keyword
MENU ▼
Read by QxMD icon Read
search

direct peritoneal resuscitation

keyword
https://www.readbyqxmd.com/read/29239852/management-specificities-for-abdominal-pelvic-and-vascular-penetrating-trauma
#1
E Hornez, F Béranger, T Monchal, Y Baudouin, G Boddaert, H De Lesquen, S Bourgouin, Y Goudard, B Malgras, G Pauleau, V Reslinger, N Mocellin, C Natale, L Meyrat, J-P Avaro, P Balandraud, S Gaujoux, S Bonnet
Management of patients with penetrating trauma of the abdomen, pelvis and their surrounding compartments as well as vascular injuries depends on the patient's hemodynamic status. Multiple associated lesions are the rule. Their severity is directly correlated with initial bleeding, the risk of secondary sepsis, and lastly to sequelae. In patients who are hemodynamically unstable, the goal of management is to rapidly obtain hemostasis. This mandates initial laparotomy for abdominal wounds, extra-peritoneal packing (EPP) and resuscitative endovascular balloon occlusion of the aorta (REBOA) in the emergency room for pelvic wounds, insertion of temporary vascular shunts (TVS) for proximal limb injuries, ligation for distal vascular injuries, and control of exteriorized extremity bleeding with a tourniquet, compressive or hemostatic dressings for bleeding at the junction or borderline between two compartments, as appropriate...
November 24, 2017: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/29194344/direct-peritoneal-resuscitation-alters-leukocyte-infiltration-in-the-lung-after-acute-brain-death
#2
Jessica L Weaver, Paul J Matheson, Amy Matheson, Cynthia D Downard, R Neal Garrison, Jason W Smith
BACKGROUND: Brain death is associated with significant lung injury and inflammation. This has been associated with worse long-term outcomes for transplanted lungs. Direct peritoneal resuscitation (DPR) reduces systemic inflammation in brain death and improves lung procurement rate. The effect of DPR on macrophage and neutrophil infiltration in the lungs is not known. METHODS: Male Sprague-Dawley rats had a 4F Fogarty catheter inserted into the skull and the balloon inflated until brain death was achieved...
November 30, 2017: Shock
https://www.readbyqxmd.com/read/29194322/direct-peritoneal-resuscitation-reduces-intestinal-permeability-after-brain-death
#3
Jessica L Weaver, Paul J Matheson, Amy Matheson, Brian G Harbrecht, Cynthia D Downard, R Neal Garrison, Jason W Smith
BACKGROUND: The profound inflammatory response associated with brain death is frequently cited as the reason organs procured from brain dead donors are associated with worse graft function. The intestine releases inflammatory mediators in other types of shock, but its role is brain death has not been well-studied. Direct peritoneal resuscitation (DPR) improves visceral organ blood flow and reduces inflammation after hemorrhagic shock. We hypothesized that use of DPR would maintain intestinal integrity and reduce circulating inflammatory mediators after brain death...
December 1, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29183509/direct-peritoneal-resuscitation-in-the-setting-of-hemorrhagic-pancreatitis
#4
Jaine McKenzie, Patricia Martinez Quinones, Caleb J Mentzer, Edward J Kruse
No abstract text is available yet for this article.
November 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28601326/direct-peritoneal-resuscitation-improves-mesenteric-perfusion-by-nitric-oxide-dependent-pathways
#5
Sina Khaneki, Amanda R Jensen, Natalie A Drucker, Troy A Markel
BACKGROUND: Direct peritoneal resuscitation (DPR) has been shown to increase survival after intestinal ischemia and reperfusion injury (I/R). We have previously appreciated that minimum essential medium (MEM), a synthetic cell culture medium with bovine serum, glutamine, and antibiotics, contributes to these benefits. We hypothesized that (1) DPR using MEM as a dialysate would increase mesenteric perfusion, improve intestinal mucosal injury, and limit intestinal and hepatic inflammation after intestinal I/R and (2) these improvements would be dependent on endothelial nitric oxide pathways...
June 1, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/27849741/61-direct-peritoneal-resuscitation-reduces-macrophages-and-neutrophils-in-kidneys-after-brain-death
#6
Jessica Weaver, Paul Matheson, Amy Matheson, Cynthia Downard, Neal Garrison, Jason Smith
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27787439/damage-control-surgery-in-weightlessness-a-comparative-study-of-simulated-torso-hemorrhage-control-comparing-terrestrial-and-weightless-conditions
#7
Andrew W Kirkpatrick, Jessica Lynn McKee, Homer Tien, Anthony J LaPorta, Kit Lavell, Tim Leslie, David R King, Paul B McBeth, Susan Brien, Derek J Roberts, Reginald Franciose, Jonathan Wong, Vivian McAlistair, Danielle Bouchard, Chad G Ball
BACKGROUND: Torso bleeding remains the most preventable cause of post-traumatic death worldwide. Remote damage control resuscitation (RDCR) endeavours to rescue the most catastrophically injured, but has not focused on prehospital surgical torso hemorrhage control (HC). We examined the logistics and metrics of intraperitoneal packing in weightlessness in Parabolic flight (0g) compared to terrestrial gravity (1g) as an extreme example of surgical RDCR. METHODS: A surgical simulator was customized with high-fidelity intraperitoneal anatomy, a "blood" pump and flowmeter...
