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Keywords "Trauma" AND "Thoracotomy" AND...

"Trauma" AND "Thoracotomy" AND "Emergency"

https://read.qxmd.com/read/37900497/laparoscopic-repair-of-blunt-traumatic-diaphragmatic-hernia
#21
Maaz A Yusufi, Muhammad Uneeb, Izza Nazir, Farhan Rashid
Traumatic diaphragmatic hernias (TDHs) can occur after both blunt and penetrating injury. Laparotomy and thoracotomy are commonly done for the management of TDHs. Minimally invasive surgery, especially laparoscopic surgery, is being accepted as an effective and safe alternative to open surgical repair even in trauma cases. Laparoscopy also allows for the detection and management of clinically occult TDHs, thereby preventing the complications of missed or delayed diagnosis. Our case highlights the importance of timely intervention with a minimally invasive approach...
September 2023: Curēus
https://read.qxmd.com/read/37839047/a-critical-appraisal-of-emergency-resuscitative-thoracotomy-in-a-western-european-level-1-trauma-centre-a-13-year-experience
#22
JOURNAL ARTICLE
Ennio Alberto Adami, Gaetano Poillucci, Salomone Di Saverio, Mansoor Khan, Pietro Fransvea, Mauro Podda, Alessia Rampini, Pierluigi Marini
Emergency Resuscitative Thoracotomy (ERT) is a lifesaving procedure in selected patients. Outcome mostly in blunt trauma is believed to be poor. The primary aim of this study was to determine the predictors of postoperative mortality following ERT. We retrospectively reviewed 34 patients ≥ 18 years who underwent ERT at San Camillo-Forlanini Hospital (Rome, Italy) between January 2009 and December 2022 with traumatic arrest for blunt or penetrating injuries. Of 34 ERT, 28 (82.4%) were for blunt trauma and 6 (17...
October 15, 2023: Updates in Surgery
https://read.qxmd.com/read/37833545/emergency-department-thoracotomy-in-penetrating-chest-trauma-patients-with-no-signs-of-life-a-worthwhile-endeavor
#23
JOURNAL ARTICLE
Justin S Hatchimonji, Mark J Seamon
No abstract text is available yet for this article.
October 13, 2023: World Journal of Surgery
https://read.qxmd.com/read/37770295/needs-assessment-for-a-resuscitative-thoracotomy-curriculum-for-general-surgery-residents-in-the-northeast-region
#24
JOURNAL ARTICLE
Caroline Ricard, Deanna Plewa, Jack Vernamonti, Erin M Scott, Dmitry Nepomnayshy, Eric Benoit
INTRODUCTION: Resuscitative thoracotomy (RT) is a high-acuity low occurrence (HALO) procedure with which general surgical resident (GSR) experience and confidence are unknown. We sought to identify and describe this educational gap by conducting a targeted needs assessment for an RT curriculum for GSRs. METHODS: An online regional needs assessment survey was conducted for an RT curriculum for GSRs. The survey was developed by a group of trauma stakeholders and revised after being piloted on a small, representative group of GSRs...
September 26, 2023: Journal of Surgical Education
https://read.qxmd.com/read/37749170/potential-harms-of-emergency-department-thoracotomy-in-patients-with-persistent-cardiac-arrest-following-trauma-a-nationwide-observational-study
#25
JOURNAL ARTICLE
Ryo Yamamoto, Masaru Suzuki, Junichi Sasaki
Emergency department thoracotomy (EDT) was incorporated into traumatic out-of-hospital cardiac arrest (t-OHCA) resuscitation. Although current guidelines recommend EDT with survival predictors, futility following EDT has been demonstrated and the potential risks have not been thoroughly investigated. This study aimed to elucidate the benefits and harms of EDT for persistent cardiac arrest following injury until hospital arrival. This retrospective cohort study used a nationwide trauma registry (2019-2021) and included adult patients with t-OHCA both at the scene and on hospital arrival...
