Because we can, should we?

Yes, We Can! (Should We?).

We Can, but Should We?

We can, but should we? After recently reflecting upon our profession as pediatric critical care physicians , I concluded that this one complex question gets asked many times throughout the day – or at least it should. A recent report discussed an emerging paradigm in pediatric critical care medicine (1). With more and more chronic patients filling our pediatric intensive care unit (PICU), perha...

Imaging the PM/AICD patient; just because we can, should we?

Methods Over 3 years, 48 patients were imaged via MRI/CMR (1.5T GE, Milwaukee, WI). Specifically: 8 AICD, 7 AICD/PM, 2 retained lead, 2 REVO and 29 dual chamber PM. Specific criteria were followed for all pts to objectively define whether final diagnosis provided additional information towards pt care. A checklist of 3 questions was answered following scan interpretation by both the technologis...

We age because we grow.

Why do we age? Since ageing is a near-universal feature of complex organisms, a convincing theory must provide a robust evolutionary explanation for its ubiquity. This theory should be compatible with the physiological evidence that ageing is largely due to deterioration, which is, in principle, reversible through repair. Moreover, this theory should also explain why natural selection has favou...

One-stage hybrid approach for type A acute aortic dissection repair: just because we can, should we do it?

trunk procedure combined with ascending aorta and arch replacement for acute type A aortic dissection. Should the 'elephant trunk' be skeletonized? Total arch replacement combined with stented elephant trunk implantation for Stanford type A aortic dissection. Kitamura S. Is emergency total arch replacement with a modified elephant trunk technique justified for acute type A aortic dissection?gra...