ORIGINAL_ARTICLE
Heart Rate Beat to Beat Variability of Trauma Patient in Neurogenic Shock State: Time to Introduce New Symptoms
https://beat.sums.ac.ir/article_44377_6e266caf4333df71fa68e024f3640f05.pdf
2017-07-01
141
142
heart rate
Trauma
Patient
Neurogenic Shock State
Shahram
Paydar
paydarsh@gmail.com
1
AUTHOR
Mohammad Yasin
Karami
2
LEAD_AUTHOR
Hosseinali
Khalili
3
AUTHOR
Maryam
Dehghankhalili
4
AUTHOR
Golnar
Sabetian
5
AUTHOR
Fariborz
Ghaffarpasand
fariborz.ghaffarpasand@gmail.com
6
AUTHOR
Chen PS, Chen LS, Fishbein MC, Lin SF, Nattel S. Role of the autonomic nervous system in atrial fibrillation: pathophysiology and therapy. Circ Res. 2014;114(9):1500-15.
1
Furlan JC, Fehlings MG. Cardiovascular complications after acute spinal cord injury: pathophysiology, diagnosis, and management. Neurosurg Focus. 2008;25:E13.
2
Bartholdy K, Biering-Sorensen T, Malmqvist L, Ballegaard M, Krassioukov A, Hansen B, et al. Cardiac arrhythmias the first month after acute traumatic spinal cord injury. J Spinal Cord Med. 2014;37:162-70.
3
Collins HL, Rodenbaugh DW, DiCarlo SE. Spinal cord injury alters cardiac electrophysiology and increases the susceptibility to ventricular arrhythmias. Prog Brain Res. 2006;152:275-88.
4
Leaf DA, Bahl RA, Adkins RH. Risk of cardiac dysrhythmias in chronic spinal cord injury patients. Paraplegia 1993;31:571-5.
5
Lehmann KG, Lane JG, Piepmeier JM, Batsford WP. Cardiovascular abnormalities accompanying acute spinal cord injury in humans: incidence, time course and severity. J Am Coll Cardiol. 1987;10:46-52.
6
Furlan JC, Verocai F, Palmares X, Fehlings MG. Electrocardiographic abnormalities in the early stage following traumatic spinal cord injury. Spinal Cord. 2016;54(10):872-7
7
Berger MJ, Hubli M, Krassioukov AV. Sympathetic skin responses and autonomic dysfunction in spinal cord injury. J Neurotrauma. 2014;31(18):1531-9.
8
Francis HM, Fisher A, Rushby JA, McDonald S. Reduced heart rate variability in chronic severe traumatic brain injury: Association with impaired emotional and social functioning, and potential for treatment using biofeedback. Neuropsychol Rehabil. 2016;26(1):103-25.
9
ORIGINAL_ARTICLE
Side Effects of Indomethacin in Refractory Post-traumatic Intracranial Hypertension: A comprehensive case study and review
Intracranial hypertension (IH) is one of the final pathways of acute brain injury. In severe traumatic brain injury (sTBI), it independently predicts poor outcomes. Its control represents a key aspect of the management. Lack of response to conventional therapies signals a state of ‘’refractory IH’’, with an associated mortality rate of 80-100%. In such cases, hypothermia, barbiturates at high doses (BBT), decompressive craniectomy (DC), and extreme hyperventilation are utilized. However, none of them has proven efficacy. Indomethacin (INDO), a non-steroidal anti-inflammatory drug, may be an option with an acceptable safety profile and easy to administer. Reported series showed encouraging results. We herein present a case of refractory IH after sTBI in which INDO was utilized. In refractory IH, INDO can help to decrease ICP and improve cerebral perfusion pressure. However, it requires administration under strict protocol since it’s not free of adverse effects after withdrawal.
https://beat.sums.ac.ir/article_44378_f7f653531638e83f2cb5c7f3b5f735f9.pdf
2017-07-01
143
151
Indomethacin
Traumatic brain injury (TBI)
Refractory intracranial hypertension
Cerebral blood flow
Rebound effect
Side effects
Daniel
Godoy
dagodoytorres@yahoo.com.ar
1
Intensive Care Unit, San Juan Bautista Hospital, Catamarca, Argentina
AUTHOR
Pablo
Guerrero Suarez
2
Neurosurgery Department, ISSEMyM Medical Center, Toluca, México
AUTHOR
Luis
Moscote-Salazar
mineurocirujano@aol.com
3
Clinica Universitaria de Puerto Montt
LEAD_AUTHOR
Mario
Di Napoli
4
5Neurological Service, San Camillo de’ Lellis General Hospital, Rieti, Italy
AUTHOR
Maas AI, Stocchetti N, Bullock R. Moderate and severe traumatic brain injury in adults. Lancet Neurol. 2008;7(8):728-41.
1
Guidelines for the management of severe traumatic brain injury. J Neurotrauma. 2007;24 Suppl 1:S1-106.
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Georgiou AP, Manara AR. Role of therapeutic hypothermia in improving outcome after traumatic brain injury: a systematic review. Br J Anaesth. 2013;110(3):357-67.
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33
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Jensen K, Freundlich M, Bunemann L, Therkelsen K, Hansen H, Cold GE. The effect of indomethacin upon cerebral blood flow in healthy volunteers. The influence of moderate hypoxia and hypercapnia. Acta Neurochir (Wien). 1993;124(2-4):114-9.
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Pickard J, Tamura A, Stewart M, McGeorge A, Fitch W. Prostacyclin, indomethacin and the cerebral circulation. Brain Res. 1980;197(2):425-31.
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Sader N, Zeiler FA, Gillman LM, West M, Kazina CJ. Indomethacin for control of ICP. Neurocrit Care. 2015;22(3):437-49.
39
Laroche M, Kutcher ME, Huang MC, Cohen MJ, Manley GT. Coagulopathy after traumatic brain injury. Neurosurgery. 2012;70(6):1334-45.
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Zhang J, Jiang R, Liu L, Watkins T, Zhang F, Dong JF. Traumatic brain injury-associated coagulopathy. J Neurotrauma. 2012;29(17):2597-605.
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Maegele M. Coagulopathy after traumatic brain injury: incidence, pathogenesis, and treatment options. Transfusion. 2013;53 Suppl 1:28S-37S.
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Taivainen T, Hiller A, Rosenberg PH, Neuvonen P. The effect of continuous intravenous indomethacin infusion on bleeding time and postoperative pain in patients undergoing emergency surgery of the lower extremities. Acta Anaesthesiol Scand. 1989;33(1):58-60.
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48
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49
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50
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Stocchetti N, Colombo A, Ortolano F, Videtta W, Marchesi R, Longhi L, et al. Time course of intracranial hypertension after traumatic brain injury. J Neurotrauma. 2007;24(8):1339-46.
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59
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Imberti R, Bellinzona G, Ilardi M, Bruzzone P, Pricca P. The use of indomethacin to treat acute rises of intracranial pressure and improve global cerebral perfusion in a child with head trauma. Acta Anaesthesiol Scand. 1997;41(4):536-40.
61
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62
Bewley J, Young A, Manara A. Indomethacin: its role in the management of intractable intracranial pressure (ICP) after severe head injury. British Journal of Anaesthesia. 2000;84(5):661-.
63
Forderreuther S, Straube A. Indomethacin reduces CSF pressure in intracranial hypertension. Neurology. 2000;55(7):1043-5.
64
ORIGINAL_ARTICLE
Functional, Histopathological and Immunohistichemical Assessments of Cyclosporine A on Sciatic Nerve Regeneration Using Allografts: A Rat Sciatic Nerve Model
Objectives: To study the functional, histopathological and immunohistochemical effect of cyclosporine A on sciatic nerve regeneration using allografts in a rat sciatic nerve model.Methods: Thirty male white Wistar rats were divided into three experimental groups (n = 10), randomly: Normal control group (NC), allograft group (ALLO), CsA treated group (ALLO/ CsA). In NC group left sciatic nerve was exposed through a gluteal muscle incision and after homeostasis muscle was sutured. In the ALLO group the left sciatic nerve was exposed through a gluteal muscle incision and transected proximal to the tibio-peroneal bifurcation where a 10 mm segment was excised. The same procedure was performed in the ALLO/ CsA group and the animals were treated with interaperitoneal administration of cyclosporine A. The harvested nerves of the rats of ALLO group were served as allograft for ALLO/ CsA group and vice versa. The NC and ALLO groups received 300 μL sterile olive oil interaperitoneally once a day for one week and the ALLO/ CsA group received 300 μL CsA (1mg/kg/day) interaperitoneally once a day for one week.Results: Behavioral, functional, biomechanical and gastrocnemius muscle mass showed earlier regeneration of axons in ALLO/ CsA than in ALLO group (p=0.001). Histomorphometic and immunohistochemical studies also showed earlier regeneration of axons in ALLO/ CsA than in ALLO group (p=0.034).Conclusion: Administration of CsA could accelerate functional recovery after nerve allografting in sciatic nerve. It may have clinical implications for the surgical management of patients after nerve transection in emergency conditions.
https://beat.sums.ac.ir/article_44379_64ea3275229da44685ae961e07b89939.pdf
2017-07-01
152
159
Peripheral nerve repair
Sciatic
Cyclosporine A
Allograft
Amir
Amniattalab
a.amniattalab@iaurmia.ac.ir
1
Young Researchers and Elite Club, Urmia Branch, Islamic Azad University, Urmia, Iran
LEAD_AUTHOR
Rahim
Mohammadi
r.mohammadi@urmia.ac.ir
2
Department of Surgery and Diagnostic Imaging, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran
AUTHOR
Ngeow WC. Scar less: a review of methods of scar reduction at sites of peripheral nerve repair. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109(3):357-66.
1
Navarro X. Functional evaluation of peripheral nerve regeneration and target reinnervation in animal models: a critical overview. Eur J Neurosci. 2016;43(3):271-86.
2
Konofaos P, Ver Halen JP. Nerve repair by means of tubulization: past, present, future. J Reconstr Microsurg. 2013;29(3):149-64.
3
Johnson EO, Zoubos AB, Soucacos PN. Regeneration and repair of peripheral nerves. Injury. 2005;36(4):S24-S9.
4
Pannunzio ME, Jou IM, Long A, Wind TC, Beck G, Balian G. A new method of selecting Schwann cells from adult mouse sciatic nerve. J Neurosci Methods. 2005;149(1):74-81.
5
Tuma Júnior P, Ferreira MC, Nakamoto HA, Milcheski DA, Cheroto Filho A. Influence of immunosupression on nerve regeneration using allografts: an experimental study on rats. Acta Ortopédica Brasileira. 2008;16(1):41-4.