February 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27499803/on-table-pocus-assessment-for-the-ivc-following-abdominal-packing-how-i-do-it
#8
Fikri M Abu-Zidan
BACKGROUND: Some surgeons may lack proper experience in abdominal packing. Overpacking may directly compress the inferior vena cava (IVC). This reduces the venous return and possibly causes hypotension. Here, a new on table Point-of-Care Ultrasound application that has been recently used to assess the effect of abdominal packing on the IVC diameter is described. Following abdominal packing, a small print convex array probe with low frequency (2-5 MHz) is used to visualize the IVC. Using the B mode, the IVC can be directly evaluated through a hepatic window between the ribs...
2016: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/27345902/direct-peritoneal-resuscitation-alters-hepatic-mirna-expression-after-hemorrhagic-shock
#9
Jessica L Weaver, Paul J Matheson, Ryan T Hurt, Cynthia D Downard, Craig J McClain, R Neal Garrison, Jason W Smith
BACKGROUND: MicroRNAs (miRNAs) are small segments of noncoding RNA that regulate gene expression and protein function, and therefore are key regulators of cellular processes including those of the inflammatory cascade after hemorrhagic shock (HS). We have previously shown that direct peritoneal resuscitation (DPR), as an adjunct to traditional IV fluid resuscitation, improves visceral blood flow and reduces pro-inflammatory cytokines released during HS. The effects of DPR on hepatic miRNA (miR) expression patterns after resuscitated HS are not known...
July 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/26424701/bradycardia-as-an-early-warning-sign-for-cardiac-arrest-during-routine-laparoscopic-surgery
#10
Jonathan Yong, Peter Hibbert, William B Runciman, Brendon J Coventry
OBJECTIVES: The aim of this study was to identify clinical patterns of occurrence, management and outcomes surrounding cardiac arrest during laparoscopic surgery using the Australian Incident Monitoring Study (AIMS) database to guide possible prevention and treatment. SETTING: The AIMS database includes incident reports from participating clinicians from secondary and tertiary healthcare centres across Australia and New Zealand. PARTICIPANTS: The AIMS database holds over 11 000 peri- and intraoperative incidents...
December 2015: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/26384838/direct-peritoneal-resuscitation-a-review
#11
REVIEW
Jessica L Weaver, Jason W Smith
Conventional treatment for hemorrhagic shock includes the infusion of intravenous (IV) fluid and blood products in order to restore intravascular volume. However, even after normal heart rate and blood pressure are restored, the visceral organs often remain ischemic. This leads to organ dysfunction and also releases numerous cytokines and inflammatory mediators which activate the body's inflammatory response. The use of Direct Peritoneal Resuscitation (DPR) helps counteract this response. DPR involves infusion of hypertonic fluid into the abdomen in addition to IV resuscitation...
September 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/26352909/update-in-hospital-medicine-evidence-you-should-know
#12
REVIEW
Kathleen M Finn, Jeffrey L Greenwald
BACKGROUND: The practice of hospital medicine is complex, and the number of clinical publications each year continues to grow. To maintain best practice it is necessary for hospitalists to stay abreast of the literature, but difficult to accomplish due to time. The annual Society of Hospital Medicine meeting offers a plenary session on Updates in Hospital Medicine. This article is a summary of those papers presented at the meeting. METHODS: We reviewed articles published between January 2014 and January 2015 in the leading medical journals, searching for papers with good methodological quality, the potential to change practice, and papers that are thought provoking...
December 2015: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/26236391/surgical-management-of-aast-grades-iii-v-hepatic-trauma-by-damage-control-surgery-with-perihepatic-packing-and-definitive-hepatic-repair-single-centre-experience
#13
Krstina Doklestić, Branislav Stefanović, Pavle Gregorić, Nenad Ivančević, Zlatibor Lončar, Bojan Jovanović, Vesna Bumbaširević, Vasilije Jeremić, Sanja Tomanović Vujadinović, Branislava Stefanović, Nataša Milić, Aleksandar Karamarković
BACKGROUND: Severe liver injury in trauma patients still accounts for significant morbidity and mortality. Operative techniques in liver trauma are some of the most challenging. They include the broad and complex area, from damage control to liver resection. MATERIAL AND METHOD: This is a retrospective study of 121 trauma patients with hepatic trauma American Association for Surgery of Trauma (AAST) grade III-V who have undergone surgery. Indications for surgery include refractory hypotension not responding to resuscitation due to uncontrolled hemorrhage from liver trauma; massive hemoperitonem on Focused assessment by ultrasound for trauma (FAST) and/or Diagnostic peritoneal lavage (DPL) as well as Multislice Computed Tomography (MSCT) findings of the severe liver injury and major vascular injuries with active bleeding...
