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G Boddaert, E Hornez, H De Lesquen, A Avramenko, B Grand, T MacBride, J-P Avaro
Resuscitation thoracotomy is a rarely performed procedure whose use, in France, remains marginal. It has five specific goals that correspond point-by-point to the causes of traumatic cardiac arrest: decompression of pericardial tamponade, control of cardiac hemorrhage, performance of internal cardiac massage, cross-clamping of the descending thoracic aorta, and control of lung injuries and other intra-thoracic hemorrhage. This approach is part of an overall Damage Control strategy, with a targeted operating time of less than 60minutes...
December 2017: Journal of Visceral Surgery
Eric Batard, Nathalie Lecadet, Nicolas Goffinet, Jean-Benoit Hardouin, Didier Lepelletier, Gilles Potel, Emmanuel Montassier
OBJECTIVE: Fluoroquinolones and 3rd-generation cephalosporins that are prescribed for pneumonia may be avoided and replaced by a penicillin in some cases. We aimed to determine if the proportion of patients treated for pneumonia with a cephalosporin, a fluoroquinolone or both varies among Emergency Departments (EDs), and to estimate the proportion of avoidable prescriptions. METHODS: This was a retrospective study of patients treated for pneumonia in eight French EDs, and subsequently hospitalized in non-ICU wards...
December 2015: Infection
J Pimenta de Castro, G Gomes, N Mateus, R Escrevente, L Pereira, P Jácome
INTRODUCTION: In blunt abdominal trauma, lesions of the small bowell and mesentery are often underdiagnosed; although unusual, they represent the third most injured organ, with increasing morbidity and mortality. PRESENTATION OF CASE: The authors present the case of a 68 years old male, admitted to the emergency department after being hit by a bale of straw, weighing around 300kg, in the abdomen. After successful ressuscitation, a CT scan was performed, suggesting hemoperitoneum because of vascular lesion of the right colon bleeding...
2015: International Journal of Surgery Case Reports
Thiago Gomes Romano, Paulo Fernando Guimarães Morando Marzocchi Tierno
Acute Kidney Injury (AKI) in trauma is, in most cases, multifactorial. Factors related to the initial ressuscitation protocol, degree of the systemic inflamatory response to trauma, contrast nephropathy in diagnostic procedures, rhabdomyolysis and abdominal compartment syndrome are some of those factors. Nowadays a uniformization in diagnostic criteria for AKI has been proposed by the Acute Kidney Injury Network (AKIN) and as a result the incidence of AKI and its impact in outcomes in trauma patients also needs to be reconsider...
January 2013: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
J-L Chabernaud, N Gilmer, N Lodé, C Boithias, A Ayachi
For apneic or bradycardic babies born at term, it is best to begin ressuscitation in the delivery room with air rather than 100% oxygen. Administration of supplementary oxygen should be regulated by blending oxygen and air, and the concentration delivered should be guided by oximetry. Preterm babies less than 32 weeks gestation may not reach the same arterial blood oxygen saturations in air as those achieved by term babies. Therefore, blended oxygen and air should be given guided by pulse oximetry. Detection of exhaled carbon dioxide in addition to clinical assessment is recommended as the most reliable method to confirm placement of a tracheal tube in neonates...
May 2011: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
J P Baptista, P C Casanova, J P Sousa, P J Martins, A Simões, V Fernandes, J Souto, J J Costa, A Rebelo, J Pimentel
Drowning is a major cause of accidental deaths, especially in childrens. In this review (part one) the definition, epidemiology, pathophysiology and treatments (with an enphasis on the ressuscitation) are discussed. From 1989 to 2002 part two) we recorded the clinical course of the 19 patients vitims of submersion admited to our ICU. We conclued that the majority of patients are young (mean = 37,3 years), mortality is high (26%), but the complete recovery is possible (63%). The cardio-respiratory arrest or Glasgow Coma Scale < or = 5 were related with poor prognosis, only with 3 survivors (1 without sequels)...