6
Navarro X, Udina E, Ceballos D, Gold BG. Effects of FK506 on nerve regeneration and reinnervation after graft or tube repair of long nerve gaps. Muscle Nerve. 2001;24(7):905-15.
7
Chen B, Song Y, Liu Z. Promotion of nerve regeneration in peripheral nerve by short-course FK506 after end-to-side neurorrhaphy. J Surg Res. 2009;152(2):303-10.
8
Udina E, Rodriguez FJ, Verdu E, Espejo M, Gold BG, Navarro X. FK506 enhances regeneration of axons across long peripheral nerve gaps repaired with collagen guides seeded with allogeneic Schwann cells. Glia. 2004;47(2):120-9.
9
Azizi S, Mohammadi R, Amini K, Fallah R. Effects of topically administered FK506 on sciatic nerve regeneration and reinnervation after vein graft repair of short nerve gaps. Neurosurg Focus. 2012;32(5):E5.
10
White DJ, Calne RY. The use of Cyclosporin A immunosuppression in organ grafting. Immunol Rev. 1982;65:115-31.
11
Bain JR, Mackinnon SE, Hudson AR, Falk RE, Falk JA, Hunter DA. The peripheral nerve allograft: a dose-response curve in the rat immunosuppressed with cyclosporin A. Plast Reconstr Surg. 1988;82(3):447-57.
12
Meirer R, Babuccu O, Unsal M, Nair DR, Gurunluoglu R, Skugor B, et al. Effect of chronic cyclosporine administration on peripheral nerve regeneration: a dose-response study. Ann Plast Surg. 2002;49(1):96-103.
13
Taskinen HS, Roytta M. Cyclosporin A affects axons and macrophages during Wallerian degeneration. J Neurotrauma. 2000;17(5):431-40.
14
Konofaos P, Terzis JK. FK506 and nerve regeneration: past, present, and future. J Reconstr Microsurg. 2013;29(3):141-8.
15
Mohammadi R, Heydarian H, Amini K. Effect of local administration of cyclosporine A on peripheral nerve regeneration in a rat sciatic nerve transection model. Chin J Traumatol. 2014;17(1):12-8.
16
Diaz LM, Steele MH, Guerra AB, Aubert FE, Sloop GD, Diaz HA, et al. The role of topically administered FK506 (tacrolimus) at the time of facial nerve repair using entubulation neurorrhaphy in a rabbit model. Ann Plast Surg. 2004;52(4):407-13.
17
Zimmermann M. Ethical guidelines for investigations of experimental pain in conscious animals. Pain. 1983;16(2):109-10.
18
Kasukurthi R, Brenner MJ, Moore AM, Moradzadeh A, Ray WZ, Santosa KB, et al. Transcardial perfusion versus immersion fixation for assessment of peripheral nerve regeneration. J Neurosci Methods. 2009;184(2):303-9.
19
Dinh P, Hazel A, Palispis W, Suryadevara S, Gupta R. Functional assessment after sciatic nerve injury in a rat model. Microsurgery. 2009;29(8):644-9.
20
Bervar M. Video analysis of standing--an alternative footprint analysis to assess functional loss following injury to the rat sciatic nerve. J Neurosci Methods. 2000;102(2):109-16.
21
Sarikcioglu L, Demirel BM, Utuk A. Walking track analysis: an assessment method for functional recovery after sciatic nerve injury in the rat. Folia Morphol (Warsz). 2009;68(1):1-7.
22
Geuna S, Gigo-Benato D, Rodrigues Ade C. On sampling and sampling errors in histomorphometry of peripheral nerve fibers. Microsurgery. 2004;24(1):72-6.
23
Siemionow M, Sonmez E. Nerve allograft transplantation: a review. J Reconstr Microsurg. 2007;23(8):511-20.
24
Costa LM, Simoes MJ, Mauricio AC, Varejao AS. Chapter 7: Methods and protocols in peripheral nerve regeneration experimental research: part IV-kinematic gait analysis to quantify peripheral nerve regeneration in the rat. Int Rev Neurobiol. 2009;87:127-39.
25
Martins RS, Siqueira MG, da Silva CF, Plese JP. Correlation between parameters of electrophysiological, histomorphometric and sciatic functional index evaluations after rat sciatic nerve repair. Arq Neuropsiquiatr. 2006;64(3B):750-6.
26
Gatskiy AA, Tretyak IB, Tsymbaliuk V. Biocompatible heterogeneous porous gel matrix NeuroGel(TM) promotes regeneration of rat sciatic nerve within tubular silicone prosthesis (experimental study). Acta Neurochir (Wien). 2014;156(8):1591-8.
27
Varejao AS, Melo-Pinto P, Meek MF, Filipe VM, Bulas-Cruz J. Methods for the experimental functional assessment of rat sciatic nerve regeneration. Neurol Res. 2004;26(2):186-94.
28
Castaneda F, Kinne RK. Omental graft improves functional recovery of transected peripheral nerve. Muscle Nerve. 2002;26(4):527-32.
29
Cui Q, Hodgetts SI, Hu Y, Luo JM, Harvey AR. Strain-specific differences in the effects of cyclosporin A and FK506 on the survival and regeneration of axotomized retinal ganglion cells in adult rats. Neuroscience. 2007;146(3):986-99.
30
Chen DL, Mackinnon SE, Jensen JN, Hunter DA, Grand AG. Failure of cyclosporin a to rescue peripheral nerve allografts in acute rejection. Ann Plast Surg. 2002;49(6):660-7.
31
Tang P, Chauhan A. Decellular Nerve Allografts. J Am Acad Orthop Surg. 2015;23(11):641-7.
32
Okajima S, Hojo T, Tamai K, Takai S, Hirasawa Y. Histological and electrophysiological analysis of the peripheral nerve allografts using an immunosuppressive agent. Microsc Res Tech. 2002;58(1):52-8.
33
ORIGINAL_ARTICLE
Inferior Vena Cava Reconstruction by Gallbladder Patch: An Experimental Design
Objective: To evaluate the efficacy of the gallbladder for reconstruction of the inferior vena cava in a canine model.Methods: The experimental study was conducted on 5 dogs; an oval window with a diameter of (4×1 cm) was made in the inferior vena cava and then repaired using the autologous gallbladder patch with preservation of gallbladder function. The patency and functionality of the graft were assessed macroscopically and microscopically at 2 months postoperatively.Results: All the dogs were euthanized at 2 months, showing excellent patency of the vena cava macroscopically. In the microscopic examination, all the patches were completely endothelialized. No evidence of infection and inflammation and thrombosis was noted.Conclusion: The gallbladder patch is an available and safe alternate for reconstruction of the inferior vena cava at least in animal model. However, further well designed prospective studies are needed to confirm this hypothesis.
https://beat.sums.ac.ir/article_44380_bd4860b119da45f0a9aac1e760ae8dae.pdf
2017-07-01
160
164
Inferior vena cava
Gallbladder
Patch
Experimental design
Hossein
Hodjati
hosseinhodjati@yahoo.com
1
AUTHOR
Sahar
Sohrabi Nazari
2
LEAD_AUTHOR
Seifollah
Dehghani Nazhvani
3
AUTHOR
Mohammad Yasin
Karami
yasinkarami@gmail.com
4
department of general surgery,shiraz university of medical science, shiraz , iran
AUTHOR
Bita
Geramizadeh
5
AUTHOR
Zini L, Haulon S, Decoene C, Amara N, Villers A, Biserte J, et al. Renal cell carcinoma associated with tumor thrombus in the inferior vena cava: surgical strategies. Ann Vasc Surg. 2005;19(4):522-8.
1
Hardwigsen J, Baque P, Crespy B, Moutardier V, Delpero JR, Le Treut YP. Resection of the inferior vena cava for neoplasms with or without prosthetic replacement: a 14-patient series. Ann Surg. 2001;233(2):242-9.
2
Jefic D, Reddy PP, Flynn LM, Provenzano R. A single center experience in the use of polyurethaneurea arteriovenous grafts. Nephrol News Issues. 2005;19(8):44-7.
3
Akimaru K, Onda M, Tajiri T, Yoshida H, Mamada Y, Taniai N, et al. Reconstruction of the vena cava with the peritoneum. Am J Surg. 2000;179(4):289-93.
4
Modarai B, Dasgupta P, Taylor J, Koffman G, Khan MS. Follow-up of polytetrafluoroethylene arteriovenous fistulae for haemodialysis. Int J Clin Pract. 2005;59(9):1005-7.
5
Cronenweit JL. Arterial aneurysms. In: Rutherford RB. Rutherford Vascular Surgery. 6th ed. Philadelphia: Elsevier Saunders; 2005. P. 475-488.
6
Csebi P, Nemeth T, Jakab C, Patonai A, Garamvolgyi R, Manczur F, et al. Experimental results of using autologous rectus fascia sheath for venous patch grafts in dogs. Acta Vet Hung. 2011;59(3):373-84.
7
Yoshioka M, Onda M, Tajiri T, Akimaru K, Mineta S, Hirakata A, et al. Reconstruction of the portal vein using a peritoneal patch-graft. Am J Surg. 2001;181(3):247-50.
8
Salimi F, Hodjati H, Monabbati A, Keshavarzian A. Inferior vena cava reconstruction with a flap of parietal peritoneum: an animal study. Arch Iran Med. 2009;12(5):448-53.
9
Nishibe T, Satoh Y, Iwashiro N, Hirano S, Ohtake S, Ohkashiwa H, et al. Expanded polytetrafluoroethylene grafts for portal vein replacement: use of omentum wrap to promote graft healing. Surg Today. 1997;27(2):149-53.
10
Verhagen HJ, Blankensteijn JD, de Groot PG, Heijnen-Snyder GJ, Pronk A, Vroom TM, et al. In vivo experiments with mesothelial cell seeded ePTFE vascular grafts. Eur J Vasc Endovasc Surg. 1998;15(6):489-96.
11
Pronk A, de Groot PG, Hoynck van Papendrecht AA, Verbrugh HA, Leguit P, van Vroonhoven TJ, et al. Thrombogenicity and procoagulant activity of human mesothelial cells. Arterioscler Thromb. 1992;12(12):1428-36.
12
Thomas JM, Glynn MF, Rickwood AM, Gough MH. Grafting of the major veins: the value of anti-thrombotic drugs to maintain patency. Br J Surg. 1976;63(3):189-95.
13
Thomas JH, Pierce GE, Iliopoulos JI, Hermreck AS. Vascular graft selection. Surg Clin North Am. 1988;68(4):865-74.
