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31. |
The New-Concept Full-Face-Type Helmet with Removable Cheek Pads |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 45,
Issue 2,
1998,
Page 379-382
Manabu,
Nemoto Masayuki,
Shida Atsushi,
Ichimura Isao,
Nakajima Sadaki,
Inokuchi Yuhwsuke,
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摘要:
BackgroundThe American College of Surgeons proposed a method of removing helmets. But the problem with full-face-type helmets is that their shape makes them difficult to remove.MethodsA dummy doll was fixed to a smooth bed surface in the supine position, and a full-face-type helmet with a hook attached to the vertex was placed on the doll's head. A spring balance was attached to the hook, traction was applied to the helmet through the spring balance, and the maximum tension needed to completely remove the helmet was measured.ResultsA tension of 13.2 +/- 1.8 kg was found. But when cheek pads were removed, the tension required to remove the helmet was 1.7 +/- 0.2 kg.ConclusionWe devised a full-face-type helmet that uses removable cheek pads so that helmet removal can be performed safely by removing only the cheek pads in the event of an accident.
ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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32. |
Trimethoprim-Sulfamethoxazole for the Prevention of Methicillin-Resistant Staphylococcus aureus Pneumonia in Severely Burned Patients |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 45,
Issue 2,
1998,
Page 383-387
Akio,
Kimura Toru,
Mochizuki Kenji,
Nishizawa Kunihiro,
Mashiko Yasuhiro,
Yamamoto Toshibumi,
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摘要:
BackgroundPatients with severe burns are at increased risk of developing methicillin-resistant Staphylococcus aureus (MRSA) ventilator-associated pneumonia. This study was designed to determine whether MRSA pneumonia can be prevented by prophylactic administration of trimethoprim-sulfamethoxazole (TMP-SMX).Methodsor=to20%), who required ventilator support. Prophylaxis was done with oral TMP-SMX (80 mg/400 mg) three times daily for 10 days from 4 to 6 days after burn injury. The incidence of MRSA pneumonia and the side effects were evaluated during the administration period.ResultsTwenty-one patients were assigned to receive TMP-SMX, and 19 patients to receive placebo. The incidence of MRSA pneumonia was 4.8% in the TMP-SMX group and 36.8% in the placebo group, showing a significant difference (p = 0.017). No major side effects of therapy were seen in the TMP-SMX group.ConclusionProphylactic treatment with TMP-SMX can prevent MRSA pneumonia in severely burned patients.
ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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33. |
NEUROTRAUMA/CRITICAL CAREYOUNG INVESTIGATOR'S AWARD |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 45,
Issue 2,
1998,
Page 387-387
&NA;,
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ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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34. |
Endoscopic Placement of Jejunal Feeding Catheters in Critically III Patients by a "Push" Technique |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 45,
Issue 2,
1998,
Page 388-393
R. Lawrence Reed,
Soumitra R. Eachempati,
Mary K. Russell,
Cynthia Fahkry,
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摘要:
BackgroundEnteral nutrition is less expensive and often preferred to parenteral nutrition in the critically ill or injured patient. Gastric feedings are poorly tolerated in some patients, however, and postpyloric access is frequently difficult to obtain. In this report, we describe our experience with a new technique for bedside endoscopic placement of small intestinal feeding tubes.MethodsUsing both prospective and retrospective analysis, we studied our results with endoscopically placed postpyloric feeding tubes in intensive care unit (ICU) patients. In this method, a 7F nasobiliary tube is passed via an endoscope into the proximal small bowel by a "push" technique. We recorded the demographic data of the patients, the feeding regimens subsequently used for these patients, and the overall feasibility and complications of the procedures themselves.ResultsThe technique was performed on 71 occasions in 61 ICU patients. The entire procedure averaged 29 minutes in a prospectively evaluated subset of patients. Small intestinal cannulation was successful in every case, including cases in which fluoroscopic attempts had failed. No complications developed from placement of the feeding tubes.ConclusionThis report demonstrates that our bedside method of endoscopic placement of proximal small-bowel feeding tubes may be safely and expediently performed in ICU patients. Although not yet formally compared with other techniques, this procedure may have some advantages over traditional methods of small-bowel feeding tube placement.
ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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35. |
A Plea for Prevention |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 45,
Issue 2,
1998,
Page 394-394
Galen V. Poole,
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ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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36. |
Compartment Syndrome of the Thigh and the Role of Skin ScarsCase Report and Review of the Literature |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 45,
Issue 2,
1998,
Page 395-396
Ravi Mittal,
Vikas Gupta,
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ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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37. |
Traumatic Aortic and Diaphragmatic Rupture in a Patient with Dextrocardia and Situs InversusCase Report |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 45,
Issue 2,
1998,
Page 397-399
David M. Kulick,
Soon J. Park,
Bernard S. Harrison,
Sara J. Shumway,
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ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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38. |
Venovenous Bypass and Hepatic Vascular Isolation as Adjuncts in the Repair of Destructive Wounds to the Retrohepatic Inferior Vena Cava |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 45,
Issue 2,
1998,
Page 400-403
Walter L. Biffl,
Ernest E. Moore,
Reginald J. Franciose,
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ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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39. |
Acute Visceral Ischemia Occurring Subsequent to Blunt Abdominal TraumaPotential Culpability of Median Arcuate Ligament Compression |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 45,
Issue 2,
1998,
Page 404-406
John P. Schreiber,
J. Fritz Angle,
Alan H. Matsumoto,
Jeffrey S. Young,
Klaus D. Hagspiel,
David J. Spinosa,
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ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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40. |
Cardiac Herniation with Catheterization of the Heart, Inferior Vena Cava, and Hepatic Vein by a Chest Tube |
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The Journal of Trauma: Injury, Infection, and Critical Care,
Volume 45,
Issue 2,
1998,
Page 407-409
Moheb A. Rashid,
Andre Acker,
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ISSN:0022-5282
出版商:OVID
年代:1998
数据来源: OVID
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