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thorax AND trauma

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https://www.readbyqxmd.com/read/30341744/interaction-of-the-hydrogen-sulfide-system-with-the-oxytocin-system-in-the-injured-mouse-heart
#1
Tamara Merz, Britta Lukaschewski, Daniela Wigger, Aileen Rupprecht, Martin Wepler, Michael Gröger, Clair Hartmann, Matthew Whiteman, Csaba Szabo, Rui Wang, Christiane Waller, Peter Radermacher, Oscar McCook
BACKGROUND: Both the hydrogen sulfide/cystathionine-γ-lyase (H2 S/CSE) and oxytocin/oxytocin receptor (OT/OTR) systems have been reported to be cardioprotective. H2 S can stimulate OT release, thereby affecting blood volume and pressure regulation. Systemic hyper-inflammation after blunt chest trauma is enhanced in cigarette smoke (CS)-exposed CSE-/- mice compared to wildtype (WT). CS increases myometrial OTR expression, but to this point, no data are available on the effects CS exposure on the cardiac OT/OTR system...
October 19, 2018: Intensive Care Medicine Experimental
https://www.readbyqxmd.com/read/30316107/imaging-of-acquired-transdiaphragmatic-fistulae-and-communications
#2
REVIEW
Abhishek Chaturvedi, Prabhakar Rajiah, Apeksha Chaturvedi
Acquired diaphragmatic defects occur secondary to trauma, infection, surgery or neoplasm. These defects can lead to abnormal thoraco-abdominal fistulous communications also. Examples of surgically created diaphragmatic defects are omental, colonic interposition and vascular grafts. Regardless of etiology, these transdiaphragmatic communications provide a direct path for spread of pathology between the abdomen and thorax. If left untreated and unrecognized, these fistulae portend a high morbidity and mortality...
October 6, 2018: Clinical Imaging
https://www.readbyqxmd.com/read/30313033/a-case-report-of-a-polytrauma-patient-with-penetrating-iron-rods-in-thorax-and-head
#3
Xinpu Tang, Hongxu Chen, Chaoyue Chen, Jianguo Xu
INTRODUCTION: Impalement injury is an uncommon presentation, and penetrating chest injuries account for 1% to 13% of thoracic trauma hospital admissions. The vast majority of patients with penetrating thoracic trauma who survive to reach the hospital alive can be managed nonoperatively. Nevertheless, in 10% to 15% of cases, emergency operation is necessary due to the associated hemorrhagic shock and visceral injury. CASE PRESENTATION: Here, we report on a 39-year-old male, a construction worker, who fell down from a height of a construction site, landing ventrally on a clump of iron rods with 4 projecting heavy metallic rods penetrating into his thorax and head (scalp pierced only)...
October 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30308018/location-dependent-effects-of-trauma-on-oxidative-stress-in-humans
#4
Luis Servia, José C E Serrano, Reinald Pamplona, Mariona Badia, Neus Montserrat, Manuel Portero-Otin, Javier Trujillano
Though circulating antioxidant capacity in plasma is homeostatically regulated, it is not known whether acute stressors (i.e. trauma) affecting different anatomical locations could have quantitatively different impacts. For this reason, we evaluated the relationship between the anatomical location of trauma and plasma total antioxidant capacity (TAC) in a prospective study, where the anatomical locations of trauma in polytraumatic patients (n = 66) were categorized as primary affecting the brain -traumatic brain injury (TBI)-, thorax, abdomen and pelvis or extremities...
2018: PloS One
https://www.readbyqxmd.com/read/30289852/remote-intestinal-injury-early-after-experimental-polytrauma-and-hemorrhagic-shock
#5
Lisa Wrba, J Josephine Ohmann, Philipp Eisele, Shinjini Chakraborty, Sonja Braumüller, Christian K Braun, Bettina Klohs, Anke Schultze, Heike von Baum, Annette Palmer, Markus Huber-Lang, Rebecca Halbgebauer
Dysfunction of the gut-blood barrier plays an important role in many diseases, such as inflammatory bowel disease, hemorrhagic shock (HS) or burn injury. However, little is known about gut barrier dysfunction after hemodynamically instable polytrauma (PT). Therefore, we aimed to evaluate the effects of PT and HS on remote intestinal damage and barrier dysfunction, especially regarding the role of Zonula occludens protein 1 (ZO-1) as an important tight junction protein.Male C57BL/6 mice were subjected to either PT (thorax trauma, closed head injury, soft tissue injury and distal femoral fracture), 60 min of pressure-controlled HS (30 ± 5 mmHg), or PT+HS, or sham procedures...