14
Ribbe EB, Jonsson BA, Norgren LE, Strand SE, Thorne JL. Platelet aggregation on peritoneal tube grafts and double velour grafts in the inferior vena cava of the pig. Br J Surg. 1988;75(1):81-5.
15
Hodjati H, Salehipour M, Safai A, Boveiri K, Hekmati P, Hadian P, et al. Use of autologous renal capsule grafts for venous repair. Urology. 2013;81(3):696 e9-12.
16
Chiu CJ, Terzis J, MacRae ML. Replacement of superior vena cava with the spiral composite vein graft. A versatile technique. Ann Thorac Surg. 1974;17(6):555-60.
17
Takayama Y, Kanamaru H, Yokoyama H, Hashimoto H, Yoshino G, Toyoda H, et al. Portal vein reconstruction using an internal jugular vein as a graft: report of a case. Surg Today. 1995;25(4):378-80.
18
Eid A, Rahamimov R, Ilan Y, Tur-Kaspa R, Berlatzky Y. Cavoatrial shunt: a graft salvage procedure for suprahepatic caval anastomosis obstruction after liver transplantation. Liver Transpl Surg. 1998;4(3):239-40.
19
Demirer S, Gecim IE, Aydinuraz K, Ataoglu H, Yerdel MA, Kuterdem E. Affinity of Staphylococcus epidermidis to various prosthetic graft materials. J Surg Res. 2001;99(1):70-4.
20
Ribbe EB, Jonsson BA, Norgren LE, Strand SE, Thorne JL. Platelet aggregation on peritoneal tube grafts and double velour grafts in the inferior vena cava of the pig. Br J Surg. 1988;75(1):81-5.
21
Horsch S, Pichlmaier H, Walter P, Landes T. Replacement of the inferior vena cava and iliac veins with heterologous grafts in animal tests. Surgery. 1978;84(5):644-9.
22
Marshall FF, Reitz BA. Supradiaphragmatic renal cell carcinoma tumor thrombus: indications for vena caval reconstruction with pericardium. J Urol. 1985;133(2):266-8.
23
Bower TC, Nagorney DM, Toomey BJ, Gloviczki P, Pairolero PC, Hallett JW, Jr., et al. Vena cava replacement for malignant disease: is there a role? Ann Vasc Surg. 1993;7(1):51-62.
24
van den Broek TA, Rauwerda JA, Kuijper CF. Construction of peritoneal venous valves: an experimental study in rats and piglets. J Surg Res. 1991;50(3):279-83.
25
Hodjati H, Hoseinzadeh A, Mousavi SM, Dehghani Nazhavi S, Kumar V, Sehhatpour M. Inferior Vena Cava Repair Using Serosal Patch of Small Bowel: An Experimental Study. Bull Emerg Trauma. 2017;5(1):24-8.
26
ORIGINAL_ARTICLE
Efficacy and Safety of Combination Therapy with Ketorolac and Morphine in Patient with Acute Renal Colic; A Triple-Blind Randomized Controlled Clinical Trial
Objective: To compare the efficacy of combination therapy with ketorolac and morphine with monotherapy with each in patients with acute renal colic. Methods: This triple-blind, randomized clinical trial was conducted during a 6-month period from March to September 2014 in Northern Iran. We included 300 patients with clinical diagnosis of acute renal colic and pain score greater than 4 on 10 cm visual analogue scale (VAS) score. Patients were randomly assigned to three study groups to receive 0.1 mg/kg morphine in combination with 30 mg ketorolac (n=100), or only 0.1 mg/kg morphine (n=100) or only 30mg ketorolac (n=100). All the patients were evaluated at 0, 20 minute,40 minute later. Our outcomes were pain reduction and need for additive morphine in 20 and 40 minutes. We also recorded and compared the adverse effects between the study groups.Results: There was no significant difference between the study groups. The pain intensity was comparable between three study groups after 20-min of intervention. However, we found that the pain intensity was significantly lower in balanced analgesia group when compared to morphine (3.01±0.98 vs. 3.66±1.02; p=0.012) or ketorolac alone (3.01±0.98 vs. 3.68±0.88; p=0.018). However, those receiving the balanced analgesia, required significantly less rescue analgesia when compared to morphine (16% vs. 20%; p=0.041) or ketorolac (16% vs. 24%; p=0.012) alone. Conclusion: Balanced analgesia with morphine and ketorolac is more effective compared to morphine or ketorolac alone determine by lower pain scores after 40-min of injection and lower need for rescue analgesia.
https://beat.sums.ac.ir/article_44381_1e9296b2570dae37ce0fe00d9781a75c.pdf
2017-07-01
165
170
Renal colic
Morphine
Ketorolac
Pain
Efficacy
Safety
Seyed Mohammad
Hosseininejad
1
Department of Emergency Medicine, Diabetes research center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
AUTHOR
Hamed
Amini Ahidashti
2
Department of Emergency Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
AUTHOR
Farzad
Bozorgi
3
Department of Emergency Medicine, Orthopedic research center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
AUTHOR
Iraj
Goli Khatir
4
Department of Emergency Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
AUTHOR
Seyed Hosein
Montazer
5
Department of Emergency Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
AUTHOR
Fatemeh
Jahanian
drfatemehjahanian@yahoo.com
6
Department of Emergency Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
AUTHOR
Mehran
Amooei Khanabbasi
7
Department of Emergency Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
LEAD_AUTHOR
Cepeda Delgado M, Lopez Izquierdo R, Amon Sesmero JH, Del Pozo Vegas C, Alvarez Manzanares J. Epidemiological Characteristics of Renal Colic and Climate-Related Causes in a Continental Area in Spain. Urol Int. 2015;95(3):309-13.
1
Fukuhara H, Ichiyanagi O, Kakizaki H, Naito S, Tsuchiya N. Clinical relevance of seasonal changes in the prevalence of ureterolithiasis in the diagnosis of renal colic. Urolithiasis. 2016;44(6):529-37.
2
Hong DY, Kim JW, Lee KR, Park SO, Baek KJ. Epidemiologic and Clinical Characteristics of Patients Presenting with Renal Colic in Korea. Urol J. 2015;12(3):2148-53.
3
Coursey CA, Casalino DD, Remer EM, Arellano RS, Bishoff JT, Dighe M, et al. ACR Appropriateness Criteria(R) acute onset flank pain--suspicion of stone disease. Ultrasound Q. 2012;28(3):227-33.
4
Bounes V, Valle B, Concina F, Lauque D, Ducasse JL, Edlow JA. Treatment of Acute Renal Colic in US and French EDs: Simulated Cases and Real Cases in Acute Pain Management. Am J Emerg Med. 2016;34(10):1955-8.
5
Faridaalaee G, Mohammadi N, Merghati SZ, Keyghobadi Khajeh F, Naghipour B, Pouraghaei M, et al. Intravenous Morphine vs Intravenous Ketofol for Treating Renal Colic; a Randomized Controlled Trial. Emerg (Tehran). 2016;4(4):202-6.
6
Kariman H, Majidi A, Taheri S, Shahrami A, Hatamabadi HR. Analgesic Effects of Inhalation of Nitric Oxide (Entonox) and Parenteral Morphine Sulfate in Patients with Renal Colic; A Randomized Clinical Trial. Bull Emerg Trauma. 2015;3(2):46-52.
7
Safdar B, Degutis LC, Landry K, Vedere SR, Moscovitz HC, D'Onofrio G. Intravenous morphine plus ketorolac is superior to either drug alone for treatment of acute renal colic. Ann Emerg Med. 2006;48(2):173-81, 81 e1.
8
Shirazi M, Salehipour M, Afrasiabi MA, Aminsharifi A. Analgesic Effects and Safety of Desmopressin, Tramadol and Indomethacin in Patients with Acute Renal Colic; A Randomized Clinical Trial. Bull Emerg Trauma. 2015;3(2):41-5.
9
Pathan SA, Mitra B, Romero L, Cameron PA. What is the best analgesic option for patients presenting with renal colic to the emergency department? Protocol for a systematic review and meta-analysis. BMJ Open. 2017;7(4):e015002.
10
Afshar K, Jafari S, Marks AJ, Eftekhari A, MacNeily AE. Nonsteroidal anti-inflammatory drugs (NSAIDs) and non-opioids for acute renal colic. Cochrane Database Syst Rev. 2015(6):CD006027.
11
Romsing J, Moiniche S, Dahl JB. Rectal and parenteral paracetamol, and paracetamol in combination with NSAIDs, for postoperative analgesia. Br J Anaesth. 2002;88(2):215-26.
12
Tramer MR, Williams JE, Carroll D, Wiffen PJ, Moore RA, McQuay HJ. Comparing analgesic efficacy of non-steroidal anti-inflammatory drugs given by different routes in acute and chronic pain: a qualitative systematic review. Acta Anaesthesiol Scand. 1998;42(1):71-9.
13
Rainer TH, Jacobs P, Ng YC, Cheung NK, Tam M, Lam PK, et al. Cost effectiveness analysis of intravenous ketorolac and morphine for treating pain after limb injury: double blind randomised controlled trial. BMJ. 2000;321(7271):1247-51.
14
Lee A, Cooper MG, Craig JC, Knight JF, Keneally JP. Effects of nonsteroidal anti-inflammatory drugs on postoperative renal function in adults with normal renal function. Cochrane Database Syst Rev. 2007(2):CD002765.
15
Strom BL, Berlin JA, Kinman JL, Spitz PW, Hennessy S, Feldman H, et al. Parenteral ketorolac and risk of gastrointestinal and operative site bleeding. A postmarketing surveillance study. JAMA. 1996;275(5):376-82.
16
Cordell WH, Wright SW, Wolfson AB, Timerding BL, Maneatis TJ, Lewis RH, et al. Comparison of intravenous ketorolac, meperidine, and both (balanced analgesia) for renal colic. Ann Emerg Med. 1996;28(2):151-8.
17
Kuo FC, Tseng YT, Wu SR, Wu MT, Lo YC. Melamine activates NFkappaB/COX-2/PGE2 pathway and increases NADPH oxidase-dependent ROS production in macrophages and human embryonic kidney cells. Toxicol In Vitro. 2013;27(6):1603-11.
18
Cunningham P, Noble H, Al-Modhefer AK, Walsh I. Kidney stones: pathophysiology, diagnosis and management. Br J Nurs. 2016;25(20):1112-6.
19
Soleyman-Zomalan E, Motov S, Likourezos A, Cohen V, Pushkar I, Fromm C. Patterns of Ketorolac dosing by emergency physicians. World J Emerg Med. 2017;8(1):43-6.
20
Beverly A, Kaye AD, Urman RD. SCAMPs for Multimodal Post-Operative Analgesia: A Concept to Standardize and Individualize Care. Curr Pain Headache Rep. 2017;21(1):5.