September 25, 2023: Scientific Reports
https://read.qxmd.com/read/37707327/intraoperative-and-early-surgical-complications-after-vats-lobectomy
#26
JOURNAL ARTICLE
A B Ryabov, O V Pikin, V A Bagrov, O A Aleksandrov, V V Barmin, R V Rudakov
OBJECTIVE: To improve the results of thoracoscopic anatomic lung resections (lobectomy) via reducing the incidence of intraoperative and early surgical complications. MATERIAL AND METHODS: The study enrolled 479 patients who underwent thoracoscopic lobectomy. We determined the main criteria of complications: injury of vascular structures with severe bleeding, damage of the bronchi and adjacent organs. RESULTS: Potentially life-threatening conditions requiring additional surgical manipulations (bleeding in 35 patients, bronchial trauma in 3 patients) were diagnosed in 7...
2023: Khirurgiia
https://read.qxmd.com/read/37690043/-splenectomy-via-the-transdiaphragmatic-approach
#27
JOURNAL ARTICLE
J Chudáček, D Klos, M Gregořík
The spleen is one of the most commonly injured organ in blunt traumas to the chest and abdomen. Splenic injury can be a serious complication of fracture of the left 9th to 11th rib. The authors present a case report of a 65-year-old male patient with a blunt trauma to the left chest and abdomen, diagnosed with multiple left rib fractures, left hemothorax and splenic injury with a small subcapsular hematoma with no signs of active splenic bleeding. Due to hemodynamic instability and a large volume of blood loss via the chest drain, the patient was indicated for emergency left thoracotomy...
2023: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://read.qxmd.com/read/37681717/risk-factors-for-mortality-and-morbidity-in-syrian-refugee-children-with-penetrating-abdominal-firearm-injuries-an-1-year-experience
#28
JOURNAL ARTICLE
Mustafa Tuşat, İsmail Özmen, Mehmet Semih Demirtaş, Can Ateş, Ayse Betül Öztürk, Nazım Abdulkadir Kankılıç, Dilek Başar
BACKGROUND: Despite improvements in technology and surgical techniques, abdominal injuries caused by firearms in children are traumatic with high complication rates and mortality. In this study, factors affecting mortality and complications in penetrating abdominal firearm injuries caused by high-velocity bullets and shrapnel in children as a result of the civil war in Syria were evaluated. METHODS: This study was conducted as a case series with 53 patients admitted to Kilis State Hospital with penetrating abdominal firearm injuries between January 2016 and February 2017...
September 2023: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/37608453/emergency-department-thoracotomy-in-children-a-pediatric-trauma-society-western-trauma-association-and-eastern-association-for-the-surgery-of-trauma-systematic-review-and-practice-management-guideline
#29
JOURNAL ARTICLE
Leigh Selesner, Brian Yorkgitis, Matthew Martin, Grace Ng, Kaushik Mukherjee, Romeo Ignacio, Jennifer Freeman, Lye-Yeng Wong, Samantha Durbin, Marie Crandall, Shannon W Longshore, Claire Gerall, Katherine T Flynn-O'Brien, Mubeen Jafri
BACKGROUND: The role of emergency department resuscitative thoracotomy (EDT) in traumatically injured children has not been elucidated. We aimed to perform a systematic review and create evidence-based guidelines to answer the following PICO (population, intervention, comparator, and outcome) question: should pediatric patients who present to the emergency department pulseless (with or without signs of life [SOL]) after traumatic injuries (penetrating thoracic, penetrating abdominopelvic, or blunt) undergo EDT (vs...
September 1, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37601553/intact-survival-from-a-blunt-trauma-cardiac-arrest-using-intraoperative-automated-cpr
#30
Ralph Frascone, Thomas Blee, David Dries
Survival following a blunt traumatic cardiac arrest is rare. Current guidelines suggest that a resuscitative thoracotomy may be performed under specific circumstances. This approach is almost always futile. Technology such as reliable point of care ultrasound and automated compression devices may allow surgeons to consider a damage control laparotomy as the initial surgical approach in blunt trauma cardiac arrest when the point of care ultrasound is positive for intraabdominal injury and there is low suspicion of an unstable intrathoracic injury...
October 2023: Trauma Case Reports
https://read.qxmd.com/read/37574883/clinical-experience-of-surgical-treatment-for-penetrating-pulmonary-gunshot-wound-of-a-civilian-in-korea-a-case-report
#31
JOURNAL ARTICLE
Seonyeong Heo, Jung Hee Kim, Younggi Jung, Kwanghyoung Lee, Sungho Lee, Eunjue Yi
Gunshot-induced chest trauma is exceedingly rare among civilians in South Korea due to strong firearm control policies. In contrast to military reports emphasizing the use of emergent open thoracotomy to increase chances of survival, most penetrating non-cardiac injuries in civilian settings are managed conservatively, such as through chest tube insertion, as they typically result from lower-energy bullets. However, early surgical intervention for penetrating gunshot wounds can help reduce delayed fatalities caused by septic complications from pneumonia or empyema...
