill. : 1960)
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Randomized Controlled Trial Comparative Study
Trauma resuscitation errors and computer-assisted decision support.
This project tested the hypothesis that computer-aided decision support during the first 30 minutes of trauma resuscitation reduces management errors. ⋯ Computer-aided, real-time decision support resulted in improved protocol compliance and reduced errors and morbidity. Trial Registration clinicaltrials.gov Identifier: NCT00164034.
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Randomized Controlled Trial Comparative Study
Conservative vs restrictive individualized goal-directed fluid replacement strategy in major abdominal surgery: A prospective randomized trial.
To compare the influence of 2 volumes of fluid, integrated with goal-directed fluid therapy, on hypovolemia (a key trigger of tissue hypoperfusion) and central venous oxygen saturation (Scvo₂) and to assess their relationships with postoperative morbidity. ⋯ Excessive fluid restriction increased the level of hypovolemia, leading to reduced Scvo₂ and thereby increased incidence of postoperative complications. Excessive fluid restriction should be applied cautiously in surgical patients.
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Comment Letter Randomized Controlled Trial Comparative Study
Effect of stitch length on wound complications.
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Randomized Controlled Trial Multicenter Study Comparative Study
Five-year follow-up of a multicenter, double-blind randomized clinical trial of laparoscopic Nissen vs anterior 90 degrees partial fundoplication.
Laparoscopic 90 degrees anterior partial fundoplication for gastroesophageal reflux disease achieves equivalent results to laparoscopic Nissen fundoplication. ⋯ Laparoscopic Nissen and anterior 90 degrees partial fundoplication achieve similar levels of patient satisfaction at 5 years' follow-up, with similar adverse effect profiles. However, at 5 years' follow-up, laparoscopic Nissen fundoplication achieves superior control of reflux symptoms.
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Comment Letter Randomized Controlled Trial
Effect of stitch length on complications.