October 4, 2018: Shock
https://www.readbyqxmd.com/read/30229337/long-term-follow-up-after-rib-fixation-for-flail-chest-and-multiple-rib-fractures
#6
Reinier B Beks, Mirjam B de Jong, Roderick M Houwert, Arthur A R Sweet, Ivar G J M De Bruin, Geertje A M Govaert, Karlijn J P Wessem, Rogier K J Simmermacher, Falco Hietbrink, Rolf H H Groenwold, Luke P H Leenen
PURPOSE: Rib fixation for flail chest has been shown to improve in-hospital outcome, but little is known about treatment for multiple rib fractures and long-term outcome is scarce. The aim of this study was to describe the safety, long-term quality of life, and implant-related irritation after rib fixation for flail chest and multiple rib fractures. METHODS: All adult patients with blunt thoracic trauma who underwent rib fixation for flail chest or multiple rib fractures between January 2010 and December 2016 in our level 1 trauma facility were retrospectively included...
September 18, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30225555/resource-use-and-clinical-outcomes-in-blunt-thoracic-injury-a-10-year-trauma-registry-comparison-between-southern-finland-and-germany
#7
Mikko Heinänen, Tuomas Brinck, Rolf Lefering, Lauri Handolin, Tim Söderlund
PURPOSE: Serious thoracic injuries are associated with high mortality, morbidity, and costs. We compared patient populations, treatment, and survival of serious thoracic injuries in southern Finland and Germany. METHODS: Mortality, patient characteristics and treatment modalities were compared over time (2006-2015) in all patients with Abbreviated Injury Scale (AIS) thorax ≥ 3, Injury Severity Score (ISS) > 15, age > 15 years, blunt trauma mechanism, and treatment in Intensive Care Unit (ICU) in Level 1 hospitals included in the Helsinki Trauma Registry (HTR) and the TraumaRegister DGU® (TR-DGU)...
September 17, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30211801/ct-window-blending-for-evaluation-of-multicompartmental-thoracic-pathology
#8
Mark M Hammer, Jacob C Mandell
Standard computed tomography windows are limited in the thorax because they can only display 1 tissue at a time. Computed tomography window blending allows for simultaneous viewing of all 3 tissues in a single image, which may improve evaluation of diseases that contiguously affect multiple compartments. In this article, we use examples to illustrate the utility of window blending in aggressive infections, metastatic cancer, and penetrating trauma.
September 10, 2018: Journal of Computer Assisted Tomography
https://www.readbyqxmd.com/read/30185295/use-of-telemedicine-in-surgical-education-a-seven-year-experience
#9
Antonio C Marttos, Mariana Fernandes Juca Moscardi, Rossano Kepler Alvim Fiorelli, Gerd Daniel Pust, Enrique Ginzburg, Carl Ivan Schulman, April Anne Grant, Nicholas Namias
Uniformity in surgical education is challenging because surgical experience is based on rotation assignments. With work hour restrictions, the likelihood of residents being exposed to rare or unusual cases is diminished. Telemedicine may create a new learning paradigm for surgical education and supplement exposure for rare or unusual cases. A retrospective review (2010-2016) of teleconferences involving trauma centers worldwide was conducted. Participating hospitals included centers from underdeveloped countries to first world nations...
August 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/30178311/use-of-ultrasonography-for-differentiation-between-bullae-and-pneumothorax
#10
Sinan Karacabey, Erkman Sanri, Bayram Metin, Fatih Erkoc, Sener Yildirim, Yavuz Selim Intepe, Sercan Yalcinli
PURPOSE: Modern lung ultrasound (US) is mainly applied not only in critical care, emergency medicine, and trauma surgery, but also in pulmonary and internal medicine. In some cases, pneumothorax (PTX) distinguishes with bullous diseases. In this study, we aimed to discuss the success of US on detecting PTX versus bullae. METHODS: We performed a prospective blinded study. Patients underwent thorax computed tomography (CT) if bullae or pneumothorax could not be differentiated from the chest radiography...
