Journal of Acute Care Surgery最新文献

A Case of Acute Appendicitis Complicated by Necrotizing Fasciitis Requiring Abdominal Wall Reconstruction 一例急性阑尾炎并发坏死性筋膜炎需要重建腹壁的病例

Journal of Acute Care Surgery Pub Date : 2024-07-31 DOI: 10.17479/jacs.2024.14.2.63

Qi Xuan Lim, Yuxin Guo, Christopher Wei Guang Ho, Xiaojin Zheng

引用次数: 0

The Association of Isolated Cecal Necrosis Symptoms with Acute Appendicitis: A Case Report 孤立的盲肠坏死症状与急性阑尾炎的关联：病例报告

Journal of Acute Care Surgery Pub Date : 2024-07-31 DOI: 10.17479/jacs.2024.14.2.59

Signe Cyrielle, Esseme Camille Harold, Mekieje Tumchou Maï-Pamela, Kohpe Kapseu Stéphane, Ouedraogo Souleymane

引用次数: 0

Management of Respiratory Failure in Shoulder Arthroscopy: A Case Report 肩关节镜手术中呼吸衰竭的处理：病例报告

Journal of Acute Care Surgery Pub Date : 2024-07-31 DOI: 10.17479/jacs.2024.14.2.67

Lal Meher Pradeep Vankadaru, Snigdha Bellapukonda

引用次数: 0

Difficult Small Bowel Bleeding in Surgical View 手术视野中的疑难小肠出血

Journal of Acute Care Surgery Pub Date : 2024-07-31 DOI: 10.17479/jacs.2024.14.2.41

Jung Min Bae

{"title":"Difficult Small Bowel Bleeding in Surgical View","authors":"Jung Min Bae","doi":"10.17479/jacs.2024.14.2.41","DOIUrl":"https://doi.org/10.17479/jacs.2024.14.2.41","url":null,"abstract":"diagnostic modalities in SBB are performed. However, the small bowel is beyond the reach of these diagnostic modalities. A large amount of bleeding in GIB is a key factor leading to a poor prognosis. Appropriate and prompt diagnostic and treatment strategies are needed. Several diagnostic and management algorithms have been proposed. However, the processing of algorithm is complex and frequent mistakes are happened. Because of surgical aspects and sudden or gradual development of hemodynamic instability in SBB, algorithms considering surgical role and treatment have been published. The intra-operative enteroscopy (IOE) is a gold-standard method for detecting lesions in SBB. The primary goal of IOE is to detect specific bleeding focus in SBB. The determining the resection range is the secondary goal. In most cases in SBB, segmental resection is treatment of choice. However, in bleeding distal duodenum from distal to the ampulla of Vater to Treitz ligament, pancreas preserving distal duodenectomy could be performed. In terminal ileum bleeding, after resection of pathologic bowel, the reconstruction option is ileo-colic anastomosis or end enterostomy. Because of frequently developed postoperative morbidity and mortality, post-operative critical care is perfectly fit for an acute care surgeon’s role. Therefore, in the entire management process, an interprofessional team or multidisciplinary approach is critical for improving the quality of care of SBB and decreasing mistakes.","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141795364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of Polymyxin B-Immobilized Fiber Column Hemoperfusion for Sepsis: A Systemic Review and Meta-Analysis 多粘菌素 B-固定纤维柱血液灌流治疗败血症的效果：系统回顾与元分析

Journal of Acute Care Surgery Pub Date : 2024-07-31 DOI: 10.17479/jacs.2024.14.2.45

Do Wan Kim, Jeong-Min Kim, Yong-Sang Seong, Reverien Habimana, Hwajin Cho, I. Jeong

{"title":"The Effect of Polymyxin B-Immobilized Fiber Column Hemoperfusion for Sepsis: A Systemic Review and Meta-Analysis","authors":"Do Wan Kim, Jeong-Min Kim, Yong-Sang Seong, Reverien Habimana, Hwajin Cho, I. Jeong","doi":"10.17479/jacs.2024.14.2.45","DOIUrl":"https://doi.org/10.17479/jacs.2024.14.2.45","url":null,"abstract":"Purpose: The objective of this study was to evaluate the effect of Polymyxin B hemoperfusion (PMX-HP) on patients with sepsis.Methods: A systematic review and meta-analysis was performed using relevant articles retrieved from 3 databases (PubMed, Cochrane Library, EMBASE). Randomized studies from 1 January 1999 to 28 February 2022 were examined to determine the clinical results of PMX-HP. A meta-analysis was carried out using the random-effects method, meta-regression with clinical variables, and assessment of risk of bias (ROB) tool (Cochrane ROB assessment tool). Mortality was evaluated within 60 days of hospitalization (in-hospital death 28-day, 30-day, and 60-day mortality) and predictors associated with mortality were determined using meta-regression.Results: There were 11 randomized studies with 548 patients included in the meta-analysis. The pooled mortality was 35% (95% CI, 27%-42%, 95% CI 0.53-0.96). Further subgroup analysis was performed according to the duration of PMX-HP. An extension of PMX-HP treatment beyond 2 hours (pooled mortality, 43%; 95% CI, 9%-76%) compared with a 2-hour session (pooled mortality, 33%. 95% CI, 27%-38%) showed an increase in mortality rates. However, this was not statistically significant. Univariate meta-regression showed that patient’s age, the acute physiology and chronic health evaluation score, and the sequential organ failure assessment score did not significantly impact mortality.Conclusion: While PMX-HP is valuable in the management of septic shock, treatment duration should be based on careful assessment of the patient's condition, the risks and benefits of prolonged therapy, and the overall treatment strategy including antimicrobial management and source control.","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141795426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Revised Trauma Score: A Better Early Predictor for Survival of Head Trauma Patients than the Glasgow Coma Scale-Age-Pressure Score 修订版创伤评分：与格拉斯哥昏迷量表-年龄-压力评分相比，更能早期预测头部创伤患者的存活率