August 14, 2023: Journal of chest surgery
https://read.qxmd.com/read/37563896/morbidity-mortality-and-surgical-treatment-of-secondary-spontaneous-pneumothorax
#32
JOURNAL ARTICLE
Mehmet Değirmenci
BACKGROUND: Pneumothorax in patients with underlying lung pathology is called secondary spontaneous pneumothorax (SSP). It is an important health problem worldwide, with significant morbidity, high health-care expenses, and possibility of mortality. This study aimed to evaluate the epidemiological characteristics, risk factors for mortality and morbidity, and treatment options of SSP. METHODS: Outcomes of 133 patients with SSP were evaluated retrospectively. Patients with SP with evidence of underlying lung disease or a smoking history over 50 years of age were considered SSP...
August 2023: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/37559653/penetrating-chest-trauma-caused-by-a-falling-metallic-bar-a-case-report
#33
Weidi Zhao, Minghui Chu, Lingzhen Ma, Fabrizio Minervini, Tamas F Molnar, Enkuo Zheng, Junjun Ni, Minglei Yang, Guofang Zhao
BACKGROUND: Impaling injuries to the chest are relatively rare and often lethal. Initial evaluation, resuscitation, and surgical planning can be challenging for emergency physicians and surgeons. Chest trauma can be classified as either closed or penetrating, depending on whether or not the pleural cavity is open. Penetrating objects entering chest cavity frequently make an entrance and exit and are often accompanied by visceral/vascular damage. Open thoracotomy or video-assisted thoracic surgery (VATS) are considered the first-line approaches for severe penetrating chest trauma...
July 31, 2023: Journal of Thoracic Disease
https://read.qxmd.com/read/37544864/outcomes-and-potential-for-improvement-in-the-prehospital-treatment-of-penetrating-chest-injuries-in-a-european-metropolitan-area-a-retrospective-analysis-of-2009-2017
#34
JOURNAL ARTICLE
Mario Krammel, Nikolaus Frimmel, Thomas Hamp, Daniel Grassmann, Harald Widhalm, Philip Verdonck, Christoph Reisinger, Patrick Sulzgruber, Sebastian Schnaubelt
BACKGROUND: Trauma is the leading cause of death in patients <45 years living in high-resource settings. However, penetrating chest injuries are still relatively rare in Europe - with an upwards trend. These cases are of particular interest to emergency medical services (EMS) due to available invasive treatment options like chest tube placement or resuscitative thoracotomy. To date, there is no sufficient data from Austria regarding penetrating chest trauma in a metropolitan area, and no reliable source to base decisions regarding further skill proficiency training on...
August 4, 2023: Injury
https://read.qxmd.com/read/37529494/pattern-management-and-outcomes-of-chest-injury-at-kilimanjaro-christian-medical-centre
#35
JOURNAL ARTICLE
Elias Mduma, Samwel Chugulu, David Msuya, Francis Sakita, L Ele Mutombo Fabrice
BACKGROUND: Chest trauma is a major cause of morbidity and mortality in the region. Lacking data in our environment has been a challenging part of knowing the burden of the problem. Long hospital stays and associated injuries are an essential measure of morbidity. The study results will provide a basis for planning prevention strategies and establishment of treatment protocols. OBJECTIVES: To determine the prevalence, pattern, and management outcomes of chest injury patients at Kilimanjaro Christian Medical Center (KCMC), a Tertiary Hospital in Northern zone Tanzania from October 2021 to April 2022...
2023: East African Health Research Journal
https://read.qxmd.com/read/37492818/blunt-trauma-and-right-diaphragmatic-rupture-unveiling-the-impact
#36
Duarte Gil Alves, Jessica Sousa, João Eurico Reis, Rómulo Ribeiro, Paulo Calvinho
Traumatic diaphragmatic ruptures are rare, yet blunt injuries tend to be more easily overlooked compared to penetrating trauma. The minimal evidence of external injuries makes a high index of suspicion key for diagnosis. We report the case of a right-sided thoracoabdominal blunt trauma that resulted in a diaphragmatic rupture and fractured rib. Although often approached through a midline laparotomy, a definitive right thoracotomy repair was exceptionally performed since the adjacent peritoneum remained uninjured...
