Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Oct 2022
Blunt splenic trauma: Analysis of predictors and risk factors affecting the non-operative management failure rate.
Non-operative management (NOM) has become a standard treatment in hemodynamically stable patients with blunt splenic trauma. Studies have identified numerous predictors and risk factors for NOM. However, these factors' role in NOM failure continues to be debated. This study aimed to reveal the role of these factors in NOM failure through retrospective analysis of data from patients who underwent non-operative treatment. ⋯ Grades I-III blunt splenic trauma patients were successfully treated using the NOM protocol in this study. However, more than half of Grade IV (57.7%) splenic injuries were successfully treated using NOM. Identifying predictors and risk factors based on a standardized plan will likely increase this success.
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Ulus Travma Acil Cer · Oct 2022
Case ReportsBedside decompression of abdominal compartment syndrome caused by spontaneous pneumoperitoneum: A case report.
Pneumoperitoneum is the presence of free air within the peritoneal cavity and indicates perforation of a hollow viscus. However, it may also occur in the absence of perforation and in this case, it is called spontaneous pneumoperitoneum (SP). A 57-year-old female patient who was intubated and mechanically ventilated due to respiratory failure developed abdominal compartment syndrome (ACS) secondary to massive SP. ⋯ However, laparotomy has no place in this setting. SP coexisting with ACS is extremely rare. With this case report, we aimed to raise awareness of SP among physicians and help avoid unnecessary laparotomies.
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Ulus Travma Acil Cer · Oct 2022
The comparison of pedobarographic parameters after calcaneal fractures.
This study aims to reveal surgical treatment's effect on plantar load restoration and clinical outcomes compared to conservative treatment in intra-articular calcaneal fractures. ⋯ Surgical treatment of calcaneus intra-articular fractures should be preferred primarily as it provides better clinical results and better plantar load distribution in midterm follow-up.
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Ulus Travma Acil Cer · Oct 2022
How has the COVID-19 pandemic changed the diagnosis of rectus sheath hematoma and its follow-up?
There has been an increased incidence of rectus sheath hematoma (RSH) due to chronic cough attacks and anti-coagulant therapy due to the COVID-19 pandemic. The present study aims to determine, in which parameters differ before and during the diagnosis of RSH in COVID-19 patients and what may be expected during diagnosis and follow-up. ⋯ The present study constitutes the first evaluation of RSH in COVID-19 patients. The clinical situation is serious due to high rates of hypotension, defense or rebound, and decreases in hemoglobin levels in COVID-19 patients. This makes the clinical management of RSH more difficult, resulting in longer hospitalization. Despite these difficulties, COVID-19 infection does not increase morbidity or mortality.
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Ulus Travma Acil Cer · Oct 2022
Comparison of the effects of clinical observation and protocol-based weaning on antioxidant stress factors.
We aimed to compare the effects of observation of the physician (POB) or by adhering to the protocol-based (PB) weaning methods on total antioxidant capacity (TAC) and total oxidative stress (TOS) levels and weaning success levels. ⋯ In our study, TAC values were found to be higher in the PB group than in the POB group, and in addition, the reintubation rate was found to be lower. We think that the management of weaning as a PB may contribute to maintaining the balance between TAC and TOS and reduce the rate of reintubation.