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JOURNAL ARTICLE
Jun Nakajima
A man in his 50s was stabbed deeply in the back with a knife and brought to the emergency room. He was found to have a significant left hemopneumothorax. He was planned to undergo hemostatic surgery under general anesthesia. However, shortly after the change in a right lateral decubitus position, he experienced ventricular fibrillation. Hemostasis of the intercostal artery injury, the source of bleeding, and suture of the injured visceral pleura were performed under extracorporeal membrance oxgenation( ECMO)...
April 2024: Kyobu Geka. the Japanese Journal of Thoracic Surgery
#2
JOURNAL ARTICLE
Anja Große Lordemann, Dirk Sommerfeldt, Lukas Mileder
INTRODUCTION: Structured emergency room concepts have been shown to contribute to patient safety. Until now there has been no uniform emergency room concept for critically ill and seriously injured children and adolescents in the emergency room at the Altona Children's Hospital in Hamburg. This concept has been newly developed in interdisciplinary cooperation and includes the use of new clinical premises as well as new responsibilities and team compositions. The introduction of new processes and rooms for handling emergencies is associated with a risk of overlooking latent safety deficiencies or detecting them only after the process has been implemented...
April 20, 2024: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
#3
JOURNAL ARTICLE
Mallori Wilson, Sean Stuart, Brittany Lassiter, Timothy Parker, Clyde Martin, Robert Healy, Christopher Treager, Eric Sulava, Lorie Gower, Pravina Fernandez, Emily Friedrich
OBJECTIVE: Hemorrhage is the leading cause of preventable death in civilian trauma centers and on the battlefield. One of the emerging treatment options for hemorrhage in austere environments is tranexamic acid (TXA). However, the landscape is not amenable to the current delivery standard. This study compared the pharmacokinetics of TXA via a standard 10-minute intravenous infusion (IV infusion), intravenous rapid push over 10 s (IV push), and intramuscular injection (IM) in a swine polytrauma and hemorrhagic shock model (trauma group) compared to uninjured controls (control group)...
April 18, 2024: Prehospital Emergency Care
#4
JOURNAL ARTICLE
Paolo Schiavi, Francesco Pogliacomi, Matteo Bergamaschi, Francesco Ceccarelli, Enrico Vaienti
Background: Femoral neck fractures (FNFs) are frequent orthopedic injuries in elderly patients. Despite improvements in clinical monitoring and advances in surgical procedures, 1-year mortality remains between 15% and 30%. The aim of this study is to identify variables that lead to better outcomes in patients treated with total hip arthroplasty (THA) for FNFs. Methods: All patients who underwent cementless THA for FNF from January 2018 to December 2022 were identified. Patients aged more than 80 years old and with other post-traumatic lesions were excluded...
March 23, 2024: Journal of Clinical Medicine
#5
JOURNAL ARTICLE
Ruby R Taylor, Sinan Jabori, Minji Kim, Taylor Smartz, Eva S Hale, Michael Peleg, Wrood Kassira, Anne-Sophie Lessard, Seth R Thaller
INTRODUCTION: Trauma during pregnancy deserves special attention as management must be directed towards both the mother and the fetus. Management of maxillofacial fractures in pregnancy can adversely affect the well-being of the fetus by impinging on normal functions such as respiration, mastication, and nutrition. Pregnancy complicates the management of facial injury due to the maintenance of the patent airway, anesthesia considerations, and imaging restraints. The purpose of this study is to use three illustrative from our own institution to further elucidate education on the management of mandible fracture in pregnancy with a focus on multidisciplinary treatment and outcomes...
April 10, 2024: Journal of Craniofacial Surgery
#6
JOURNAL ARTICLE
Casey Cardillo, Patrick Connolly, Jonathan L Katzman, Erel Ben-Ari, Joshua C Rozell, Ran Schwarzkopf, Claudette Lajam
INTRODUCTION: Optimizing operating room (OR) scheduling accuracy is important for OR efficiency, meeting patient expectations, and maximizing value for health systems. However, limited data exist on factors influencing the precision of Total Hip Arthroplasty (THA) OR scheduling. This study aims to identify the factors influencing the accuracy of OR scheduling for THA. METHODS: A retrospective review of 6,072 THA (5,579 primary THA and 493 revision THA) performed between January 2020 and May 2023 at an urban, academic institution was conducted...
April 5, 2024: Archives of Orthopaedic and Trauma Surgery
#7
JOURNAL ARTICLE
Xian Qin, Chen Chen, Yang Liu, Xian-Hong Hua, Jia-Yi Li, Meng-Jie Liang, Fang Wu
BACKGROUND: Ovarian cancer is one of the most common malignant tumors in female reproductive system in the world, and the choice of its treatment is very important for the survival rate and prognosis of patients. Traditional open surgery is the main treatment for ovarian cancer, but it has the disadvantages of big trauma and slow recovery. With the continuous development of minimally invasive technology, minimally invasive laparoscopic surgery under general anesthesia has been gradually applied to the treatment of ovarian cancer because of its advantages of less trauma and quick recovery...
