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| 21. |
Failed Rapid Sequence Intubation in Trauma PatientsEsophageal Tracheal Combitube Is a Useful Adjunct |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 44,
Issue 3,
1998,
Page 534-537
Paul A. Blostein,
Amy J. Koestner,
Sandy Hoak,
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摘要:
ObjectiveTo characterize the use of the esophageal tracheal combitube (ETC) in trauma patients who fail orotracheal rapid sequence intubation (RSI).DesignProspective protocol design and retrospective chart review.Materials and MethodsFlight nurses were trained in the use of the ETC by mannequin simulation, videotape review, and didactic sessions. ETC insertion was attempted after failure of two or more attempts at orotracheal RSI. Over a 12-month period, 12 patients had ETC insertion, and 10 cases qualified for review. Injuries, number of failed orotracheal RSI attempts, definitive airway, initial arterial blood gas results, and outcome were recorded.ResultsETC insertion was successful in all 10 patients in whom it was attempted. Definitive airway control was achieved by conversion to orotracheal intubation in seven patients, emergency department cricothyroidotomy in one patient, and operative room tracheostomy in two patients. No patient died because of failure to control the airway. Seven patients requiring ETC had mandible fractures.ConclusionETC insertion is an effective method of airway control in trauma patients who fail orotracheal RSI. It may be particularly useful in the patient with maxillofacial trauma and offers a practical alternative to surgical cricothyroidotomy in difficult airway situations.
ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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| 22. |
Balloon Tamponade for Bleeding Control in Penetrating Liver Injuries |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 44,
Issue 3,
1998,
Page 538-539
Demetrios Demetriades,
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ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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| 23. |
On the Possible Role of Positive End-Expiratory Pressure Ventilation in the Treatment of Chylothorax Caused by Blunt Chest Trauma |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 44,
Issue 3,
1998,
Page 540-542
E. Lindhorst,
H. A. B. Miller,
G. A. Taylor,
L. Gotzen,
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摘要:
Recent reports on the treatment of chylothorax postulate a benefit to ventilator therapy, especially using positive end-expiratory pressure (PEEP). This report describes the use of mechanical ventilation with PEEP in the management of a 24-year-old male motorcyclist who sustained a ligamentous Chance fracture of the thoracic spine at the T6-7 level with bilateral traumatic chylothorax. Treatment of the chylothorax consisted of high PEEP ventilation, bilateral chest tube thoracostomies, and total parenteral nutrition. The chylothoraces resolved within 4 days of treatment and mechanical ventilation was stopped. Ventilator therapy of traumatic chylothorax and the physiologic grounds for its use are discussed. A review of the literature and experimental evidence seem to suggest that ventilator treatment of traumatic chylothoraces is effective.
ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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| 24. |
A Case of Stanford Type A Acute Aortic Dissection Caused by Blunt Chest Trauma |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 44,
Issue 3,
1998,
Page 543-544
Minoru Ono,
Kuniyoshi Yagyu,
Akira Furuse,
Yutaka Kotsuka,
Hiroshi Kubota,
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ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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| 25. |
Endovascular Treatment of a Traumatic Subclavian Artery Aneurysm |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 44,
Issue 3,
1998,
Page 545-547
Gerard Babatasi,
Massimo Massetti,
Olivier Le Page,
Jacques Theron,
Andre Khayat,
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ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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| 26. |
Anomalous Vertebral Artery Anatomy and the Consequences of Penetrating Vascular Injuries |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 44,
Issue 3,
1998,
Page 548-551
Elizabeth Mittendorf,
Jeffrey M. Marks,
Terri Berk,
Carlos Santoscoy,
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ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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| 27. |
A Penetrating Mediastinal Tracheal Injury |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 44,
Issue 3,
1998,
Page 552-554
R. Jeffrey Morelock,
Kenneth A. Kesler,
Lynn R. Broderick,
Jeffrey L. Wilson,
Gregory S. Schmitt,
John W. Brown,
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ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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| 28. |
Pancreatic Duct InjuryIntraoperative Endoscopic Transpancreatic Drainage of Parapancreatic Abscess |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 44,
Issue 3,
1998,
Page 555-557
D. Kopelman,
A. Suissa,
Y. Klein,
M. Hashmonai,
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ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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| 29. |
Spinal Epidural Hematoma and Ankylosing SpondylitisCase Report and Review of the Literature |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 44,
Issue 3,
1998,
Page 558-561
Chieh-Tsai Wu,
Shih-Tseng Lee,
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ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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| 30. |
Acute Myelinolysis in the Cervical Spinal Cord |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 44,
Issue 3,
1998,
Page 562-564
John Pneumatikos,
Christ Frangides,
Kostas Malizos,
Matthew Tsagourias,
George Nakos,
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ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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