July 2003: Revista Portuguesa de Pneumologia
A Timerman, N Sauaia, L S Piegas, R F Ramos, C Gun, E S Santos, A C Bianco, J E Sousa
OBJECTIVE: To analyze the early and late results of cardiopulmonary resuscitation in a cardiology hospital and to try to detect prognostic determinants of both short- and long-term survival. METHODS: A series of 557 patients who suffered cardiorespiratory arrest (CRA) at the Dante Pazzanese Cardiology Institute over a period of 5 years was analyzed to examine factors predicting successful resuscitation and long-term survival. RESULTS: Ressuscitation maneuvers were tried in 536 patients; 281 patients (52...
August 2001: Arquivos Brasileiros de Cardiologia
J B Bouhour
Chronic cardiac failure is a common complication of coronary artery disease and hypertension. It is observed above all in the elderly and represents a high public health cost, mainly due to hospital admissions. The education of patients with cardiac failure, and their families', will contribute to an improved cost/efficacy ratio of the management of this pathology. This educative process comprises a simple description of cardiac failure, its symptoms and aetiologies. Dietary advice is very important (salt intake, drinks...
November 1998: Archives des Maladies du Coeur et des Vaisseaux
A Verdant, A Pagé, J F Blair
Traumatic rupture of the thoracic aorta should be suspected when automobile (62.9%), motorcycle (11.1%), ski-doo (2.7%), deltaplane (0.9%), or skiing accidents (0.9%), cause a sudden and rapid deceleration. It was also encountered with a vertical fall of 10 meters and more (4.6%), when a pedestrian was struck by a vehicle (4.6%) or the chest damaged by a high velocity flying object (4.6%). A lateral impact was found in 33% of injured patients and 52.7% were not wearing seat belts. Ruptured aorta was found as a single lesion in only 12% of the cases and among associated orthopedic lesions (63...
1998: Annales de Chirurgie
P R Corsi, P de A Prado, S Rasslan
The emergency department thoracotomy as a ressuscitative measure is a controversial subject in trauma surgery. Indiscriminate indication has occurred due to unclearness upon the real value of this procedure, but further critical evaluation has reduced initial enthusiasm rather emphasizing a more rational approach by systematization of criteria for selective indication. Clinical outcome is related to injury mechanism and patients conditions upon admission. According to vital signs the patients conditions are classified as fatal, agonic and shock; survival rates oscillate between 0 to 40%...
November 1993: Revista Paulista de Medicina
E Proca
A total of 24 patients are presented, suffering with extensive vesical and genital cancers, in whom anterior pelvian exenteration was performed. The global mortality rate was of 16% and the postoperative evolution was very good in the remaining patients. It is considered that this type of intervention, provided that it is correctly performed, in association with an adequate ressuscitation, may have remarkably satisfactory results if we consider the advanced local stage of development of the tumors involved.
May 1981: Revista de Chirurgie, Oncologie, Radiologie, O.r.l., Oftalmologie, Stomatologie. Chirurgie
E Fraisse, P Arvis, X Favereau, C Almange, G Priou, J Y Grall
In discussing a case of isolated A-V block, the authors note that this condition occurs frequently in association with other cardiac and non-cardiac foetal malformations. Diagnosis of this type of disorder has been greatly facilitated by the development of ultrasonography. Obstetric management depends on the degree of malformation. Neonatal monitoring is mandatory, as is the presence of a paediatric ressuscitation team at delivery.
February 1984: Revue Française de Gynécologie et D'obstétrique
J C Bogé, J C Favarel-Garrigues, C de Joigny, M Boisseau, L Poteaux, D Bony
No abstract text is available yet for this article.
November 1970: Bordeaux Médical
J Bloch, D Le Lann, I Menger, A Geraudel, M Lecomte, G Winisdoerffer
Voluntary induction of a premature delivery, which goes against our constant battle to reduce prematurity, represents, at this time, a paradoxical situation which is not exceptional in vasculorenal syndromes and premature rupture of the membranes. Advances in ressuscitation and the care of premature newborn babies, on the one hand, and techniques of artificial induction of labor, on the other hand, account for this obvious paradox. Even advances in artificial induction of labor explain also the decrease in the cesarean sections indications, under such circumstances...
