ORIGINAL_ARTICLE
Assessing Preparedness of Non-Hospital Health Centers to Provide Primary Emergency Care; A Systematic Review
Objectives: To identify prevalent domains related to the concept of assessing preparedness of non-hospital centers to provide primary emergency care in order to develop a comprehensive framework.Methods: Five databases including PubMed, Scopus, Web of science, Barakat Knowledge Network Systems (BKNS) and Scientific Information Database (SID) were searched in English and/or Persian languages with no time limit until March, 2018. Manual search and grey literature were also done. According to the eligibility criteria, all the studies were independently tracked by two researchers. Studies were appraised using the Mixed Methods Appraisal Tool (MMAT). The findings were synthesized through directed content analysis method.Results: Out of 3014 studies, 15 studies were included for data synthesis. The synthesis of literature resulted in the emergence of 13 domains and 25 sub-domains. Then, they were categorized based on Donabedian’s triple model and a conceptual framework was developed. In this framework, 6 domains were put in input, 6 in processes, and 1 domain in outcome. Of the 15 included studies, 1 study considered 10 domains and 14 other studies considered 4 to 8 domains out of 13 synthesized domains. The most prevalent synthesized domains were “medical supplies and equipment” and “human resources”, which were considered in 15 studies.Conclusion: In this study, a conceptual framework was constructed that identifies elements that significantly affect the preparedness of these centers. This framework may assist managers to take a comprehensive approach to assess these centers.
https://beat.sums.ac.ir/article_45358_571d0331047d7fa5b53ba440e1c3e0e2.pdf
2019-07-01
201
211
10.29252/BEAT-070301
Non-hospital health centers
Primary emergency care
Preparedness
Assess
Mehrdad
Amir Behghadami
behghadami.m@gmail.com
1
Department of Health Service Management, School of Health Services Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
Ali
Janati
jannatia@tbzmed.ac.ir
2
Iranian Center of Excellence in Health Management (IceHM), Department of Health Service Management, School of Health Services Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
LEAD_AUTHOR
Homayoun
Sadeghi-Bazargani
homayoun.sadeghi@gmail.com
3
Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
Masoumeh
Gholizadeh
4
Iranian Center of Excellence in Health Management (IceHM), Department of Health Service Management, School of Health Services Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
Farzad
Rahmani
farzadrhn88@gmail.com
5
Emergency Medicine Department, Sina Medical Research and Training Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
Morteza
Arab-Zozani
arab.hta@gmail.com
6
Iranian Center of Excellence in Health Management (IceHM), Department of Health Service Management, School of Health Services Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
Heidari A, Kabir MJ, Jafari N, Gashti AB, Pourabasi MA, Honarvar MR, et al. Assessment of human and physical resources in health houses and health-care centers providing emergency services: a study in Golestan province. Health in the field. 2016;3(4):1-8.
1
Tabrizi JS, Amir Behghadami M, Saadati M, Söderhamn U. Self-care Ability of Older People Living in Urban Areas of Northwestern Iran. Iran J Public Health. 2018;47(12):1899-1905.
2
Montalto M. Outside the hospital: the delivery of healthcare in non-hospital settings. Public Health Assoc Australia Inc Po Box 319, Curtin, ACT 2600, Australia; 2009.
3
Mahfouz A, Abdel Moneim I, Khan M, Daffalla A, Diab M, El Gamal M, et al. Primary health care emergency services in Abha district of southwestern Saudi Arabia. East Mediterr Health J. 2007;13(1):103-12.
4
Razzak JA, Baqir SM, Khan UR, Heller D, Bhatti J, Hyder AA. Emergency and trauma care in Pakistan: a cross-sectional study of healthcare levels. Emerg Med J. 2013;32(3):207-13.
5
Almeida AOd, Araújo IEM, Dalri MCB, Araujo S. Theoretical knowledge of nurses working in non-hospital urgent and emergency care units concerning cardiopulmonary arrest and resuscitation. Rev Lat Am Enfermagem. 2011;19(2):261-8.
6
Yaman H. Preparedness of Primary Healthcare Centers for Critical Emergency Situations in Southwest Turkey. Prehosp Disaster Med. 2008;23(4):342-5.
7
Bosch X, Escoda O, Nicolás D, Coloma E, Fernández S, Coca A, et al. Primary care referrals of patients with potentially serious diseases to the emergency department or a quick diagnosis unit: a cross-sectional retrospective study. BMC Fam Pract. 2014;15(1):75.
8
Siddiqui S, Ogbeide DO. Utilization of emergency services in a community hospital. Saudi Med J. 2002;23(1):69-72.
9
Johnston CL, Coulthard MG, Schluter PJ, Dick M-LB. Medical emergencies in general practice in south-east Queensland: prevalence and practice preparedness. Med J Aust. 2001;175(2):99-103.
10
Toback SL. Medical emergency preparedness in office practice. Am Fam Physician. 2007;75(11):1679-84.
11
Fuchs S, Jaffe DM, Christoffel KK. Pediatric emergencies in office practices: prevalence and office preparedness. Pediatrics. 1989;83(6):931-9.
12
Jahani M, Rastgar A, Hosseinipour M, Bijani A. Structure of space, personnel and equipment of hospital emergency department of Babol university of medical sciences based on national standards (2007). J Babol Univ Med Sci. 2009;10(6):73-9.
13
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. 2009;6(7):e1000100.
14
Arab-Zozani M, Pezeshki MZ, Khodayari-Zarnaq R, Janati A. Medical overuse in the Iranian healthcare system: a systematic review protocol. BMJ Open. 2018;8(4):e020355.
15
Amir Behghadami M, Janati A. A critical appraisal of the review study to improve its reporting quality. Iran J Nurs Midwifery Res. 2019;24(4).
16
Hong QN, Pluye P, Fàbregues S, Bartlett G, Boardman F, Cargo M, et al. Mixed methods appraisal tool (MMAT), version 2018. IC Canadian Intellectual Property Office, Industry Canada. 2018.
17
O’Cathain A. Assessing the quality of mixed methods research: Toward a comprehensive framework. Handbook of mixed methods in social and behavioral research. 2010;531:555.
18
Crowe M, Sheppard L. A review of critical appraisal tools show they lack rigor: alternative tool structure is proposed. J Clin Epidemiol. 2011;64(1):79-89.
19
Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277-88.
20
Potter WJ, Levine‐Donnerstein D. Rethinking validity and reliability in content analysis; 1999. P. 258-84.
21
Donabedian A. An introduction to quality assurance in health care: Oxford University Press; 2002.
22
Hsia RY, Mbembati NA, Macfarlane S, Kruk ME. Access to emergency and surgical care in sub-Saharan Africa: the infrastructure gap. Health Policy Plan. 2012;27(3):234-44.
23
Aloufi MA, Bakarman MA. Barriers Facing Primary Health Care Physicians When Dealing with Emergency Cases in Jeddah, Saudi Arabia. Glob J Health Sci. 2016;8(8): 54248.
24
Nakahara S, Saint S, Sann S, Phy R, Ichikawa M, Kimura A, et al. Evaluation of trauma care resources in health centers and referral hospitals in Cambodia. World J Surg. 2009;33(4):874-85.
25
Alsaad SS, Abu-Grain SH, El-Kheir DY. Preparedness of Dammam primary health care centers to deal with emergency cases. J Family Community Med. 2017;24(3):181-8.
26
Razzak JA, Hyder AA, Akhtar T, Khan M, Khan UR. Assessing emergency medical care in low income countries: a pilot study from Pakistan. BMC Emerg Med. 2008;8(1):8.
27
Nelson BD, Ahn R, Markovchick V, Hines RA, Lauretti AR, Lauretti JR, et al. Emergency care and referral among isolated island populations in the bahamas. J Emerg Med. 2015;48(3):356-65.
28
Burke TF, Hines R, Ahn R, Walters M, Young D, Anderson RE, et al. Emergency and urgent care capacity in a resource-limited setting: an assessment of health facilities in western Kenya. BMJ Open. 2014;4(9):e006132.
29
Arreola-Risa C, Mock C, Vega Rivera F, Romero Hicks E, Guzmán Solana F, Porras Ramírez G, et al. Evaluating trauma care capabilities in Mexico with the World Health Organization's Guidelines for Essential Trauma Care publication. Rev Panam Salud Publica. 2006;19(2):94-103.
30
Mohey A, Faris Al azmi S. Primary Healthcare Emergency Services in Alexandria, Egypt 2016. Qual Prim Care. 2017;25(5):303-15.
31
Mock C, Nguyen S, Quansah R, Arreola-Risa C, Viradia R, Joshipura M. Evaluation of trauma care capabilities in four countries using the WHO-IATSIC Guidelines for Essential Trauma Care. World J Surg. 2006;30(6):946-56.
32
Mock C. Guidelines for essential trauma care: World Health Organization; 2004..
33
Rahmani H, Arab M, Akbari F, Zeraati H. Structure, process and performance of the emergency unit of teaching hospitals of Tehran University of Medical Sciences. J Sch Public Health Inst Public Health Res. 2006;4(4):13-22.
34
Amerioun A, Toufighi S, Zaboli R. Assessing the medical equipment maintenance management at selected hospitals affiliated with the medical sciences universities in Tehran;(2003-2005). J Health Adm. 2006;9(23):17-24.
35
Malek ML, Haghpanah S, Moravej H, Sharifi M. The effect of intervention on patient's satisfaction in emergency departments of the hospitals affiliated to shiraz university of medical sciences. J Jahrom Univ Medl Sci. 2010;7(3):52-61.
36
Bahadori M, Mirhashemi S, Panahi F, Sh T, Zaboli R, Rezaee M. Structure, process and practices of the emergency unit of hospitals of baqyatallah University of Medical Sciences. J Mil Med. 2008;9(4):257-63.
37
Ali J, Adam R, Butler AK, Chang H, Howard M, Gonsalves D, et al. Trauma outcome improves following the advanced trauma life support program in a developing country. J Trauma. 1993;34(6):890-8; discussion 8-9.
38
Husum H, Gilbert M, Wisborg T, Van Heng Y, Murad M. Rural prehospital trauma systems improve trauma outcome in low-income countries: a prospective study from North Iraq and Cambodia. J Trauma Acute Care Surg. 2003;54(6):1188-96.
39
Glick P. How reliable are surveys of client satisfaction with healthcare services? Evidence from matched facility and household data in Madagascar. Soc Sci Med. 2009;68(2):368-79.
40
ORIGINAL_ARTICLE
Comparative Study of Stewardship of Road Traffic Injuries Prevention with a Focus on the Role of Health System; Three Pioneer Countries and Three Similar to Iran
Objective: To compare the stewardship of road traffic accidents (RTIs) prevention in three pioneer countries and three similar ones to Iran.Methods: In this descriptive comparative study, the United States of America, Sweden, and Brazil as the pioneer countries in RTIs prevention were compared to the India, Pakistan, and Turkey as the countries socioeconomically similar to Iran. Embase, PubMed, Scopus, IranDoc, IranMedex, SID, and MagIran were searched. Also a hand search conducted on websites and search engines using related keywords.Results: In the pioneer countries in RTIs prevention there was a delegation to a particular organization. In the other three countries a part of the Ministry of Transportation had the overall responsibility of RTIs. In Iran there was uncertainty in the stewardship of RTIs prevention. There was little evidence on the role and activities of health systems in RTIs prevention.Conclusion: It seems necessary to define a lead agency organization on RTIs prevention in Iran with sufficient authority and resources. This study also recommends conducting reliable studies to investigate the possible roles that the health system of a country can assume regarding the RTIs prevention.
https://beat.sums.ac.ir/article_45363_24ac74c0d628bbc23f899e609ff2f295.pdf
2019-07-01
212
222
10.29252/beat-070302
Road traffic accident
Road traffic injury
Traffic-collision injuries
Policy
Stewardship
Decision making
Saber
Azami-Aghdash
s.azami.a90@gmail.com
1
AUTHOR
Homayoun
Sadeghi-Bazarghani
2
Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
Ramin
Rezapour
rezapour2012@yahoo.com
3
AUTHOR
Mahdiyeh
Heydari
4
Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
Naser
Derakhshani
derakhshani.mhc@gmail.com
5
Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
LEAD_AUTHOR
Zimmerman K, Jinadasa D, Maegga B, Guerrero A. Road traffic injury on rural roads in Tanzania: measuring the effectiveness of a road safety program. Traffic Inj Prev. 2015;16(5):456-60.
1
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Khorasani Zavareh D, Bohm K, Khankeh H, Talebian MT, Mohammadi R, Bigdeli M, et al. Why should being visible on the road? A challenge to prevent road traffic injuries among pedestrians in Iran. J Inj Violence Res. 2015;7(2):93-4.
3
Peden M, Scurfield R, Sleet D, Mohan D, Hyder AA, Jarawan E, et al. World report on road traffic injury prevention. World Health Organization Geneva; 2004.
