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Ventilation practic...
Ventilation practices in burn patients-an international prospective observational cohort study
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- Glas, Gerie J. (author)
- Univ Amsterdam, Acad Med Ctr, NL-1105 AZ Amsterdam, Netherlands.
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- Horn, Janneke (author)
- Univ Amsterdam, Acad Med Ctr, NL-1105 AZ Amsterdam, Netherlands.
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- Hollmann, Markus W. (author)
- Univ Amsterdam, Acad Med Ctr, NL-1105 AZ Amsterdam, Netherlands.
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show more...
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- Preckel, Benedikt (author)
- Univ Amsterdam, Acad Med Ctr, NL-1105 AZ Amsterdam, Netherlands.
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- Colpaert, Kirsten (author)
- Med Univ Lublin, Dept Anaesthesia & Intens Therapy, Aleje Racklawickie 1, PL-20059 Lublin, Poland.
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- Malbrain, Manu (author)
- Med Univ Lublin, Dept Anaesthesia & Intens Therapy, Aleje Racklawickie 1, PL-20059 Lublin, Poland.;AZ JAN PALFIJN GENT, Watersportlaan 5, B-9000 Ghent, Belgium.,Univ Amsterdam, Netherlands,Univ Estadual Londrina, Brazil
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- Neto, Ary Serpa (author)
- ABC Med Sch, BR-5001 Bangu, SP, Brazil.;Monash Univ, Australian & New Zealand Intens Care Res Ctr, Melbourne, Vic 3004, Australia.;GH St Louis Lariboisiere, AP HP, F-75010 Paris, France.
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- Asehnoune, Karim (author)
- Serv Anesthesie Reanimat Chirurg, F-44093 Nantes, France.
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- de Abreu, Marcello Gamma (author)
- Univ Hosp Carl Gustav Carus, D-01307 Dresden, Germany.
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- Martin-Loeches, Ignacio (author)
- St James Univ Hosp, Dublin D08 NHY1, Ireland.
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- Pelosi, Paolo (author)
- Univ Genoa, I-16128 Genoa, GE, Italy.,Univ Amsterdam, Netherlands,Red Cross Hosp, Netherlands
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- Sjöberg, Folke (author)
- Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, ANOPIVA US,Region Östergötland, Hand- och plastikkirurgiska kliniken US
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- Binnekade, Jan M. (author)
- Univ Amsterdam, Acad Med Ctr, NL-1105 AZ Amsterdam, Netherlands.
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- Cleffken, Berry (author)
- Maasstad Hosp, NL-3079 DZ Rotterdam, Netherlands.
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- Juffermans, Nicole P. (author)
- Univ Amsterdam, Acad Med Ctr, NL-1105 AZ Amsterdam, Netherlands.
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- Knape, Paul (author)
- Red Cross Hosp, NL-1942 LE Beverwijk, Netherlands.
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- Loef, Bert G. (author)
- Martini Hosp, NL-9728 NT Groningen, Netherlands.
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- Mackie, David P. (author)
- Red Cross Hosp, NL-1942 LE Beverwijk, Netherlands.
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- Enkhbaatar, Perenlei (author)
- Univ Texas Med Branch, Galveston, TX 77555 USA.
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- Depetris, Nadia (author)
- Turin CTO Burn Ctr, I-10126 Turin, TO, Italy.
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- Perner, Anders (author)
- Rigshosp, DK-2100 Copenhagen, Denmark.
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- Herrero, Eva (author)
- La Paz Univ Hosp, Madrid 28046, Spain.
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- Cachafeiro, Lucia (author)
- La Paz Univ Hosp, Madrid 28046, Spain.
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- Jeschke, Marc (author)
- Sunnybrook Hlth Sci Ctr, Ross Tilley Burn Ctr, Toronto, ON M4N 3M5, Canada.
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- Lipman, Jeffrey (author)
- Queensland Univ, Royal Brisbane & Womens Hosp, Herston, Qld 4029, Australia. Hosp Israelita Albert Einstein, Dept Crit Care Med, BR-05652900 Sao Paulo, Brazil.
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- Legrand, Matthieu (author)
- GH St Louis Lariboisiere, AP HP, F-75010 Paris, France.;St Louis Hosp, F-75010 Paris, France.
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- Horter, Johannes (author)
- BG Klin Ludwigshafen, D-67071 Ludwigshafen, Germany.