2015: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/26204320/syria-civil-war-outcomes-of-humanitarian-neurosurgical-care-provided-to-syrian-wounded-refugees-in-israel
#14
Masad Barhoum, Samuel Tobias, Moshe Elron, Aviram Sharon, Tariq Heija, Jean F Soustiel
BACKGROUND: As an expected consequence of the civil war in Syria, emergent neurosurgical care for battlefield trauma has been provided for severely head-injured Syrians transferred to Northern Israel. METHODS: Sixty-six patients suffering from brain injury were brought to the border and then referred to the institution after initial resuscitation. Both the time and type of injury were recorded based on paramedic testimony, forensic material or on details provided by patients...
2015: Brain Injury: [BI]
https://www.readbyqxmd.com/read/26169825/retracted-the-beneficial-effect-of-direct-peritoneal-resuscitation-on-septic-shock-in-rats
#15
(no author information available yet)
No abstract text is available yet for this article.
2015: BioMed Research International
https://www.readbyqxmd.com/read/26169030/direct-peritoneal-resuscitation-improves-survival-and-decreases-inflammation-after-intestinal-ischemia-and-reperfusion-injury
#16
Trevor D Crafts, Erin Bailey Hunsberger, Amanda R Jensen, Frederick J Rescorla, Mervin C Yoder, Troy A Markel
BACKGROUND: Direct peritoneal resuscitation (DPR) has previously been shown to alter blood flow in the small bowel mesenteric vessels in models of intestinal ischemia. However, a survival advantage or its effects on local tissue inflammation have not been previously demonstrated. We hypothesized that DPR would increase survival and decrease intestinal tissue inflammation after intestinal ischemia and reperfusion (I/R) injury. METHODS: Eight-week-old male C57Bl6J mice were anesthetized and underwent midline laparotomy...
December 2015: Journal of Surgical Research
https://www.readbyqxmd.com/read/25797737/addition-of-direct-peritoneal-lavage-to-human-cadaver-organ-donor-resuscitation-improves-organ-procurement
#17
COMPARATIVE STUDY
Jason W Smith, Paul J Matheson, Gary Morgan, Amy Matheson, Cynthia Downard, Glen A Franklin, R Neal Garrison
BACKGROUND: Brain dead organ donors have altered central hemodynamic performance, impaired hormone physiology, exaggerated systemic inflammatory response, end-organ microcirculatory dysfunction, and tissue hypoxia. A new treatment, direct peritoneal resuscitation (DPR), stabilizes vital organ blood flow after conventionally resuscitated shock to improve these derangements. STUDY DESIGN: A prospective case-control study of adjunctive DPR compared 26 experimental patients (brain dead organ donors) to 52 controls (protocolized conventionally resuscitated donors)...
April 2015: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/25539198/a-protocol-for-the-management-of-adhesive-small-bowel-obstruction
#18
Tyler Loftus, Frederick Moore, Erin VanZant, Trina Bala, Scott Brakenridge, Chasen Croft, Lawrence Lottenberg, Winston Richards, David Mozingo, Linda Atteberry, Alicia Mohr, Janeen Jordan
BACKGROUND: Differentiating between partial adhesive small bowel obstruction (aSBO) likely to resolve with medical management and complete obstruction requiring operative intervention remains elusive. We implemented a standardized protocol for the management of aSBO and reviewed our experience retrospectively. METHODS: Patients with symptoms of aSBO were admitted for intravenous fluid resuscitation, bowel rest, nasogastric tube decompression, and abdominal examinations every 4 hours...
January 2015: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/25214947/what-are-the-ten-new-commandments-in-severe-polytrauma-management
#19
REVIEW
Cw Kam, Ch Lai, Sk Lam, Fl So, Cl Lau, Kh Cheung
This review aims to provide a concise overview of the trauma management evolution in the past decade. 1) Trauma care priorities have incorporated staff protection against infection and early decision making in addition to the conventional ABCDE. 2) Five stratified levels for DAM have replaced the non-specific conventional Plans A & B. 3) CT scanning can be the tunnel to death for the hemodynamically unstable patient. 4) DPL has virtually been replaced by the FAST USG. 5) Direct whole-body MDCT provides rapid imaging diagnosis & expedites the definitive treatment but carries high radiation hazards...
2010: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25183582/strategies-for-the-management-of-haemorrhage-following-pelvic-fractures-and-associated-trauma-induced-coagulopathy
#20
REVIEW
C Mauffrey, D O Cuellar, F Pieracci, D J Hak, E M Hammerberg, P F Stahel, C C Burlew, E E Moore
Exsanguination is the second most common cause of death in patients who suffer severe trauma. The management of haemodynamically unstable high-energy pelvic injuries remains controversial, as there are no universally accepted guidelines to direct surgeons on the ideal use of pelvic packing or early angio-embolisation. Additionally, the optimal resuscitation strategy, which prevents or halts the progression of the trauma-induced coagulopathy, remains unknown. Although early and aggressive use of blood products in these patients appears to improve survival, over-enthusiastic resuscitative measures may not be the safest strategy...
September 2014: Bone & Joint Journal
keyword
keyword
81508
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"