Michael J. Scott MB ChB FRCP FRCA FFICM Archives

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Does the Choice of Fluid Matter in Major Surgery?

INTRODUCTION Intravenous (IV) fluid therapy is known to have a major impact on surgical outcomes and, as a result, has been the focus of many clinical studies. The overall aim is to maintain normal intravascular volume, tissue fluid, and electrolytes…

Emergency Laparotomy

INTRODUCTION Emergency laparotomy is a common surgical procedure with high morbidity and mortality. There is a diverse range of underlying causes and surgical treatment for emergency laparotomy (excluding trauma and major vascular procedures), but the commonest underlying causes are intestinal…