September 3, 2018: Emergency Radiology
https://www.readbyqxmd.com/read/30170393/pelvic-fractures-in-severely-injured-children-results-from-the-traumaregister-dgu
#11
MULTICENTER STUDY
Jörn Zwingmann, Rolf Lefering, Dirk Maier, Lisa Hohloch, Helge Eberbach, Mirjam Neumann, Peter C Strohm, Norbert P Südkamp, Thorsten Hammer
Injuries in the pelvic region in children and adolescents are very rare and often associated with a high energy trauma. Aim of this prospective multicenter study was, by analyzing the data from the TraumaRegister Deutsche Gesellschaft für Unfallchirurgie (TR-DGU), to evaluate any correlation between the severity of pelvic fractures and resulting mortality in different age groups.These study findings are based on a large pool of data retrieved from the prospectively-setup pelvic trauma registry established by the German Trauma Society (DGU) and the German Section of the Association for Osteosynthesis/Association for the Study of Internal Fixation (AO/ASIF) International in 1991...
August 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30139578/assessment-of-clinical-parameters-of-the-polytraumatized-patient-as-predictors-of-hospital-expenditure-and-of-its-distribution
#12
I Auñón-Martín, P Caba-Doussoux, V Jiménez-Díaz, M Del Oro-Hitar, D Lora-Pablos, D Cecilia-López
INTRODUCTION: Traumatic pathology continues to represent an important socio-health problem. The aim of the study was to assess the clinical predictors of total expenditure, as well as to analyze which components of the cost are modified with each clinical parameter of the polytraumatized patient. MATERIAL AND METHODS: Retrospective study of 131 polytrauma patients registered prospectively. A statistical analysis was carried out to assess the relationship between clinical parameters, the total cost and the cost of various treatment components...
August 20, 2018: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/30126107/effect-of-hypothermia-in-the-emergency-department-on-the-outcome-of-trauma-patients-a-cross-sectional-analysis
#13
Ting-Min Hsieh, Pao-Jen Kuo, Shiun-Yuan Hsu, Peng-Chen Chien, Hsiao-Yun Hsieh, Ching-Hua Hsieh
This study aimed to assess whether hypothermia is an independent predictor of mortality in trauma patients in the condition of defining hypothermia as body temperatures of <36 °C. Data of all hospitalized adult trauma patients recorded in the Trauma Registry System at a level I trauma center between 1 January 2009 and 12 December 2015 were retrospectively reviewed. A multivariate logistic regression analysis was performed in order to identify factors related to mortality. In addition, hypothermia and normothermia were defined as temperatures <36 °C and from 36 °C to 38 °C, respectively...
August 17, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/30087000/intranodal-lymphangiography-in-the-treatment-of-chylous-ascites
#14
J Salvador García, E Lonjedo, A Ruiz, J Gómez
Chylous ascites is the presence of lymph from the thorax or bowel in the abdominal cavity. In Western countries, the most common causes of chylous ascites in adults are tumors, cirrhosis, and postoperative leakage, whereas the most common causes in children are congenital lymphatic anomalies and trauma. By contrast, in developing countries, infectious causes are responsible for most cases of chylous ascites. We present a case of chylous ascites secondary to acute necrotizing pancreatitis refractory to conservative treatment that was definitively resolved after intranodal lymphangiography with lipiodol...
August 4, 2018: Radiología
https://www.readbyqxmd.com/read/30086476/surgical-reconstruction-of-traumatic-flail-chest-with-titanium-plaques
#15
Tuba Apaydın, Berk Arapi, Cem Başaran
INTRODUCTION: Multiple rib fractures exposes serious respiratory disorders and they are generally treated with non surgical methods. Nevertheless, in cases of long term pain despite medical treatment, parenchymal injury, hematoma, posture disorder and flail chest, surgery is needed. Flail chest, as the most critical form of blunt chest trauma, can disturb the hemodynamic of patient significantly and threaten life. This work has been reported in line with the SCARE criteria. PRESENTATION OF CASE: A 32 year old male patient referred to our hospital with flail chest in intubated status due to industrial accident...
