Factors Affecting Mortality Rates in Patients with Abdominal Vascular Injuries

Tyburski, James G.; Wilson, Robert F.; Dente, Christopher J.; Steffes, Christopher P.; Carlin, Arthur M.

doi:10.1097/00005373-200106000-00008

Cited by 111 publications

(88 citation statements)

References 8 publications

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“…The highest death rates of victims with ISS > 25 was observed in laparotomy surgery trauma patients (21) . A similar finding concerning trauma severity was observed in a study that analyzed trauma abdominal vascular injuries (11) . Furthermore, the high average of the ISS (41) was noticed in a study that analyzed 537 intraoperative deaths in eight American hospitals (5) .…”

Section: Rev Esc Enfermsupporting

confidence: 86%

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Vítimas de ocorrência de trânsito submetidas a procedimentos cirúrgicos: características e intercorrências transoperatórias

Reiniger¹,

Sousa

Nogueira³

et al. 2012

Rev. esc. enferm. USP

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Esta pesquisa objetivou caracterizar as vítimas de ocorrência de trânsito submetidas a procedimentos anestésico-cirúrgicos, segundo dados demográficos e clínicos, e identificar os preditores de intercorrências no período transoperatório (choque hemorrágico ou óbito). Estudo de corte transversal desenvolvido a partir de consulta aos prontuários dos pacientes submetidos à cirurgia, no Instituto Central do Hospital das Clínicas da FMUSP. Nos 69 pacientes, predominaram os jovens, do sexo masculino, vítimas de acidentes motociclísticos/ciclísticos e que receberam atendimento pré-hospitalar. As variáveis: abdome como região mais gravemente lesada pelo Injury Severity Score e as cirurgias geral e ortopédica, apresentaram associação estatística significativa com choque e óbito. A idade associou-se apenas com choque. No modelo final, o Injury Severity Score foi preditor para choque e óbito e a cirurgia geral, apenas para choque. A cirurgia ortopédica foi fator de proteção para óbito. Esses achados subsidiam a equipe cirúrgica no planejamento de estratégicas que visem à redução de desfechos indesejados.

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Section: Rev Esc Enfermsupporting

confidence: 86%

“…The predominance of young males was clearly observed. International studies approaching general trauma victims admitted into Surgery centers (5,11) also point out this profile of patients involved in accidents or violence.…”

Section: Discussionmentioning

confidence: 99%

Vítimas de ocorrência de trânsito submetidas a procedimentos cirúrgicos: características e intercorrências transoperatórias

Reiniger¹,

Sousa

Nogueira³

et al. 2012

Rev. esc. enferm. USP

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“…7 When a patient is in severe shock from exsanguinations caused by complex injury to the common iliac or external iliac vessels, damage control laparotomy is indicated. 8 When fecal contamination is present, there is increased risk of blowout of any type of vascular repair. Injuries to external iliac vein managed by lateral venorrhaphy can result in significant occlusion during postoperative period.…”

Section: Discussionmentioning

confidence: 99%

Bullet injury to great vessels of abdomen - a case report and review of literature

Rana

Lukram

2016

Int Surg J

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Bullet injury to the great vessels of abdomen is uncommon and has high mortality and morbidity including amputation. Many times there are other associated organ injuries. Though hypotension and absent or feeble peripheral pulse are good indicators of vascular injury, there can be normal blood pressure with palpable pulses initially when there are hematoma formation in a closed space and adequate fluid resuscitation. We report this uncommon presentation in a 26 years old gentleman who had bullet injury in the right lower flank of abdomen causing a longitudinal tear on the medial aspect of right external iliac vein (zone III injury) with multiple small intestinal perforations.

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“…71 Haemodynamically unstable non-responders should raise suspicions of vascular injury. It has been advocated by Tyburski et al that patients with a systolic blood pressure persistently below 70mmHg undertake a prelaparotomy thoracotomy for proximal aortic control.…”

Section: Vascular Injuriesmentioning

confidence: 99%

“…It has been advocated by Tyburski et al that patients with a systolic blood pressure persistently below 70mmHg undertake a prelaparotomy thoracotomy for proximal aortic control. 71 In their study, 51 patients underwent a prelaparotomy thoracotomy; 29 responded and, of those, 11 survived. Interestingly, all those who did not respond to aortic cross clamping by an increase in systolic blood pressure to at least 90mmHg died and these patients were considered irretrievable.…”

Section: Vascular Injuriesmentioning

confidence: 99%

Damage control – trauma care in the first hour and beyond: a clinical review of relevant developments in the field of trauma care

Sharrock

Midwinter

2013

annals

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INTRODUCTION Trauma provision in the UK is a topic of interest. Regional trauma networks and centres are evolving and research is blossoming, but what bearing does all this have on the care that is delivered to the individual patient? This article aims to provide an overview of key research concepts in the field of trauma care, to guide the clinician in decision making in the management of major trauma. METHODS The Ovid MEDLINE ®, EMBASE™ and PubMed databases were used to search for relevant articles on haemorrhage control, damage control resuscitation and its exceptions, massive transfusion protocols, prevention and correction of coagulopathy, acidosis and hypothermia, and damage-control surgery. FINDINGS A wealth of research is available and a broad range has been reviewed to summarise significant developments in trauma care. Research has been categorised into disciplines and it is hoped that by considering each, a tailored management plan for the individual trauma patient will evolve, potentially improving patient outcome.

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Factors Affecting Mortality Rates in Patients with Abdominal Vascular Injuries

Abstract: Rapid control of bleeding sites (to keep blood transfusions to < 10 units) and urgent correction of hypothermia seem to be the main factors improving survival over which the surgeon has some control.

Cited by 111 publications

References 8 publications

Vítimas de ocorrência de trânsito submetidas a procedimentos cirúrgicos: características e intercorrências transoperatórias

Vítimas de ocorrência de trânsito submetidas a procedimentos cirúrgicos: características e intercorrências transoperatórias

Bullet injury to great vessels of abdomen - a case report and review of literature

Damage control – trauma care in the first hour and beyond: a clinical review of relevant developments in the field of trauma care

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