ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63093-7

出版商:Wiley    

年代:2012

数据来源: WILEY

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63094-9

出版商:Wiley    

年代:2006

数据来源: WILEY

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63095-0

出版商:Wiley    

年代:2006

数据来源: WILEY

摘要:

ABSTRACTMinutes can make the difference between life and death when patients with severe head injuries require surgery. Subdural, epidural, and intracerebral hematomas and cerebral contusions and gunshot wounds are the pathologic entities encountered most frequently during emergency surgery in patients with severe head injuries. Neurosurgical team members frequently use hyperventilation, mannitol and barbiturates, and sophisticated monitoring modalities to manage patients with severe head injuries during and after surgery. Although monitoring a patient's intracranial pressure (ICP) through a ventriculostomy catheter remains the most widely used gauge of cerebral metabolism, neurosurgical teams also are using fiber‐optic ICP monitoring catheters, cerebral blood flow measurement probes, microdialysls catheters, jugular venous oxygen saturation catheters, and brain oxygen content measurement electrodes. Coordinated teamwork by perioperative nurses, neurosurgeons, anesthesia care providers, and emergency department staff members helps ensure the best possible outcomes for patients who require surgery for management of severe head injuries.AORN J63 (May 1996) 854–867.

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63098-6

出版商:Wiley    

年代:2006

数据来源: WILEY

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63099-8

出版商:Wiley    

年代:2006

数据来源: WILEY

摘要:

ABSTRACTOpen tibial fractures are true surgical emergencies because of the risk of extensive infection to bone and devitalized soft tissue. The most serious consequence of open tibial fractures is osteomyelitisf‐which usually can be prevented by prompt surgical intervention within six to eight hours after injuries occur. Open tibial fractures often are the result of trauma from motor vehicle collisions, farm accidents, falls from heights, or gunshot wounds. Initial management of patients with multiple trauma injuries focuses on their life‐threatening injuries before or during orthopedic surgical intervention for open tibial fractures. Orthopedic surgeons often work in collaboration with general, vascular, and plastic surgeons and perform multiple surgical procedures (eg, fasciotomy procedures for compartment syndromes, irrigation and debridement of wounds, application of external fixation devices, placement of intramedullary nails, possible limb amputations). The type and extent of open tibial fractures and soft tissue injuries determine the best treatment options for patients. Preoperative nurses should help patients focus on treatment choices for their open tibial fractures that ensure optimal surgical outcomes and maintain their quality of life.AORN J63 (May 1996) 875–896.

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63100-1

出版商:Wiley    

年代:2006

数据来源: WILEY

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63101-3

出版商:Wiley    

年代:2012

数据来源: WILEY

摘要:

ABSTRACTSolid organ injuries of the upper abdomen consist primarily of injuries to the spleen and liver. Several years ago, these injuries were fairly straightforward to manage. Recently, however, combinations of new diagnostic modalities and the advent of nonsurgical treatments have added complexity to the management of splenic and hepatic injuries. Splenic injuries that require surgical repairs are managed by splenic salvage when feasible and by splenectomy procedures when the injuries are complicated. Hepatic injuries may require a variety of therapeutic modalities, depending on their complexity. This article reviews some of these treatment options for the management of upper abdominal solid organ injuries.AORN J63 (May 1996) 907–916.

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63102-5

出版商:Wiley    

年代:2006

数据来源: WILEY

摘要:

ABSTRACTTraumatic rupture of the descending thoracic aorta is a highly lethal injury caused by sudden, rapid deceleration in high‐speed motor vehicular collisions and falls from heights. Deceleration causes the mobile ascending aorta and aortic arch to move forward while the descending thoracic aorta remains fixed by the mediastinal pleura. This opposing movement creates a tear at the aortic isthmus just distal to the origin of the left subclavian artery. Patients with traumatic ruptured descending thoracic aortas often have serious multisystem injuries, and approximately 85% of these patients die at accident scenes or during emergency department resuscitation. The most frequent cause of death is free rupture of periaortic tissues that temporarily have provided tamponade to the sites of aortic ruptures. Surgical mortality rates for patients who survive initial resuscitation are between 10% and 25%. Advances in field triage and emergency medical transportation systems and new preoperative evaluation modalities have improved the survival of patients with traumatic descending thoracic aorta ruptures.AORN J63 (May 1996) 917–925.

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63103-7

出版商:Wiley    

年代:2006

数据来源: WILEY

摘要:

ABSTRACTA 14‐member task force appointed by the AORN Board of Directors began the process of identifying perioperative nursing data elements in November 1993. During the ensuing two years, the task force members identified perioperative nursing intervention data elements, linked these data elements to specific patient outcomes, and asked 232 AORN members to validate the list of intervention data elements. This article explains the value of data elements to perioperative nurses, describes the consensus process used by the task force, and presents the Perioperative Nursing Data Elements: Interventions, Version 1.0.AORN J63 (May 1996) 926–931.

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63104-9

出版商:Wiley    

年代:2006

数据来源: WILEY