Thoracotomy During Trauma Resuscitations—An Appraisal by Board‐certified General Surgeons
作者:
DAVID HOYT,
STEVEN SHACKFORD,
JAMES DAVIS,
ROBERT MACKERSIE,
PEGGY OLLINGSWORTH-FRIDLUND,
期刊:
The Journal of Trauma: Injury, Infection, and Critical Care
(OVID Available online 1989)
卷期:
Volume 29,
issue 10
页码: 1318-1321
ISSN:0022-5282
年代: 1989
出版商: OVID
数据来源: OVID
摘要:
As trauma systems have developed and board-certified in-house surgeons are now immediately available, enthusiasm has returned for thoracotomy as part of initial resuscitation. This study evaluated the impact of thoracotomy by board-certified surgeons during the resuscitative phase of treatment. Resuscitative thoracotomy, performed on patients in cardiac arrest within 20 minutes of arrival in the hospital, was undertaken in 113 of 4,752 patients over a 4 1/2-year period. Resuscitative thoracotomy added nothing to beneficial survival in patients with a blunt mechanism despite the addition of a board-certified surgeon. Survivors of penetrating injury had a probability of survival (P.) of 0.48. Most patients suffering penetrating deaths had severe and advanced physiologic derangements at the time of admission despite similar anatomic injuries to survivors.
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