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Journal of Acute Care Surgery最新文献

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Spectrum, Management, and Outcomes of Abdominal Surgical Emergencies at a Referral Hospital in North West Cameroon 喀麦隆西北部一家转诊医院腹部外科急诊的频谱、管理和结果
Journal of Acute Care Surgery Pub Date : 2023-03-31 DOI: 10.17479/jacs.2023.13.1.1
Ngwa Ebogo Tagang Titus, Ntih Mariette Liekeh, Ngock Farra Fola George, Sama Akayun, Sena Guylaine Rosine, Nzinga Joy Richie, Nchufor Roland Ndouh, Pisoh Tangnyin Christopher
{"title":"Spectrum, Management, and Outcomes of Abdominal Surgical Emergencies at a Referral Hospital in North West Cameroon","authors":"Ngwa Ebogo Tagang Titus, Ntih Mariette Liekeh, Ngock Farra Fola George, Sama Akayun, Sena Guylaine Rosine, Nzinga Joy Richie, Nchufor Roland Ndouh, Pisoh Tangnyin Christopher","doi":"10.17479/jacs.2023.13.1.1","DOIUrl":"https://doi.org/10.17479/jacs.2023.13.1.1","url":null,"abstract":"Purpose: Abdominal surgical emergencies are a major health burden in low- and middle-income countries where management is often very challenging, and associated with high morbidity and mortality. The spectrum, management, and outcomes of abdominal surgical emergencies needs to be updated.Methods: This was a hospital-based retrospective cross-sectional study carried out in Bamenda, Cameroon over a 2-year period. Records of patients who met the inclusion criteria were reviewed, with pre-, intra- and postoperative data collected and analyzed.Results: There were 207 patients included in this retrospective review (male to female ratio of 1.4:1. The mean age was 47.4 (± 19.4) years. Intestinal obstruction (34.8%) and perforated peptic ulcers (15.5%) were the most common abdominal surgical emergencies. The median delay and interquartile range to presentation and in-hospital delay were 6 (4) days and 8 (12) hours, respectively. The mean length of hospital stay post-surgery was 11days. There were 48.3% of patients who developed a complication; 34.78% were major, 17.9% had an unplanned reoperation, and 15 (7.2%) were readmitted after discharge. The 30-day in hospital mortality was 19.8%. Mortality was independently associated with a high American Society of Anesthesiologists (ASA) score; ASA score > 3, age > 60 years, and referral from other health facilities.Conclusion: Intestinal obstructions from intraperitoneal neoplasm is the most common cause of abdominal surgical emergency in North West Cameroon. Abdominal emergencies here are associated with a very high morbidity and mortality in males > 60 years with an ASA score > 3 and with more than one comorbidity.","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":"42435958","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
Delayed Chylothorax Following Blunt Chest Trauma Treated with Repeated Lymphangiography: A Case Presentation 反复淋巴管造影治疗钝性胸外伤后迟发性乳糜胸1例
Journal of Acute Care Surgery Pub Date : 2023-03-31 DOI: 10.17479/jacs.2023.13.1.39
Gayoung Kim, Dongsub Noh, Bong Man Kim, Yoonjung Heo
{"title":"Delayed Chylothorax Following Blunt Chest Trauma Treated with Repeated Lymphangiography: A Case Presentation","authors":"Gayoung Kim, Dongsub Noh, Bong Man Kim, Yoonjung Heo","doi":"10.17479/jacs.2023.13.1.39","DOIUrl":"https://doi.org/10.17479/jacs.2023.13.1.39","url":null,"abstract":"Chylothorax is mostly iatrogenic, with blunt chest trauma being a rare cause. Treatment depends on the volume of drainage. Specifically, conservative treatment, such as total parenteral nutrition and pleural drainage, is performed in cases of low daily output (< 500 mL/day). Patients with persistent chylothorax despite medical treatment or with high daily output (> 1-1.5 L/day) are candidates for surgical or radiological intervention. We present a case of delayed-onset chylothorax after blunt trauma caused by thoracic spine fractures, in which persistent chylothorax was successfully managed with repeated lymphangiography with lipiodol when other treatment modalities failed. The case is peculiar in that the chylothorax occurred 40 days after the initial traumatic event and was treated with lipiodol injection, despite maintaining moderate to high daily output.","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":"46648394","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
Acute Viral Encephalitis in Adults 成人急性病毒性脑炎
Journal of Acute Care Surgery Pub Date : 2022-12-31 DOI: 10.5005/jp-journals-10089-0024
Shiv Kumar, Sarath Kumar, Darshan U Siddappa
{"title":"Acute Viral Encephalitis in Adults","authors":"Shiv Kumar, Sarath Kumar, Darshan U Siddappa","doi":"10.5005/jp-journals-10089-0024","DOIUrl":"https://doi.org/10.5005/jp-journals-10089-0024","url":null,"abstract":"","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83582709","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
Echocardiography in Intensive Care Unit: Do We Need a Certification Program? 重症监护病房的超声心动图:我们需要认证计划吗?