4
Saber Azami-Aghdash, Homayoun Sadeghi-Bazarghani, Mahdiyeh Heydari, Ramin Rezapour, Derakhshani N. Economic Burden of Road Traffic Injuries in Iran: A Mini-systematic Review. J Clin Res Gov. 2016;5(2):1-6.
5
Short MM, Mushquash CJ, Bédard M. Interventions for motor vehicle crashes among Indigenous communities: strategies to inform Canadian initiatives. Can J Public Health. 2014;105(4):e296-305.
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16
Azami-Aghdash S, Sadeghi-Bazarghani H, Heydari M, Rezapour R, Derakhshani N. Effectiveness of Interventions for Prevention of Road Traffic Injuries in Iran and Some Methodological Issues: A Systematic Review. Bull Emerg Trauma. 2018;6(2):90-99.
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Al Turki YA. How can Saudi Arabia use the Decade of Action for Road Safety to catalyse road traffic injury prevention policy and interventions? Int J Inj Contr Saf Promot. 2014;21(4):397-402.
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Soori H, Movahedinejad A, Mahfozphoor S, Movahedi M, Rezazadeh Azari M, Hatamabadi H, et al. A Practical Model of Political Mapping in Road Traffic Injury in Iran in 2008. Hakim. 2009;12(3):1- 9.
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Rojas Medina Y, Espitia-Hardeman V, Dellinger AM, Loayza M, Leiva R, Cisneros G. A road traffic injury surveillance system using combined data sources in Peru. Rev Panam Salud Publica. 2011;29(3):191-7.
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63
ORIGINAL_ARTICLE
Prognostic Value of P-POSSUM and Osteopenia for Predicting Mortality After Emergency Laparotomy in Geriatric Patients
Objective: To evaluate the Portsmouth-Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity (P-POSSUM) in comparison with other risk factors for mortality including osteopenia as an indicator for frailty in geriatric patients subjected to emergency laparotomy. Methods: All geriatric patients (≥65 years) undergoing emergency laparotomy at a single university hospital between 1/2015 and 12/2016 were included in this cohort study. Demographics and outcomes were retrospectively collected from medical records. Association between prognostic markers and 30-day mortality was assessed using Poisson and backward stepwise regression models. Prognostic value was assessed using receiver operating characteristic (ROC) curves.Results: 209 patients were included with a mean age of 76 ± 7.3 years. American Society of Anesthesiologists (ASA) classification, age, indication and type of surgery, hypotension, transfusion requirement and current malignancy proved to be statistically significant predictors of 30-day mortality. P-POSSUM mortality was statistically significant in the backward stepwise regression (incidence rate ratio=1.58, 95% CI: 1.16–2.15, p=0.004) while osteopenia was not. P-POSSUM had poor prognostic value for 30-day mortality with an area under the ROC curve (AUC) of 0.59. The prognostic value of P-POSSUM improved significantly when adjusting for patient covariates (AUC=0.83).Conclusion: P-POSSUM and osteopenia alone hardly predict 30-day mortality in geriatric patients following emergency laparotomy. P-POSSUM adjusted for other patient covariates improves the prediction.
https://beat.sums.ac.ir/article_45359_9b9e680e65d4ee19e2528c2680572fea.pdf
2019-07-01
223
231
10.29252/beat-070303
Emergency Surgery
Emergency Laparotomy
Geriatric
Mortality
Rebecka
Ah
1
AUTHOR
MB
BChir
2
AUTHOR
Yang
Cao
3
AUTHOR
Hakan
Geijer
4
AUTHOR
Kardo
Taha
5
AUTHOR
Sahar
Pourhossein-Sarmeh
6
AUTHOR
Peep
Talving
7
AUTHOR
Olle
Ljungqvist
8
AUTHOR
Shahin
Mohseni
mohsenishahin@yahoo.com
9
Orebro University Hospital / Orebro University
LEAD_AUTHOR
In: SCB. Medellivslängden i Sverige. [Accessed: 19NOV 2018]. Available from: https://www.scb.se/hitta-statistik/sverige-i-siffror/manniskorna-i-sverige/medellivslangd-i-sverige/
1
Torrance AD, Powell SL, Griffiths EA. Emergency surgery in the elderly: challenges and solutions. Open Access Emerg Med. 2015;7:55-68.
2
Khuri SF, Henderson WG, DePalma RG, Mosca C, Healey NA, Kumbhani DJ; Participants in the VA National Surgical Quality Improvement Program. Determinants of long-term survival after major surgery and the adverse effect of postoperative complications. Ann Surg. 2005;242(3):326-41; discussion 341-3.
3
Moonesinghe SR, Harris S, Mythen MG, Rowan KM, Haddad FS, Emberton M, et al. Survival after postoperative morbidity: a longitudinal observational cohort study. Br J Anaesth. 2014;113(6):977-84.
4
Kuhne CA, Ruchholtz S, Kaiser GM, Nast-Kolb D; Working Group on Multiple Trauma of the German Society of Trauma. Mortality in severely injured elderly trauma patients--when does age become a risk factor? World J Surg. 2005;29(11):1476-82.
5
Perdue PW, Watts DD, Kaufmann CR, Trask AL. Differences in mortality between elderly and younger adult trauma patients: geriatric status increases risk of delayed death. J Trauma. 1998;45(4):805-10.
6
Saunders DI, Murray D, Pichel AC, Varley S, Peden CJ; UK Emergency Laparotomy Network. Variations in mortality after emergency laparotomy: the first report of the UK Emergency Laparotomy Network. Br J Anaesth. 2012;109(3):368-75.
7
Copeland GP, Jones D, Walters M. POSSUM: a scoring system for surgical audit. Br J Surg. 1991;78(3):355-60.
8
Prytherch DR, Whiteley MS, Higgins B, Weaver PC, Prout WG, Powell SJ. POSSUM and Portsmouth POSSUM for predicting mortality. Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity. Br J Surg. 1998;85(9):1217-20.
9
Hall JC, Hall JL. ASA status and age predict adverse events after abdominal surgery. J Qual Clin Pract. 1996;16(2):103-8.
10
Knaus WA, Zimmerman JE, Wagner DP, Draper EA, Lawrence DE. APACHE-acute physiology and chronic health evaluation: a physiologically based classification system. Crit Care Med. 1981;9(8):591-7.
11
Kaplan SJ, Pham TN, Arbabi S, Gross JA, Damodarasamy M, Bentov I, et al. Association of Radiologic Indicators of Frailty With 1-Year Mortality in Older Trauma Patients: Opportunistic Screening for Sarcopenia and Osteopenia. JAMA Surg. 2017;152(2):e164604.
12
Sharrock AE, McLachlan J, Chambers R, Bailey IS, Kirkby-Bott J. Emergency Abdominal Surgery in the Elderly: Can We Predict Mortality? World J Surg. 2017;41(2):402-409.
13
Prado CM, Lieffers JR, McCargar LJ, Reiman T, Sawyer MB, Martin L, et al. Prevalence and clinical implications of sarcopenic obesity in patients with solid tumours of the respiratory and gastrointestinal tracts: a population-based study. Lancet Oncol. 2008;9(7):629-35.
14
Du Bois D, Du Bois EF. A formula to estimate the approximate surface area if height and weight be known. 1916. Nutrition. 1989;5(5):303-11; discussion 312-3.
15
Rubin DB. Multiple imputation for nonresponse in surveys: John Wiley & Sons; 2004.
16
Joseph B, Pandit V, Zangbar B, Kulvatunyou N, Hashmi A, Green DJ, et al. Superiority of frailty over age in predicting outcomes among geriatric trauma patients: a prospective analysis. JAMA Surg. 2014;149(8):766-72.
17
Du Y, Karvellas CJ, Baracos V, Williams DC, Khadaroo RG; Acute Care and Emergency Surgery (ACES) Group. Sarcopenia is a predictor of outcomes in very elderly patients undergoing emergency surgery. Surgery. 2014;156(3):521-7.
18
Scott S, Lund JN, Gold S, Elliott R, Vater M, Chakrabarty MP, et al. An evaluation of POSSUM and P-POSSUM scoring in predicting post-operative mortality in a level 1 critical care setting. BMC Anesthesiol. 2014;14:104.
19
Bann SD, Sarin S. Comparative audit: the trouble with POSSUM. J R Soc Med. 2001;94(12):632-4.
20
Clarke A, Murdoch H, Thomas MJ, Cook TM, Peden CJ. Mortality and postoperative care after emergency laparotomy. Eur J Anaesthesiol. 2011;28(1):16-9.
21
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al; Cardiovascular Health Study collaborative Research Group. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146-56.
22
Joseph B, Zangbar B, Pandit V, Fain M, Mohler MJ, Kulvatunyou N, et al. Emergency General Surgery in the Elderly: Too Old or Too Frail? J Am Coll Surg. 2016;222(5):805-13.
23
ORIGINAL_ARTICLE
Biomarkers in Shock Patients and Their Value as A Prognostic Tool; A Prospective Multi-Center Cohort Study
Objective: To investigate the prognostic value of clinical and laboratory tests in prediction of outcome in patients at day 30 post presentation to hospital with shock and to determine the prognostic value of mid regional pro-adrenomedullin (MR-proADM) on mortality prediction at 30 days in the same patient cohort.Method: This prospective multicenter cohort study analyzed data from patients who had presenting with shock to the emergency departments of eleven urban, tertiary-care University hospitals in Spain between March, 2011 and May, 2011. Recruitment of patients was via convenience sampling. Inclusion criteria included age between 14 and 100 years with clinical diagnostic criteria of shock on admission. Various patient parameters were analysed, such as age, sex, past medical history. Other clinical variables were measured on arrival to hospital, including sequential organ failure assessment score (score SOFA), blood pressure, oxygen saturations, capillary refill time and shock index (SI). Laboratory variables investigated included base excess, MR-proADM, lactate, C-Reactive Protein (CRP) and procalcitonin (PCT).Results: There were 212 patients included in the study from the eleven hospitals involved. The mean age was 72.2 years old and 60.4% of the patients were men. In the discriminant analysis only age, MR-proADM and PCT remained in the final discriminant equation. The separate analysis of MR-proADM showed that, in the non-survivors group, MR-proADM levels are significantly higher than those found in the group of survivors (p<0.001).Conclusion: Age, PCT and MR-proADM were useful to predict short-term mortality in patients presenting to the emergency department shock. This suggests that PCT and MR-proADM in combination with the most common prediction models will improve prognostic value.
https://beat.sums.ac.ir/article_45364_2bb2ca1d7aee3e7f566b536114ca38be.pdf
2019-07-01
232
239
10.29252/beat-070304
Biomarkers
Shock
Patients
Prognostic tool
Ana
Navio Serano
1
AUTHOR
Joaquín
Valle Alonso
2
LEAD_AUTHOR
Gustavo
Rene Piñero
3
AUTHOR
Alejandro
Rodriguez Camacho
4
AUTHOR
Josefa
Soriano Benet
5
AUTHOR
Manuel
Vaquero
6
AUTHOR
Cecconi M, De Backer D, Antonelli M, Beale R, Bakker J, Hofer C, et al. Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine. Intensive Care Med. 2014;40(12):1795-815.
1
Marx J, Walls R, Hockberger R. Rosen's Emergency Medicine-Concepts and Clinical Practice E-Book: Elsevier Health Sciences; 2013.
2
Fleischmann C, Scherag A, Adhikari NK, Hartog CS, Tsaganos T, Schlattmann P, et al. Assessment of Global Incidence and Mortality of Hospital-treated Sepsis. Current Estimates and Limitations. Am J Respir Crit Care Med. 2016;193(3):259-72.
3
Navío Serrano A, Cuesta Martin M, Canencia Hernández C, Torres Murillo JM, Ortigosa Agustin O. Results of the RESH Study: A Spanish Registry of Community-Acquired Shock Treated by Emergency Services. Clin Med Case Rev. 2017;1(1):21-35.
4
Seidel BM, Gruene S, Borte M. Medical Classifications Pocket. 2005.
5
Terceros-Almanza LJ, García-Fuentes C, Bermejo-Aznárez S, Prieto-Del Portillo IJ, Mudarra-Reche C, Sáez-de la Fuente I, et al. Prediction of massive bleeding. Shock index and modified shock index. Med Intensiva. 2017;41(9):532-538.
6
Macdonald SP, Arendts G, Fatovich DM, Brown SG. Comparison of PIRO, SOFA, and MEDS scores for predicting mortality in emergency department patients with severe sepsis and septic shock. Acad Emerg Med. 2014;21(11):1257-63.
7
Williams B, Alberti G, Ball C, Bell D, Binks R, Durham L. National Early Warning Score (NEWS): Standardising the assessment of acute-illness severity in the NHS. London: The Royal College of Physicians; 2012.
8
Seymour CW, Liu VX, Iwashyna TJ, Brunkhorst FM, Rea TD, Scherag A, et al. Assessment of Clinical Criteria for Sepsis: For the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016;315(8):762-74.
9
Singer M, Deutschman CS, Seymour CW, Shankar-Hari M, Annane D, Bauer M, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016;315(8):801-10.
