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A Novel Skin Incision for Posterior Fossa Midline and Paramedian Lesions: A Technical Note and Case Series. 后窝中线和侧线病变的新型皮肤切口:技术说明和病例系列。
Bulletin of emergency and trauma Pub Date : 2024-01-01 DOI: 10.30476/BEAT.2023.100324.1465
Mohammad Sadegh Masoudi, Sina Zoghi, Reza Taheri, Adrina Habibzadeh, Ali Ansari
{"title":"A Novel Skin Incision for Posterior Fossa Midline and Paramedian Lesions: A Technical Note and Case Series.","authors":"Mohammad Sadegh Masoudi, Sina Zoghi, Reza Taheri, Adrina Habibzadeh, Ali Ansari","doi":"10.30476/BEAT.2023.100324.1465","DOIUrl":"https://doi.org/10.30476/BEAT.2023.100324.1465","url":null,"abstract":"<p><p>Approaching posterior fossa pathologies is fairly challenging. Poor exposure, cerebrospinal fluid (CSF) leak following surgery, post-operative suboccipital and neck pain, as well as wound healing are all common complications following traditional suboccipital midline incision. Herein, we present a novel incision for approaching posterior fossa pathologies. The incision is shaped like a question mark and makes a musculofascial flap supplied by the occipital artery on top as well as a wide area for craniotomy. In our technique, the dura is also incised in a question mark-shaped manner. The new incision was used to operate on three patients who had masses in the posterior fossa. Following surgeries, none of the patients experienced any adverse events such as CSF leak, wound complications, severe suboccipital pain, and neck instability. This new incision not only facilitates approaching pathologies in the posterior fossa by providing wider exposure but also enables us to perform watertight dural closure, which reduces CSF leak. Furthermore, as the muscular incision provides a sufficient area for craniotomy, muscular retraction can be minimized to reduce post-operative pain. Moreover, unlike the midline avascular incision, the flap is well supplied by the occipital artery, which facilitates the healing procedure.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhancing Cardiopulmonary Resuscitation Training Through Virtual Reality Technology: Assessing Efficiency and Impact. 通过虚拟现实技术加强心肺复苏培训:评估效率和影响。
Bulletin of emergency and trauma Pub Date : 2024-01-01 DOI: 10.30476/beat.2024.101899.1498
Payam Emami, Mahsa Boozari Pour
{"title":"Enhancing Cardiopulmonary Resuscitation Training Through Virtual Reality Technology: Assessing Efficiency and Impact.","authors":"Payam Emami, Mahsa Boozari Pour","doi":"10.30476/beat.2024.101899.1498","DOIUrl":"10.30476/beat.2024.101899.1498","url":null,"abstract":"","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Impact of COVID-19 on Trauma Emergency Patients in Southeastern Iran. COVID-19 对伊朗东南部创伤急诊患者的影响。
Bulletin of emergency and trauma Pub Date : 2024-01-01 DOI: 10.30476/BEAT.2024.101960.1500
Milad Ahmadi Gohari, Ali Akbar Haghdoost, Mehdi Ahmadinejad, Mohammadreza Balooch Hasankhani, Hossein Mirzaei, Yunes Jahani
{"title":"The Impact of COVID-19 on Trauma Emergency Patients in Southeastern Iran.","authors":"Milad Ahmadi Gohari, Ali Akbar Haghdoost, Mehdi Ahmadinejad, Mohammadreza Balooch Hasankhani, Hossein Mirzaei, Yunes Jahani","doi":"10.30476/BEAT.2024.101960.1500","DOIUrl":"10.30476/BEAT.2024.101960.1500","url":null,"abstract":"<p><strong>Objective: </strong>With the COVID-19 outbreak in countries around the world, the countries' healthcare systems underwent an unprecedented shock. This study aimed to examine the resilience of the medical service delivery system in providing emergency services during the Covid-19 pandemic.</p><p><strong>Methods: </strong>This study was conducted in a reference hospital in Kerman that provided emergency services to trauma patients. It compared service delivery before and after COVID-19, as well as during the COVID-19 peak and non-peak periods. The compared variables were the number of trauma patients admitted to the hospital and the ICU, the number of patients who died in the hospital due to trauma, and the length of stay in the hospital and the ICU.</p><p><strong>Results: </strong>The pre- and post-COVID-19 comparisons showed no significant difference in the number of daily hospital admissions, ICU admissions, and patient deaths. The median length of stay in the ICU was significantly reduced by almost 2 days during the COVID-19 outbreak. However, the length of stay at the hospital was almost the same. Furthermore, a comparison of the COVID-19 peaks and non-peak periods indicated no statistically significant difference in the number of admissions in the ICU, hospital and ICU length of stay, and trauma-induced mortality.