&lt;p&gt;A Descriptive Study on the Usage of Exploratory Laparotomy for Trauma Patients&lt;/p&gt;

Pooria, Ali; Pourya, Afsoun

doi:10.2147/oaem.s254024

Cited by 13 publications

(2 citation statements)

References 15 publications

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“…In the United States, among children and adults aged younger than 45 years, 790 000 deaths are reported each year due to trauma 2 , 3 . The increased trend in vascular trauma injury has raised concerns, for it requires immediate management and diagnosis, particularly in cases where major vessels are involved 4 , 5 . Injuries with direct clinical presentation can be diagnosed and managed instantly 6 , whereas those with indirect signs add diagnostic challenges since the outcomes of undiagnosed vascular injury can cause disability and even death 7 .…”

Section: Introductionmentioning

confidence: 99%

Vascular trauma injury evaluation in Khorramabad, Iran: a cross-sectional study

Sharifian,

Marzban,

Beiranvand

et al. 2023

Annals of Medicine &Amp; Surgery

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Background: Vascular trauma injuries are associated significantly with disabilities and mortality where prompt diagnosis and management are of great importance. Objectives: In this study, we aim to evaluate the pattern of vascular trauma injuries. Methods: This descriptive retrospective study was performed on patients with vascular injuries due to trauma referred to (XXX). Patients’ files were evaluated for the following data: diagnostics, types of treatment and outcome, type of trauma, cause of trauma, anatomy of the injured site, duration of surgery, type of lesion, delayed complication, and requirement of revision surgery. The data obtained was descriptively evaluated using SPSSv22. Results: Of 233 patients studied, 95.3% were males. The mean age of the patients was 29.15±11.8 years. 82.8% of patients presented with penetrating trauma whereas 32.2% of patients had stab wound trauma. The most common sign at the time of referral was a loss of sensation in 54.9% of patients. Direct diagnosis based on clinical presentation was made in 79% of patients. The upper extremity was the most common site of vascular injury in 77.3% of patients with the involvement of radial and ulnar arteries, in 63.1%. 66.9% of patients underwent primary vascular repair, 92 received revision surgery, and 69 required blood transfusion. Conclusion: Epidemiological studies of vascular injury can help clinicians and local health care centers to understand the pattern of vascular trauma based on the geographical location and train trauma surgeons and medical staff to provide effective and timely management.

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Section: Introductionmentioning

confidence: 99%

Vascular trauma injury evaluation in Khorramabad, Iran: a cross-sectional study

Sharifian,

Marzban,

Beiranvand

et al. 2023

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

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“…Approximately, 10% of all trauma cases are blunt trauma [ 1 ]. Trauma accounts for more than 31 million visits in the emergency department and more than 100,000 deaths, yearly, in the United State.…”

Section: Introductionmentioning

confidence: 99%

A retrospective study on the cardiac assessment of isolated sternal fracture patients based on radiographic and clinical outcomes

Ahmadinejad

Pak

Soltanian

et al. 2021

Annals of Medicine &Amp; Surgery

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Objective Sternal fracture may be associated with major and serious injuries. In this study, the complications associated with isolated sternal fracture in trauma patients are evaluated based on radiographic and cardiac findings. Methods This retrospective study was performed on patients with isolated sternal fractures admitted to the emergency department of (XXX) Madani Educational-Medical. Data regarding demographic information, mechanism of trauma, length of hospitalization, electrocardiography (ECG), cardiac enzyme, and chest radiography were recorded in the questionnaire for each patient. Results The mean age of patients 41.2 + 11.04 years and 63.9% were male. The most common cause of the trauma was car accidents in 41% (25 cases). The mean duration of hospitalization was 1.54 ± 0.90 days. The mechanism of trauma was not associated with x-ray and computed tomography findings, p = 0.53 and p = 0.86, respectively. ECG findings were significantly related to x-ray and computed tomography outcomes, p < 0.001, respectively. Conclusion Patients with isolated sternal fracture with displacement >0.5 cm and hematoma are likely to require cardiac consultation.

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A cross-sectional study on monitoring depth of anesthesia using brain function index among elective laparotomy patients

Aryafar

Bozorgmehr

Alizadeh

et al. 2020

International Journal of Surgery Open

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Background: Consciousness during surgical procedure is associated with adverse psychological effects and postoperative complications. The aim of this study is to evaluate the depth of anesthesia using brain function index (BFI) among patients undergoing elective laparotomy. Materials and methods: In this cross-sectional study, 256 patients referred to (XXX) for elective laparotomy were included. BFI values using published studies were used to measure the depth of anesthesia in response to propofol, atracurium and propofol induction: deeply anesthetized (BFI<40), general anesthesia (40 < BFI<60), lightly anesthetized (60 < BFI<80) and (BFI<80) awake. These were evaluated at the time of surgical incision and 15, 30 and 60 min after surgery. Statistical analysis was performed using SPSS v22. Results: The average dose of propofol administered/propofol infusion was 111.67 ± 78.87 and 104.88 ± 76.20, respectively, atracurium 67.04 ± 40.06 and fentanyl was 33.61 ± 9.137. Deep anesthesia and light anesthesia were significantly different at various time intervals, p < 0.05, respectively. However, consciousness was not significantly different at different time interval in exception to the fentanyl drug administration. Conclusion: The outcomes of our study show that brain function index might be helpful to determine the level of anesthesia among patients undergoing elective laparotomy. However, further comparative studies, including other parameters are required. Highlights:

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<p>A Descriptive Study on the Usage of Exploratory Laparotomy for Trauma Patients</p>

Cited by 13 publications

References 15 publications

Vascular trauma injury evaluation in Khorramabad, Iran: a cross-sectional study

Vascular trauma injury evaluation in Khorramabad, Iran: a cross-sectional study

A retrospective study on the cardiac assessment of isolated sternal fracture patients based on radiographic and clinical outcomes

A cross-sectional study on monitoring depth of anesthesia using brain function index among elective laparotomy patients

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