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- Lavrentieva, Athina (author)
- Papanikoalou Hosp, Thessaloniki 54621, Greece.
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- Kazemi, Alex (author)
- Middlemore Hosp, Auckland 2025, New Zealand.
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- Guttormsen, Anne Berit (author)
- Haukeland Hosp, N-5021 Bergen, Norway.
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- Huss, Fredrik, 1971- (author)
- Uppsala universitet,Plastikkirurgi,Uppsala Univ Hosp, S-75185 Uppsala, Sweden.
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- Kol, Mark (author)
- Univ Sydney, Concord Repatriat Gen Hosp NSW, Concord 2139, Australia. Ziekenhuis Netwerk Antwerpen Stuivenberg, B-2060 Antwerp, Belgium.
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- Wong, Helen (author)
- Univ Sydney, Concord Repatriat Gen Hosp NSW, Concord 2139, Australia. Ziekenhuis Netwerk Antwerpen Stuivenberg, B-2060 Antwerp, Belgium.
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- Starr, Therese (author)
- Queensland Univ, Royal Brisbane & Womens Hosp, Herston, Qld 4029, Australia. Hosp Israelita Albert Einstein, Dept Crit Care Med, BR-05652900 Sao Paulo, Brazil.
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- De Crop, Luc (author)
- Med Univ Lublin, Dept Anaesthesia & Intens Therapy, Aleje Racklawickie 1, PL-20059 Lublin, Poland.
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- de Oliveira Filho, Wilson (author)
- Med Univ Lublin, Dept Anaesthesia & Intens Therapy, Aleje Racklawickie 1, PL-20059 Lublin, Poland.
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- Silva Junior, Joao Manoel (author)
- Univ Sao Paulo, BR-01246903 Sao Paulo, Brazil.
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- Grion, Cintia M. C. (author)
- Univ Estadual Londrina, BR-86057970 Londrina, Parana, Brazil.,St Louis Hosp, France
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- Burnett, Marjorie (author)
- Sunnybrook Hlth Sci Ctr, Toronto, ON M4N 3M5, Canada.
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- Mondrup, Frederik (author)
- Rigshosp, DK-2100 Copenhagen, Denmark.
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- Ravat, Francois (author)
- CHU Lyon St Luc, F-69007 Lyon, France.
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- Fontaine, Mathieu (author)
- CHU Lyon St Luc, F-69007 Lyon, France.
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- Le Floch, Renan (author)
- CHU Nantes, Serv Anesthesie Reanimat Chirug, F-44093 Nantes, France.
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- Jeanne, Mathieu (author)
- CHRU Lille, Hop Roger Salengro, F-59037 Lille, France.
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- Bacus, Morgane (author)
- CHRU Lille, Hop Roger Salengro, F-59037 Lille, France.
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- Chaussard, Maite (author)
- St Louis Hosp, F-75010 Paris, France.
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- Lehnhardt, Marcus (author)
- BG Univ Hosp Bergmannsheil, D-44789 Bochum, Germany.
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- Mikhail, Bassem Daniel (author)
- BG Univ Hosp Bergmannsheil, D-44789 Bochum, Germany.
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- Gille, Jochen (author)
- St George Leipzig, D-04129 Leipzig, Germany.
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- Sharkey, Aidan (author)
- St James Univ Hosp, Dublin D08 NHY1, Ireland.
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- Trommel, Nicole (author)
- Maasstad Hosp, NL-3079 DZ Rotterdam, Netherlands.
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- Reidinga, Auke C. (author)
- Martini Hosp, NL-9728 NT Groningen, Netherlands.
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- Vieleers, Nadine (author)
- Red Cross Hosp, NL-1942 LE Beverwijk, Netherlands.
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- Tilsley, Anna (author)
- Middlemore Hosp, Auckland 2025, New Zealand.
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- Onarheim, Henning (author)
- Haukeland Hosp, N-5021 Bergen, Norway.
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- Teresa Bouza, Maria (author)
- Complexo Hosp Univ A Coruna, La Coruna 15006, Spain.
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- Agrifoglio, Alexander (author)
- La Paz Univ Hosp, Madrid 28046, Spain.
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- Freden, Filip (author)
- Uppsala Univ Hosp, S-75185 Uppsala, Sweden.
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- Palmieri, Tina (author)
- Univ Calif Davis, Sacramento, CA 95817 USA.