10
Vincent JL, Moreno R, Takala J, Willatts S, De Mendonça A, Bruining H, Reinhart CK, Suter PM, Thijs LG. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine. Intensive Care Med. 1996;22(7):707-10.
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Simpson SQ. New sepsis criteria: a change we should not make. Chest. 2016;149(5):1117-8.
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Cortés-Puch I, Hartog CS. Opening the Debate on the New Sepsis Definition Change Is Not Necessarily Progress: Revision of the Sepsis Definition Should Be Based on New Scientific Insights. Am J Respir Crit Care Med. 2016;194(1):16-8.
13
hurpek MM, Snyder A, Han X, Sokol S, Pettit N, Howell MD, et al. Quick Sepsis-related Organ Failure Assessment, Systemic Inflammatory Response Syndrome, and Early Warning Scores for Detecting Clinical Deterioration in Infected Patients outside the Intensive Care Unit. Am J Respir Crit Care Med. 2017;195(7):906-911.
14
aith EP, Udy AA, Bailey M, McGloughlin S, MacIsaac C, Bellomo R, et al. Prognostic Accuracy of the SOFA Score, SIRSCriteria, and qSOFA Score for In-Hospital Mortality Among Adults with Suspected Infection Admitted to the Intensive Care Unit. JAMA. 2017;317(3):290-300.
15
Freund Y, Lemachatti N, Krastinova E, Van Laer M, Claessens YE, Avondo A, et al. Prognostic Accuracy of Sepsis-3 Criteria for In-Hospital Mortality Among Patients With Suspected Infection Presenting to the Emergency Department. JAMA. 2017;317(3):301-308.
16
Macdonald SP, Arendts G, Fatovich DM, Brown SG. Comparison of PIRO, SOFA, and MEDS scores for predicting mortality in emergency department patients with severe sepsis and septic shock. Acad Emerg Med. 2014;21(11):1257-63.
17
Askim Å, Moser F, Gustad LT, Stene H, Gundersen M, Åsvold BO, et al. Poor performance of quick-SOFA (qSOFA) score in predicting severe sepsis and mortality - a prospective study of patients admitted with infection to the emergency department. Scand J Trauma Resusc Emerg Med. 2017;25(1):56.
18
García-Villalba E, Cano-Sánchez A, Alcaraz-García A, Cinesi-Gómez C, Piñera-Salmerón P, Marín I, et al. Nomogram to predict a poor outcome in emergency patients with sepsis and at low risk of organ damage according to Sepsis-related Organ Failure Assessment (SOFA). Emergencias. 2017;29(2):81-86.
19
Usman OA, Usman AA, Ward MA. Comparison of SIRS, qSOFA, and NEWS for the early identification of sepsis in the Emergency Department. Am J Emerg Med. 2018. pii: S0735-6757(18)30889-1.
20
Ruiz-Esteban R, Sarabia PR, Delgado EG, Aguado CB, Cuervo-Arango JA, Varela M. Procalcitonin and C-reactive protein levels as diagnostic tools in febrile patients admitted to a General Internal Medicine ward. Clin Biochem. 2012;45(1-2):22-5.
21
Schuetz P, Suter-Widmer I, Chaudri A, Christ-Crain M, Zimmerli W, Mueller B, et al. Prognostic value of procalcitonin in community-acquired pneumonia. Eur Respir J. 2011;37(2):384-92.
22
Wu CC, Lan HM, Han ST, Chaou CH, Yeh CF, Liu SH, et al. Comparison of diagnostic accuracy in sepsis between presepsin, procalcitonin, and C-reactive protein: a systematic review and meta-analysis. Ann Intensive Care. 2017;7(1):91.
23
Nguyen HB, Rivers EP, Knoblich BP, Jacobsen G, Muzzin A, Ressler JA, et al. Early lactate clearance is associated with improved outcome in severe sepsis and septic shock. Crit Care Med. 2004;32(8):1637-42.
24
Dellinger RP, Levy MM, Rhodes A, Annane D, Gerlach H, Opal SM, et al. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock, 2012. Intensive Care Med. 2013;39(2):165-228.
25
Jansen TC, van Bommel J, Mulder PG, Lima AP, van der Hoven B, Rommes JH, et al. Prognostic value of blood lactate levels: does the clinical diagnosis at admission matter? J Trauma. 2009;66(2):377-85.
26
Marik P, Bellomo R, Demla V. Lactate clearance as a target of therapy in sepsis: a flawed paradigm. OA Crit Care. 2013;1(1):3.
27
Hicks CW, Engineer RS, Benoit JL, Dasarathy S, Christenson RH, Peacock WF. Procalcitonin as a biomarker for early sepsis in the emergency department. Eur J Emerg Med. 2014;21(2):112-7.
28
Huang DT, Angus DC, Kellum JA, Pugh NA, Weissfeld LA, Struck J, et al. Midregional proadrenomedullin as a prognostic tool in community-acquired pneumonia. Chest. 2009;136(3):823-831.
29
Quenot JP, Luyt CE, Roche N, Chalumeau M, Charles PE, Claessens YE, et al. Role of biomarkers in the management of antibiotic therapy: an expert panel review II: clinical use of biomarkers for initiation or discontinuation of antibiotic therapy. Ann Intensive Care. 2013;3(1):21.
30
Courtais C, Kuster N, Dupuy AM, Folschveiller M, Jreige R, Bargnoux AS, et al. Proadrenomedullin, a useful tool for risk stratification in high Pneumonia Severity Index score community acquired pneumonia. Am J Emerg Med. 2013;31(1):215-21.
31
Suberviola B, Castellanos-Ortega A, Llorca J, Ortiz F, Iglesias D, Prieto B. Prognostic value of proadrenomedullin in severe sepsis and septic shock patients with community-acquired pneumonia. Swiss Med Wkly. 2012;142:w13542.
32
Urbieta EB, Medina CM, Sáiz AC, Yandiola PPE, Morentín IA, Vrotsou K. Proteína C reactiva, procalcitonina y proadrenomedulina en la evolución de neumonías hospitalizadas. Revista del Laboratorio Clínico. 2011;4(1):23-9.
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Schuetz P, Wolbers M, Christ-Crain M, Thomann R, Falconnier C, Widmer I, et al. Prohormones for prediction of adverse medical outcome in community-acquired pneumonia and lower respiratory tract infections. Crit Care. 2010;14(3):R106.
34
Valenzuela-Sánchez F, Valenzuela-Méndez B, Rodríguez-Gutiérrez JF, Estella-García Á, González-García MÁ. New role of biomarkers: mid-regional pro-adrenomedullin, the biomarker of organ failure. Ann Transl Med. 2016;4(17):329.
35
Schuetz P, Hausfater P, Amin D, Amin A, Haubitz S, Faessler L, et al. Biomarkers from distinct biological pathways improve early risk stratification in medical emergency patients: the multinational, prospective, observational TRIAGE study. Crit Care. 2015;19:377.
36
ORIGINAL_ARTICLE
Local Anesthetic Effect of Amitriptyline versus Lidocaine in Isolated Lesion of the Limb Requiring Primary Suturing; Assessing a Novel Therapeutic Agent
Objective: To compare the anesthetic effects of topical amitriptyline 2% with lidocaine 2% in isolated limb wound repair with suturing.Methods: In a randomized clinical trial, 90 patients with a complaint of isolated ulcer and require a preliminary repair by suturing were selected from patients referred to emergency department of Beast Hospital in Hamadan. First, the scars were washed and anesthetized with lidocaine 2%. If after the peak period effect of lidocaine, the pain score of patients did not decrease, they randomly assigned to two groups, Lidocaine or Amitriptyline gel. After the intervention and during the suturing, the patient's pain score was measured at the intervals specified time by the visual analogous scale (VAS) and results recorded on the checklist. Finally, the collected data were analyzed by SPSS software version 20 at 95% confidence levelResults: In the lidocaine and amitriptyline group, the mean age of the patients was 29.08 and 27.34 years, and male gender frequency was 71.1% and 80% respectively. Both groups were matched for age and sex. Mean score of pain in both groups decreased from the score of 10 before the intervention to 7.33 in the lidocaine group and 0.53 in amitriptyline group. Based on the results of the ANOVA repeated measure test, there was a statistically significant difference between the mean score of pain in the two groups (p<0.001).Conclusion: In patients with isolated limbs ulcers, requiring initial repair with suturing, numbness and analgesia effect of amitriptyline 2% gel, with dose 2 mg/kg is better than lidocaine 2%. Clinical Trial Registry: IRCT20120215009014N216
https://beat.sums.ac.ir/article_45366_a614d1d8d48c6746db7a433e12934cf8.pdf
2019-07-01
240
244
10.29252/beat-070305
Anesthetics
Amitriptyline
Lidocaine
Wounds and injuries
Rasoul
Salimi
rasoulsl@yahoo.com
1
LEAD_AUTHOR
Rasool
Haddadi
2
AUTHOR
Abbas
Moradi
3
AUTHOR
Farnoush
Jalilvand
4
AUTHOR
Farzin
Firozian
5
AUTHOR
1. Rawal N. Current issues in postoperative pain management. Eur J Anaesthesiol. 2016;33(3):160-71.
1
2. Hemmings HC Jr. Sodium channels and the synaptic mechanisms of inhaled anaesthetics. Br J Anaesth. 2009;103(1):61-9.
2
3. Yanagidate F, Strichartz GR. Local anesthetics. Handb Exp Pharmacol. 2007;(177):95-127.
3
4. Dan J, Gong X, Li D, Zhu G, Wang L, Li F. Inhibition of gastric cancer by local anesthetic bupivacaine through multiple mechanisms independent of sodium channel blockade. Biomed Pharmacother. 2018;103:823-828.
4
5. Lirk P, Haller I, Hausott B, Ingorokva S, Deibl M, Gerner P, et al. The neurotoxic effects of amitriptyline are mediated by apoptosis and are effectively blocked by inhibition of caspase activity. Anesth Analg. 2006;102(6):1728-33.
5
6. Gray AM, Spencer PS, Sewell RD. The involvement of the opioidergic system in the antinociceptive mechanism of action of antidepressant compounds. Br J Pharmacol. 1998;124(4):669-74.
6
7. Nau C, Seaver M, Wang SY, Wang GK. Block of human heart hH1 sodium channels by amitriptyline. J Pharmacol Exp Ther. 2000;292(3):1015-23.
7
8.Moghadamnia AA, Partovi M, Mohammadianfar I, Madani Z, Zabihi E, Hamidi MR, Baradaran M. Evaluation of the effect of locally administered amitriptyline gel as adjunct to local anesthetics in irreversible pulpitis pain. Indian J Dent Res. 2009;20(1):3-6.
8
9.Lynch ME, Clark AJ, Sawynok J, Sullivan MJ. Topical 2% amitriptyline and 1% ketamine in neuropathic pain syndromes: a randomized, double-blind, placebo-controlled trial. Anesthesiology. 2005;103(1):140-6.
9
10. Poterucha TJ, Murphy SL, Rho RH, Sandroni P, Warndahl RA, Weiss WT, et al. Topical amitriptyline-ketamine for treatment of rectal, genital, and perineal pain and discomfort. Pain Physician. 2012;15(6):485-8.
10
11. Uzaraga I, Gerbis B, Holwerda E, Gillis D, Wai E. Topical amitriptyline, ketamine, and lidocaine in neuropathic pain caused by radiation skin reaction: a pilot study. Support Care Cancer. 2012;20(7):1515-24.
11
12. Jackson JL, Mancuso JM, Nickoloff S, Bernstein R, Kay C. Tricyclic and Tetracyclic Antidepressants for the Prevention of Frequent Episodic or Chronic Tension-Type Headache in Adults: A Systematic Review and Meta-Analysis. J Gen Intern Med. 2017;32(12):1351-1358.
12
13. Liu J, Reid AR, Sawynok J. Spinal serotonin 5-HT7 and adenosine A1 receptors, as well as peripheral adenosine A1 receptors, are involved in antinociception by systemically administered amitriptyline. Eur J Pharmacol. 2013;698(1-3):213-9.
13
14. Kremer M, Salvat E, Muller A, Yalcin I, Barrot M. Antidepressants and gabapentinoids in neuropathic pain: Mechanistic insights. Neuroscience. 2016;338:183-206.