</p><p><strong>Conclusion: </strong>Despite the substantial workload imposed by COVID-19 on hospitals, especially during the peak periods of the disease, the provision of medical services to emergency trauma patients did not drop significantly, and the quality of services provided to patients was within the acceptable range.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Epidemiological Investigation on Patients with Non-traumatic Subarachnoid Hemorrhage from 2010 to 2020. 2010 至 2020 年非创伤性蛛网膜下腔出血患者的流行病学调查。
Bulletin of emergency and trauma Pub Date : 2024-01-01 DOI: 10.30476/BEAT.2024.101708.1495
Seyed Reza Ahmadi Koupaei, Maliheh Ziaee, Humain Baharvahdat, Zahra Ahmadi, Morteza Talebi Deluee, Behrang Rezvani Kakhki, Mohammad Salehi Kareshk, Elnaz Vafadar Moradi
{"title":"An Epidemiological Investigation on Patients with Non-traumatic Subarachnoid Hemorrhage from 2010 to 2020.","authors":"Seyed Reza Ahmadi Koupaei, Maliheh Ziaee, Humain Baharvahdat, Zahra Ahmadi, Morteza Talebi Deluee, Behrang Rezvani Kakhki, Mohammad Salehi Kareshk, Elnaz Vafadar Moradi","doi":"10.30476/BEAT.2024.101708.1495","DOIUrl":"https://doi.org/10.30476/BEAT.2024.101708.1495","url":null,"abstract":"<p><strong>Objective: </strong>Subarachnoid hemorrhage (SAH) is still considered a life-threatening medical condition with a high mortality rate, particularly in developing countries. Thus, the present study aimed to investigate the angiographic findings of non-traumatic or spontaneous SAH.</p><p><strong>Methods: </strong>This retrospective cohort study included 642 health records of patients with non-traumatic SAH over a 10-year period, from 2010 to 2020. The required data, including demographic information, aneurysm type, size, location, disease severity classification, and secondary complications, were extracted.</p><p><strong>Results: </strong>The study included 642 patients, with 262 (40.8%) being male. The mean age of the participants was 54.72±13.51 years. The most prevalent type of aneurysm was saccular (89.1%), while serpentine (0.2%) and dissecting saccular (0.2%) aneurysms had the least prevalence. The most frequently involved arteries were the anterior communicating artery (ACoA; 38%), internal carotid artery (ICA; 27.6%), and middle cerebral artery (MCA; 13.4%). There was a significant correlation between sex and aneurysms occurring at ACoA and ICA (<i>p</i>< 0.0001), and ACoA - A1 (<i>p=</i>0.02). Patient age and sex were also significantly correlated with one another (<i>p</i><0.0001). There was no statistically significant correlation between sex, aneurysm size, Glasgow coma scale (GCS), and modified Rankin scale (MRS).</p><p><strong>Conclusion: </strong>Based on our findings, the presence of aneurysms at ACoA, ACoA - A1, and ICA should be thoroughly ruled out in patients with severe headaches of sudden onset, particularly male patients of younger ages.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative Clinical Assessment and Risk Stratification of COVID-19 and Influenza Infections in Adults and Children: A Comprehensive Systematic Review and Meta-Analysis. COVID-19 与成人和儿童流感感染的临床评估和风险分层比较:全面系统回顾与元分析》。
Bulletin of emergency and trauma Pub Date : 2024-01-01 DOI: 10.30476/BEAT.2024.102205.1504
Eman E Shaban, Yavuz Yigit, Mohamed Elgassim, Ahmed Shaban, Amira Shaban, Amin Ameen, Mohamed Abdurabu, Hany A Zaki
{"title":"Comparative Clinical Assessment and Risk Stratification of COVID-19 and Influenza Infections in Adults and Children: A Comprehensive Systematic Review and Meta-Analysis.","authors":"Eman E Shaban, Yavuz Yigit, Mohamed Elgassim, Ahmed Shaban, Amira Shaban, Amin Ameen, Mohamed Abdurabu, Hany A Zaki","doi":"10.30476/BEAT.2024.102205.1504","DOIUrl":"10.30476/BEAT.2024.102205.1504","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the clinical risks and outcomes of COVID-19 and influenza.</p><p><strong>Methods: </strong>The search for relevant articles was conducted using both a database search method and a manual search, which involved searching through the reference lists of articles related to the topic for additional studies. The Quality assessment was carried out using the Newcastle Ottawa tool, and the data analysis was conducted using the Review Manager Software (RevMan 5.4.1).