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Taking into account the natural progression of the disease appropriately scheduled follow-up examinations may be the basis for initiating surgery.
We hypothesized that the outcomes of patients with GI perforation with associated septic shock could be improved by initiating surgery immediately after admission in order to control the infectious lesions entirely (early source control) with the support of early hemodynamic stabilization by initial resuscitation in accordance with EGDT.
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Even if circulatory dynamics are not stabilized, should we initiate surgery early?
UB initiated and supervised the case report, performed the clinical examination, initiated surgery and supported preparation of the manuscript.
It is difficult to determine the best time to initiate surgery for GI perforation with associated septic shock.
It is common to stabilize circulatory dynamics before surgery [ 1]; however taking a long time to initiate surgery may result in death from sepsis [ 2].
Each patient was allocated to one of four fluid programs consisting of a first-line bolus infusion initiated about 10 min after tracheal intubation, and a second-line continuous infusion initiated when surgery started.
In 1971, he initiated laparoscopic surgery in Delaware and in 1979 performed the first laparoscopic surgery in China, returning later as an official guest of the Chinese Ministry of Health to establish clinics.
Adjuvant endocrine treatment was initiated after surgery.
Suppressive treatment with thyroid hormone was initiated after surgery to decrease serum thyroid-stimulating hormone (TSH) to subnormal levels without clinical thyrotoxicosis.
For example, if patients presented with symptoms and endoscopic or radiographic evidence of purulent rhinosinusitis, preoperative treatment with antibiotics, nasal irrigations, and sometimes steroids was initiated and surgery was often postponed.
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CEO of Professional Science Editing for Scientists @ prosciediting.com