14
ORIGINAL_ARTICLE
Effects of Caudal Epidural Dexmedetomidine on Pain, Erythrocyte Sedimentation Rate and Quality of Life in Patients with Failed Back Surgery Syndrome; A Randomized Clinical Trial
Objective: To evaluate the effects of dexmedetomidine in caudal epidural on controlling pain, erythrocyte sedimentation rate (ESR) and quality of life in patients with failed back surgery syndrome (FBSS).Methods: The study was a single-blind clinical trial. From the total of 70 patients suffering from low back pain caused by a failed back surgery syndrome were referred to Akhtar and Imam Hossein Hospitals between the ages of 25 to 75 years with a history of back pain more than 12 weeks and a visual analogue scale (VAS) score of higher than 3, and 50 people were randomly selected and divided into two groups of dexmedetomidine and control. The control group received an epidural dose of 10 cc containing triamcinolone and bupivacaine, and the dexmedetomidine group received an epidural dose of 10 cc, containing dexmedetomidine, triamcinolones and bupivacaine with diluted normal saline. Epidural caudal injections were performed in the abdomen in a laid down position. Before starting the study and at the end of the fourth week, the two test groups were measured for visual analogue scale (VAS) and ESR and were asked to complete the quality of life questionnaire.Results: Overall, 50 patients with FBSS were enrolled. The mean age was 53.88 ± 8.9 years (range 25–75); 54% (27/50) were men. The results showed that the injection of dexmedetomidine in epidural caudal was associated with decreased pain (p=0.001) and improved quality of life (p=0.022), while showed no significant effect on ESR (p=0.110).Conclusion: Administration of dexmedetomidine in the epidural caudal is effective in controlling pain and quality of life in patients with failed back surgery syndrome.Clinical Trial Registry: IRCT20181012041316N1
https://beat.sums.ac.ir/article_45368_c3ba5040e306d64ebaaa6f1bb9f59f3c.pdf
2019-07-01
245
250
10.29252/beat-070306
Quality of life
Disability
Failed Back Surgery Syndrome
Spinal cord
Masoud
Hashemi
dr.hashemi@sbmu.ac.ir
1
AUTHOR
Payman
Dadkhah
2
AUTHOR
Mehrdad
Taheri
3
AUTHOR
Mahshid
Ghasemi
4
LEAD_AUTHOR
Campbell C, Muncer SJ. The causes of low back pain: a network analysis. Soc Sci Med. 2005;60(2):409-19.
1
Maul I, Läubli T, Klipstein A, Krueger H. Course of low back pain among nurses: a longitudinal study across eight years. Occup Environ Med. 2003;60(7):497-503.
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Spenglerb D. Lumbar disc herniation. Campbell's Orthopaedic Surgery 3rd ed. Philadelphia: Lippincott; 2000. p. 3765-74.
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Saremi M, Khayati F. Evaluation of incidence of low back pain and its relationship with ergonomic risk level of wards among nurses. Journal of Modern Rehabilitation. 2015;9(4):68-77.
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arlsson H, Rasmussen-Barr E. Clinical screening tests for assessing movement control in non-specific low-back pain. A systematic review of intra- and inter-observer reliability studies. Man Ther. 2013;18(2):103-10.
5
O'Sullivan P. Diagnosis and classification of chronic low back pain disorders: maladaptive movement and motor control impairments as underlying mechanism. Man Ther. 2005;10(4):242-55.
6
Anderson BD. Randomized clinical trial comparing active versus passive approaches to the treatment of recurrent and chronic low back pain: University of Miami Miami, FL; 2005.
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Golob AL, Wipf JE. Low back pain. Med Clin North Am. 2014;98(3):405-28.
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Geurts JW, Kallewaard JW, Richardson J, Groen GJ. Targeted methylprednisolone acetate/hyaluronidase/clonidine injection after diagnostic epiduroscopy for chronic sciatica: a prospective, 1-year follow-up study. Reg Anesth Pain Med. 2002;27(4):343-52.
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Young IA, Hyman GS, Packia-Raj LN, Cole AJ. The use of lumbar epidural/transforaminal steroids for managing spinal disease. J Am Acad Orthop Surg. 2007;15(4):228-38.
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Manchikanti L, Datta S, Derby R, Wolfer LR, Benyamin RM, Hirsch JA; American Pain Society. A critical review of the American Pain Society clinical practice guidelines for interventional techniques: part 1. Diagnostic interventions. Pain Physician. 2010;13(3):E141-74.
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Jensen MP, Karoly P, Braver S. The measurement of clinical pain intensity: a comparison of six methods. Pain. 1986;27(1):117-26.
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Mokkink LB, Terwee CB, van Lummel RC, de Witte SJ, Wetzels L, Bouter LM, de Vet HC. Construct validity of the DynaPort KneeTest: a comparison with observations of physical therapists. Osteoarthritis Cartilage. 2005;13(8):738-43.
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Ware J, Kosinski M, Gandek B. SF-36 health survey: manual and interpretation guide Lincoln. RI: QualityMetric Incorporated. 2000.
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Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. Qual Life Res. 2005;14(3):875-82.
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Kosharskyy B, Almonte W, Shaparin N, Pappagallo M, Smith H. Intravenous infusions in chronic pain management. Pain Physician. 2013;16(3):231-49.
17
Grewal TK, Kaur S, Kaur B, Kumar P, Sidhu SK. Comparative evaluation of butorphanol and fentanyl for epidural analgesia in lower limb surgeries. Journal of Evolution of Medical and Dental Sciences. 2018;7(15):1845-9.
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Saadawy I, Boker A, Elshahawy MA, Almazrooa A, Melibary S, Abdellatif AA, et al. Effect of dexmedetomidine on the characteristics of bupivacaine in a caudal block in pediatrics. Acta Anaesthesiol Scand. 2009;53(2):251-6.
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Grosu I, Lavand'homme P. Use of dexmedetomidine for pain control. F1000 medicine reports. 2010;2.
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Bajwa SJ, Bajwa SK, Kaur J, Singh G, Arora V, Gupta S, et al. Dexmedetomidine and clonidine in epidural anaesthesia: A comparative evaluation. Indian J Anaesth. 2011;55(2):116-21.
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Bajwa SJ, Arora V, Kaur J, Singh A, Parmar SS. Comparative evaluation of dexmedetomidine and fentanyl for epidural analgesia in lower limb orthopedic surgeries. Saudi J Anaesth. 2011;5(4):365-70.
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Selim MF, Elnabtity AM, Hasan AM. Comparative evaluation of epidural bupivacaine - dexmedetomidine and bupivacaine -fentanyl on Doppler velocimetry of uterine and umbilical arteries during labor. J Prenat Med. 2012;6(3):47-54.
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El-Hennawy AM, Abd-Elwahab AM, Abd-Elmaksoud AM, El-Ozairy HS, Boulis SR. Addition of clonidine or dexmedetomidine to bupivacaine prolongs caudal analgesia in children. Br J Anaesth. 2009;103(2):268-74.
24
Anand VG, Kannan M, Thavamani A, Bridgit MJ. Effects of dexmedetomidine added to caudal ropivacaine in paediatric lower abdominal surgeries. Indian J Anaesth. 2011;55(4):340-6.
25
Xiang Q, Huang DY, Zhao YL, Wang GH, Liu YX, Zhong L, et al. Caudal dexmedetomidine combined with bupivacaine inhibit the response to hernial sac traction in children undergoing inguinal hernia repair. Br J Anaesth. 2013;110(3):420-4.
26
Lee C, Kim YD, Kim JN. Antihyperalgesic effects of dexmedetomidine on high-dose remifentanil-induced hyperalgesia. Korean J Anesthesiol. 2013;64(4):301-7.
27
Jain G, Bansal P, Ahmad B, Singh DK, Yadav G. Effect of the perioperative infusion of dexmedetomidine on chronic pain after breast surgery. Indian J Palliat Care. 2012;18(1):45-51.
28
Nama S, Meenan DR, Fritz WT. The use of sub-anesthetic intravenous ketamine and adjuvant dexmedetomidine when treating acute pain from CRPS. Pain Physician. 2010;13(4):365-8.
29
Li SS, Zhang WS, Yang JL, Xiong YC, Zhang YQ, Xu H. Involvement of protein kinase B/Akt in analgesic effect of dexmedetomidine on neuropathic pain. CNS Neurosci Ther. 2013;19(5):364-6.
30
Farghaly HS, Abd-Ellatief RB, Moftah MZ, Mostafa MG, Khedr EM, Kotb HI. The effects of dexmedetomidine alone and in combination with tramadol or amitriptyline in a neuropathic pain model. Pain Physician. 2014;17(2):187-95.
31
Agamohammdi D, Montazer M, Hoseini M, Haghdoost M, Farzin H. A Comparison of Continuous Thoracic Epidural Analgesia with Bupivacaine Versus Bupivacaine and Dexmedetomidine for Pain Control in Patients with Multiple Rib Fractures. Anesth Pain Med. 2018;8(2):e60805.
32
Lavand'homme P, De Kock M. The use of intraoperative epidural or spinal analgesia modulates postoperative hyperalgesia and reduces residual pain after major abdominal surgery. Acta Anaesthesiol Belg. 2006;57(4):373-9.
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34
yad AE, El Masry A. Epidural steroid and clonidine for chronic intractable post-thoracotomy pain: a pilot study. Pain Pract. 2012;12(1):7-13.
35
ORIGINAL_ARTICLE
Ultrasound-Guided Lumbar Transforaminal Epidural Injections; A Single Center Fluoroscopic Validation Study
Objective: To investigate the success rate (technical precision) of ultrasound-guided lumbar transforaminal epidural steroid injection, which was validated by conventional fluoroscopic technique.Methods: A total of 20 patients with unilateral single-level lumbar foraminal disc protrusion causing radiculopathy were enrolled. Using transforming route, the needle location was determined by an axial (transvers) view of the ultrasound with fluoroscopic confirmation. We determined the needle placement accuracy of ultrasound- guided lumbar transforaminal injections approach. Results: The accuracy of ultrasound-guided interventions was 90% as confirmed by fluoroscopy. There were 2 failed cases at the L4-L5 level in the US-guided. The success rate in L5-S1 level was 100%, in L4-L5 level was 80% and in L3-L4 level was 100%. No complications were noted.Conclusion: Ultrasound-guided lumbar transforaminal epidural injections are accurate and feasible in clinical setting with an accuracy of 90% and no complications.
https://beat.sums.ac.ir/article_45369_4bf3a324e76757f3851c75d0cb4a6a2e.pdf
2019-07-01
251
255
10.29252/beat-070307
Epidural injection
Fluoroscopy
Chronic pain management
Radiculopathy
Masoud
Hashemi
dr.hashemi@sbmu.ac.ir
1
AUTHOR
Payman
Dadkhah
2
AUTHOR
Mehrdad
Taheri
m.taheri@sbmu.ac.ir
3
LEAD_AUTHOR
Seyed Mohammdareza
Haji
4
Department of Anesthesiology and Pain, Guilan University of Medical Sciences, Rasht, Guilan, Iran
AUTHOR
Seyed
Abootorabi
5
Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
Bahram
Naderi-nabi
6
Department of Anesthesiology and Pain, Guilan University of Medical Sciences, Rasht, Guilan, Iran
AUTHOR
Ziai WC, Ardelt AA, Llinas RH. Brainstem stroke following uncomplicated cervical epidural steroid injection. Arch Neurol. 2006;63(11):1643-6.
1
Suresh S, Berman J, Connell DA. Cerebellar and brainstem infarction as a complication of CT-guided transforaminal cervical nerve root block. Skeletal Radiol. 2007;36(5):449-52.
2
McMillan MR, Crumpton C. Cortical blindness and neurologic injury complicating cervical transforaminal injection for cervical radiculopathy. Anesthesiology. 2003;99(2):509-11.
3
Baker R, Dreyfuss P, Mercer S, Bogduk N. Cervical transforaminal injection of corticosteroids into a radicular artery: a possible mechanism for spinal cord injury. Pain. 2003;103(1-2):211-5.
4
Bose B. Quadriparesis following cervical epidural steroid injections: case report and review of the literature. Spine J. 2005;5(5):558-63.
5
Silbergleit R, Mehta BA, Sanders WP, Talati SJ. Imaging-guided injection techniques with fluoroscopy and CT for spinal pain management. Radiographics. 2001;21(4):927-39; discussion 940-2.
6
Chang A, Pochert S, Romano C, Brook A, Miller T. Safety of 1000 CT-guided steroid injections with air used to localize the epidural space. AJNR Am J Neuroradiol. 2011;32(9):E175-7.
7
Hashemi SM, Aryani MR, Momenzadeh S, Razavi SS, Mohseni G, Mohajerani SA, et al. Comparison of Transforaminal and Parasagittal Epidural Steroid Injections in Patients With Radicular Low Back Pain. Anesth Pain Med. 2015;5(5):e26652.
8
Hashemi M, Mofrad MK, Mohajerani SA, Kazemi SM, Radpey B, Zali A. Anatomical Flow Pattern of Contrast in Lumbar Epidural Space: A Human Study with a Midline vs. Parasagittal Interlaminar Approach under Fluoroscopy. Pain Physician. 2015;18(4):317-24.
9
Hashemi SM, Dadkhah P, Taheri M, Abootorabi HS. Effects of Percutaneous Laser Disc Decompression (PLDD) on Clinical Outcome of Teared Vs Intact Protruded Intervertebral Discs: A Prospective Cohort Study. Orthopaedic Surgery and Traumatology. 2018;2(1):279-85
10
Kim PS. Role of injection therapy: review of indications for trigger point injections, regional blocks, facet joint injections, and intra-articular injections. Curr Opin Rheumatol. 2002;14(1):52-7.