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- Painting, Lynda E. (author)
- Univ Calif Davis, Sacramento, CA 95817 USA.
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- Schultz, Marcus J. (author)
- Univ Amsterdam, Acad Med Ctr, NL-1105 AZ Amsterdam, Netherlands.
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Univ Amsterdam, Acad Med Ctr, NL-1105 AZ Amsterdam, Netherlands Med Univ Lublin, Dept Anaesthesia & Intens Therapy, Aleje Racklawickie 1, PL-20059 Lublin, Poland. (creator_code:org_t)
- 2021-12-16
- 2021
- English.
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In: BURNS & TRAUMA. - : Oxford University Press. - 2321-3868 .- 2321-3876. ; 9
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Abstract
Subject headings
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- Background: It is unknown whether lung-protective ventilation is applied in burn patients and whether they benefit from it. This study aimed to determine ventilation practices in burn intensive care units (ICUs) and investigate the association between lung-protective ventilation and the number of ventilator-free days and alive at day 28 (VFD-28). Methods: This is an international prospective observational cohort study including adult burn patients requiring mechanical ventilation. Low tidal volume (V-T) was defined as V-T <= 8 mL/kg predicted body weight (PBW). Levels of positive end-expiratory pressure (PEEP) and maximum airway pressures were collected. The association between V-T and VFD-28 was analyzed using a competing risk model. Ventilation settings were presented for all patients, focusing on the first day of ventilation. We also compared ventilation settings between patients with and without inhalation trauma. Results: A total of 160 patients from 28 ICUs in 16 countries were included. Low V-T was used in 74% of patients, median V-T size was 7.3 [interquartile range (IQR) 6.2-8.3] mL/kg PBW and did not differ between patients with and without inhalation trauma (p= 0.58). Median VFD-28 was 17 (IQR 0-26), without a difference between ventilation with low or high V-T (p= 0.98). All patients were ventilated with PEEP levels >= 5 cmH(2)O; 80% of patients had maximum airway pressures <30 cmH(2)O. Conclusion: In this international cohort study we found that lung-protective ventilation is used in the majority of burn patients, irrespective of the presence of inhalation trauma. Use of low V-T was not associated with a reduction in VFD-28.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Keyword
- Mechanical ventilation
- Inhalation trauma
- Lung-protective
- Critical care
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Glas, Gerie J.
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Horn, Janneke
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Hollmann, Markus ...
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Preckel, Benedik ...
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Colpaert, Kirste ...
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Malbrain, Manu
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show more...
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Neto, Ary Serpa
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Asehnoune, Karim
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de Abreu, Marcel ...
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Martin-Loeches, ...
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Pelosi, Paolo
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Sjöberg, Folke
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Binnekade, Jan M ...
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Cleffken, Berry
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Juffermans, Nico ...
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Knape, Paul
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Loef, Bert G.
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Mackie, David P.
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Enkhbaatar, Pere ...
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Depetris, Nadia
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Perner, Anders
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Herrero, Eva
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Cachafeiro, Luci ...
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Jeschke, Marc
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Lipman, Jeffrey
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Legrand, Matthie ...
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Horter, Johannes
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Lavrentieva, Ath ...
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Kazemi, Alex
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Guttormsen, Anne ...
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Huss, Fredrik, 1 ...
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Kol, Mark
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Wong, Helen
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Starr, Therese
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De Crop, Luc
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de Oliveira Filh ...
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Silva Junior, Jo ...
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Grion, Cintia M. ...
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Burnett, Marjori ...
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Mondrup, Frederi ...
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Ravat, Francois
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Fontaine, Mathie ...
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Le Floch, Renan
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Jeanne, Mathieu
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Bacus, Morgane
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Chaussard, Maite
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Lehnhardt, Marcu ...
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Mikhail, Bassem ...
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Gille, Jochen
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Sharkey, Aidan
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Trommel, Nicole
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Reidinga, Auke C ...
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Vieleers, Nadine
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Tilsley, Anna
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Onarheim, Hennin ...
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Teresa Bouza, Ma ...
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Agrifoglio, Alex ...
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Freden, Filip
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Palmieri, Tina
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Painting, Lynda ...
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Schultz, Marcus ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Anesthesiology a ...
- Articles in the publication
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BURNS & TRAUMA
- By the university
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Uppsala University
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Linköping University