Commentary: We can prevent postesophagectomy atrial fibrillation, but 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...

Glycemic variability: should we and can we prevent it?

Diabetes is characterized by glycemic disorders that include both sustained chronic hyperglycemia and acute glucose fluctuations. There is now cogent evidence for the deleterious effects of sustained chronic hyperglycemia that results in excessive protein glycation and generation of oxidative stress. The role of glucose variability from peaks to nadirs is less documented, but there are many rea...

Can we ablate permanent atrial fibrillation?

There is growing evidence of the benefit of ablation in the treatment of drug refractory atrial fibrillation.

Can we predict stroke in atrial fibrillation?

Stroke prevention with appropriate thromboprophylaxis still remains central to the management of atrial fibrillation (AF). Nonetheless, stroke risk in AF is not homogeneous, but despite stroke risk in AF being a continuum, prior stroke risk stratification schema have been used to 'artificially' categorise patients into low, moderate and high risk stroke strata, so that the patients at highest r...

Yes, We Can! (Should We?).