The journal of trauma and acute care surgery
-
J Trauma Acute Care Surg · May 2012
Comparative StudyThe first 72 hours of brain tissue oxygenation predicts patient survival with traumatic brain injury.
Utilization of brain tissue oxygenation (pBtO(2)) is an important but controversial variable in the treatment of traumatic brain injury. We hypothesize that pBtO(2) values over the first 72 hours of monitoring are predictive of mortality. ⋯ III, prognostic study.
-
J Trauma Acute Care Surg · May 2012
Comparative StudyFolded free vascularized fibular grafts for the treatment of subtrochanteric fractures complicated with segmental bone defects.
Subtrochanteric fractures of the femur complicated with segmental bone defects are uncommon injuries and challenging to manage. We evaluated the effect of reconstructing extensive bone defect in the subtrochanteric area (mean, 6.9 cm) with folded free vascularized fibular graft (FVFG). ⋯ V, therapeutic study.
-
J Trauma Acute Care Surg · May 2012
Comparative StudySelective angiographic embolization of blunt splenic traumatic injuries in adults decreases failure rate of nonoperative management.
To determine whether angioembolization (AE) in hemodynamically stable adult patients with blunt splenic trauma (BST) at high risk for failure of nonoperative management (NOM) (contrast blush [CB] on computed tomography, high-grade IV-V injuries, or decreasing hemoglobin) results in lower failure rates than reported. ⋯ III, therapeutic study.
-
J Trauma Acute Care Surg · May 2012
Comparative StudyInfusion of 4°C normal saline can improve the neurological outcome in a porcine model of cardiac arrest.
This study sought to investigate induction of therapeutic hypothermia using ice-cold intravenous fluid after cardiopulmonary resuscitation (CPR). The effects on temperature, hemodynamics, cognitive performance and the accompanying neurohistopathological changes, and apoptosis were assessed. ⋯ 4°C normal saline solution is a safe and effective method to reduce brain damages and prevent apoptotic cell death after cardiac arrest.
-
J Trauma Acute Care Surg · May 2012
Comparative StudyRecreational helmet use as a predictor of noncranial injury.
The effect of helmet use in the prevention of head injury has been clearly shown. However, the relationship between helmet compliance and other bodily (noncranial) injury has not been explored, yet may have important impact on strategies for injury prevention. The purpose of this study was to examine helmet use in an injured population to evaluate its association with noncranial trauma. ⋯ III, prognostic study.