11
Carrino JA, Morrison WB, Parker L, Schweitzer ME, Levin DC, Sunshine JH. Spinal injection procedures: volume, provider distribution, and reimbursement in the U.S. medicare population from 1993 to 1999. Radiology. 2002;225(3):723-9.
12
Kothari K, Sahu DK. Ultrasonography versus fluoroscopy in modern pain management. Indian Journal of Pain. 2016;30(2):71.
13
Galiano K, Obwegeser AA, Bodner G, Freund M, Maurer H, Kamelger FS, et al. Real-time sonographic imaging for periradicular injections in the lumbar spine: a sonographic anatomic study of a new technique. J Ultrasound Med. 2005;24(1):33-8.
14
Greher M, Scharbert G, Kamolz LP, Beck H, Gustorff B, Kirchmair L, et al. Ultrasound-guided lumbar facet nerve block: a sonoanatomic study of a new methodologic approach. Anesthesiology. 2004;100(5):1242-8.
15
Gelinimoghaddam A, Hashemi M, Dadkhah P, Taheri M. Comparative studies on the success level of sonographic guided epidural steroid injection and its effectiveness with fluoroscopy techniques in treating lumbar radicular pain. Bioscience Biotechnology Research Communications. 2017;10(2):148-54.
16
Grau T, Leipold RW, Fatehi S, Martin E, Motsch J. Real-time ultrasonic observation of combined spinal-epidural anaesthesia. Eur J Anaesthesiol. 2004;21(1):25-31.
17
Cansever T, Kabatas S, Civelek E, Kircelli A, Yilmaz C, Musluman M, et al. Transforaminal epidural steroid injection via a preganglionic approach for the treatment of lumbar radicular pain. Turk Neurosurg. 2012;22(2):183-8.
18
Derby R, Kine G, Saal JA, Reynolds J, Goldthwaite N, White AH, et al. Response to steroid and duration of radicular pain as predictors of surgical outcome. Spine (Phila Pa 1976). 1992;17(6 Suppl):S176-83.
19
Gangi A, Dietemann JL, Mortazavi R, Pfleger D, Kauff C, Roy C. CT-guided interventional procedures for pain management in the lumbosacral spine. Radiographics. 1998;18(3):621-33.
20
Nikooseresht M, Hashemi M, Mohajerani SA, Shahandeh F, Agah M. Ultrasound as a screening tool for performing caudal epidural injections. Iran J Radiol. 2014;11(2):e13262.
21
Hashemi M, Jazayeri SM, Niaki AS, Nikooseresht M, Hosseinpanah A, Razavi SS, et al. Ultrasound guidance for interventional pain management of lumbar facet joint pain: an anatomical and clinical study. Iranian Journal of Radiology. 2017;14(1).
22
Yang G, Liu J, Ma L, Cai Z, Meng C, Qi S, Zhou H. Ultrasound-guided Versus Fluoroscopy-controlled Lumbar Transforaminal Epidural Injections: A Prospective Randomized Clinical Trial. Clin J Pain. 2016;32(2):103-8.
23
Chumnanvej S, Wetchagama N, Kounsongtham V. Accuracy of needle-tip localization by ultrasound guidance lumbar selective nerve root block: a prospective clinical study of 78 lumbar nerve roots block. J Med Assoc Thai. 2011;94(12):1451-6.
24
Chumnanvej S, Kittayapirom K, Chumnanvej S. Visualization of Needle-Tip Localization by Ultrasound Guidance with Contrast Bubble in Lumbar Selective Nerve Root Block: Clinical Pilot Study. World Neurosurg. 2018;111:e418-e423.
25
Ootaki C, Hayashi H, Amano M. Ultrasound-guided infraclavicular brachial plexus block: an alternative technique to anatomical landmark-guided approaches. Reg Anesth Pain Med. 2000;25(6):600-4.
26
Galiano K, Obwegeser AA, Bodner G, Freund MC, Gruber H, Maurer H, et al. Ultrasound-guided facet joint injections in the middle to lower cervical spine: a CT-controlled sonoanatomic study. Clin J Pain. 2006;22(6):538-43
27
Galiano K, Obwegeser AA, Bodner G, Freund MC, Gruber H, Maurer H, et al. Ultrasound-guided periradicular injections in the middle to lower cervical spine: an imaging study of a new approach. Reg Anesth Pain Med. 2005;30(4):391-6.
28
Provenzano DA, Narouze S. Sonographically guided lumbar spine procedures. J Ultrasound Med. 2013;32(7):1109-16.
29
Marhofer P, Schrögendorfer K, Wallner T, Koinig H, Mayer N, Kapral S. Ultrasonographic guidance reduces the amount of local anesthetic for 3-in-1 blocks. Reg Anesth Pain Med. 1998;23(6):584-8.
30
Cotti E, Campisi G, Ambu R, Dettori C. Ultrasound real-time imaging in the differential diagnosis of periapical lesions. Int Endod J. 2003;36(8):556-63.
31
Gofeld M, Bristow SJ, Chiu SC, McQueen CK, Bollag L. Ultrasound-guided lumbar transforaminal injections: feasibility and validation study. Spine (Phila Pa 1976). 2012;37(9):808-12.
32
Kim PS. Role of injection therapy: review of indications for trigger point injections, regional blocks, facet joint injections, and intra-articular injections. Curr Opin Rheumatol. 2002;14(1):52-7.
33
ORIGINAL_ARTICLE
Mortality And Morbidity of Severe Traumatic Brain Injuries; A Pediatric Intensive Care Unit Experience Over 15 Years
Objective: To determine the mortality, morbidity, types of intracranial hemorrhages, and factors associated with length of stay (LOS) associated with accidental traumatic brain injury (TBI) at a pediatric intensive care unit (PICU) of a regional trauma center in an Asian city.Methods: This study is a retrospective review of types of head injury, mortality and morbidity demographics of patients admitted to a PICU with TBI. All patients with accidental TBI were included, namely road traffic injury (RTI) and fall, and their demographics compared. Non-accidental injuries (NAI) were excluded.Results: 95 children (78% males) were admitted to a PICU with RTI or falls from 2002 to 2017. They accounted for 3.7% of PICU admissions. Comparing with falls, victims of RTI were older (p<0.001) and more likely to suffer from skull fracture (p=0.017). There were 4 deaths with falls (6.8%) but none with RTI. Subarachnoid hemorrhages, extradural hemorrhages, the use of mechanical ventilation, inotropes and neurological supports were associated with longer LOS in PICU in these injuries (p<0.001).Conclusion: A longer PICU LOS is associated with extradural and subarachnoid hemorrhages, usage of inotropes, mechanical ventilation and neurological supports in falls and RTI. Three-quarters of victims are males. Preventive health education should be especially directed to boys to reduce severe TBI in this Asian city.
https://beat.sums.ac.ir/article_45370_b54ad8b1a0fd6da8eacea83d67a6a216.pdf
2019-07-01
256
262
10.29252/beat-070308
Mortality
Length of stay
PICU
Traumatic brain injury
Falls
Road traffic injury
Kam Lun Ellis
Hon
ehon@hotmail.com
1
LEAD_AUTHOR
Szewei
Huang
2
AUTHOR
Wai Sang
Poon
3
AUTHOR
Hon Ming
Cheung
4
AUTHOR
Patrick
Ip
5
AUTHOR
Benny
Zee
6
AUTHOR
Sminkey L. World report on child injury prevention. Injury prevention. 2008;14(1):69.
1
Zhou SA, Ho AFW, Ong MEH, Liu N, Pek PP, Wang YQ, et al. Electric bicycle-related injuries presenting to a provincial hospital in China: A retrospective study. Medicine (Baltimore). 2017;96(26):e7395.
2
Naqvi G, Johansson G, Yip G, Rehm A, Carrothers A, Stöhr K. Mechanisms, patterns and outcomes of paediatric polytrauma in a UK major trauma centre. Ann R Coll Surg Engl. 2017;99(1):39-45.
3
Lee JC, Tung KT, Li TM, Ho FK, Ip P, Wong WH, et al. Fall-related attendance and associated hospitalisation of children and adolescents in Hong Kong: a 12-year retrospective study. BMJ Open. 2017;7(2):e013724.
4
Hyder AA, Wunderlich CA, Puvanachandra P, Gururaj G, Kobusingye OC. The impact of traumatic brain injuries: a global perspective. NeuroRehabilitation. 2007;22(5):341-53.
5
Bener A, Hyder AA, Schenk E. Trends in childhood injury mortality in a developing country: United Arab Emirates. Accid Emerg Nurs. 2007;15(4):228-33.
6
Chan CC, Cheng JC, Wong TW, Chow CB, Luis BP, Cheung WL, et al. An international comparison of childhood injuries in Hong Kong. Inj Prev. 2000;6(1):20-3.
7
Hon KL, Chan J, Cheung KL. Head injuries after short falls: different outcomes despite similar causes. Hong Kong Med J. 2010;16(6):497-8.
8
Hon KL, Leung AK. Childhood accidents: injuries and poisoning. Advances in pediatrics. 2010;57(1):33-62.
9
Hon KL, Leung TF, Cheung KL, Nip SY, Ng J, Fok TF, et al. Severe childhood injuries and poisoning in a densely populated city: where do they occur and what type? J Crit Care. 2010;25(1):175.e7-12.
10
Tude Melo JR, Di Rocco F, Blanot S, Oliveira-Filho J, Roujeau T, Sainte-Rose C, et al. Mortality in children with severe head trauma: predictive factors and proposal for a new predictive scale. Neurosurgery. 2010;67(6):1542-7
11
Kochanek PM, Tasker RC, Bell MJ, Adelson PD, Carney N, Vavilala MS, et al. Management of Pediatric Severe Traumatic Brain Injury: 2019 Consensus and Guidelines-Based Algorithm for First and Second Tier Therapies. Pediatric Critical Care Medicine. 2019;20(3):269-79.
12
Carney N, Totten AM, O'reilly C, Ullman JS, Hawryluk GW, Bell MJ, et al. Guidelines for the management of severe traumatic brain injury. Neurosurgery. 2017;80(1):6-15
13
Abdelmalik PA, Draghic N, Ling GS. Management of moderate and severe traumatic brain injury. Transfusion. 2019;59(S2):1529-38.
14
Rakes L, King M, Johnston B, Chesnut R, Grant R, Vavilala M. Development and implementation of a standardized pathway in the Pediatric Intensive Care Unit for children with severe traumatic brain injuries. BMJ Qual Improv Rep. 2016;5(1). pii: u213581.w5431
15
Potapov AA, Krylov VV, Gavrilov AG, Kravchuk AD, Likhterman LB, Petrikov SS, et al. Guidelines for the diagnosis and treatment of severe traumatic brain injury. Part 2. Intensive care and neuromonitoring. Zh Vopr Neirokhir Im N N Burdenko. 2016;80(1):98-106
16
Potapov AA, Krylov VV, Gavrilov AG, Kravchuk AD, Likhterman LB, Petrikov SS, et al. Guidelines for the management of severe traumatic brain injury. Part 3. Surgical management of severe traumatic brain injury Options). Zh Vopr Neirokhir Im N N Burdenko. 2016;80(2):93-101
17
Para RA, Sarmast AH, Shah MA, Mir TA, Mir AW, Sidiq S, et al. Our Experience with Management and Outcome of Isolated Traumatic Brain Injury Patients Admitted in Intensive Care Unit. J Emerg Trauma Shock. 2018;11(4):288-292 2
18
Regensburger AP, Konrad V, Trollmann R, Eyüpoglu IY, Huebner H, Zierk J, et al. Treatment of severe traumatic brain injury in German pediatric intensive care units-a survey of current practice. Childs Nerv Syst. 2019;35(5):815-822
19
Bangdiwala SI, Anzola-Pérez E. The incidence of injuries in young people: II Log-Linear Multivariable Models for risk factors in a collaborative study in Brazil, Chile, Cuba and Venezuela. International journal of epidemiology. 1990;19(1):125-32
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Ong AC, Low SG, Vasanwala FF. Childhood Injuries in Singapore: Can Local Physicians and the Healthcare System Do More to Confront This Public Health Concern? Int J Environ Res Public Health. 2016;13(7). pii: E718
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Kendrick D, Mulvaney C, Burton P, Watson M. Relationships between child, family and neighbourhood characteristics and childhood injury: a cohort study. Soc Sci Med. 2005;61(9):1905-15
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Freisthler B, Gruenewald PJ, Ring L, LaScala EA. An ecological assessment of the population and environmental correlates of childhood accident, assault, and child abuse injuries. Alcohol Clin Exp Res. 2008;32(11):1969-75
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Morrongiello BA, Rennie H. Why do boys engage in more risk taking than girls? The role of attributions, beliefs, and risk appraisals. J Pediatr Psychol. 1998;23(1):33-43
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Morrongiello BA, Lasenby-Lessard J. Psychological determinants of risk taking by children: an integrative model and implications for interventions. Inj Prev. 2007;13(1):20-5
25
Peden M, Oyegbite K, Ozanne-Smith J, Hyder AA, Branche C, Rahman AKMF, et al., editors. World Report on Child Injury Prevention. Geneva: World Health Organization; 2008
26
Hon KL, Leung TF, Cheung KL, Nip SY, Ng J, Fok TF, et al. Severe childhood injuries and poisoning in a densely populated city: where do they occur and what type? J Crit Care. 2010;25(1):175.e7-12
27
High Jr WM, Hall KM, Rosenthal M, Mann N, Zafonte R, Cifu DX, et al. Factors affecting hospital length of stay and charges following traumatic brain injury. The Journal of Head Trauma Rehabilitation. 1996;11(5):85-96
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Cowen TD, Meythaler JM, DeVivo MJ, Ivie CS 3rd, Lebow J, Novack TA. Influence of early variables in traumatic brain injury on functional independence measure scores and rehabilitation length of stay and charges. Arch Phys Med Rehabil. 1995;76(9):797-803
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Tucker B, Aston J, Dines M, Caraman E, Yacyshyn M, McCarthy M, Olson JE. Early Brain Edema is a Predictor of In-Hospital Mortality in Traumatic Brain Injury. J Emerg Med. 2017;53(1):18-29
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Murray GD, Butcher I, McHugh GS, Lu J, Mushkudiani NA, Maas AI, Marmarou A, Steyerberg EW. Multivariable prognostic analysis in traumatic brain injury: results from the IMPACT study. J Neurotrauma. 2007;24(2):329-37
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Richards MJ, Edwards JR, Culver DH, Gaynes RP. Nosocomial infections in medical intensive care units in the United States. National Nosocomial Infections Surveillance System. Crit Care Med. 1999;27(5):887-92
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Othman AA, Abdelazim MS. Ventilator-associated pneumonia in adult intensive care unit prevalence and complications. The Egyptian Journal of Critical Care Medicine. 2017;5(2):61-3.