21
Sandhu DP, Iacovou JW, Fletcher MS, Kaisary AV, Philip NH, Arkell DG. A comparison of intramuscular ketorolac and pethidine in the alleviation of renal colic. Br J Urol. 1994;74(6):690-3.
22
O'Connor A, Schug SA, Cardwell H. A comparison of the efficacy and safety of morphine and pethidine as analgesia for suspected renal colic in the emergency setting. J Accid Emerg Med. 2000;17(4):261-4.
23
ORIGINAL_ARTICLE
A Multi Agent Based Approach for Prehospital Emergency Management
Objective: To demonstrate an architecture to automate the prehospital emergency process to categorize the specialized care according to the situation at the right time for reducing the patient mortality and morbidity.Methods: Prehospital emergency process were analyzed using existing prehospital management systems, frameworks and the extracted process were modeled using sequence diagram in Rational Rose software. System main agents were identified and modeled via component diagram, considering the main system actors and by logically dividing business functionalities, finally the conceptual architecture for prehospital emergency management was proposed. The proposed architecture was simulated using Anylogic simulation software. Anylogic Agent Model, State Chart and Process Model were used to model the system. Results: Multi agent systems (MAS) had a great success in distributed, complex and dynamic problem solving environments, and utilizing autonomous agents provides intelligent decision making capabilities. The proposed architecture presents prehospital management operations. The main identified agents are: EMS Center, Ambulance, Traffic Station, Healthcare Provider, Patient, Consultation Center, National Medical Record System and quality of service monitoring agent.Conclusion: In a critical condition like prehospital emergency we are coping with sophisticated processes like ambulance navigation health care provider and service assignment, consultation, recalling patients past medical history through a centralized EHR system and monitoring healthcare quality in a real-time manner. The main advantage of our work has been the multi agent system utilization. Our Future work will include proposed architecture implementation and evaluation of its impact on patient quality care improvement.
https://beat.sums.ac.ir/article_44382_f5d731e4a09f6c30e8f488e907a9272d.pdf
2017-07-01
171
178
Emergency medical services
Software design
Computer simulation
Emergency medical dispatch
Reza
Safdari
1
Professor, Department of Medical Informatics, Faculty of allied sciences, Tehran university of medical science,Tehran, Iran
AUTHOR
Jaleh
Shoshtarian Malak
shoshtarian@tums.ac.ir
2
Phd Student, Department of Medical Informatics, Faculty of allied sciences, Tehran university of medical science,Tehran, Iran
LEAD_AUTHOR
Niloofar
Mohammadzadeh
3
Phd, Department of Medical Informatics, Faculty of allied sciences, Tehran university of medical science,Tehran, Iran
AUTHOR
Azimeh
Danesh Shahraki
4
Phd Student, Department of Medical Informatics, Faculty of allied sciences, Tehran university of medical science,Tehran, Iran
AUTHOR
Mala M. A multi-agent system based approach to emergency management. in Intelligent Systems (IS), 2012 6th IEEE International Conference. 2012. IEEE.
1
Rodríguez S,Corchado J,Fernandez A,Ossowski S,Julian V,Botti V. A THOMAS Based Multi-Agent System for Recommendations and Guidance in Malls. Journal of Physical Agents. 2009; 3(2):21-6.
2
Zhang X,Xu H,Shrestha B. Building a health care multi-agent simulation system with role-based modeling. 2010.s
3
López B,Innocenti B,Busquets D. A multiagent system for coordinating ambulances for emergency medical services. Intelligent Systems, IEEE. 2008; 23(5):50-7.
4
Poulymenopoulou M,Malamateniou F,Vassilacopoulos G. E-EPR: A cloud-based architecture of an electronic emergency patient record. in Proceedings of the 4th International Conference on PErvasive Technologies Related to Assistive Environments. 2011. ACM.
5
Mahdian M. Establishing an Integrated Trauma System in Iran: The Time of Translating Information into Action. Arch Trauma Res. 2015; 4(1):e28117.
6
Zargar M,Motamedi SMRK,Karbakhsh M,Ghodsi SM,Rahimi-Movaghar V,Panahi F, et al. Trauma care system in Iran. Chinese Journal of Traumatology (English Edition). 2011; 14(3):131-6.
7
Mohammadzadeh N,Safdari R,Rahimi A. Multi-agent system as a new approach to effective chronic heart failure management: Key considerations. Healthcare informatics research. 2013; 19(3):162-6.
8
Mohammadzadeh N,Safdari R,Rahimi A. Multi-Agent Systems: Effective Approach for Cancer Care Information Management. Asian Pac J Cancer Prev. 2013; 14(12):7757-9.
9
Malak JS,Mohsenzadeh M,Seyyedi MA. Multi agent based web service QoS management architecture. in Computer Conference, 2009. CSICC 2009. 14th International CSI. 2009. IEEE.
10
Isern D,Sánchez D,Moreno A. Agents applied in health care: A review. International journal of medical informatics. 2010; 79(3):145-66.
11
Cruz-Correia R,Vieira-Marques P,Costa P,Ferreira A,Oliveira-Palhares E,Araújo F, et al. Integration of hospital data using agent technologies-a case study. Artificial Intelligence Communications. 2005; 18(3):191-200.
12
Tentori M,Favela J,Rodriguez MD. Privacy-aware autonomous agents for pervasive healthcare. Intelligent Systems, IEEE. 2006; 21(6):55-62.
13
Mohammadzadeh N,Safdari R. Artificial Intelligence Tools in Health Information Management. International Journal of Hospital Research. 2012; 1(1).
14
Tsiknakis M,Spanakis M. Adoption of innovative eHealth services in prehospital emergency management: a case study. in Information Technology and Applications in Biomedicine (ITAB), 2010 10th IEEE International Conference on. 2010. IEEE.
15
Chennaoui A,Paquet M. Multi-Agent Decision-Making Support Model for the Management of Pre-Hospital Emergency Services. International Journal of Machine Learning and Computing. 2014; 4(2):198.
16
Molina M,Blasco G, A multi-agent system for emergency decision support, in Intelligent Data Engineering and Automated Learning2003, Springer. p. 43-51.
17
Thelen S,Schneiders M-T,Schilberg D,Jeschke S, A multifunctional telemedicine system for pre-hospital emergency medical services, in Automation, Communication and Cybernetics in Science and Engineering 2013/20142014, Springer. p. 161-72.
18
Landman AB,Rokos IC,Burns K,Van Gelder CM,Fisher RM,Dunford JV, et al. An open, interoperable, and scalable prehospital information technology network architecture. Prehospital Emergency Care. 2011; 15(2):149-57.
19
Centeno R,Fagundes M,Billhardt H,Ossowski S,Corchado JM,Julian V, et al., An organisation-based multiagent system for medical emergency assistance, in Bio-inspired systems: Computational and ambient intelligence2009, Springer. p. 561-8.
20
Niazi M,Hussain A. Agent-based computing from multi-agent systems to agent-based models: a visual survey. Scientometrics. 2011; 89(2):479-99.
21
Anylogic. Agent Based Modeling. 2015; Available from: http://www.anylogic.com/agent-based-modeling.
22
Nasiripur A,Bahadori M,Sh T,Gohari M. Prehospital emergency performance in Iran View of comprehensive coverage plan. Journal of Critical care nursing. 2010; 2(4):3-4.
23
Molina M,Blasco G. A multi-agent system for emergency decision support. in International Conference on Intelligent Data Engineering and Automated Learning. 2003. Springer.
24
ORIGINAL_ARTICLE
Comparison of the Results of Early Excision and Grafting between Children and Adults; A Prospective Comparative Study
Objectives: To compare the outcomes of early excision and grafting between pediatric and adult patients with deep burns of less than 40% total body surface area burns (TBSA).Methods: This is a prospective comparative study. Overall, 106 patients admitted to Ghotbodin Burn Center in Shiraz, Iran from September 2012 to September 2013, were included in the study. All patients had less than 40% TBSA burn and had excision and grafting under 14 days from their injury. Patients were divided into two age groups of younger than 14 (n=49) and older than 14 (14-65) years old (n=57). During a 6-month follow-up period, the two groups were compared regarding mean percentage of graft take, total scar score, duration of hospital stay and itching score.Results: During follow-up, the two groups did not show a significant difference in graft take, total scar score and itching score (p=0.461, p=0.363 and p=0.637, respectively). Clinically, the pediatric group showed less hospital stay (12.25±9.1 vs. 16±12.9), however this was not statistically significant (p=0.091). Conclusion: Adults and elderly patients (14–65 years old) compared to pediatric patients (less than 14 years old) with less than 40% TBSA burns, can expect similar results regarding scar score, graft take, itch score and hospital stay, after excision and grafting performed less than two weeks from their initial injury.
https://beat.sums.ac.ir/article_44383_387f850941fe4d3a6c349b5d3206e2bf.pdf
2017-07-01
179
183
Early excision
Skin graft
Burn
pediatric
adult
Mehdi
Ayaz
ayazm@sums.ac.ir
1
Amiralmomenin Hospital, Shiraz Burn Research Center, Department of Surgery, Shiraz university of medical science, Shiraz, Iran
LEAD_AUTHOR
Abdolkhalegh
Keshavarzi
2
AUTHOR
Hamid
Bahadoran
3
AUTHOR
Peyman
Arasteh
peyman.arasteh@yahoo.com
4
AUTHOR
Sam
Moslemi
moslemis@sums.ac.ir
5
AUTHOR
Sharma PN, Bang RL, Al-Fadhli AN, Sharma P, Bang S, Ghoneim IE. Paediatric burns in Kuwait: incidence, causes and mortality. Burns. 2006;32(1):104-11.
1
Ong YS, Samuel M, Song C. Meta-analysis of early excision of burns. Burns. 2006;32(2):145-50.
2
Ayaz M, Bahadoran H, Arasteh P, Keshavarzi A. Early Excision and Grafting versus Delayed Skin Grafting in Burns Covering Less than 15% of Total Body Surface Area; A Non- Randomized Clinical Trial. Bull Emerg Trauma. 2014;2(4):141-5.
3
Sterner JB, Zanders TB, Morris MJ, Cancio LC. Inflammatory mediators in smoke inhalation injury. Inflamm Allergy Drug Targets. 2009;8(1):63-9.
4
Santaniello JM, Luchette FA, Esposito TJ, Gunawan H, Reed RL, Davis KA, et al. Ten year experience of burn, trauma, and combined burn/trauma injuries comparing outcomes. J Trauma. 2004;57(4):696-700; dicussion -1.