</p><p><strong>Results: </strong>The meta-analysis results indicated that COVID-19 patients had similar lengths of hospital stays (SMD: -0.25; 95% CI: -0.60-0.11; <i>p</i>=0.17). However, COVID-19 patients had significantly higher mortality rates (RR: 0.28; 95% CI: 0.21-0.37; <i>p</i><0.0001), in-hospital complications (RR: 0.57; 95% CI: 0.50-0.65; <i>p</i><0.00001), intensive care unit (ICU) admissions (OR: 0.48; 95% CI: 0.37-0.61; <i>p</i><0.00001), length of ICU stay (SMD: -0.45; 95% CI: -0.83-0.06; <i>p</i>=0.02), and mechanical ventilation use (OR: 0.36; 95% CI: 0.28-0.46; <i>p</i><0.00001).</p><p><strong>Conclusion: </strong>The findings suggested that COVID-19 was more severe than influenza. Therefore, \"flu-like\" symptoms should not be dismissed without a clear diagnosis, especially during the winter when influenza is more prevalent.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pattern of Traumatic Injuries in Patients with Tramadol Poisoning: A Cross-Sectional Study in a Tertiary Care Hospital. 曲马多中毒患者的外伤模式:一家三甲医院的横断面研究。
Bulletin of emergency and trauma Pub Date : 2024-01-01 DOI: 10.30476/BEAT.2024.101078.1484
Seyed Mostafa Mirakbari, Amir Mohammad Kazemifar, Abbas Allami, Ameneh Barikani
{"title":"Pattern of Traumatic Injuries in Patients with Tramadol Poisoning: A Cross-Sectional Study in a Tertiary Care Hospital.","authors":"Seyed Mostafa Mirakbari, Amir Mohammad Kazemifar, Abbas Allami, Ameneh Barikani","doi":"10.30476/BEAT.2024.101078.1484","DOIUrl":"https://doi.org/10.30476/BEAT.2024.101078.1484","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the incidence and pattern of tramadol-induced seizures and injuries in patients admitted to the hospital.</p><p><strong>Methods: </strong>The cross-sectional study included 300 patients with alleged tramadol intoxication. Demographic information, tramadol dosage and duration of abuse, co-existing illicit drug abuse, hospital stay length, and occurrence of seizures and trauma (type and site of injuries) were collected. Different statistical tests, including the Mann-Whitney U-test, Pearson's Chi-square test, and Student's t-test, were conducted to compare the patients with and without seizures, trauma, and co-ingestion of illicit drugs. The analysis was performed using SPSS software (version 21.0). A <i>p</i> value of less than 0.05 was considered statistically significant.</p><p><strong>Results: </strong>The average patient's age was 24.66±5.64 years, with males comprising 84.3% of the sample. The mean tramadol dose and duration of abuse were 1339.3±1310.2 mg and 2.43±1.35 years, respectively. Seizures were observed in 66% of patients, with men having a higher incidence (69.6% vs. 46.8%; <i>p</i>=0.004). Trauma was reported in 23% of patients, accounting for 35.4% of seizure cases. All trauma patients had experienced seizures, with the head and neck being the most prevalent injury sites (55.1%), typically presenting as abrasions (55.9%). Patients with seizures and trauma had an average hospital stay of 1.73±0.94 days, which was significantly longer.</p><p><strong>Conclusion: </strong>Trauma occurs in more than one-third of tramadol-induced seizures, highlighting the need to perform physical examinations to detect and localize injuries. Tramadol-associated traumas prolonged hospitalization times and thus required prompt attention to prevent further injuries during pre-hospital handling and transferring to hospitals.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Economic Burden of Trauma-Related Injuries in Iran in 2019. 2019 年伊朗与创伤相关的经济负担。
Bulletin of emergency and trauma Pub Date : 2024-01-01 DOI: 10.30476/beat.2024.102266.1507
Pirhossein Kolivand, Peyman Saberian, Peyman Namdar, Fereshte Karimi, Soheila Rajaie, Mehdi Raadabadi, Samad Azari
