This randomized clinical trial evaluates the effectiveness of thrombelastogram-adjusted prophylactic enoxaparin dosing among trauma and surgical patients.
This cohort study compares risk for proximal deep vein thrombosis (DVT) or pulmonary embolism after incident isolated calf DVT in patients treated vs not treated with anticoagulation.
This Viewpoint discusses the importance of recommendations for all responders, including bystanders, to have the education and necessary equipment to stop severe bleeding, similar to use of cardiopulmonary resuscitation and automated external defibrillators.
This meta-analysis reviews the evidence for and against protamine use, both in its association with increased thrombotic complications and with decreased bleeding, in patients undergoing carotid endarterectomy.
This pre-post analysis of patients who received visceral angiography for acute lower gastrointestinal hemorrhage showed that preceding visceral angiography with computed tomographic angiography improves localization of the hemorrhage site. See also the Invited Commentary by Lightner and Russell.
This experimental rat model study of hemorrhage provides a foundation to design novel nonsurgical therapies to control hemorrhage and allows flexibility in experimental design.
This systematic review and meta-analysis demonstrates that subtotal cholecystectomy is an important tool for use in difficult gallbladders and achieves morbidity rates comparable to those reported for total cholecystectomy in simple cases.
This matched analysis study quantified the effect of index complications on patient risk of specific secondary complications.
Tran Cao et al study trends in the use of minimally invasive distal pancreatectomy and compare the short-term outcomes of minimally invasive distal pancreatectomy with those of open distal pancreatectomy.
Orloff evaluates the findings of 2 randomized clinical trials that compared the use of (1) emergency portacaval shunt (EPCS) and emergency endoscopic sclerotherapy and (2) EPCS and transjugular intrahepatic portal-systemic shunt in patients with bleeding esophageal varices.
Pai and coauthors review the management of patients presenting with obscure gastrointestinal bleeding during the period from 2005 to 2011. Four patients had preoperative localization of the bleeding site with superselective mesenteric angiography, which was confirmed by the use of intraoperative methylene blue injection. This novel technique allowed them to identify the abnormal pathology.