Journal Club; balanced versus saline

This edition of journal club looks at two articles in March 1st NEJM of circa 30,000 patients studied at Vanderbilt Medical Centre, USA One in non-critically ill patients. Click here: http://www.nejm.org/doi/full/10.1056/NEJMoa1711586?query=featured_home The other in critically ill adult patients: http://www.nejm.org/doi/full/10.1056/NEJMoa1711584?query=featured_home Accompanied by a very balanced Editorial by Professor John Myburgh. Click here: http://www.nejm.org/doi/full/10.1056/NEJMe1800449?query=recirc_curatedRelated_article — Listen to…

Journal Club: Multi-centre trial in BJA: Goal Directed Therapy improves outcomes

Effect of goal-directed haemodynamic therapy on postoperative complications in low?moderate risk surgical patients: a multicentre randomised controlled trial (FEDORA trial) Randomised Controlled Multicentre trial; n=420; GDHT vs Control Conclusions: “Oesophageal Doppler monitor-guided GDHT reduced postoperative complications and hospital length of stay in low?moderate risk patients undergoing intermediate risk surgery, with no difference in mortality at…

Journal Club Express

2 articles in March 1st NEJM of circa 30,000 patients studied at Vanderbilt Medical Centre, USA One in non-critically ill patients. Click here: http://www.nejm.org/doi/full/10.1056/NEJMoa1711586?query=featured_home The other in critically ill adult patients: http://www.nejm.org/doi/full/10.1056/NEJMoa1711584?query=featured_home Accompanied by a very balanced Editorial by Professor John Myburgh. Click here: http://www.nejm.org/doi/full/10.1056/NEJMe1800449?query=recirc_curatedRelated_article Join “Journal Club” live at an upcoming EBPOM meeting: https://www.ebpom.org/EBPOM-USA?newsid=1015…

Journal Club Xpress: After non-cardiac surgery myocardial injury is common and dangerous.

Myocardial Injury after Noncardiac Surgery: A Large, International, Prospective Cohort Study Establishing DiagnosticCriteria, Characteristics, Predictors, and 30-day Outcomes TheVascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION)Writing Group, on behalf of The Vascular events In noncardiac Surgery patIentscOhort evaluatioN (VISION) Investigators. Anesthesiology 03 2014,Vol.120, 564-578. International,prospective cohort study of 15,065 patients > 45 yr, having…