What's New | Decker

New Sepsis-3 criteria for evaluating sepsis and septic shock using the SOFA score (replacing the previous SIRS score).
FAST and EFAST examination to determine causes of shock in trauma patients.
Intra-aortic balloon pump placement for assist in cases of cardiogenic shock.

Esperance A K Schaefer, MD, MPH

New Sepsis-3 criteria for evaluating sepsis and septic shock using the SOFA score (replacing the previous SIRS score).
FAST and EFAST examination to determine causes of shock in trauma patients.
Intra-aortic balloon pump placement for assist in cases of cardiogenic shock.

Steven N Hochwald, MD, FACS, Rupen Shah, MD

Nomograms and consensus management of complications of esophageal surgery
Multimodality treatment approaches using neoadjuvant carboplatin, paclitaxel, and radiation therapy followed by surgery
Results from minimally invasive treatment approaches
Trastuzumab for anti-growth factor treatment in cases of metastatic adenocarcinoma of the esophagus

Steven N Hochwald, MD, FACS, Rupen Shah, MD

Nomograms and consensus management of complications of esophageal surgery
Multimodality treatment approaches using neoadjuvant carboplatin, paclitaxel, and radiation therapy followed by surgery
Results from minimally invasive treatment approaches
Trastuzumab for anti-growth factor treatment in cases of metastatic adenocarcinoma of the esophagus

Adel Bozorgzadeh, MD, FACS, Paulo N Martins, MD, PhD, FAST, Marie Anne Sosa, MD

Donald E Low, FACS, FRCSC, FRCSI (Hon), FRCSE (Hon), Andrea Wirsching, MD, MSc

Clinical pathways for esophagectomy have been recently introduced in different esophageal centers worldwide.
The reported esophagectomy pathway has been refined over a 20-year period and covers pre-, peri-, and postoperative care.
Optimized pain control, enteral feedings, catheter removal, and postoperative mobilization represent central pathway components.
A decrease in hospital stay, costs, and morbidity has been associated with standardized clinical pathways.

Updated information regarding histologic and cytologic evaluation and new areas of research throughout the paper.
New section added addressing metastatic disease and theories supporting the way in which these tumor cells spread. New scientific studies demonstrating how metastatic tumors may harbor resistive subtypes.
New information added regarding liquid biopsy and its potential role in diagnosing cancer.

Updated chemotherapy regimens and new areas of research throughout the paper.
New section on stereotactic body radiation therapy and proton therapy and the role these therapies play in treating cancer.
Updated information regarding how cancer cells mutate and develop resistance to treatment.
New section on directed chemotherapy including selected hepatic artery infusion and isolated limb perfusion and infusion.
Updated section on immunotherapy including references to recent scientific studies.

Surgical Critical Care