Journal of Acute Care Surgery最新文献_第6页

A Case Report of Necrotic Lung Abscess due to Nocardia Otitidiscaviarum 中耳诺卡菌致坏死性肺脓肿1例

Journal of Acute Care Surgery Pub Date : 2023-05-03 DOI: 10.5005/jp-journals-10089-0037

R. Adhikary, J. A. Gopaldas, O. Tisekar, K. Ajith, Rajeev C Mathews

引用次数: 0

Glimmer of Hope in the Trends of Antimicrobial Resistance 抗菌素耐药性趋势的一线希望

Journal of Acute Care Surgery Pub Date : 2023-05-03 DOI: 10.5005/jp-journals-10089-0052

Rajeev Kumar, S. Nath, Nandhini Nachimuthu

引用次数: 0

Appropriateness of Antibiotics in Sepsis Patients at a Tertiary Referral ICU 三级转诊ICU脓毒症患者抗生素的适宜性

Journal of Acute Care Surgery Pub Date : 2023-05-03 DOI: 10.5005/jp-journals-10089-0057

P. Rangappa, Karthik Rao, I. Jacob

引用次数: 0

Squeeze the Pipes in Septic Shock 感染性休克时挤压管道

Journal of Acute Care Surgery Pub Date : 2023-05-03 DOI: 10.5005/jp-journals-10089-0051

N. Tyagi

引用次数: 0

Appendicitis – Is a Clinical Diagnosis Enough? 阑尾炎——临床诊断足够吗？

Journal of Acute Care Surgery Pub Date : 2023-03-31 DOI: 10.17479/jacs.2023.13.1.32

Caren D’Souza, Supriya Pinto, Midhun Kumar

引用次数: 0

Characteristics and Clinical Outcomes of Elderly Patients with Trauma Treated in a Local Trauma Center 老年创伤患者在地方创伤中心治疗的特点和临床结果

Journal of Acute Care Surgery Pub Date : 2023-03-31 DOI: 10.17479/jacs.2023.13.1.13

K. Park, Geonjae Cho, Sung-Bae Lee, K. Lee, J. Jang

{"title":"Characteristics and Clinical Outcomes of Elderly Patients with Trauma Treated in a Local Trauma Center","authors":"K. Park, Geonjae Cho, Sung-Bae Lee, K. Lee, J. Jang","doi":"10.17479/jacs.2023.13.1.13","DOIUrl":"https://doi.org/10.17479/jacs.2023.13.1.13","url":null,"abstract":"Purpose: This study aimed to investigate the characteristics of elderly patients who visited a non-regional trauma center to examine the effects of old age on the clinical outcomes of patients.Methods: The medical charts of 159 patients with trauma who visited the National Health Insurance Service Ilsan Hospital between March 2020 and February 2022 were retrospectively analyzed.Results: Of the 159 patients, 41 were assigned to the elderly patient group (EPG) and 118 were assigned to the non-elderly patient group (NEPG). The average age of patients in each group was 75.5 and 38.2 years in the EPG and the NEPG, respectively. Comparing the injury mechanism between the two groups, pedestrian traffic accidents (TA) were the most common (24.4%), followed by slipping (19.5%), motorcycle TA, and bicycle TA (14.6%) in EPG. In the NEPG, motorcycle TA (28.0%) was the most common, followed by car TA (27.1%), and fall injury (16.9%), with a significant difference between the two groups (p < 0.001). The significant differences between the two groups were the injury severity score (ISS; p = 0.004), severe trauma (p = 0.045), intensive care unit admission (p = 0.028), emergency operation (p = 0.034), and mortality (p = 0.013). The statistically significant risk factors for mortality were old age (p = 0.024) and chest injury (p = 0.013).Conclusion: Patients in the EPG compared with the NEPG group showed different injury mechanisms. The EPG has a higher severity and mortality rate than the NEPG.","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47277441","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

Rouviere’s Sulcus: A Guide to Safe Laparoscopic Cholecystectomy 鲁维埃沟:安全腹腔镜胆囊切除术指南

Journal of Acute Care Surgery Pub Date : 2023-03-31 DOI: 10.17479/jacs.2023.13.1.10