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Arango-Lasprilla JC, Ketchum JM, Cifu D, Hammond F, Castillo C, Nicholls E, Watanabe T, Lequerica A, Deng X. Predictors of extended rehabilitation length of stay after traumatic brain injury. Arch Phys Med Rehabil. 2010;91(10):1495-504.
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Brasel KJ, Lim HJ, Nirula R, Weigelt JA. Length of stay: an appropriate quality measure? Arch Surg. 2007;142(5):461-5; discussion 465-6.
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Lewis ZH, Hay CC, Graham JE, Lin YL, Karmarkar AM, Ottenbacher KJ. Social Support and Actual Versus Expected Length of Stay in Inpatient Rehabilitation Facilities. Arch Phys Med Rehabil. 2016;97(12):2068-2075
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Villadsen KW, Blix C, Boisen KA. More than a break: the impact of a social-pedagogical intervention during young persons' long-term hospital admission--a qualitative study. Int J Adolesc Med Health. 2015;27(1):19-24.
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Frankel JE, Marwitz JH, Cifu DX, Kreutzer JS, Englander J, Rosenthal M. A follow-up study of older adults with traumatic brain injury: taking into account decreasing length of stay. Arch Phys Med Rehabil. 2006;87(1):57-62.
38
Sadaka F, Patel D, Lakshmanan R. The FOUR score predicts outcome in patients after traumatic brain injury. Neurocrit Care. 2012;16(1):95-101.
39
Almojuela A, Hasen M, Zeiler FA. The Full Outline of UnResponsiveness (FOUR) Score and Its Use in Outcome Prediction: A Scoping Review of the Pediatric Literature. J Child Neurol. 2019:883073818822359
40
Engelmann KA, Jordan LC. Outcome measures used in pediatric stroke studies: a systematic review. Arch Neurol. 2012;69(1):23-7.
41
Beers SR, Wisniewski SR, Garcia-Filion P, Tian Y, Hahner T, Berger RP,et al. Validity of a pediatric version of the Glasgow Outcome Scale-Extended. J Neurotrauma. 2012;29(6):1126-39.
42
Berger RP, Fromkin JB, Stutz H, Makoroff K, Scribano PV, Feldman K, et al. Abusive head trauma during a time of increased unemployment: a multicenter analysis. Pediatrics. 2011;128(4):637-43.
43
Alofisan TO, Algarni YA, Alharfi IM, Miller MR, Charyk Stewart T, Fraser DD, et al. Paroxysmal Sympathetic Hyperactivity After Severe Traumatic Brain Injury in Children: Prevalence, Risk Factors, and Outcome. Pediatr Crit Care Med. 2019;20(3):252-258.
44
Fu YQ, Chong SL, Lee JH, Liu CJ, Fu S, Loh TF, et al. The impact of early hyperglycaemia on children with traumatic brain injury. Brain Inj. 2017;31(3):396-400.
45
O'Lynnger TM, Shannon CN, Le TM, Greeno A, Chung D, Lamb FS, et al. Standardizing ICU management of pediatric traumatic brain injury is associated with improved outcomes at discharge. J Neurosurg Pediatr. 2016;17(1):19-26.
46
Chong SL, Harjanto S, Testoni D, Ng ZM, Low CY, Lee KP, et al. Early Hyperglycemia in Pediatric Traumatic Brain Injury Predicts for Mortality, Prolonged Duration of Mechanical Ventilation, and Intensive Care Stay. Int J Endocrinol. 2015;2015:719476.
47
Suz P, Vavilala MS, Souter M, Muangman S, Lam AM. Clinical features of fever associated with poor outcome in severe pediatric traumatic brain injury. J Neurosurg Anesthesiol. 2006;18(1):5-10.
48
White JR, Farukhi Z, Bull C, Christensen J, Gordon T, Paidas C, et al. Predictors of outcome in severely head-injured children. Crit Care Med. 2001;29(3):534-40.
49
ORIGINAL_ARTICLE
Internal Jugular Vein Waveform; A New Insight to Detect Early Stage of Hemorrhagic Shock
Objective: To evaluate the accuracy of internal jugular vein waveform to detect early stage of hemorrhagic shockMethods: Forty-three volunteers enrolled in our study between November and December 2018. After blood donation of 450cc, the blood donors in the case group underwent color Doppler sonography of internal Jugular Vein. Besides, the clinical and laboratory indicators of shock were evaluated. The same clinical, laboratory and sonographic data was also obtained from the volunteers in the control group, then Chi-square and Student t-test were applied to make comparison between mentioned groups.Results: After excluding five volunteers, eighteen subjects were included in the blood donor group (mean of age: 35.81±8.05) and 20 healthy volunteers enrolled in the control group (mean of age: 34.95± 6.86). The Jugular pulsatility index was significantly smaller in the case group (0.47 ± 0.27 vs. 0.77 ± 0.52). The jugular pulsatility index above 0.91 excluded blood loss (sensitivity=100%). The combination of clinical, laboratory and sonographic data were also represented as two other indices; Jugular Pulsatility-Shock index and Jugular Pulsatility-Shock-Base Deficit index (JPSBDI). These indices were also accurate enough to detect early blood loss (p=0.011 and <0.001, respectively). JPSBDI below 0.38 was highly accurate to rule out blood loss. (Area under the curve: 0.868, sensitivity=95% and specificity=76.47%).Conclusion: The internal Jugular vein waveform is accurate to detect early stages of shock. The combination of clinical, laboratory and sonographic data is more promising than each of them, separately.
https://beat.sums.ac.ir/article_45371_f7b1381501bae1d2c1c743577fa371d8.pdf
2019-07-01
263
268
10.29252/beat-070309
Internal jugular vein
Doppler
Waveform
Hemorrhagic shock
Mohammad
Rouhezamin
mohammadrezarouhezamin@yahoo.com
1
Department of Radiology, School of Medicine, AJA University of Medical Sciences, Tehran, Iran.
AUTHOR
Babak
Shekarchi
shekarchi.babak@yahoo.com
2
Department of Radiology, School of Medicine, AJA University of Medical Sciences, Tehran, Iran.
LEAD_AUTHOR
Ali
Taheri Akerdi
3
Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Shahram
Paydar
paydarsh@gmail.com
4
Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Surgery, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Dutton RP. Low-pressure resuscitation from hemorrhagic shock. Int Anesthesiol Clin. 2002;40(3):19-30.
1
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3
Witting MD. Standing shock index: An alternative to orthostatic vital signs. Am J Emerg Med. 2017;35(4):637-639.
4
Rahman NH, Ahmad R, Kareem MM, Mohammed MI. Ultrasonographic assessment of inferior vena cava/abdominal aorta diameter index: a new approach of assessing hypovolemic shock class 1. Int J Emerg Med. 2016;9(1):8.
5
Akilli NB, Cander B, Dundar ZD, Koylu R. A new parameter for the diagnosis of hemorrhagic shock: jugular index. J Crit Care. 2012;27(5):530.e13-8.
6
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9
Sefidbakht S, Assadsangabi R, Abbasi HR, Nabavizadeh A. Sonographic measurement of the inferior vena cava as a predictor of shock in trauma patients. Emerg Radiol. 2007;14(3):181-5.
10
Eastridge BJ, Mabry RL, Seguin P, Cantrell J, Tops T, Uribe P, et al. Death on the battlefield (2001-2011): implications for the future of combat casualty care. J Trauma Acute Care Surg. 2012;73(6 Suppl 5):S431-7.
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Sinert R, Zehtabchi S, Bloem C, Lucchesi M. Effect of normal saline infusion on the diagnostic utility of base deficit in identifying major injury in trauma patients. Acad Emerg Med. 2006;13(12):1269-74.
20
Mutschler M, Nienaber U, Brockamp T, Wafaisade A, Fabian T, Paffrath T, et al. Renaissance of base deficit for the initial assessment of trauma patients: a base deficit-based classification for hypovolemic shock developed on data from 16,305 patients derived from the TraumaRegister DGU®. Crit Care. 2013;17(2):R42.
21
Maar SP. Searching for the Holy Grail: a review of markers of tissue perfusion in pediatric critical care. Pediatr Emerg Care. 2008;24(12):883-7.
22
Çelik ÖF, Akoğlu H, Çelik A, Asadov R, Onur ÖE, Denizbaşı A. Initial inferior vena cava and aorta diameter parameters measured by ultrasonography or computed tomography does not correlate with vital signs, hemorrhage or shock markers in trauma patients. Ulus Travma Acil Cerrahi Derg. 2018;24(4):351-35.
23
Worapratya P, Anupat S, Suwannanon R, Wuthisuthimethawee P. Correlation of caval index, inferior vena cava diameter, and central venous pressure in shock patients in the emergency room. Open Access Emerg Med. 2014;6:57-62.
24
Pucheu A, Evans J, Thomas D, Scheuble C, Pucheu M. Doppler ultrasonography of normal neck veins. J Clin Ultrasound. 1994;22(6):367-73.
25
Lin S-K, Chang Y-J, Yang F-Y. Hemodynamics of the internal jugular vein: an ultrasonographic study. Tzu Chi Medical Journal. 2009;21(4):317-22.
26
Kusaba T, Yamaguchi K, Oda H, Harada T. Echography of inferior vena cava for estimating fluid removed from patients undergoing hemodialysis. Nihon Jinzo Gakkai Shi. 1994;36(8):914-20.
27
Grant E, Rendano F, Sevinc E, Gammelgaard J, Holm HH, Grønvall S. Normal inferior vena cava: caliber changes observed by dynamic ultrasound. AJR Am J Roentgenol. 1980;135(2):335-8.
28
Feissel M, Michard F, Faller JP, Teboul JL. The respiratory variation in inferior vena cava diameter as a guide to fluid therapy. Intensive Care Med. 2004;30(9):1834-7.
29
Barbier C, Loubières Y, Schmit C, Hayon J, Ricôme JL, Jardin F, et al. Respiratory changes in inferior vena cava diameter are helpful in predicting fluid responsiveness in ventilated septic patients. Intensive Care Med. 2004;30(9):1740-6.
30
Carter EA, Tompkins RG, Yarmush ML, Walker WA, Burke JF. Redistribution of blood flow after thermal injury and hemorrhagic shock. J Appl Physiol (1985). 1988;65(4):1782-8.
31
Slater G, Vladeck BC, Bassin R, Brown RS, Shoemaker WC. Sequential changes in cerebral blood flow and distribution of flow within the brain during hemorrhagic shock. Ann Surg. 1975;181(1):1-4.
32
Sun N, Li LZ, Luo W, Luo Q. Cerebral hemodynamic change and metabolic alteration in severe hemorrhagic shock. Oxygen Transport to Tissue XXXVI: Springer; 2014. p. 217-23.
