The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Mar 2019
Meta AnalysisComparing short-, long-, and oblique-axis approaches to ultrasound-guided internal jugular venous catheterization: A meta-analysis of randomized controlled trials.
Internal jugular venous catheterization is performed for numerous therapeutic interventions. Although ultrasound-guided internal jugular venous catheterization is the gold standard for this procedure, complications can still occur. Various scanning axes, namely, the short axis (SA), long axis (LA), and oblique axis (OA), have been developed to ameliorate these complications. This study compared the efficacy and safety of SA, LA, and OA approaches. ⋯ Systematic review and meta-analysis, level I.
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J Trauma Acute Care Surg · Mar 2019
Meta AnalysisThe effectiveness of junctional tourniquets: A systematic review and meta-analysis.
Junctional tourniquets have been incorporated into tactical combat casualty care for junctional vascular trauma. They apply external compression to stop blood flow in the groin and axilla. ⋯ Systematic review, level III.
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J Trauma Acute Care Surg · Mar 2019
Meta AnalysisMassive transfusion protocols in nontrauma patients: A systematic review and meta-analysis.
Massive bleeding is a major cause of death both in trauma and nontrauma patients. In trauma patients, the implementation of massive transfusion protocols (MTP) led to improved outcomes. However, the majority of patients with massive bleeding are nontrauma patients. ⋯ Systematic review and meta-analysis, level III.