5
Lumenta DB, Hautier A, Desouches C, Gouvernet J, Giorgi R, Manelli JC, et al. Mortality and morbidity among elderly people with burns--evaluation of data on admission. Burns. 2008;34(7):965-74.
6
Tuvdendorj D, Chinkes DL, Zhang XJ, Ferrando AA, Elijah IE, Mlcak RP, et al. Adult patients are more catabolic than children during acute phase after burn injury: a retrospective analysis on muscle protein kinetics. Intensive Care Med. 2011;37(8):1317-22.
7
Gangemi EN, Gregori D, Berchialla P, Zingarelli E, Cairo M, Bollero D, et al. Epidemiology and risk factors for pathologic scarring after burn wounds. Arch Facial Plast Surg. 2008;10(2):93-102.
8
Rani M, Schwacha MG. Aging and the pathogenic response to burn. Aging Dis. 2012;3(2):171-80.
9
van der Wal MB, Verhaegen PD, Middelkoop E, van Zuijlen PP. A clinimetric overview of scar assessment scales. J Burn Care Res. 2012;33(2):e79-87.
10
Elman S, Hynan LS, Gabriel V, Mayo MJ. The 5-D itch scale: a new measure of pruritus. Br J Dermatol. 2010;162(3):587-93.
11
Kapetanaki MG, Mora AL, Rojas M. Influence of age on wound healing and fibrosis. J Pathol. 2013;229(2):310-22.
12
Keylock KT, Vieira VJ, Wallig MA, DiPietro LA, Schrementi M, Woods JA. Exercise accelerates cutaneous wound healing and decreases wound inflammation in aged mice. Am J Physiol Regul Integr Comp Physiol. 2008;294(1):R179-84.
13
Gosain A, DiPietro LA. Aging and wound healing. World J Surg. 2004;28(3):321-6.
14
Pavoni V, Gianesello L, Paparella L, Buoninsegni LT, Barboni E. Outcome predictors and quality of life of severe burn patients admitted to intensive care unit. Scand J Trauma Resusc Emerg Med. 2010;18:24.
15
McDonald WS, Deitch EA. Hypertrophic skin grafts in burned patients: a prospective analysis of variables. J Trauma. 1987;27(2):147-50.
16
Goel A, Shrivastava P. Post-burn scars and scar contractures. Indian J Plast Surg. 2010;43(Suppl):S63-71
17
Forbes-Duchart L, Cooper J, Nedelec B, Ross L, Quanbury A. Burn therapists' opinion on the application and essential characteristics of a burn scar outcome measure. J Burn Care Res. 2009;30(5):792-800.
18
Choi YH, Kim KM, Kim HO, Jang YC, Kwak IS. Clinical and histological correlation in post-burn hypertrophic scar for pain and itching sensation. Ann Dermatol. 2013;25(4):428-33.
19
Carrougher GJ, Martinez EM, McMullen KS, Fauerbach JA, Holavanahalli RK, Herndon DN, et al. Pruritus in adult burn survivors: postburn prevalence and risk factors associated with increased intensity. J Burn Care Res. 2013;34(1):94-101.
20
Maimbo M, Jovic G, Odimba B. A comparative study of early-delayed skin grafting and late or non-grafting of deep partial thickness burns at the University Teaching Hospital. Medical Journal of Zambia. 2014;41(1):32-6.
21
Cole JK, Engrav LH, Heimbach DM, Gibran NS, Costa BA, Nakamura DY, et al. Early excision and grafting of face and neck burns in patients over 20 years. Plast Reconstr Surg. 2002;109(4):1266-73.
22
Isbi Practice Guidelines C. ISBI Practice Guidelines for Burn Care. Burns. 2016;42(5):953-1021.
23
ORIGINAL_ARTICLE
Determinants of Mortality and the Lethal Area 50 Index (LA50) in Burn Patients Admitted to a Large Burn Center; A Single Center Experience
Objectives: To investigate the determinants of mortality and the lethal area 50 (LA50) in large series of Iranian burn patients admitted to a single burn center.Methods: This cross-sectional study was conducted in Shahid Motahari burn center of Tehran, Iran during a 1-year period from 2011 to 2012. We included all the burn patients who were admitted to our center during the study period. Those with incomplete medical records and those referred to other centers were excluded from the study. The medical records of the included patients were reviewed and the demographic, clinical, laboratory and outcome measures were recorded. The mortality rate was recorded and the determinants of LA50 were analyzed in a univariate and stepwise multivariate model.Result: Overall we included a total number of 1200 subjects with mean age of 30.8 ±18 years. There were 907 (75.6%) men and 293 (24.4%) women among the patients. The total LA50 was 55.5% (95% CI: 52.98%-58.3 %). There was a significant difference between age group >61 years and two 11-20 and 21-30 groups regarding LA50. The advanced age (p<0.001), female gender (p=0.002), inhalational injury (p<0.001) and burn extension determined by TBSA% (p<0.001) were significantly associated with mortality. In addition, male gender (p=0.087), flame (p=0.156), scald (p=0.088) and chemical injuries (p=0.071) were not associated with mortality.Conclusion: The LA50 determine din our study is still much lower than that reported in developed countries, as a result, the quality of medical care is lower. Female gender, age, inhalational injury and extension of burn determined by TBSA% were found to be the independent risk factors of mortality in burn patients in our series.
https://beat.sums.ac.ir/article_44384_6b6eefc65352972e79dc89c54522e729.pdf
2017-07-01
184
189
Prognosis
Lethal Area 50 (LA50) Index
Burn
Mortality
Shahab
Shahabi Shahmiri
sh.shahabi450@gmail.com
1
Isfahan University of Medical Sciences
AUTHOR
Mohsen
Kolahdouzan
kolahdouzan@med.mui.ac.ir
2
LEAD_AUTHOR
Ara
Omrani
3
AUTHOR
Mehdi
Khazaei
4
AUTHOR
Hamid
Salehi
5
AUTHOR
Abbas
Motevalian
6
AUTHOR
Rastin
Mohammadi Mofrad
7
AUTHOR
Mohammad Taghi
Rezaei
8
AUTHOR
Helia
Hemmasian
9
AUTHOR
Peck MD, Kruger GE, van der Merwe AE, Godakumbura W, Ahuja RB. Burns and fires from non-electric domestic appliances in low and middle income countries Part I. The scope of the problem. Burns. 2008;34(3):303-11.
1
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3
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Jie X, Haijun W, Zhiqiang W, Guoyou F, Guanghui H. Correlation between standardized death rate for area and LA(50). Burns. 2003;29(3):257-64.
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Kasten KR, Makley AT, Kagan RJ. Update on the critical care management of severe burns. J Intensive Care Med. 2011;26(4):223-36.
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Khashaba HA, Al-Fadhli AN, Al-Tarrah KS, Wilson YT, Moiemen N. Epidemiology and outcome of burns at the Saud Al Babtain Burns, Plastic Surgery and Reconstructive Center, Kuwait: our experience over five years (from 2006 to 2010). Ann Burns Fire Disasters. 2012;25(4):178-87.
9
Lundgren RS, Kramer CB, Rivara FP, Wang J, Heimbach DM, Gibran NS, et al. Influence of comorbidities and age on outcome following burn injury in older adults. J Burn Care Res. 2009;30(2):307-14.
10
Muller MJ, Pegg SP, Rule MR. Determinants of death following burn injury. Br J Surg. 2001;88(4):583-7.
11
Hettiaratchy S, Papini R. Initial management of a major burn: II--assessment and resuscitation. BMJ. 2004;329(7457):101-3.
12
Roberts G, Lloyd M, Parker M, Martin R, Philp B, Shelley O, et al. The Baux score is dead. Long live the Baux score: a 27-year retrospective cohort study of mortality at a regional burns service. J Trauma Acute Care Surg. 2012;72(1):251-6.
13
Barret JP, Gomez P, Solano I, Gonzalez-Dorrego M, Crisol FJ. Epidemiology and mortality of adult burns in Catalonia. Burns. 1999;25(4):325-9.
14
Barrow RE, Spies M, Barrow LN, Herndon DN. Influence of demographics and inhalation injury on burn mortality in children. Burns. 2004;30(1):72-7.
15
Khashaba HA, Al-Fadhli AN, Al-Tarrah KS, Wilson YT, Moiemen N. Epidemiology and outcome of burns at the Saud Al Babtain Burns, Plastic Surgery and Reconstructive Center, Kuwait: our experience over five years (from 2006 to 2010). Ann Burns Fire Disasters. 2012;25(4):178-87.
16
Tyson AF, Boschini LP, Kiser MM, Samuel JC, Mjuweni SN, Cairns BA, et al. Survival after burn in a sub-Saharan burn unit: challenges and opportunities. Burns. 2013;39(8):1619-25.
17
Fazeli S, Karami-Matin R, Kakaei N, Pourghorban S, Safari-Faramani R, Safari-Faramani B. Predictive factors of mortality in burn patients. Trauma Mon. 2014;19(1):e14480.
18
Demling RH. The incidence and impact of pre-existing protein energy malnutrition on outcome in the elderly burn patient population. J Burn Care Rehabil. 2005;26(1):94-100.
19
Wibbenmeyer LA, Amelon MJ, Morgan LJ, Robinson BK, Chang PX, Lewis R, 2nd, et al. Predicting survival in an elderly burn patient population. Burns. 2001;27(6):583-90.
20
Covington DS, Wainwright DJ, Parks DH. Prognostic indicators in the elderly patient with burns. J Burn Care Rehabil. 1996;17(3):222-30.
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Platt AJ, Phipps AR, Judkins K. Is there still a place for comfort care in severe burns. Burns. 1998;24(8):754-6.
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Tejerina C, Reig A, Codina J, Safont J, Mirabet V. Burns in patients over 60 years old: epidemiology and mortality. Burns. 1992;18(2):149-52.
23
Ayaz M, Bahadoran H, Arasteh P, Keshavarzi A. Early Excision and Grafting versus Delayed Skin Grafting in Burns Covering Less than 15% of Total Body Surface Area; A Non-Randomized Clinical Trial. Bull Emerg Trauma. 2014;2(4):141-145.
24
Sochor FM, Mallory GK. Lung lesions in patients dying of burns. Arch Pathol. 1963;75:303-8.
25
Thompson PB, Herndon DN, Traber DL, Abston S. Effect on mortality of inhalation injury. J Trauma. 1986;26(2):163-5.
26
Decker WJ, Garcia-Cantu A. Toxicology of fires: an emerging clinical concern. Vet Hum Toxicol. 1986;28(5):431-3.
27
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29
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31
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32
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33
Demling RH. Smoke inhalation lung injury: an update. Eplasty. 2008;8:e27.
