The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Sep 2014
Randomized Controlled Trial Multicenter StudyA dose-finding study of sufentanil sublingual microtablets for the management of postoperative bunionectomy pain.
Sufentanil sublingual microtablets (SSMs) at a dose of 15 µg per tablet have been studied for postoperative patient-controlled analgesia with a 20-minute lockout via a bedside handheld system over 2 days to 3 days of use. For more short-term (<24 hours) management of acute moderate-to-severe pain, such as in the ambulatory surgical setting, a single, higher-strength SSM dose administered via a health care provider would be of benefit as it would require less frequent administration and avoid the setup of a drug delivery system. ⋯ Therapeutic study, level I.
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J Trauma Acute Care Surg · Sep 2014
Multicenter StudyUse of the focused assessment with sonography for trauma (FAST) examination and its impact on abdominal computed tomography use in hemodynamically stable children with blunt torso trauma.
The aim of this study was to evaluate the variability of clinician-performed Focused Assessment with Sonography for Trauma (FAST) examinations and its impact on abdominal computed tomography (AbCT) use in hemodynamically stable children with blunt torso trauma (BTT). The FAST is used with variable frequency in children with BTT. ⋯ Prognostic and epidemiologic study, II.
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J Trauma Acute Care Surg · Jul 2014
Multicenter StudyA prospective, multi-institutional study of pediatric all-terrain vehicle crashes.
Pediatric all-terrain vehicle (ATV) injuries have been increasing annually for more than a decade. The purpose of this study was to prospectively evaluate crash circumstances and clinical outcomes resulting from pediatric ATV crashes. ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Jul 2014
Multicenter Study Observational StudyTraumatic brain injury is not associated with coagulopathy out of proportion to injury in other body regions.
Coagulopathy following trauma is associated with poor outcomes. Traumatic brain injury has been associated with coagulopathy out of proportion to other body regions. We hypothesized that injury severity and shock determine coagulopathy independent of body region injured. ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Jun 2014
Randomized Controlled Trial Multicenter StudyDo all trauma patients benefit from tranexamic acid?
This study tested the hypothesis that early routine use of tranexamic acid (TXA) reduces mortality in a subset of the most critically injured trauma intensive care unit patients. ⋯ Therapeutic study, level IV.