33
ORIGINAL_ARTICLE
Evaluation of Clinical Criteria for Performing Brain CT-Scan in Patients with Mild Traumatic Brain Injury; A New Diagnostic Probe
Objective: To investigate the risk factors that can be proper indications for performing brain computerized tomography (CT)-scan in patients with mild and moderate traumatic brain injury (TBI) in order to avoid unnecessary exposure to radiation, saving on costs as well as time wasted in emergency wards.Methods: Data of patients with mild traumatic brain injury (TBI) referring to Emergency Department with age ≥2 years and primary GCS of 13-15 were examined including focal neurological deficit, anisocoria, skull fracture, multiple trauma, superior injury of clavicle, decreased consciousness, and amnesia. Brain CT-scan was performed in all the patients. Kappa Coefficient was used to determine the ratio of agreement of the CT indications (+ and ⎼) and multiple logistic regression to determine the relative odds of positive CTs.Results: Overall we included 610 patients. One-hundred and one patients (16.5%) had positive and 509 (83.5%) had negative CT findings. Of positive CTs, the highest percentage was dedicated to high-energy mechanism of trauma. High-energy trauma mechanism (OR=1.056, 95% CI, OR, 1.03-1.04, P<0.001), superior injury of clavicle (OR=1.07, 95% CI, OR, 1.03-1.1, P<0.001) and moderate to severe headache (OR=1.04, 95% CI, OR, 1.02-1.05, P<0.001) were positive predictors of CT findings. The combined mean of positive symptoms equaled 0.29 ± 0.64 in negative CTs, but 5.13 ± 2.4 in positive CTs, showing a significant difference. (P<0.001)Conclusion: Abnormal positive brain CT in victims with mild TBI is predictable if one or several risk factors are taken into account such as moderate to severe headache, decreased consciousness, skull fracture, high-energy trauma mechanism, superior injury of clavicle and GCS of 13-14. The more the symptoms, the more likely the positive CT results would be.
https://beat.sums.ac.ir/article_45372_0419006bf4f545d49cec29d1f5629e24.pdf
2019-07-01
269
277
10.29252/beat-0703010
Computerized tomography (CT)-scan
Traumatic brain injury (TBI)
Criteria
Clinical
Brain
Roghieh
Molaei-Langroudi
drmolaeilr@gmail.com
1
LEAD_AUTHOR
Ahmad
Alizadeh
2
AUTHOR
Ehsan
Kazemnejad-Leili
3
AUTHOR
Vahid
Monsef-Kasmaie
4
AUTHOR
Seyed-Younes
Moshirian
5
AUTHOR
Zadegan SA, Rahimi-Movaghar V. Indications for Brain Computed Tomography Scan After Mild Traumatic Brain Injury. Traumatic Brain Injury: InTech; 2014.
1
MTBI C. Methodological issues and research recommendations for mild traumatic brain injury: the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. J Rehabil Med. 2004;43:113-25.
2
Kirkwood MW, Yeates KO, Taylor HG, Randolph C, McCrea M, Anderson VA. Management of pediatric mild traumatic brain injury: a neuropsychological review from injury through recovery. Clin Neuropsychol. 2008;22(5):769-800.
3
Ruff RM. Mild traumatic brain injury and neural recovery: rethinking the debate. NeuroRehabilitation. 2011;28(3):167-80.
4
Iverson GL, Lovell MR, Smith S, Franzen MD. Prevalence of abnormal CT-scans following mild head injury. Brain Inj. 2000;14(12):1057-61.
5
Borg J, Holm L, Cassidy JD, Peloso PM, Carroll LJ, von Holst H, et al. Diagnostic procedures in mild traumatic brain injury: results of the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. J Rehabil Med. 2004;(43Suppl):61-75.
6
Fabbri A, Servadei F, Marchesini G, Morselli-Labate AM, Dente M, Iervese T, et al. Prospective validation of a proposal for diagnosis and management of patients attending the emergency department for mild head injury. J Neurol Neurosurg Psychiatry. 2004;75(3):410-6.
7
af Geijerstam JL, Britton M. Mild head injury - mortality and complication rate: meta-analysis of findings in a systematic literature review. Acta Neurochir (Wien). 2003;145(10):843-50; discussion 850.
8
Tellier A, Della Malva LC, Cwinn A, Grahovac S, Morrish W, Brennan-Barnes M. Mild head injury: a misnomer. Brain Inj. 1999;13(7):463-75.
9
Sharif-Alhoseini M, Khodadadi H, Chardoli M, Rahimi-Movaghar V. Indications for brain computed tomography scan after minor head injury. J Emerg Trauma Shock. 2011;4(4):472-6.
10
Kushner D. Mild traumatic brain injury: toward understanding manifestations and treatment. Arch Intern Med. 1998;158(15):1617-24.
11
Jagoda AS, Bazarian JJ, Bruns JJ Jr, Cantrill SV, Gean AD, Howard PK, et al. Clinical policy: neuroimaging and decisionmaking in adult mild traumatic brain injury in the acute setting. J Emerg Nurs. 2009;35(2):e5-40.
12
McCrea M, Iverson GL, McAllister TW, Hammeke TA, Powell MR, Barr WB, et al. An integrated review of recovery after mild traumatic brain injury (MTBI): implications for clinical management. Clin Neuropsychol. 2009;23(8):1368-90.
13
Tavender EJ, Bosch M, Green S, O'Connor D, Pitt V, Phillips K, et al. Quality and consistency of guidelines for the management of mild traumatic brain injury in the emergency department. Acad Emerg Med. 2011;18(8):880-9.
14
Mower WR, Hoffman JR, Herbert M, Wolfson AB, Pollack CV Jr, Zucker MI; NEXUS II Investigators. Developing a decision instrument to guide computed tomographic imaging of blunt head injury patients. J Trauma. 2005;59(4):954-9.
15
Stiell IG, Wells GA, Vandemheen K, Clement C, Lesiuk H, Laupacis A, et al. The Canadian CT Head Rule for patients with minor head injury. Lancet. 2001;357(9266):1391-6.
16
Haydel MJ. Clinical decision instruments for CT scanning in minor head injury. Jama. 2005;294(12):1551-3.
17
Mack, L.R., et al., The use of head computed tomography in elderly patients sustaining minor head trauma. The Journal of emergency medicine, 2003. 24(2): p. 157-162.
18
Swap C, Sidell M, Ogaz R, Sharp A. Risk of Delayed Intracerebral Hemorrhage in Anticoagulated Patients after Minor Head Trauma: The Role of Repeat Cranial Computed Tomography. Perm J. 2016;20(2):14-6.
19
Rosen CB, Luy DD, Deane MR, Scalea TM, Stein DM. Routine repeat head CT may not be necessary for patients with mild TBI. Trauma Surg Acute Care Open. 2018;3(1):e000129.
20
Rosengren D, Rothwell S, Brown AF, Chu K. The application of North American CT scan criteria to an Australian population with minor head injury. Emerg Med Australas. 2004;16(3):195-200.
21
Marx J, Walls R, Hockberger R. Rosen's Emergency Medicine-Concepts and Clinical Practice E-Book: Elsevier Health Sciences; 2013.
22
Kavalci C, Aksel G, Salt O, Yilmaz MS, Demir A, Kavalci G, et al. Comparison of the Canadian CT head rule and the new orleans criteria in patients with minor head injury. World J Emerg Surg. 2014;9:31.
23
Fournier N, Émond M, Le Sage N, Gariépy C, Fortier E, Belhumeur V, et al. MP41: Validity of the Canadian CT head rule age criterion for mild traumatic brain injury. Canadian Journal of Emergency Medicine. 2018;20(S1):S55-S.
24
Haydel MJ, Preston CA, Mills TJ, Luber S, Blaudeau E, DeBlieux PM. Indications for computed tomography in patients with minor head injury. N Engl J Med. 2000;343(2):100-5.
25
Saboori M, Ahmadi J, Farajzadegan Z. Indications for brain CT scan in patients with minor head injury. Clin Neurol Neurosurg. 2007;109(5):399-405.
26
Smits M, Dippel DW, de Haan GG, Dekker HM, Vos PE, Kool DR, et al. External validation of the Canadian CT Head Rule and the New Orleans Criteria for CT scanning in patients with minor head injury. JAMA. 2005;294(12):1519-25.
27
ORIGINAL_ARTICLE
Diagnostic Accuracy of Abdominal Ultrasonography in Pediatric Acute Appendicitis
Objective: To evaluate the diagnostic accuracy of ultrasonography in pediatric acute appendicitis.Methods: In this cross-sectional study, 230 children aged 5-15 years with the diagnosis of acute appendicitis were studied. This study included the evaluation of demographic indices, ultrasound findings at diagnosis, and then comparing the results with the description of the patient's procedure and the pathology report of these patients. Patients who did not undergo ultrasound before surgery or their ultrasound did not include the evaluation of appendicitis or their pathologic report was not available were excluded.Results: Overall, we have included a total number of 230 children with clinical diagnosis of acute appendicitis among whom there were 121 (52.6%) girls and 109 (47.4%) boys with mean age of 11.44 ± 2.90 years. Preoperative ultrasound report showed that 51.3% were normal and 48.7% had acute appendicitis. 34.8% had normal appendix and 65.2% had a pathological diagnosis of acute appendicitis. The sensitivity and specificity of ultrasound in these children were 58% and 68%, respectively. Positive and negative predictive values were 77% and 46%, respectively. The area under curve (AUC) was 0.853 (CI 95% 0.788-0.917) indicating a test with moderate accuracy. Conclusion: According to the obtained results, abdominal ultrasonography is of acceptable diagnostic accuracy in pediatric patients with acute appendicitis. The use of auxiliary techniques in ultrasound would increase the sensitivity and specificity in the diagnosis of acute appendicitis in children.
https://beat.sums.ac.ir/article_45373_c6e5e1a7bae827ee6c3fc118b469ff62.pdf
2019-07-01
278
283
10.29252/beat-0703011
Ultrasonography
Appendicitis
Sensitivity
Specificity
children
Alireza
Pedram
1
AUTHOR
Fatemeh
Asadian
asadianf@yahoo.com
2
LEAD_AUTHOR
Naghmeh
Roshan
3
AUTHOR
Pinto F, Pinto A, Russo A, Coppolino F, Bracale R, Fonio P, et al. Accuracy of ultrasonography in the diagnosis of acute appendicitis in adult patients: review of the literature. Crit Ultrasound J. 2013;5 Suppl 1:S2.
1
Bhangu A, Søreide K, Di Saverio S, Assarsson JH, Drake FT. Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management. Lancet. 2015;386(10000):1278-1287.
2
Yıldız T, İlçe Z, Turan G, Bozdağ Z, Elmas B. Parasites in the Etiology of Pediatric Appendicitis. Turkiye Parazitol Derg. 2015;39(3):190-3.
3
Öztaş T, Dursun A, Söğütçü N, Bilici S. Unusual Histopathological Findings in Appendectomy Specimens Obtained from 1683 Pediatric Patients with Suspected Acute Appendicitis. Indian Journal of Surgery. 2018:1-6.
4
Okoro KU, De La Espriella MG, Grider DJ, Baffoe-Bonnie AW. Tuberculous Enteritis Presenting as Acute Appendicitis and Perirectal Abscess. Case Rep Med. 2018;2018:6068258.
5
Almaramhy HH. Acute appendicitis in young children less than 5 years: review article. Ital J Pediatr. 2017;43(1):15.
6
Short HL, Sarda S, Travers C, Hockenberry JM, McCarthy I, Raval MV. Trends in common surgical procedures at children's and nonchildren's hospitals between 2000 and 2009. J Pediatr Surg. 2018;53(8):1472-1477.
7
Blitman NM, Anwar M, Brady KB, Taragin BH, Freeman K. Value of Focused Appendicitis Ultrasound and Alvarado Score in Predicting Appendicitis in Children: Can We Reduce the Use of CT? AJR Am J Roentgenol. 2015;204(6):W707-12.
8
Dilley A, Wesson D, Munden M, Hicks J, Brandt M, Minifee P, Nuchtern J. The impact of ultrasound examinations on the management of children with suspected appendicitis: a 3-year analysis. J Pediatr Surg. 2001;36(2):303-8.
9
Kaiser S, Jorulf H, Söderman E, Frenckner B. Impact of radiologic imaging on the surgical decision-making process in suspected appendicitis in children. Acad Radiol. 2004;11(9):971-9.
10
Bachur RG, Dayan PS, Bajaj L, Macias CG, Mittal MK, Stevenson MD, et al. The effect of abdominal pain duration on the accuracy of diagnostic imaging for pediatric appendicitis. Ann Emerg Med. 2012;60(5):582-590.e3.
11
Erikci VS. Management of Pediatric Appendicitis. Current Issues in the Diagnostics and Treatment of Acute Appendicitis: IntechOpen; 2018.
12
Alvarado A. Clinical Approach in the Diagnosis of Acute Appendicitis. Current Issues in the Diagnostics and Treatment of Acute Appendicitis: IntechOpen; 2018.
13
Nielsen JW, Boomer L, Kurtovic K, Lee E, Kupzyk K, Mallory R, et al. Reducing computed tomography scans for appendicitis by introduction of a standardized and validated ultrasonography report template. J Pediatr Surg. 2015;50(1):144-8.