{"title":"Economic Burden of Trauma-Related Injuries in Iran in 2019.","authors":"Pirhossein Kolivand, Peyman Saberian, Peyman Namdar, Fereshte Karimi, Soheila Rajaie, Mehdi Raadabadi, Samad Azari","doi":"10.30476/beat.2024.102266.1507","DOIUrl":"10.30476/beat.2024.102266.1507","url":null,"abstract":"<p><strong>Objective: </strong>Trauma-related injuries are the leading cause of death and disability in the active population, with devastating economic, health, and social consequences for nations. TThis study aimed to assess the economic burden of injuries in Iran.</p><p><strong>Methods: </strong>In this study, the economic impact of trauma in Iran in 2019 was estimated using a prevalence-based approach. The prevalence was estimated based on available statistics in Iran and the GBD website. Direct medical expenditures were calculated using a top-down approach. The cost of lost production due to injuries and premature death was also estimated using the DALY value. Microsoft Excel 2019 and Stata software version 13.0 were used for the analysis.</p><p><strong>Results: </strong>In Iran, approximately 16,500,000 individuals were estimated to have sustained injuries in a single year. The average direct medical expenses for each trauma patient were around $226. Fractures contributed to 39% of the financial impact of trauma. The overall economic burden of trauma in Iran was calculated to be $10,214,403,423. Approximately 66% of this economic burden was attributed to lost productivity and premature death resulting from trauma, while direct medical costs made up 34%.</p><p><strong>Conclusion: </strong>The economic burden of trauma in Iran is expected to significantly rise in the future. It may be necessary to enhance awareness of injury-related mortality and disability, improve therapies, and expand evidence-based interventions to reduce the economic impact of injuries.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Oropharyngeal Stimulation during Laryngeal Mask Insertion on Cardiovascular Response in adult patients. A Double-blind Clinical Trial Study. 喉罩插入时口咽刺激对成年患者心血管反应的影响。双盲临床试验研究。
Bulletin of emergency and trauma Pub Date : 2024-01-01 DOI: 10.30476/BEAT.2024.101902.1499
Hamidreza Shetabi, Zahra Naserzadeh
{"title":"Impact of Oropharyngeal Stimulation during Laryngeal Mask Insertion on Cardiovascular Response in adult patients. A Double-blind Clinical Trial Study.","authors":"Hamidreza Shetabi, Zahra Naserzadeh","doi":"10.30476/BEAT.2024.101902.1499","DOIUrl":"10.30476/BEAT.2024.101902.1499","url":null,"abstract":"<p><strong>Objective: </strong>Laryngeal mask airway (LMA) insertion has been found to reduce cardiovascular responses when compared to laryngoscopy and intubation. This research aimed to examine the impact of various techniques employed for LMA insertion on cardiovascular response.</p><p><strong>Methods: </strong>This randomized, double-blind clinical trial included 90 elective surgery candidates divided into three groups of 30. All patients underwent similar anesthesia. The LMA was inserted using the classical technique, 180° rotation technique, and face-to-face triple maneuver technique (FFTMT). The cardiovascular responses, the success rate of LMA placement, and other outcomes were documented and compared among the three methods.</p><p><strong>Results: </strong>The study revealed that the blood pressure of patients 10 minutes after LMA insertion using the rotational technique was higher than the standard technique (<i>p</i>=0.019). The pulse rate in the third (<i>p</i>=0.044, <i>p</i>=0.024) and fifth minutes (<i>p</i>=0.028, <i>p</i>=0.048) following the insertion of LMA demonstrated higher values when utilizing the FFTMT than the standard and rotational technique groups, respectively. Moreover, the incidence of sore throat following surgery in the FTFTM group was slightly greater than that observed with the standard and rotation techniques (<i>p</i>=0.389 and <i>p</i>=0.688, respectively).</p><p><strong>Conclusion: </strong>The findings of the present investigation indicated that implementing the classic technique for LMA placement resulted in a more consistent blood pressure (BP) and pulse rate (PR) response than the 180° rotation and FFTMT. Furthermore, the classical method exhibited a marginally lower success rate in terms of LMA insertion than the alternative methods.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Intranasal Remifentanil versus Lidocaine on Facilitation of Laryngeal Mask Airway Insertion and Cardiovascular Response: A Double-blind Clinical Trial Study. 鼻内瑞芬太尼与利多卡因对喉罩气道插入和心血管反应的促进作用:一项双盲临床试验研究。
Bulletin of emergency and trauma Pub Date : 2024-01-01 DOI: 10.30476/BEAT.2024.100861.1480
Hamidreza Shetabi, Hossein Mahjobipoor, Mona Bahmani
