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Nejm News Une Mise à Jour The New England Journal of Medicine by Specialties

 


The New England Journal of Medicine: Search Results in Surgery
The New England Journal of Medicine (NEJM) RSS feed -- Search Results in Surgery. NEJM (http://www.nejm.org) is a weekly general medical journal that publishes new medical research findings, review articles, and editorial opinion on a wide variety of topics of importance to biomedical science and clinical practice.

Improving the Supply and Quality of Deceased-Donor Organs for Transplantation
31/12/69 - Organ transplantation is the treatment of choice for many patients with end-stage diseases, but the supply of organs that are considered acceptable according to current criteria is limited. Approaches to reducing the increasing gap between demand for and availability of donated organs have focused…

The Drug-Intoxication Epidemic and Solid-Organ Transplantation
31/12/69 - To the Editor: The drug-abuse epidemic in the United States has led to an increased number of organ donors dying from drug intoxication. We investigated the effect of drug intoxication?related deaths on organ donation and outcomes after transplantation by analyzing data on donors and…

Restrictive versus Liberal Fluid Therapy for Major Abdominal Surgery
31/12/69 - Each year, at least 310 million patients undergo major surgery worldwide, procedures that involve the administration of intravenous fluids. Clinicians have traditionally administered generous amounts of intravenous fluids perioperatively to correct for preoperative fasting and other fluid deficits,…

Intravenous Immune Globulin to Prevent Heparin-Induced Thrombocytopenia
31/12/69 - To The Editor: Heparin-induced thrombocytopenia is a prothrombotic drug reaction caused by anti?platelet factor 4 (PF4)?heparin antibodies of the IgG class that activate platelets through platelet Fc? receptors. Although treatment with nonheparin anticoagulation is emphasized, recent attention has…

Finding the Right Balance
31/12/69 - When I was a young resident in the 1990s, surgical patients received so much intravenous saline on the day of surgery that they often gained 4 to 6 kg, and by postoperative day 2 or 3, pulmonary congestion and cardiac arrhythmias were commonplace. That was the basis for a 2003 trial of restrictive…

Calciphylaxis
31/12/69 - Calciphylaxis is a rare, life-threatening syndrome of vascular calcification characterized by occlusion of microvessels in the subcutaneous adipose tissue and dermis that results in intensely painful, ischemic skin lesions. Once calciphylaxis has been diagnosed, the prognosis is generally poor…

Aspiration of a Chicken Bone
31/12/69 - A 78-year-old man presented to the emergency department with stridor, shortness of breath, and fever (38.1°C). Five days earlier, he had come to the emergency department with the sensation of having a foreign body in his throat, approximately an hour after a choking episode that had occurred while…

Clinical Assessment of Peripheral Arterial Disease of the Lower Limbs
31/12/69 -

Radial-Artery or Saphenous-Vein Grafts in Coronary-Artery Bypass Surgery
31/12/69 - Despite the recommendations of the current guidelines, the use of multiple arterial grafts for coronary-artery bypass grafting (CABG) has not been widely adopted by the surgical community, and the great majority of patients in North America and Europe currently receive saphenous-vein grafts in…

Case 13-2018: A 53-Year-Old Man with Cardiomyopathy and Recurrent Ventricular Tachycardia
31/12/69 - Presentation of Case. Dr. Timothy W. Churchill: A 53-year-old man was admitted to this hospital because of shock and recurrent ventricular tachycardia after defibrillator placement for nonischemic cardiomyopathy. The patient had been in his usual state of health until 4 weeks before this admission,…

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