Journal of Acute Care Surgery Pub Date : 2022-12-31 DOI: 10.5005/jp-journals-10089-0033
P. Rangappa, R. Shetty, A. Alva, M. Kanchi, A. Ajith Kumar
{"title":"Echocardiography in Intensive Care Unit: Do We Need a Certification Program?","authors":"P. Rangappa, R. Shetty, A. Alva, M. Kanchi, A. Ajith Kumar","doi":"10.5005/jp-journals-10089-0033","DOIUrl":"https://doi.org/10.5005/jp-journals-10089-0033","url":null,"abstract":"","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75347243","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
Boerhaave's Syndrome: A Case of Delayed Presentation with Fatal Outcome 布尔哈夫综合征:一例迟发性表现与致命结局
Journal of Acute Care Surgery Pub Date : 2022-12-31 DOI: 10.5005/jp-journals-10089-0023
Mahesha Padyana, A. Ajith Kumar, Sarath Kumar
{"title":"Boerhaave's Syndrome: A Case of Delayed Presentation with Fatal Outcome","authors":"Mahesha Padyana, A. Ajith Kumar, Sarath Kumar","doi":"10.5005/jp-journals-10089-0023","DOIUrl":"https://doi.org/10.5005/jp-journals-10089-0023","url":null,"abstract":"","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90776169","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
Femoral Venous Doppler: A Marker of Venous Congestion 股静脉多普勒:静脉充血的标志
Journal of Acute Care Surgery Pub Date : 2022-12-31 DOI: 10.5005/jp-journals-10089-0034
V. Bhardwaj
{"title":"Femoral Venous Doppler: A Marker of Venous Congestion","authors":"V. Bhardwaj","doi":"10.5005/jp-journals-10089-0034","DOIUrl":"https://doi.org/10.5005/jp-journals-10089-0034","url":null,"abstract":"","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90881677","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
Outcome of Septic Shock Patients treated with Vitamin C and Thiamine: A Prospective Cohort Study 用维生素C和硫胺素治疗感染性休克患者的预后:一项前瞻性队列研究
Journal of Acute Care Surgery Pub Date : 2022-12-31 DOI: 10.5005/jp-journals-10089-0031
P. Rangappa, Karthik Rao, I. Jacob, Marutheesh Mallappa, S. S. Reddy, Sarika Kunwar
{"title":"Outcome of Septic Shock Patients treated with Vitamin C and Thiamine: A Prospective Cohort Study","authors":"P. Rangappa, Karthik Rao, I. Jacob, Marutheesh Mallappa, S. S. Reddy, Sarika Kunwar","doi":"10.5005/jp-journals-10089-0031","DOIUrl":"https://doi.org/10.5005/jp-journals-10089-0031","url":null,"abstract":"","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80452972","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
Balanced Salt Solution in Type-2 Diabetes Mellitus undergoing Off-pump Coronary Artery Bypass Grafting: Ringer Lactate vs Plasmalyte® 平衡盐溶液在2型糖尿病非体外循环冠状动脉搭桥术中的应用:乳酸林格与Plasmalyte®
Journal of Acute Care Surgery Pub Date : 2022-12-31 DOI: 10.5005/jp-journals-10089-0020
Kedar Bangal, Sriram Korukonda, C. R. Sampath K, Raghu Bheemiah
{"title":"Balanced Salt Solution in Type-2 Diabetes Mellitus undergoing Off-pump Coronary Artery Bypass Grafting: Ringer Lactate vs Plasmalyte®","authors":"Kedar Bangal, Sriram Korukonda, C. R. Sampath K, Raghu Bheemiah","doi":"10.5005/jp-journals-10089-0020","DOIUrl":"https://doi.org/10.5005/jp-journals-10089-0020","url":null,"abstract":"","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90318964","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
Oxygen Targets in Critically Ill Patients: Let's be Cautiously Liberal 危重病人的氧靶:让我们谨慎开放
Journal of Acute Care Surgery Pub Date : 2022-12-31 DOI: 10.5005/jp-journals-10089-0026
N. Prabu
{"title":"Oxygen Targets in Critically Ill Patients: Let's be Cautiously Liberal","authors":"N. Prabu","doi":"10.5005/jp-journals-10089-0026","DOIUrl":"https://doi.org/10.5005/jp-journals-10089-0026","url":null,"abstract":"","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77044554","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
Pioneers of Organ and Tissue Transplantation 器官和组织移植的先驱
Journal of Acute Care Surgery Pub Date : 2022-12-31 DOI: 10.5005/jp-journals-10089-0032
P. Rangappa
{"title":"Pioneers of Organ and Tissue Transplantation","authors":"P. Rangappa","doi":"10.5005/jp-journals-10089-0032","DOIUrl":"https://doi.org/10.5005/jp-journals-10089-0032","url":null,"abstract":"","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90022237","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
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