October 1986: Revue Française de Gynécologie et D'obstétrique
C Lozano Giménez, L Sanromán Martínez, F Miranda Segovia
50 low-birth-weight infants (1,000 g. or less) admitted to an Intensive Care Unit from January 1972 up to December 1974 are evaluated. Obstetrical data maturity and morbidity are compared in order to investigate factors that might predispose survival of these infants. Significant differences in gestational age, birth weight and maturity have been encountered. Mortality rate increases with a low Apgar score at one and five minutes, a low hematocrit an admission, early appearance of apnea, respiratory distress, when ressuscitation was required, need for assisted ventilation and septicemia...
September 1976: Anales Españoles de Pediatría
J R Monties, A Goudard, T Blanc-Gauthier, J Gatau-Pelanchon, J Fogliani, A Bandini, R Gérard, E Henry
A great number of congenital heart diseases are now amenable to treatment before school age. A homogeneous experience of 158 cases operated upon made it possible to make the follow remarks:--The operative mortality before the age of 1 year remains high, in view of the difficulties of ressuscitation, but mainly because of the severity of the heart disease to treat. --Between the ages of 1 and 5 years, the risk decreased with experience, and for the heart diseases most frequently encountered, lethality fell to 2...
April 1975: Archives des Maladies du Coeur et des Vaisseaux
M Meignier, P Desjars, M Malinge, J Lignon, F Nicolas
The authors report a recent observation of the total replacement of an arm amputated near the shoulder. The limb was perfused and cooled down from the site of the accident to the general hospital (distance about 50 miles) and was replanted within 13 hours. The procedure itself lasted about 8 hours. The bone replantation was the most critical difficulty for the surgeons. Venous repair was associated with hemorrhage and massive transfusion had to be performed to compensate heavy blood loss. In the post-operative period acute renal insufficiency and septicemia developed...
1979: Anesthésie, Analgésie, Réanimation
R Slama, A Piwnica, C Masquet, P Beaufils, Y Bovrain
Over the last three years, thanks on the one hand to improvements in surgical techniques and ressuscitation, and on the other to assisted circulation using the intra-aortic balloon, which allows improved preoperative preparation of the patients, urgent medicosurgical treatment of the mechanical complications of infarction has improved the prognosis by comparison with the recent past. During the above period, our figures for operative intervention during the first two weeks after an acute infarction have been as follows: 1...
June 1977: Archives des Maladies du Coeur et des Vaisseaux
N Mircea, E Jianu, B Furtunescu, S David, O Alexiu
The study reviews the literature dealing with cerebral death and raises some problems, not yet discussed in the literature, such as those in connection with the decerebrated pregnant woman, of which the following ones are stressed: 1. The pregnancy can continue in the decerebrated woman. If the answer is affirmative, development of the pregnancy represents represents a test of particular biological value in assessing the efficiency of ressuscitation therapy; 2. What are the effects of hipoxyia that led to decerebration of the mother on the psychosomatic development of the child, and the possibility to evaluate it in correlation with the age of the pregnancy; 3...
July 1977: Revista de Chirurgie, Oncologie, Radiologie, O.r.l., Oftalmologie, Stomatologie. Chirurgie
A Fiemeyer, F Leca-Chetochine, M Thibert, Y Louville, J Mathey, M Cara
The best chances of survival for a new-born depend on the following factors: the possibility of clinical and haemodynamic diagnosis of the malformation, adequate reanimation and surgery. All this must be carried out as early as possible. Although catheterization is very risky it should be complete and as fast as possible, under monitoring of ventilation and haemodynamies. Reanimation is very important before, during and after surgery; it should be more preventive than curative. Very often, surgery is only palliative at this age...
1975: Annales de L'anesthésiologie Française
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