Journal of Acute Care Surgery Pub Date : 2024-07-31 DOI: 10.17479/jacs.2024.14.2.52

Richa Patel, Geeta Sandeep Ghag, Sandhya Iyer, V. Nandu

{"title":"The Revised Trauma Score: A Better Early Predictor for Survival of Head Trauma Patients than the Glasgow Coma Scale-Age-Pressure Score","authors":"Richa Patel, Geeta Sandeep Ghag, Sandhya Iyer, V. Nandu","doi":"10.17479/jacs.2024.14.2.52","DOIUrl":"https://doi.org/10.17479/jacs.2024.14.2.52","url":null,"abstract":"Purpose: Trauma is a common cause of death worldwide and head injury is the most common form of trauma presented at the Emergency Department. Physiological scores are better for predicting outcome than anatomical scores. To reduce mortality rates, this study compared the capacity of the revised trauma scores (RTS) and the Glasgow coma scale- age- pressure (GAP) scores to predict the survival of patients and effectively channel resources.Methods: An observational study of head trauma patients aged 12 to 80 years was performed at a tertiary care center (N = 500). We noted demographic information, RTS and GAP trauma scores, and outcomes in terms of mortality or survival at 24 hours, 48 hours, and 7 days.Results: Of the 500 patients who were enrolled, 414 (82.8%) survived 24 hours, 373 (74.6%) survived 48 hours, and 265 (53%) survived after 7 days. Using the Receiver Operating Characteristic curve, the RTS score was a significantly better predictor of survival in patients with head trauma than the GAP score at 24 hours (p = 0.044) and 48 hours (p = 0.049) of admission. The results were not significantly different at 7 days (p = 0.240). Mortality or survival outcomes were not significantly different between the RTS and GAP scores (p = 0.373).Conclusion: RTS appears to be a better early predictor for mortality (within 48 hours of admission) than the GAP score. The RTS was more effective in directing the triage of patients which improved survival rates in head trauma patients.","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141795468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application of an Automatic Suction Device to a Patient with A Tracheostomy Tube in the General Ward: A Case Report 在普通病房为气管造口插管患者使用自动吸痰装置：病例报告

Journal of Acute Care Surgery Pub Date : 2024-07-31 DOI: 10.17479/jacs.2024.14.2.71

Sehyeon Yu, Hanyoung Lee, Jae-Myeong Lee

引用次数: 0

Small Hepatic Hemangioma Leading to Life-Threatening Bleeding Following Blunt Abdominal Trauma: A Case Report 腹部钝挫伤后导致危及生命出血的小肝血管瘤：病例报告

Journal of Acute Care Surgery Pub Date : 2023-11-30 DOI: 10.17479/jacs.2023.13.3.134

Rumi Nakabayashi, Y. Miyachi, Minami Torai, K. Mitsuoka, Gen Shimada, Toshimi Kaido

引用次数: 0

Ruptured Splenic Abscess with Pneumoperitoneum: A Rare Presentation 伴有腹腔积气的脾脓肿破裂：罕见病例

Journal of Acute Care Surgery Pub Date : 2023-11-30 DOI: 10.17479/jacs.2023.13.3.138

Gurleen Kaur, Tanya Singh, S. Goyal, Robin Kaushik, Simrandeep Singh

引用次数: 0

Characteristics and Risk Factors for Delirium in The Surgical Step-Down Unit 外科降级病房谵妄的特征和风险因素

Journal of Acute Care Surgery Pub Date : 2023-11-30 DOI: 10.17479/jacs.2023.13.3.124

Soyeon Yoon, Jinjoo Kim, Yoon Jung An, Jeonghui Ok, Y. Jung

{"title":"Characteristics and Risk Factors for Delirium in The Surgical Step-Down Unit","authors":"Soyeon Yoon, Jinjoo Kim, Yoon Jung An, Jeonghui Ok, Y. Jung","doi":"10.17479/jacs.2023.13.3.124","DOIUrl":"https://doi.org/10.17479/jacs.2023.13.3.124","url":null,"abstract":"Purpose: This study aimed to investigate the incidence rate, types and risk factors for delirium in patients admitted to the surgical Step-Down Unit (SDU).Methods: This study was a retrospective study of the electronic medical records of patients admitted to a surgical SDU from February 2020 to July 2020. The delirium assessment was conducted using the short Confusion Assessment Method (a tool that allows quick and easy screening of delirium) and the incidence and risk factors for delirium were determined.Results: Among a total of 227 patients in the study, the incidence rate of delirium was 35 cases (16.7%). It predominantly occurred on the first day (n = 16, 45.7%) and the second day of admission (n = 15, 42.8%). The peak occurrence of delirium was between 14:00 and 22:00 (n = 30, 85.7%). The most common type of delirium was hypoactive (n = 19, 54.3%). The results of multiple logistic regression analysis indicated that the factors influencing the occurrence of delirium in the surgical step down unit (SDU) were age, hypertension, stroke, white blood cell count, and the use of restraints.Conclusion: Considering the characteristics of high-risk groups for delirium in the surgical SDU, it is necessary to establish nursing practice guidelines to minimize delirium.","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139196594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0