introduction: in islamic countries in the month of holy ramadan many muslims based on their religious legislation refuse fluid intake during the fasting time though instructed to drink after injection of tc-99m methylene-diphosphonates [tc-99m mdp] used for skeletal scintigraphy. we aimed to establish whether fluid restriction in tc-99m mdp skeletal scintigraphy has an impact on its quality. me...

Introduction: In Islamic countries in the month of Holy Ramadan many Muslims based on their religious Legislation refuse fluid intake during the fasting time though instructed to drink after injection of Tc-99m Methylene-diphosphonates [Tc-99m MDP] used for skeletal scintigraphy. We aimed to establish whether fluid restriction in Tc-99m MDP skeletal scintigraphy has an impact on its quality. M...

Timothy I. Carter, MD, Charles J. Yeo, MD, Harish Lavu, MD* Department of Surgery, SUNY Downstate Medical Center, 450 Clarkson Avenue Brooklyn, New York, NY 11203, USA; Department of Surgery, The Jefferson Pancreas Biliary and Related Cancer Center, Thomas Jefferson University, 1015 Walnut Street, Curtis Building, Suite 620, Philadelphia, PA 19107, USA; Department of Surgery, The Jefferson Panc...

Policies of fluid administration/restriction in critically ill patients have evolved over recent years. Abundant fluid resuscitation is encouraged during the early stage of severe sepsis. But a conservative fluid strategy is recommended in later stages, in particular when lungs are injured. Both strategies are risky if uncontrolled. Tests detecting volume unresponsiveness at any moment of fluid...