March 26, 2024: World Journal of Clinical Cases
#8
Dong Yun Lee, Jung Soo Yoon, SooA Lim, SuRak Eo
Posterior interosseous nerve (PIN) injury is uncommon due to its anatomically deep location. We report a neglected, rare case of PIN injury presenting the loss of extension of thumb, index, and small fingers with weakness of thumb abduction in a 49-year-old male patient. The patient sustained a penetrating injury to his right forearm caused by a kitchen knife that was repaired primarily through an emergency surgery under general anesthesia. During the regular follow-up on the 52nd postoperative day, the patient presented 20° of extension lags in the right thumb and index finger and 30° in the small finger...
June 2024: Trauma Case Reports
#9
Rutuja Ragit, Punit R Fulzele, Sanjana N Wadewale, Nitin Bhola, Dhruvi R Solanki, Nilima R Thosar
Pediatric maxillofacial fractures, which are not very prevalent, account for around 5% of all face injuries. Children under the age of 13 are more susceptible to craniofacial injuries because they have a larger cerebral mass-to-body ratio than adults. The fracture pattern in children does not resemble that of adults, due to which the treatment of pediatric fractures differs from that of adults and can pose substantial difficulties to the pediatric dentist due to many factors, including the complex anatomy of the developing jaw...
February 2024: Curēus
#10
Neha M Chitlange, Tejaswini Fating
The mandible occupies the lowest point on the face. When the lower face is struck by high blows with upward or obliquely directed force, the prominent bone of the face sustains severe damage. When combined with zygomaticomaxillary complex fractures, mandibular fractures, which frequently occur in parasymphysis, present a challenging clinical scenario. This combination often requires a collaborative strategy to ensure a proper diagnosis and all-encompassing care. In this case study, we discussed the alleged trauma case of a 30-year-old male who met with a road traffic accident due to a bike slip at around 8:30 p...
February 2024: Curēus
#11
Catarina Afonso, Luís Bicheiro, Marta Lopes
A breastfeeding 29-year-old woman who gave birth to her first child three months ago presented at the family doctor's appointment with a diverse array of symptoms, including vertigo, blurred vision, right lower limb weakness, and abdominal allodynia. She has a history of obesity and anxiety. The patient had a pre-pregnancy history of several visits to the family doctor. She takes folic acid, vitamin B12, iodine, and omega-3 supplements. The diverse symptomatology, the patient's insistence on seeking medical care, and the history of anxiety pose significant hurdles in arriving at a timely diagnosis...
February 2024: Curēus
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REVIEW
Nicole Hilber, Anna Dodi, Stephan Blumenthal, Heinz Bruppacher, Alain Borgeat, José Aguirre
Regional anesthesia has shown to be successful in controlling major pain in trauma patients. However, the possibility of masking acute compartment syndrome (ACS) after peripheral nerve blocks for limb injuries is still controversially discussed. Therefore, we aimed to summarize the current literature regarding this topic to shed light on the impact of peripheral regional anesthesia on the diagnosis of ACS in trauma patients. We searched Pubmed, Google Scholar and the Cochrane Library for literature following the PRISMA (preferred reporting items for systematic reviews and meta-analyses) guidelines...
March 20, 2024: Journal of Clinical Medicine
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JOURNAL ARTICLE
Roufai Hamissou Moussa Maman, Sani Rabiou Mahaman, Amadou Hassane Ali, Beranger Hounkpatin Seton Stachys, Kelani Aminath
BACKGROUND AND OBJECTIVE: Metal arrows are medieval weapons typically used for hunting and war. The incidence of metal arrow wounds has declined considerably since the 16th century. Different metal arrowheads exist, and the traditional Sahelian arrowhead is barbed. Extraction of this type of metal arrow is challenging because of the risk of extensive damage to surrounding structures. To the best of our knowledge, there are no guidelines in the literature for intracranial and spinal penetrating Sahelian arrow injuries and their surgical extraction...
March 26, 2024: Neuro-Chirurgie
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JOURNAL ARTICLE
Caroline Melhado, Rachelle Durand, Katie W Russell, Natalya E Polukoff, John Rampton, Rajiv R Iyer, Shannon N Acker, Richele Koehler, Connor Prendergast, Nicholas Stence, Brent O'Neill, Benjamin E Padilla, Ramin Jamshidi, Jennifer A Vaughn, Jennifer S Ronecker, Leigh Selesner, Katrine Lofberg, Michael Regner, Jaclyn Thiessen, Christine Sayama, Ryan G Spurrier, Erin E Ross, Chia-Shang Jason Liu, Jason Chu, Kathryn McNevin, Catherine Beni, Bryce R H Robinson, Ken Linnau, Robert T Buckley, Stephanie D Chao, Akanksha Sabapaty, Elizabeth Tong, Laura M Prolo, Romeo Ignacio, Gretchen Floan Sachs, Peter Kruk, David Gonda, Mark Ryan, Samir Pandya, Korgun Koral, Bruno P Braga, Kurtis Auguste, Aaron R Jensen
INTRODUCTION: Clinical clearance of a child's cervical spine after trauma is often challenging due to impaired mental status or an unreliable neurologic examination. Magnetic resonance imaging (MRI) is the gold standard for excluding ligamentous injury in children but is constrained by long image acquisition times and frequent need for anesthesia. Limited-sequence MRI (LSMRI) is used in evaluating the evolution of traumatic brain injury and may also be useful for cervical spine clearance while potentially avoiding the need for anesthesia...
