Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Jul 2022
Laboratory markers used in the prediction of perforation in acute appendicitis.
In this study, we aimed to evaluate the laboratory markers used in the diagnosis of acute appendicitis (AA) and present the parameters that can be used to predict acute perforated appendicitis. ⋯ We believe that the WBC, total bilirubin, CRP, and NLR values obtained within this study, which is tested in the rapid and easily accessible blood tests in routine examinations that can contribute to the prediction of perforation.
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Ulus Travma Acil Cer · Jul 2022
Case ReportsUse of Sengstaken-Blakemore tube in a different indication: A case report.
Tracheostomy has become a common procedure in today's intensive care units. On the other hand, tracheostomy has some life-threat-ening complications. ⋯ Conventional measures were not beneficial, nor immediate surgical repair was feasible due to unstable condition of the patient. Then, a Sengstaken-Blackmore tube was introduced and overwhelmed the condition.
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Ulus Travma Acil Cer · Jul 2022
Randomized Controlled TrialAre the immature granulocyte count and percentage important in continue medical treatment in acute appendicitis? A prospective, randomized, and controlled study.
Although appendectomy is still a curative therapy for acute appendicitis, medical treatment has come to the fore in uncomplicated cases. This study aimed to determine the importance of immature granulocyte (IG) count and percentage for the role of medical treatment success in uncomplicated acute appendicitis. ⋯ IG count and percentage are effective for evaluating the success of medical treatment of uncomplicated acute ap-pendicitis and they guide in the decision to continue medical treatment of uncomplicated acute appendicitis.
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Ulus Travma Acil Cer · Jul 2022
Randomized Controlled TrialEffects of intraperitoneal bupivacaine injection in laparoscopic appendectomy in children on post-operative pain: A controlled randomized double-blinded study.
The aim of this study is to determine the effects of local anesthetics administered intraperitoneally in laparoscopic appendectomy. ⋯ Intraperitoneal bupivacaine instillation to surgery site and subdiaphragmatic area seems to reduce the SP post-opera-tive and also reduce post-operative analgesic need. More meaningful results can be obtained with an increase in the number of patients.
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Ulus Travma Acil Cer · Jul 2022
The use of routine laboratory testing in acute trauma care: A retrospective analysis.
In more than 60 countries worldwide, laboratory testing plays a challenging and expensive role in trauma resus-citation. In 1995, the literature already suggested that routine laboratory testing may not be useful for most trauma patients. Our study hypothesized that still the need for some laboratory tests perhaps should be reconsidered. Therefore, the aim of this study was to create more insight in the distribution between normal and abnormal parameters for routine laboratory testing in trauma patient management. ⋯ Trauma patients suffer mainly from abnormal values of D-dimer, pO2, glucose, creatinine, and alcohol. By contrast, MCV, INR, amylase, fibrinogen, and thrombocytes are regularly obtained as well, but only abnormal in a small amount of trauma patients. These findings suggest reconsiderations and more accuracy in the performance of laboratory testing, especially for trauma patients with stable vital signs.