Effect of intraoperative fluid optimisation on renal function in patients undergoing emergency abdominal surgery; a randomised controlled pilot study (ISRCTN 11799696) Fluid optimisation for emergency surgery

<b>Background:</b> Emergency abdominal surgery carries a high risk of postoperative morbidity and mortality. Goal directed therapy has been advocated to improve outcome in high-risk surgery. The aim of the present pilot study was to examine the effect of goal directed therapy using fluid alone on postoperative renal function and organ failure score in patients undergoing emergency abdominal surgery. <b>Methods:</b> This prospective randomised pilot study included patients over the age of 50 undergoing emergency abdominal surgery. In the intervention group pulse pressure variation measurements were used to guide fluid boluses of 6% Hydroxyethylstarch 130/0.4. The control group received standard care. Serum urea, creatinine and cystatin C levels were measured prior to and at the end of surgery and postoperatively on day 1, day 3 and day 5. <b>Results:</b> Thirty patients were recruited. One patient died prior to surgery and was excluded from the analysis. The intervention group received a median of 750ml of hydroxyethylstarch. The peak values of postoperative urea were 6.9 (2.7–31.8) vs. 6.4 (3.5–11.5)mmol/l (p=0.425), creatinine 100 (60–300) vs. 85 (65–150) μmol/l (p=0.085) and cystatin C 1.09 (0.66–4.94) vs. 1.01 (0.33–2.29)mg/dl (p=0.352) in the control and intervention group, respectively. <b>Conclusions:</b> In the present pilot study replacing the identified fluid deficit was not associated with a change in renal function. These results do not preclude that goal directed therapy using fluid alone may have an effect on renal function but they would suggest that the effect size of fluid optimisation alone on renal function is small

High Magnetic Field Microwave Conductivity of 2D Electrons in an Array of Antidots

We measure the high magnetic field ($B$) microwave conductivity, Re$\sigma_{xx}$, of a high mobility 2D electron system containing an antidot array. Re$\sigma_{xx}$ vs frequency ($f$) increases strongly in the regime of the fractional quantum Hall effect series, with Landau filling $1/3<\nu<2/3$. At microwave $f$, Re$\sigma_{xx}$ vs $B$ exhibits a broad peak centered around $\nu=1/2$. On the peak, the 10 GHz Re$\sigma_{xx}$ can exceed its dc-limit value by a factor of 5. This enhanced microwave conductivity is unobservable for temperature $T \gtrsim 0.5$ K, and grows more pronounced as $T$ is decreased. The effect may be due to excitations supported by the antidot edges, but different from the well-known edge magnetoplasmons.Comment: 4 pages, 3 figures, revtex

The Correlated Colors of Transneptunian Binaries

We report resolved photometry of the primary and secondary components of 23 transneptunian binaries obtained with the Hubble Space Telescope. V-I colors of the components range from 0.7 to 1.5 with a median uncertainty of 0.06 magnitudes. The colors of the primaries and secondaries are correlated with a Spearman rank correlation probability of 99.99991%, 5 sigma for a normal distribution. Fits to the primary vs. secondary colors are identical to within measurement uncertainties. The color range of binaries as a group is indistinguishable from that of the larger population of apparently single transneptunian objects. Whatever mechanism produced the colors of apparently single TNOs acted equally on binary systems. The most likely explanation is that the colors of transneptunian objects and binaries alike are primordial and indicative of their origin in a locally homogeneous, globally heterogeneous protoplanetary disk.Comment: 28 pages, 4 figure, 4 tables. accepted to Icaru