{"title":"Effect of Intranasal Remifentanil versus Lidocaine on Facilitation of Laryngeal Mask Airway Insertion and Cardiovascular Response: A Double-blind Clinical Trial Study.","authors":"Hamidreza Shetabi, Hossein Mahjobipoor, Mona Bahmani","doi":"10.30476/BEAT.2024.100861.1480","DOIUrl":"https://doi.org/10.30476/BEAT.2024.100861.1480","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess and compare the effects of intranasal administration of lidocaine and remifentanil on the condition of LMA insertion and cardiovascular response.</p><p><strong>Methods: </strong>From March 2019 to March 2020, this double-blind randomized clinical trial study was conducted on 60 patients, who underwent general anesthesia with LMA insertion at Faiz Hospital, Isfahan, Iran. After induction of anesthesia and before placing the laryngeal mask, the first group received remifentanil 1 μg/Kg, the second group received lidocaine 2% 1 mg/Kg, and the third group received normal saline with the same volume intranasally. The conditions of LMA insertion and hemodynamic changes that occurred during its insertion were investigated.</p><p><strong>Results: </strong>In terms of demographics characteristics (<i>p</i>>0.05), success in placing the LMA on the first try (<i>p</i>=0.73), number of attempts to insert LMA (<i>p</i>=0.61), performance of LMA (<i>p</i>=0.73), need for additional propofol (<i>p</i>=0.53), frequency of gagging (<i>p</i>=0.53), cough (<i>p</i>=0.15) p), and laryngospasm (<i>p</i>=0.99) did not differ significantly. In the remifentanil group, the cardiovascular response to LMA injection was less than that of the lidocaine group. Moreover, both groups were lower than the saline group, but no significant difference was observed.</p><p><strong>Conclusion: </strong>In facilitating LMA insertion, the effect of intranasal remifentanil was comparable to intranasal lidocaine. Intranasal remifentanil was somewhat more effective than intranasal lidocaine in weakening the cardiovascular response to LMA insertion, but it did not outperform lidocaine.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Demographic Assessment of Burn Injuries in Iranian Patients. 伊朗烧伤患者的人口学评估
Bulletin of emergency and trauma Pub Date : 2024-01-01 DOI: 10.30476/BEAT.2024.99775.1456
Mehran Kouchek, Kamran Aghakhani, Mostafa Dahmardehei, Azadeh Memarian
{"title":"Demographic Assessment of Burn Injuries in Iranian Patients.","authors":"Mehran Kouchek, Kamran Aghakhani, Mostafa Dahmardehei, Azadeh Memarian","doi":"10.30476/BEAT.2024.99775.1456","DOIUrl":"https://doi.org/10.30476/BEAT.2024.99775.1456","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the demographic characteristics and factors influencing burn injuries, primarily in low socioeconomic societies where such incidents are prevalent due to factors such as illiteracy and poverty.</p><p><strong>Methods: </strong>This cross-sectional study included all burn patients admitted to Shahid Motahari Hospital in Tehran, Iran. Demographic data such as age, sex, occupation, education level, and residence as well as detailed information about the burn incidents such as date, time, location, number of people present at the scene, and referral place was collected. Additionally, comprehensive burn details such as cause, extent, severity, previous history, and need for hospitalization directly at the emergency department were documented.</p><p><strong>Results: </strong>The study included 2213 patients (mean age 34.98±19.41 years; range 1-96), with a men predominance (60.6%). The majority of burns (64.4%) occurred at home, primarily due to accidents (99.6%), with boiling water being the most common cause (39.2%). The most frequent burns were second-degree burns (91.8%), with an average injured body area of 6.31±6.67%. There were significant correlations between burn severity and demographic factors such as age, sex, occupation, cause of burn, hospital admission, outcome, and length of stay. Remarkably, the extent of burns was negatively correlated with the distance to the hospital, while positively correlated with the length of hospital stay.</p><p><strong>Conclusion: </strong>Burn injuries were significantly influenced by demographic factors. Enhancing treatment facilities and reducing the time and distance to medical care could be crucial in high-risk cases.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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