2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/30075467/tham-administration-to-pediatric-trauma-patients-in-a-combat-zone
#16
Jason F Naylor, Michael D April, Guyon J Hill, Kelley M Kempski, Allyson A Arana, Steven G Schauer
OBJECTIVES: Pediatric casualties made up a significant proportion of patients during the recent military conflicts in Iraq and Afghanistan. Damage control resuscitation strategies used by military physicians included rapid reversal of metabolic acidosis to mitigate its pathophysiologic consequences, primarily through hemorrhage control and volume restoration. Alkalizing agents, including tris(hydroxymethyl)aminomethane (THAM), are potential therapeutic adjuncts to treat significant acidosis...
August 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/30072043/cardiac-laceration-following-non-penetrating-chest-trauma-in-dog-and-cat
#17
Giuseppe Piegari, Francesco Prisco, Davide De Biase, Leonardo Meomartino, Rosario Fico, Orlando Paciello
Cardiac laceration with non-penetrating chest trauma is reported as a common cause of death in human following rapid deceleration in high-speed vehicular accident. In contrast, in veterinary medicine, traumatic rupture of heart and great-vessel structures appears to be an uncommon cause of death. Here we report three cases of cardiac laceration following non-penetrating chest trauma in a one cat and two dogs. In two of these cases, necropsy revealed a rupture of the heart associated with fractures of the ribs and lung contusion; only one case did not exhibit any external chest injury but revealed pericardial tear associated with hemothorax following rupture of the right auricle of the heart...
September 2018: Forensic Science International
https://www.readbyqxmd.com/read/30060913/national-risk-factors-for-blunt-cardiac-injury-hemopneumothorax-is-the-strongest-predictor
#18
Areg Grigorian, Jeffrey Milliken, Joshua K Livingston, Dean Spencer, Viktor Gabriel, Sebastian D Schubl, Allen Kong, Cristobal Barrios, Victor Joe, Jeffry Nahmias
BACKGROUND: Blunt cardiac injury (BCI) can occur after chest trauma and may be associated with sternal fracture (SF). We hypothesized that injuries demonstrating a higher transmission of force to the thorax, such as thoracic aortic injury (TAI), would have a higher association with BCI. METHODS: We queried the National Trauma Data Bank (NTDB) from 2007-2015 to identify adult blunt trauma patients. RESULTS: BCI occurred in 15,976 patients (0...
July 25, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29958248/the-combined-utility-of-extended-focused-assessment-with-sonography-for-trauma-and-chest-x-ray-in-blunt-thoracic-trauma
#19
Morgan Schellenberg, Kenji Inaba, James M Bardes, Nicholas Orozco, Jessica Chen, Caroline Park, Tarina Kang, Demetrios Demetriades
BACKGROUND: Portable chest x-ray (CXR) and extended focused assessment with sonography for trauma (EFAST) screen patients for thoracic injury in the trauma bay. It is unclear if one test alone is sufficient, if both are required, or if the two investigations are complementary. Study objectives were to define the combined diagnostic yield of EFAST and CXR among stable blunt thoracic trauma patients and to determine if a normal EFAST and CXR might obviate the need for computed tomography (CT) scan of the chest...
July 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29950261/diagnostic-accuracy-of-initiai-chest-x-rays-in-thorax-trauma
#20
Ozlem Tataroglu, Secil Telli Erdogan, Mehmet Ozgur Erdogan, Ismail Tayfur, Mustafa Ahmet Afacan, Burcu Genc Yavuz, Sahin Colak
OBJECTIVE: To evaluate the efficacy, sensitivity and specificity of chest x-ray as a diagnostic imaging tool in management of thorax traumas. STUDY DESIGN: Descriptive study. PLACE AND DURATION OF STUDY: Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey, between December 2014 and December 2015. METHODOLOGY: Case records of patients admitted to the emergency department with thoracic trauma were retrospectively analysed through the hospital database...
July 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
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