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35
McGwin G, Jr., George RL, Cross JM, Reiff DA, Chaudry IH, Rue LW, 3rd. Gender differences in mortality following burn injury. Shock. 2002;18(4):311-5.
36
O'Keefe GE, Hunt JL, Purdue GF. An evaluation of risk factors for mortality after burn trauma and the identification of gender-dependent differences in outcomes. J Am Coll Surg. 2001;192(2):153-60.
37
Kerby JD, McGwin G, Jr., George RL, Cross JA, Chaudry IH, Rue LW, 3rd. Sex differences in mortality after burn injury: results of analysis of the National Burn Repository of the American Burn Association. J Burn Care Res. 2006;27(4):452-6.
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Gregory MS, Faunce DE, Duffner LA, Kovacs EJ. Gender difference in cell-mediated immunity after thermal injury is mediated, in part, by elevated levels of interleukin-6. J Leukoc Biol. 2000;67(3):319-26.
39
Muller MJ, Pegg SP, Rule MR. Determinants of death following burn injury. Br J Surg. 2001;88(4):583-7.
40
ORIGINAL_ARTICLE
Outcome Determinants of Decompressive Craniectomy in Patients with Traumatic Brain Injury; A Single Center Experience from Southern Iran
Objective: To investigate the determinants of outcome in patients with traumatic brain injury (TBI) undergoing decompressive craniectomy (DC) in a large level I trauma center in southern Iran.Methods: This retrospective cross-sectional study was conducted during an 18-month period from 2013 to 2014 in Shahid Rajaei hospital, a Level I trauma center in Southern Iran. Patients with TBI who had undergone DC were included and the medical charts were reviewed regarding demographics, clinical, radiological and outcome characteristics. The outcome was determined by extended Glasgow outcome scale (GOS-E) after one year of surgery. The variables were compared between those with favorable and unfavorable outcome to investigate the outcome determinants. Results: Overall 142 patients with mean age of 34.8 ± 15.5 (ranging from 15 to 85) years were included. There were 127 (89.4%) men and 15 (10.6%) women among the patients. After 1-year, the mortality rate was 58 (40.8%) and 8 (5.6%) patients were persistent vegetative state. The final outcome was found to be unfavorable in 77 (54.2%) patients. Unfavorable outcome was associated with lower GCS on admission (p<0.001) as well as occurrence of postoperative hydrocephalus (p=0.011). Formation of the postoperative subdural hygroma after the operation was found to be associated with favorable outcome (p=0.019).Conclusion: DC in patients with TBI is associated with favorable outcome in most of them. On admission GCS, postoperative hydrocephalus and presence of postoperative subdural hygroma are among the important predictors of outcome in TBI patients undergoing DC.
https://beat.sums.ac.ir/article_44385_44ae46557496731a807de04e93a1e0c1.pdf
2017-07-01
190
196
Decompressive craniectomy (DC)
Traumatic brain injury (TBI)
Glasgow Coma Scale (GCS)
Glasgow Outcome Score Extended (GOS-E)
Hosseinali
Khalili
1
AUTHOR
Amin
Niakan
aniakan@sums.ac.ir
2
AUTHOR
Fariborz
Ghaffarpasand
fariborz.ghaffarpasand@gmail.com
3
Trauma Research Center, Shiraz University of Medical Sciences
LEAD_AUTHOR
Arash
Kiani
kianiar@sums.ac.ir
4
AUTHOR
Reza
Behjat
5
AUTHOR
Gosselin RA,Spiegel DA,Coughlin R,Zirkle LG. Injuries: the neglected burden in developing countries. Bull World Health Organ. 2009; 87(4):246-246a.
1
Heydari ST, Hoseinzadeh A, Ghaffarpasand F, Hedjazi A, Zarenezhad M, Moafian G, et al. Epidemiological characteristics of fatal traffic accidents in Fars province, Iran: a community-based survey. Public Health. 2013;127(8):704-9.
2
Bahadorimonfared A, Soori H, Mehrabi Y, Delpisheh A, Esmaili A, Salehi M, et al. Trends of fatal road traffic injuries in Iran (2004–2011). PloS one. 2013;8(5):e65198.
3
Heydari ST, Maharlouei N, Foroutan A, Sarikhani Y, Ghaffarpasand F, Hedjazi A, et al. Fatal motorcycle accidents in Fars Province, Iran: a community-based survey. Chin J Traumatol. 2012;15(4):222-7.
4
Muzevic D, Splavski B. The Lund concept for severe traumatic brain injury. Cochrane Database Syst Rev. 2013;(12):CD010193.
5
Khalili H, Sadraei N, Niakan A, Ghaffarpasand F, Sadraei A. Role of Intracranial Pressure Monitoring in Management of Patients with Severe Traumatic Brain Injury: Results of a Large Level I Trauma Center in Southern Iran. World Neurosurg. 2016;94:120-125..
6
Bratton SL, Chestnut RM, Ghajar J, McConnell Hammond FF, Harris OA, Hartl R, et al. Guidelines for the management of severe traumatic brain injury. VII. Intracranial pressure monitoring technology. J Neurotrauma. 2007;24 Suppl 1:S45-54.
7
Alvis-Miranda H, Castellar-Leones SM, Moscote-Salazar LR. Decompressive Craniectomy and Traumatic Brain Injury: A Review. Bull Emerg Trauma. 2013;1(2):60-8.
8
Barthelemy EJ, Melis M, Gordon E, Ullman JS, Germano IM. Decompressive Craniectomy for Severe Traumatic Brain Injury: A Systematic Review. World Neurosurg. 2016;88:411-20.
9
Bor-Seng-Shu E, Figueiredo EG, Amorim RL,Teixeira MJ, Valbuza JS, de Oliveira MM, et al. Decompressive craniectomy: a meta-analysis of influences on intracranial pressure and cerebral perfusion pressure in the treatment of traumatic brain injury. J Neurosurg. 2012;117(3):589-96.
10
Khalili H, Derakhshan N, Niakan A, Ghaffarpasand F, Salehi M, Eshraghian H, et al. Effects of Oral Glibenclamide on Brain Contusion Volume and Functional Outcome of Patients with Moderate and Severe Traumatic Brain Injuries: A Randomized Double-Blind Placebo-Controlled Clinical Trial. World Neurosurg. 2017;101:130-6.
11
Cooper DJ, Rosenfeld JV, Murray L, Arabi YM, Davies AR, D'Urso P, et al. Decompressive craniectomy in diffuse traumatic brain injury. N Engl J Med. 2011;364(16):1493-502.
12
Wang R, Li M, Gao WW, Guo Y, Chen J, Tian HL. Outcomes of Early Decompressive Craniectomy Versus Conventional Medical Management After Severe Traumatic Brain Injury: A Systematic Review and Meta-Analysis. Medicine (Baltimore). 2015;94(43):e1733.
13
Hutchinson PJ, Kolias AG, Timofeev IS, Corteen EA, Czosnyka M, Timothy J, et al. Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension. N Engl J Med. 2016;375(12):1119-30.
14
Aarabi B, Hesdorffer DC, Ahn ES, Aresco C, Scalea TM, Eisenberg HM. Outcome following decompressive craniectomy for malignant swelling due to severe head injury. J Neurosurg. 2006;104(4):469-79.
15
Limpastan K, Norasetthada T, Watcharasaksilp W, Vaniyapong T. Factors influencing the outcome of decompressive craniectomy used in the treatment of severe traumatic brain injury. J Med Assoc Thai. 2013;96(6):678-82.
16
Guidelines for the management of severe traumatic brain injury. J Neurotrauma. 2007;24 Suppl 1:S1-106.
17
Khalili H, Omidvar A, Ghaffarpasand F, Yadollahikhales G. Cranioplasty Results after Application of Anti-adhesive Films (OrthoWrap) in Traumatic Decompressive Craniectomy. Bull Emerg Trauma. 2016;4(1):24-8.
18
Sahuquillo J, Martinez-Ricarte F, Poca MA. Decompressive craniectomy in traumatic brain injury after the DECRA trial. Where do we stand? Curr Opin Crit Care. 2013;19(2):101-6.
19
Cherian I,Bernardo A,Grasso G. Cisternostomy for Traumatic Brain Injury: Pathophysiologic Mechanisms and Surgical Technical Notes. World Neurosurg. 2016;89:51-7.
20
Masoudi MS,Rezaee E,Hakiminejad H,Tavakoli M,Sadeghpoor T. Cisternostomy for Management of Intracranial Hypertension in Severe Traumatic Brain Injury; Case Report and Literature Review. Bull Emerg Trauma. 2016;4(3):161-4.
21
Perel P, Arango M, Clayton T, Edwards P, Komolafe E, Poccock S, et al. Predicting outcome after traumatic brain injury: practical prognostic models based on large cohort of international patients. BMJ. 2008;336(7641):425-9.
22
Steyerberg EW, Mushkudiani N, Perel P, Butcher I, Lu J, McHugh GS, et al. Predicting outcome after traumatic brain injury: development and international validation of prognostic scores based on admission characteristics. PLoS Med. 2008;5(8):e165; discussion e 165.
23
Moein H, Sanati MA, Fard SA, Moein P, Hasheminasab SM. Outcome of decompressive craniectomy in patients with severe head injury: a pilot randomized clinical trial. Neurosurgery Quarterly. 2012;22(3):149-52.
24
Grille P,Tommasino N. Decompressive craniectomy in severe traumatic brain injury: prognostic factors and complications. Rev Bras Ter Intensiva. 2015;27(2):113-8.
25
Kapapa T, Brand C, Wirtz CR, Woischneck D. Outcome after decompressive craniectomy in different pathologies. World Neurosurg. 2016;93:389-97.
26
Hukkelhoven CW, Steyerberg EW, Rampen AJ, Farace E, Habbema JD, Marshall LF, et al. Patient age and outcome following severe traumatic brain injury: an analysis of 5600 patients. J Neurosurg. 2003;99(4):666-73.
27
Dhandapani S, Manju D, Sharma B, Mahapatra A. Prognostic significance of age in traumatic brain injury. J Neurosci Rural Pract. 2012;3(2):131-5.
28
Eghwrudjakpor PO, Allison AB. Decompressive craniectomy following brain injury: factors important to patient outcome. Libyan J Med. 2010;5(1):4620.
29
Gouello G, Hamel O, Asehnoune K, Bord E, Robert R, Buffenoir K. Study of the long-term results of decompressive craniectomy after severe traumatic brain injury based on a series of 60 consecutive cases. ScientificWorldJournal. 2014;2014:207585.
30
Huang YH,Deng YH,Lee TC,Chen WF. Rotterdam computed tomography score as a prognosticator in head-injured patients undergoing decompressive craniectomy. Neurosurgery. 2012;71(1):80-5.