March 25, 2024: Journal of Trauma and Acute Care Surgery
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JOURNAL ARTICLE
Guoxian Huang, Wenni Li, Lili Ma, Xin Lei, Xiangde Lin, Yuandong Chen, Bo Xu
BACKGROUND: Anorectal malformations (ARMs) are the most common congenital anomaly of the digestive tract. And colostomy should be performed as the first-stage procedure in neonates diagnosed with intermediate- or high-type ARMs. However, the most classic Pe˜na's colostomy still has some disadvantages such as complicated operation procedure, susceptibility to infection, a greater possibility of postoperative incision dehiscence, difficulty of nursing and large surgical trauma and incision scarring when closing the stoma...
March 23, 2024: BMC Pediatrics
#16
JOURNAL ARTICLE
Rebecca L Prentiss, Brooke L Bollinger, Katherine A Lamont, Kimberly N Gaston, Craig A Fletcher, Morika D Williams, Hannah M Atkins, Ilana A Galex
Blood collection is frequently used for neonatal and juvenile mice in toxicology, developmental, and immunology studies and is often a terminal procedure. However, the use of nonterminal blood collection techniques, including the submandibular and the submental collection techniques described for adult mice, may offer opportunities to reduce animal numbers and refine current methods. The use of the submental technique has not been described for neonatal or juvenile mice. In this study, we compared the submental and submandibular blood collection techniques to determine their suitability for use in neonatal and juvenile mice...
March 21, 2024: Journal of the American Association for Laboratory Animal Science: JAALAS
#17
JOURNAL ARTICLE
Golnar Sabetian, Mandana Mackie, Naeimehossadat Asmarian, Mahsa Banifatemi, Gregory A Schmidt, Mansoor Masjedi, Shahram Paydar, Farid Zand
PURPOSE: Prolonged mechanical ventilation (MV) subjects multiple trauma patients to ventilator-induced diaphragmatic dysfunction. There is limited evidence on the predictive role of diaphragm ultrasound (DUS) for weaning success in multiple trauma patients. Therefore, we evaluated Ultrasound of the diaphragm as a valuable indicator of weaning outcomes, in trauma patients. MATERIAL AND METHODS: This prospective cohort study included 50 trauma patients from September 2018 to February 2019...
March 20, 2024: Journal of Anesthesia
#18
JOURNAL ARTICLE
Aylin Kılınçarslan, Ceyda Özhan Caparlar, Müge Çakırca, Fatma Özkan Sipahioğlu, Funda Atar, Selma Ölmez, Nur Yılmaz, Merve Karaşahin, Derya Özkan
BACKGROUND: The February 6, 2023, Kahramanmaraş earthquake caused significant destruction across our country. More than 50,000 people lost their lives, thousands were injured, and health facilities were damaged. Victims were transferred to hospitals in other provinces for treatment. This study evaluates the anesthesia approach applied to the injured who were transferred to our tertiary hospital. METHODS: We retrospectively reviewed the data of patients who underwent surgery between February 6 and February 20, 2023...
March 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
#19
JOURNAL ARTICLE
Yiming Qi, Xiaoxu Wang, Shimin Chang
OBJECTIVE: To summarize the new research progress in distal interlocking screws of cephalomedullary nails for the treatment of intertrochanteric fractures. METHODS: Relevant domestic and foreign literature was extensively reviewed to summarize the static/dynamic types of distal interlocking screw holes, biomechanical studies, clinical studies and application principles, effects on toggling in the cavity, and related complications of distal interlocking screws. RESULTS: The mode of the distal interlocking screw holes can be divided into static and dynamic...
March 15, 2024: Chinese Journal of Reparative and Reconstructive Surgery
#20
JOURNAL ARTICLE
Jiayi Gong, Peter Jones, Chris Frampton, Kebede Beyene, Amy Hai Yan Chan
BACKGROUND: Persistent opioid use (POU) is common after surgery and is associated with an increased risk of mortality and morbidity. There have been no population-based studies exploring POU in opioid-naïve surgical patients in New Zealand (NZ). This study aimed to determine the incidence and risk factors for POU in opioid-naïve patients undergoing surgery in all NZ hospitals. METHOD: We included all opioid-naïve patients who underwent surgery without a concomitant trauma diagnosis and received opioids after discharge from any NZ hospital between January 2007 and December 2019...
March 18, 2024: Anesthesia and Analgesia
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