R. Pathak, L. Mittal, G. M. Chouhan, A. Tripathi

{"title":"Rouviere’s Sulcus: A Guide to Safe Laparoscopic Cholecystectomy","authors":"R. Pathak, L. Mittal, G. M. Chouhan, A. Tripathi","doi":"10.17479/jacs.2023.13.1.10","DOIUrl":"https://doi.org/10.17479/jacs.2023.13.1.10","url":null,"abstract":"Purpose: Rouviere’s sulcus (RS) serves as an important anatomical landmark to avoid bile duct injuries during a laparoscopic cholecystectomy. However, there is significant paucity in literature regarding its surgical importance during laparoscopic surgeries. The aim of this study was to identify cases where RS was identified before dissection of the Calot’s triangle.Methods: For this retrospective observational study, 500 patients who underwent a laparoscopic cholecystectomy at our hospital and who were operated on between September 2017 to August 2022 were reviewed. Identification of RS and its types were analyzed.Results: Among all 500 cases, RS was present in 465 (93%) cases whereas it was absent in only 35 (7%) cases. RS was present in different forms of cholelithiasis. Open, closed, slit like, and scar type of RS was found in 75.29%, 12.90%, 3.21%, and 8.20%, respectively. Identification of RS along with achieving a critical view of safety in antero-superior direction to RS resulted in no injury to the bile duct in all 465 cases.Conclusion: Identification of RS along with achieving a critical view of safety should be the aim in all laparoscopic cholecystectomy procedures. The RS is as an important landmark to reduce biliary tract injuries.","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47024671","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

Uncommon Mechanism of Mangled Extremity; Three Cases of Rope Entanglement Injury of the Lower Leg 肢体畸形的罕见机制研究下肢绳索缠绕伤3例分析

Journal of Acute Care Surgery Pub Date : 2023-03-31 DOI: 10.17479/jacs.2023.13.1.27

Minsu Noh, Kyuhyouck Kyoung, Sungjeep Kim, M. Keum, S. Choi, Kyoung Choi, Jihoon T. Kim

引用次数: 0

Management of Adult Blunt Renal Injury: A 10-Year Retrospective Review at a Single Institution 成人钝性肾损伤的处理:单一机构的10年回顾性回顾

Journal of Acute Care Surgery Pub Date : 2023-03-31 DOI: 10.17479/jacs.2023.13.1.21

Jin Soo Kim, Ki Hoon Kim, Se Hun Kim

{"title":"Management of Adult Blunt Renal Injury: A 10-Year Retrospective Review at a Single Institution","authors":"Jin Soo Kim, Ki Hoon Kim, Se Hun Kim","doi":"10.17479/jacs.2023.13.1.21","DOIUrl":"https://doi.org/10.17479/jacs.2023.13.1.21","url":null,"abstract":"Purpose: Renal injury occurs in up to 5% of trauma cases and the kidney is the third most wounded abdominal organ. The study objective was to analyze clinical characteristics of patients with blunt renal trauma and review the treatment of high-grade blunt renal injuries.Methods: The medical charts of trauma patients who visited Haeundae Paik Hospital between March 2010 and February 2020 were retrospectively analyzed. Data on demographics, injury patterns, clinical presentation, management, and outcomes were analyzed.Results: A total of 68 patients with renal trauma were included in this study. The most common renal injury was Grade III (n = 27, 39.7%). Falling was the predominant mechanism of injury (n = 33, 48.5%), and 23.5% (n = 16) of patients sustained isolated renal trauma. Organ damage related to kidney injury included chest injury (57.4%, n = 39) and abdominal or pelvic content injury (48.5%, n = 33). The overall mortality rate was 2.9% (n = 2). There were 45 cases of high-grade renal trauma (AAST Kidney injury scale Grade Ш-V). There was no statistical difference in the outcomes of high-grade (n = 44, 97.8%) and low-grade (n = 23, 100%) renal trauma patients who received nonoperative treatment (p = 0.511). Variables did not differ significantly, except for the injury severity score which was statistically significantly different between low-grade and high-grade renal trauma patients (p = 0.001).Conclusion: Most patients with traumatic renal injury, even those with high-grade injury, can be managed by nonoperative treatment, and have a good prognosis.","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135877559","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

Submandibular Injury Caused by the Close-Range Firing of a Military Blank Cartridge Shot 一枚军用空弹近距离射击致潜艇损伤

Journal of Acute Care Surgery Pub Date : 2023-03-31 DOI: 10.17479/jacs.2023.13.1.35

Hyo-Jin Kim, Donghyoun Lee, Kyu-Tae Lee

引用次数: 0