31
Cianchi G, Bonizzoli M, Zagli G, di Valvasone S, Biondi S, Ciapetti M, et al. Late decompressive craniectomyafter traumatic brain injury: neurological outcome at 6 months after ICU discharge. J Trauma Manag Outcomes. 2012;6(1):8.
32
Ki HJ, Lee HJ, Lee HJ, Yi JS, Yang JH, Lee IW. The Risk Factors for Hydrocephalus and Subdural Hygroma after Decompressive Craniectomy in Head Injured Patients. J Korean Neurosurg Soc. 2015;58(3):254-61.
33
De Bonis P, Pompucci A, Mangiola A, Rigante L, Anile C. Post-traumatic hydrocephalus after decompressive craniectomy: an underestimated risk factor. J Neurotrauma. 2010;27(11):1965-70.
34
Jeon SW, Choi JH, Jang TW, Moon SM, Hwang HS, Jeong JH. Risk factors associated with subdural hygroma after decompressive craniectomy in patients with traumatic brain injury : a comparative study. J Korean Neurosurg Soc. 2011;49(6):355-8.
35
ORIGINAL_ARTICLE
Psycho-social and Mental Variables and Post-Traumatic Stress Disorder in Traffic Accident Survivors in Northern Iran
Objective: To assess the psycho-social and mental variables associated with post-traumatic stress disorder (PTSD) in a series of Iranian patients.Methods: A total of 528 eligible accident survivors in pre-sampling of a randomized controlled trial targeting PTSD were included in this cross-sectional study. Psycho-social characteristics associated to PTSD were explored in these survivors in an outpatient clinic. They completed the questionnaires via interview between six weeks to six months after accident. Data collection tools were PSS (DSM-V version) for PTSD and BDI-II for depression and a researcher-made questionnaire for psycho-social variables.Multivariate logistic regression indicated that some variables were associated with PTSD such as accident perceived severity, (p<000), injured situation, (p<000), current depression, (p<000), RTW (p<000), and family communication (p=0.01).Results: There was a significant association between PTSD and the following variables; family communication, current depression, return to work, history of death of relatives, witnessed the death, length of amnesia, hospitalization, injured situation, and accident severity. Multivariate logistic regression indicated that some variables were associated with PTSD such as accident severity, (p<0.001), injured situation, (p<0.001), current depression, (p<0.001), RTW (p<0.001), and family communication (p=0.01).Conclusion: Psychiatric nursing prevention efforts is best directed toward motorcycle depressed drivers with severe accident and poor family communication who do not return to work. Thus, routine assessment of PTSD, depression and psycho-social variables after traffic accidents must be taken into account.
https://beat.sums.ac.ir/article_44386_46b14db74fb2508c4657b0bc2d3b4846.pdf
2017-07-01
197
205
Post-Traumatic Stress Disorder
Psychological
Social
Traffic accident
Naema
khodadadi-hassankiadeh
1
AUTHOR
Nahid
Dehghan-Nayeri
2
LEAD_AUTHOR
Hooman
Shahsavari
3
AUTHOR
Shahrokh
Yousefzadeh-Chabok
4
AUTHOR
Hamid
Haghani
5
AUTHOR
Hamzeh B, Najafi F, Karamimatin B, Ahmadijouybari T, Salari A, Moradinazar M. Epidemiology of traffic crash mortality in west of Iran in a 9 year period. Chin J Traumatol. 2016;19(2):70-4.
1
Hashemi FM, Pourmalek F, Tehrani A, Abachizadeh K, Memaryan N, Hazar N, et al. Monitoring Social Well-Being in Iran. Social Indicators Research. 2016;129(1):1-12.
2
Mousavi Nik M, Zafarghandi S, Bagher M, Assari A. Cognitive behavioral treatment of post traumatic stress disorder (PTSD) after a car accident. Neuroscience journal of Shefaye Khatam. 2016;3(4):e31-e.
3
Elhai JD, Miller ME, Ford JD, Biehn TL, Palmieri PA, Frueh BC. Posttraumatic stress disorder in DSM-5: estimates of prevalence and symptom structure in a nonclinical sample of college students. J Anxiety Disord. 2012;26(1):58-64.
4
Lee S, Sohn BK, Lee J-Y, Choi JS, Jung H-Y. Identification of emotion, personality, and cognition related to the transition from Acute Stress Disorder to Posttraumatic Stress Disorder in female victims of sexual assault. European Neuropsychopharmacology. 2016;26:S607.
5
Heron-Delaney M, Kenardy J, Charlton E, Matsuoka Y. A systematic review of predictors of posttraumatic stress disorder (PTSD) for adult road traffic crash survivors. Injury. 2013;44(11):1413-22.
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9
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10
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Powers MB, Warren AM, Rosenfield D, Roden-Foreman K, Bennett M, Reynolds MC, et al. Predictors of PTSD symptoms in adults admitted to a Level I trauma center: a prospective analysis. J Anxiety Disord. 2014;28(3):301-9.
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Topolovec-Vranic J, Schuler A, Gozdzik A, Somers J, Bourque PE, Frankish CJ, et al. The high burden of traumatic brain injury and comorbidities amongst homeless adults with mental illness. J Psychiatr Res. 2017;87:53-60.
39
Ghoneim M. The trauma of awareness: history, clinical features, risk factors, and cost. Anesth Analg. 2010;110(3):666-7.
40
Hosseinpour M, Mohammadian-Hafshejani A, Esmaeilpour Aghdam M, Mohammadian M, Maleki F. Trend and Seasonal Patterns of Injuries and Mortality Due to Motorcyclists Traffic Accidents; A Hospital-Based Study. Bull Emerg Trauma. 2017;5(1):47-52.
41
Nickerson A, Aderka IM, Bryant RA, Hofmann SG. The role of attribution of trauma responsibility in posttraumatic stress disorder following motor vehicle accidents. Depress Anxiety. 2013;30(5):483-8.
42
ORIGINAL_ARTICLE
Otolaryngological Presentations in Times of Terror: Profile from a Tertiary Health Center in North-Central Nigeria
Objectives: To report the incidence, socio-demographic characteristics, otorhinolaryngological presentations and outcomes of management of patients at the Jos University Teaching Hospital following terror attacks.Methods: A prospective descriptive hospital based study of consecutive patients presenting with ear, nose and throat injuries as a result of bomb blasts and ethno-religious crises within a six-year period and managed at the Jos University Teaching Hospital were studied for age, gender, ear, nose and throat presentations, injury mechanism, interventions and outcome of interventions. A designed proforma was used for data collection.Results: There were 107 ear, nose and throat injuries from a total 468 terror-related injuries consisting of 66 (61.7%) males and 41 (38.3%) females (M:F ratio of 1.6:1), aged between 5 and 77 years (mean= 36.7 years; SD= +/- 16.2). Two peak age incidences of injuries in the first and third decades were recorded. The commonest source of injuries was bomb blasts in 47 (44%) patients. Multiple facial fractures with soft tissue injuries were the commonest seen in 78 (72.9%) patients. The commonest associated injuries were head injuries (n= 36). Ninety-four (87.9%) patients presented via the Accident and Emergency department, 16 (15%) received pre-hospital care. Patients with multiple injuries stayed longer in the hospital (p-value= 0.028). Complications were recorded in 19 (17.8%) patients. A case fatality rate of 5.6% was recorded.Conclusion: Bomb blasts were the major form of terror attacks in our region. The presence of multiple injuries is a significant negative predictor of patient outcomes.
https://beat.sums.ac.ir/article_44387_0c7890175108a29ecdb7680e6607e566.pdf
2017-07-01
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211
Ear
Nose
Throat
Injuries
Terror
Jos-Nigeria
Adeyi
Adoga
adeyiadoga@gmail.com
1
University of Jos
LEAD_AUTHOR
Daniel
Kokong
2
University of Jos
AUTHOR
Kenneth
Ozoilo
3
University of Jos
AUTHOR
Schmid AP. The revised academic consensus definition of terrorism. Perspectives on Terrorism. 2012;6(2).
1
Yusuf U. Ethno-religious crisis: The north and the rest of Nigeria. Vanguard Newspaper. Vanguard Media Limited, Nigeria. 2009.
2
Sidel VW. War, terrorism and the public's health. Medicine Conflict and Survival. 2008;24(S1):S13-S25.
3
Adoga AA, Ozoilo KN. The epidemiology and type of injuries seen at the accident and emergency unit of a Nigerian referral center. J Emerg Trauma Shock. 2014;7(2):77-82.
4
Cheng J, Gu J, Ma Y, Yang T, Kuang Y, Li B, et al. Development of a rat model for studying blast-induced traumatic brain injury. J Neurol Sci. 2010;294(1-2):23-8.
5
Nwadiaro HC, Yiltok SJ, Kidmas AT. Immediate mass casualty management in Jos University Teaching Hospital: a successful trial of Jos protocol. West Afr J Med. 2000;19(3):230-4.
6
Solagberu BA, Ofoegbu CK, Abdur-Rahman LO, Adekanye AO, Udoffa US, Taiwo J. Pre-hospital care in Nigeria: a country without emergency medical services. Niger J Clin Pract. 2009;12(1):29-33.
7
Almogy G, Mintz Y, Zamir G, Bdolah-Abram T, Elazary R, Dotan L, et al. Suicide bombing attacks: Can external signs predict internal injuries? Ann Surg. 2006;243(4):541-6.
8
Shah A, Ayala M, Capra G, Fox D, Hoffer M. Otologic assessment of blast and nonblast injury in returning Middle East-deployed service members. Laryngoscope. 2014;124(1):272-7.
9
Chrisman AK, Dougherty JG. Mass trauma: disasters, terrorism, and war. Child Adolesc Psychiatr Clin N Am. 2014;23(2):257-79, viii.
10
Pine DS, Costello J, Masten A. Trauma, proximity, and developmental psychopathology: the effects of war and terrorism on children. Neuropsychopharmacology. 2005;30(10):1781-92.
11
Gataa IS, Muassa QH. Patterns of maxillofacial injuries caused by terrorist attacks in Iraq: retrospective study. Int J Oral Maxillofac Surg. 2011;40(1):65-70.
12
Ringler D, Einy S, Giveon A, Goldstein L, Peleg K. Maxillofacial trauma resulting from terror in Israel. J Craniofac Surg. 2007;18(1):62-6.
13
Gondusky JS, Reiter MP. Protecting military convoys in Iraq: an examination of battle injuries sustained by a mechanized battalion during Operation Iraqi Freedom II. Mil Med. 2005;170(6):546-9.