June 2023: Curēus
https://read.qxmd.com/read/37441460/brief-report-on-the-development-of-hemorrhagic-pericardial-effusion-after-thoracic-surgery-for-traumatic-injuries
#37
JOURNAL ARTICLE
Grace Martin Niziolek, Philip Dowzicky, Sarah Joergensen, Alea Zone, Martha M Brinson, Niels D Martin, Mark J Seamon, Shariq Raza, Jay Yelon, Jeremy Cannon
INTRODUCTION: Hemorrhagic pericardial effusion (HPE) is a rare but life-threatening diagnosis that may occur after thoracic trauma. Previous reports have concentrated on delayed HPE in those who did not require initial surgical intervention for their traumatic injuries. In this report, we identify and characterize the phenomenon of HPE after emergent thoracic surgery for trauma. METHODS: This is a retrospective review of patients who required emergent thoracic surgery for trauma at a level 1 trauma center from 2017 to 2021...
2023: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/37430174/cardiac-arrest-in-the-perioperative-period-a-consensus-guideline-for-identification-treatment-and-prevention-from-the-european-society-of-anaesthesiology-and-intensive-care-and-the-european-society-for-trauma-and-emergency-surgery
#38
REVIEW
Jochen Hinkelbein, Janusz Andres, Bernd W Böttiger, Luca Brazzi, Edoardo De Robertis, Sharon Einav, Carl Gwinnutt, Bahar Kuvaki, Pawel Krawczyk, Matthew D McEvoy, Pieter Mertens, Vivek K Moitra, Jose Navarro-Martinez, Mark E Nunnally, Michael O Connor, Marcus Rall, Kurt Ruetzler, Jan Schmitz, Karl Thies, Jonathan Tilsed, Mauro Zago, Arash Afshari
INTRODUCTION: Cardiac arrest in the operating room is a rare but potentially life-threatening event with mortality rates of more than 50%. Contributing factors are often known, and the event is recognised rapidly as patients are usually under full monitoring. This guideline covers the perioperative period and is complementary to the European Resuscitation Council guidelines. MATERIAL AND METHODS: The European Society of Anaesthesiology and Intensive Care and the European Society for Trauma and Emergency Surgery jointly nominated a panel of experts to develop guidelines for the recognition, treatment, and prevention of cardiac arrest in the perioperative period...
July 10, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37409217/a-pediatric-case-of-multiple-trauma-with-impending-cardiac-arrest-due-to-hemorrhagic-shock-successfully-treated-with-resuscitative-thoracotomy-a-case-report
#39
Kento Hojo, Tomohiro Abe, Katsutoshi Saito, Akira Sasaki, Hidenobu Ochiai
BACKGROUND: The effectiveness of resuscitative thoracotomy (RT) in pediatric patients with multiple trauma is limited. We present a pediatric case of multiple trauma successfully treated with RT. CASE PRESENTATION: A 9-year-old boy was injured after falling down stairs. On arrival, his blood pressure was unmeasurable, and the carotid artery pulse was barely palpable. Sonographic assessment indicated intra-abdominal hemorrhage. RT and aortic cross-clamping were performed, and he received a blood transfusion, after which his circulatory status recovered...
2023: Acute Medicine & Surgery
https://read.qxmd.com/read/37381147/resuscitative-endovascular-balloon-occlusion-of-the-aorta-and-resuscitative-thoracotomy-are-associated-with-similar-outcomes-in-traumatic-cardiac-arrest
#40
JOURNAL ARTICLE
Ezra Y Koh, Erin E Fox, Charles E Wade, Thomas M Scalea, Charles J Fox, Ernest E Moore, Bryan C Morse, Kenji Inaba, Eileen M Bulger, David E Meyer
BACKGROUND: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a minimally invasive alternative to resuscitative thoracotomy (RT) for patients with hemorrhagic shock. However, the potential benefits of this approach remain subject of debate. The aim of this study was to compare the outcomes of REBOA and RT for traumatic cardiac arrest. METHODS: A planned secondary analysis of the United States Department of Defense-funded Emergent Truncal Hemorrhage Control study was performed...
December 1, 2023: Journal of Trauma and Acute Care Surgery
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