14
Horrocks CL. Blast injuries: biophysics, pathophysiology and management principles. J R Army Med Corps. 2001;147(1):28-40.
15
Wightman JM, Gladish SL. Explosions and blast injuries. Ann Emerg Med. 2001;37(6):664-78.
16
Al-Juboori AN. Evaluation of spontaneous healing of traumatic tympanic membrane perforation. General Medicine: Open Access. 2014:1-3.
17
Orji FT, Agu CC. Determinants of spontaneous healing in traumatic perforations of the tympanic membrane. Clin Otolaryngol. 2008;33(5):420-6.
18
Snyder CL, Jain VN, Saltzman DA, Strate RG, Perry JF, Jr., Leonard AS. Blunt trauma in adults and children: a comparative analysis. J Trauma. 1990;30(10):1239-45.
19
Liberman M, Mulder D, Lavoie A, Denis R, Sampalis JS. Multicenter Canadian study of prehospital trauma care. Ann Surg. 2003;237(2):153-60.
20
Mock CN, Jurkovich GJ, nii-Amon-Kotei D, Arreola-Risa C, Maier RV. Trauma mortality patterns in three nations at different economic levels: implications for global trauma system development. J Trauma. 1998;44(5):804-12; discussion 12-4.
21
In: The United Nations. Global Counter-Terrorism strategy. 2006. [Last accessed 2016 Nov 16]. Available from: http://www.un.org/terrorism/strategy-counter-terrorism.
22
ORIGINAL_ARTICLE
Severe Thoracic Trauma Due to an Intrathoracic Dislocation of a Fractured Humeral Head in an Aged Patient; A Case Report
Fracture and intrathoracic dislocation of the humeral head are extremely rare and often the result of a severe trauma. We herein report a case of humeral head fracture and dislocation with displacement into the chest cavity. A 75-year-old man fell down the stairs at home, landing on the right half of his body. Clinical impressive was a massive skin emphysema on the right hemithorax. A chest x-ray was performed. Conspicuous was a dubious opacity in the right subfield of the lung. The following CT-scan showed an additional fracture of the right scapula, a lung contusion and as “corpus delicti” a right intrathoracic dislocated humeral head fracture. The current case is extremely rare pattern of injury and the surgical emergency management is discussed. In most patients, a thoracotomy, which is related to a higher lethality and higher morbidity, can be avoided, if after stabilization a video assisted thoracoscopy is performed for revision of the pleural cavity and extraction of the humeral head.
https://beat.sums.ac.ir/article_44388_578f1bb847ec37d6c6781bad0c6b12fa.pdf
2017-07-01
212
214
Humeral head fracture
Intrathoracic dislocation
Thoracic Trauma
Video assisted thoracoscopy
Shoulder endoprosthesis
Multiple rib fractures
Holger
Rupprecht
1
AUTHOR
Marius
Ghidau
2
AUTHOR
Katharina
Gaab
katharina@gaab-web.de
3
LEAD_AUTHOR
Wu JS, Du JY, Wen ZQ, Guo F, Lin XJ. Intrathoracic displacement of the humeral head in a trauma patient. Indian J Orthop. 2012 Sep-Oct; 46(5): 596–598.
1
Abbott GF, Gaissert H, Faberman RS. Contralateral intrathoracic migration of humeral head fracture dislocation. AJR Am J Roentgenol. 1999;172(5):1403-4.
2
Abellan JF, Melendreras E, Gimenez DJ, Carrillo FJ, Ruano L, Rivkin J. Intrathoracic fracture-dislocation of the humeral head: a case report. J Orthop Surg (Hong Kong). 2010;18(2):254-7.
3
Eberson CP, Ng T, Green A. Contralateral intrathoracic displacement of the humeral head. A case report. J Bone Joint Surg Am. 2000;82(1):105-8.
4
Griffin NC, Temes RT, Gill IS, Rice TW. Intrathoracic displacement of a fractured humeral head. Ann Thorac Surg. 2007;84(4):1400.
5
Kocer B, Gulbahar G, Aktekin CN, Gunal N, Birinci B, Dural K, et al. Intrathoracic humeral head fracture-dislocation: is removal of the humeral head necessary? Ann Thorac Surg. 2007;84(4):1371-2.
6
Salhiyyah K, Potter D, Sarkar PK. Fracture-dislocation of humeral head with intrathoracic displacement. Asian Cardiovasc Thorac Ann. 2012;20(2):196-8.
7
Ulrich C, Helbing G, Worsdorfer O, Lampl LH. Intrathoracic dislocation of the head of the humerus. Langenbecks Arch Chir. 1986;367(3):197-202.
8
Jun-Song W, Jing-Yu D, Zhi-Qiang W, Fang G, Xiang-Jin L. Intrathoracic displacement of the humeral head in a trauma patient. Indian J Orthop. 2012;46(5):596-8.
9
Daffner SD, Cipolle MD, Phillips TG. Fracture of the humeral neck with intrathoracic dislocation of the humeral head. J Emerg Med. 2010;38(4):439-43.
10
Komatsu T, Neri S, Fuziwara Y, Takahashi Y. Video-assisted thoracoscopic surgery (VATS) for penetrating chest wound: thoracoscopic exploration and removal of a penetrating foreign body. Can J Surg. 2009;52(6):E301-2.
11
Liu DW, Liu HP, Lin PJ, Chang CH. Video-assisted thoracic surgery in treatment of chest trauma. J Trauma. 1997;42(4):670-4.
12
ORIGINAL_ARTICLE
Posterior Reversible Encephalopathy Syndrome during Recovery from Hypovolemic Acute Kidney Injury after Trauma; Case Report and Literature Review
Posterior reversible encephalopathy syndrome (PRES) is a rare clinicoradiological entity characterized by neurological symptoms. It is associated with various conditions like hypertension, renal diseases and use of cytotoxic agents. It occurs more often in adults than children. PRES has been described in pediatric patient with renal diseases like nephrotic syndrome, nephritis and in acute renal failure as in cases of Hemolytic-uremic syndrome but there are no reports of PRES in cases of recovery from acute kidney injury due to prerenal cause like hypovolemia. We herein present an interesting case of 6-year-old girl with traumatic amputation who developed PRES days after recovery of acute kidney injury. The patient was successfully managed medically. The presented clinical scenario demonstrates the fact that PRES can develop in a trauma patient in acute setting of recovering from hypovolemic acute kidney injury. Prompt recognition and treatment is important and can lead to complete recovery.
https://beat.sums.ac.ir/article_44389_e44774dd0d1ea9be6e15235f0c500e8e.pdf
2017-07-01
215
218
Posterior reversible encephalopathy syndrome (PRES)
Hypertension
Acute Kidney injury (AKI)
Trauma
Richa
Aggarwal
pathakricha@yahoo.co.in
1
LEAD_AUTHOR
Anudeep
Saxena
2
AUTHOR
Kapil
Soni
3
AUTHOR
Hinchey J, Chaves C, Appignani B, Breen J, Pao L, Wang A, et al. A reversible posterior leukoencephalopathy syndrome. N Engl J Med. 1996;334(8):494-500.
1
Raj S, Overby P, Erdfarb A, Ushay HM. Posterior reversible encephalopathy syndrome: incidence and associated factors in a pediatric critical care population. Pediatr Neurol. 2013;49(5):335-9.
2
Gera DN, Patil SB, Iyer A, Kute VB, Gandhi S, Kumar D, et al. Posterior reversible encephalopathy syndrome in children with kidney disease. Indian J Nephrol. 2014;24(1):28-34.
3
Yamamoto H, Natsume J, Kidokoro H, Ishihara N, Suzuki M, Tsuji T, et al. Clinical and neuroimaging findings in children with posterior reversible encephalopathy syndrome. Eur J Paediatr Neurol. 2015;19(6):672-8.
4
Incecik F, Herguner MO, Altunbasak S, Erbey F, Leblebisatan G. Evaluation of nine children with reversible posterior encephalopathy syndrome. Neurol India. 2009;57(4):475-8.
5
ORIGINAL_ARTICLE
Inferior Vena Cava Injuries: Sometimes Less is More
https://beat.sums.ac.ir/article_44390_7a8e84543ea1216e3f2e000a2e42c790.pdf
2017-07-01
219
220
Inferior vena cava
Injuries
Eduardo
Singares
1
LEAD_AUTHOR
Hodjati H, Sohrabi Nazari S, Dehghani Nazhvani S, Karami MY, Geramizadeh B. Inferior Vena Cava Reconstruction by Gallbladder Patch: An Experimental Design. Bull Emerg Trauma. 2017;5(3):160-164.
1
Mainetti JM, Soria NR. Choledochoplasty with saphenous vein. Prensa Med Argent. 1969;56(17):810-2.
2
Biglari M, Van den Bussche D, Vanlangenhove P. Reconstruction of a common bile duct injury by venous bypass. Acta Chir Belg. 2013;113(4):308-10.
3
Rohondia OS, Bapat RD, Husain S, Shriyan PG, Pradhan R, Kumar KS. Cholecystoduodenoplasty for high-output duodenal fistula. Indian J Gastroenterol. 2001;20(3):107-8.
4
Sandblom P, Tabrizian M, Rigo M, Fluckiger A. Repair of common bile duct defects using the gallbladder or cystic duct as a pedicled graft. Surg Gynecol Obstet. 1975;140(3):425-32.
5
Calne RY. A new technique for biliary drainage in orthotopic liver transplantation utilizing the gall bladder as a pedicle graft conduit between the donor and recipient common bile ducts. Ann Surg. 1976;184(5):605-9.
6
Hodjati H, Hoseinzadeh A, Mousavi SM, Dehghani Nazhavi S, Kumar V, Sehhatpour M. Inferior Vena Cava Repair Using Serosal Patch of Small Bowel: An Experimental Study. Bull Emerg Trauma. 2017;5(1):24-8.
7
Quinones-Baldrich W, Alktaifi A, Eilber F. Inferior vena cava resection and reconstruction for retroperitoneal tumor excision. J Vasc Surg. 2012;55(5):1386-93; discussion 93.
8
Chin PT, Gallagher PJ, Stephen MS. Inferior vena caval resection with autogenous peritoneo-fascial patch graft caval repair: a new technique. Aust N Z J Surg. 1999;69(5):391-2.
9
Piccione W, Jr., Faber LP, Warren WH. Superior vena caval reconstruction using autologous pericardium. Ann Thorac Surg. 1990;50(3):417-9.
10
Asensio JA, Chahwan S, Hanpeter D, Demetriades D, Forno W, Gambaro E, et al. Operative management and outcome of 302 abdominal vascular injuries. Am J Surg. 2000;180(6):528-33; discussion 33-4.
11