14
Sauvain MO, Slankamenac K, Muller MK, Wildi S, Metzger U, Schmid W, et al. Delaying surgery to perform CT scans for suspected appendicitis decreases the rate of negative appendectomies without increasing the rate of perforation nor postoperative complications. Langenbecks Arch Surg. 2016;401(5):643-9.
15
Boonstra PA, van Veen RN, Stockmann HB. Less negative appendectomies due to imaging in patients with suspected appendicitis. Surg Endosc. 2015;29(8):2365-70.
16
Lahaye MJ, Lambregts DM, Mutsaers E, Essers BA, Breukink S, Cappendijk VC, et al. Mandatory imaging cuts costs and reduces the rate of unnecessary surgeries in the diagnostic work-up of patients suspected of having appendicitis. Eur Radiol. 2015;25(5):1464-70.
17
Marzouni HZ, Davachi B, Rezazadeh M, Milani MS, Matinfard S. Diagnostic Value of Hepatic Vein Ultrasound in Early Detection of Liver Cirrhosis. Galen Medical Journal. 2018;7:1140.
18
Abu-Yousef MM, Bleicher JJ, Maher JW, Urdaneta LF, Franken Jr E, Metcalf A. High-resolution sonography of acute appendicitis. American Journal of Roentgenology. 1987;149(1):53-8.
19
Gracey D, McClure MJ. The impact of ultrasound in suspected acute appendicitis. Clin Radiol. 2007;62(6):573-8.
20
Blank W, Braun B. Sonography in the diagnosis of appendicitis--a prospective study. Z Gastroenterol. 1988;26(11):708-14.
21
Chen SC, Wang HP, Hsu HY, Huang PM, Lin FY. Accuracy of ED sonography in the diagnosis of acute appendicitis. Am J Emerg Med. 2000;18(4):449-52.
22
Lessin MS, Chan M, Catallozzi M, Gilchrist MF, Richards C, Manera L, et al. Selective use of ultrasonography for acute appendicitis in children. Am J Surg. 1999;177(3):193-6.
23
Ramachandran P, Sivit CJ, Newman KD, Schwartz MZ. Ultrasonography as an adjunct in the diagnosis of acute appendicitis: a 4-year experience. J Pediatr Surg. 1996;31(1):164-7; discussion 167-9.
24
Chan I, Bicknell SG, Graham M. Utility and diagnostic accuracy of sonography in detecting appendicitis in a community hospital. AJR Am J Roentgenol. 2005;184(6):1809-12.
25
Scammell S, Lansdale N, Sprigg A, Campbell D, Marven S. Ultrasonography aids decision-making in children with abdominal pain. Ann R Coll Surg Engl. 2011;93(5):405-9.
26
Marusch F, Allecke K, Gastinger I. Value of ultrasound in diagnosis of appendicitis. Results of the East German Multicenter Study. East German Working Group "Outcome Assessment and Quality Assurance in Surgery" of the CAQ of the German Society of Surgery. Zentralbl Chir. 1998;123 Suppl 4:29-31.
27
Hahn HB, Hoepner FU, Kalle T, Macdonald EB, Prantl F, Spitzer IM, et al. Sonography of acute appendicitis in children: 7 years experience. Pediatr Radiol. 1998;28(3):147-51.
28
Townsend CM, Beauchamp RD, Evers BM, Mattox KL. Sabiston textbook of surgery E-book: Elsevier Health Sciences; 2012.
29
Rioux M. Sonographic detection of the normal and abnormal appendix. AJR Am J Roentgenol. 1992;158(4):773-8.
30
Olsen J, Myren C, Haahr P. Randomized study of the value of laparoscopy before appendicectomy. British journal of surgery. 1993;80(7):922-3.
31
Yabunaka K, Katsuda T, Sanada S, Fukutomi T. Sonographic appearance of the normal appendix in adults. J Ultrasound Med. 2007;26(1):37-43; quiz 45-6.
32
Heller MT, Hattoum A. Imaging of acute right lower quadrant abdominal pain: differential diagnoses beyond appendicitis. Emerg Radiol. 2012;19(1):61-73.
33
Quillin SP, Siegel M. Appendicitis in children: color Doppler sonography. Radiology. 1992;184(3):745-7.
34
ORIGINAL_ARTICLE
Effects of Chitosan/Nano Selenium Biofilm on Infected Wound Healing in Rats; An Experimental Study
Objective: The present study was aimed at assessment of effect of application of Chitosan/Nano Selenium biofilm on infected wound healing in ratsMethods: Sixty-eight male Wistar rats were randomized into four groups of 17 animals each. In group I (Normal) the wounds were created with no infection. In group II (MRSA), the wounds were infected with methicillin resistant Staphylococcus aureus (MRSA). In group III (MRSA/CHIT), animals with infected wounds were dressed with chitosan biofilm only. In group IV (MRSA/CHIT/NS), animals with infected wounds were dressed with Chitosan/Nano Selenium biofilm.Results: There were significant differences in comparisons of group IV and other groups, particularly in terms of cellular infiltration and neovascularization. During the study period, scores for neovascularization was significantly higher in group IV rats than other groups (P<0.05). Polymorphonuclear (PMN) and mononuclear (MNC) cell count and fibroblast cell proliferation in group IV were significantly higher than those of other experimental groups (P<0.05)Conclusion: Chitosan/Nano Selenium biofilm resulted in significant improvement in histopathological indices in full thickness infected wound healing.
https://beat.sums.ac.ir/article_45374_b58419d608e0bc0b97b504d58d8a7891.pdf
2019-07-01
284
291
10.29252/beat-0703012
Infected wound
Chitosan/Nano Selenium
Biofilm
Rat
Abolfazl
Abbaszadeh
abolfazl.abbaszadeh@gmail.com
1
Department of Surgery, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran
AUTHOR
Akram
Tehmasebi-Foolad
2
Student research committee, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran
AUTHOR
Asghar
Rajabzadeh
3
Department of Anatomical Sciences, Faculty of Medicine, Lorestan University of Medical Sciences, Kharamabad, Iran
AUTHOR
Nasim
Beigi-Brojeni
4
Razi Herbal Medicines Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran
AUTHOR
Leila
Zarei
leilazarei50@gmail.com
5
Department of Anatomical Sciences, Faculty of Medicine, Lorestan University of Medical Sciences, Kharamabad, Iran
LEAD_AUTHOR
Srinivas Reddy B, Kiran Kumar Reddy R, Naidu VG, Madhusudhana K, Agwane SB, Ramakrishna S, et al. Evaluation of antimicrobial, antioxidant and wound-healing potentials of Holoptelea integrifolia. J Ethnopharmacol. 2008;115(2):249-56.
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Khan HA, Ahmad A, Mehboob R. Nosocomial infections and their control strategies. Asian Pac J Trop Biomed. 2015;5(7):509-14.
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Calfee DP. Methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci, and other Gram-positives in healthcare. Curr Opin Infect Dis. 2012;25(4):385-94.
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Gould IM, David MZ, Esposito S, Garau J, Lina G, Mazzei T, et al. New insights into meticillin-resistant Staphylococcus aureus (MRSA) pathogenesis, treatment and resistance. Int J Antimicrob Agents. 2012;39(2):96-104.
4
Klevens RM, Morrison MA, Nadle J, Petit S, Gershman K, Ray S, et al. Invasive methicillin-resistant Staphylococcus aureus infections in the United States. JAMA. 2007;298(15):1763-71.
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Fischbach MA, Walsh CT. Antibiotics for emerging pathogens. Science. 2009;325(5944):1089-93.
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Braine T. Race against time to develop new antibiotics. Bull World Health Organ. 2011;89(2):88-9.
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Alanis AJ. Resistance to antibiotics: are we in the post-antibiotic era? Arch Med Res. 2005;36(6):697-705.
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Seno H, Miyoshi H, Brown SL, Geske MJ, Colonna M, Stappenbeck TS. Efficient colonic mucosal wound repair requires Trem2 signaling. Proc Natl Acad Sci U S A. 2009;106(1):256-61.
9
Tran PA, Zhang L, Webster TJ. Carbon nanofibers and carbon nanotubes in regenerative medicine. Adv Drug Deliv Rev. 2009;61(12):1097-114.
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Sinha VR, Singla AK, Wadhawan S, Kaushik R, Kumria R, Bansal K, et al. Chitosan microspheres as a potential carrier for drugs. Int J Pharm. 2004;274(1-2):1-33.
11
No HK, Park NY, Lee SH, Meyers SP. Antibacterial activity of chitosans and chitosan oligomers with different molecular weights. Int J Food Microbiol. 2002;74(1-2):65-72.
12
Kishen A, Shi Z, Shrestha A, Neoh KG. An investigation on the antibacterial and antibiofilm efficacy of cationic nanoparticulates for root canal disinfection. J Endod. 2008;34(12):1515-20.
13
Mofazzal Jahromi MA, Sahandi Zangabad P, Moosavi Basri SM, Sahandi Zangabad K, Ghamarypour A, Aref AR, et al. Nanomedicine and advanced technologies for burns: Preventing infection and facilitating wound healing. Adv Drug Deliv Rev. 2018;123:33-64
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Oyarzun-Ampuero F, Vidal A, Concha M, Morales J, Orellana S, Moreno-Villoslada I. Nanoparticles for the Treatment of Wounds. Curr Pharm Des. 2015;21(29):4329-41.
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Wang H, Zhang J, Yu H. Elemental selenium at nano size possesses lower toxicity without compromising the fundamental effect on selenoenzymes: comparison with selenomethionine in mice. Free Radic Biol Med. 2007;42(10):1524-33
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Gao X, Zhang J, Zhang L. Hollow sphere selenium nanoparticles: their in‐vitro anti hydroxyl radical effect. Advanced Materials. 2002;14(4):290-3.
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Bai Y, Wang Y, Zhou Y, Li W, Zheng W. Modification and modulation of saccharides on elemental selenium nanoparticles in liquid phase. Materials letters. 2008;62(15):2311-4.
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Ojagh SM, Rezaei M, Razavi SH, Hosseini SMH. Development and evaluation of a novel biodegradable film made from chitosan and cinnamon essential oil with low affinity toward water. Food Chemistry. 2010;122(1):161-6.
19
Kumar MS, Kirubanandan S, Sripriya R, Sehgal PK. Triphala promotes healing of infected full-thickness dermal wound. J Surg Res. 2008;144(1):94-101.
20
Peters EJ, Lipsky BA. Diagnosis and management of infection in the diabetic foot. Med Clin North Am. 2013;97(5):911-46.
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Pattanayak SP, Sunita P. Wound healing, anti-microbial and antioxidant potential of Dendrophthoe falcata (L.f) Ettingsh. J Ethnopharmacol. 2008;120(2):241-7.
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Jonaidi Jafari N, Kargozari M, Ranjbar R, Rostami H, Hamedi H. The effect of chitosan coating incorporated with ethanolic extract of propolis on the quality of refrigerated chicken fillet. J Food Process Preserv. 2018;42(1):e13336.
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Maghsoudi O, Ranjbar R, Mirjalili SH, Fasihi-Ramandi M. Inhibitory Activities of Platelet-Rich and Platelet-Poor Plasma on the Growth of Pathogenic Bacteria. Iran J Pathol. 2017;12(1):79-87.
24
Ranjbar R, Shahreza MHS, Rahimi E, Jonaidi-Jafari N. Methicillin-resistant Staphylococcus aureus isolates from Iranian restaurant food samples: Panton-Valentine Leukocidin, SCCmec phenotypes and antimicrobial resistance. Trop J Pharm Res. 2017;16(8):1939-49.
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Mohammadi R, Mehrtash M, Mehrtash M, Hassani N, Hassanpour A. Effect of Platelet Rich Plasma Combined with Chitosan Biodegradable Film on Full-Thickness Wound Healing in Rat Model. Bull Emerg Trauma. 2016;4(1):29-37.
26
Memariani H, Shahbazzadeh D, Ranjbar R, Behdani M, Memariani M, Pooshang Bagheri K. Design and characterization of short hybrid antimicrobial peptides from pEM-2, mastoparan-VT1, and mastoparan-B. Chem Biol Drug Des. 2017;89(3):327-338.
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Ranjbar R, Goudarzi MM, Jonaidi N, Moeini R. Cassette chromosome mec typing of methicillin-resistant Staphylococcus aureus isolates from patients in Tehran. Molecular Genetics, Microbiology and Virology. 2016;31(2):109-15.
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Ranjbar R, Goudarzi MM, Jonaidi N. Prevalence of mecA and femB genes in methicillin-resistant Staphylococcus aureus isolated from Iran's military hospitals. Journal of Pure and Applied Microbiology. 2016;10(1):389-94.
29
Rostami H, Mohammadi R, Asri-Rezaei S, Tehrani AA. Evaluation of Application of Chitosan/nano Sodium Selenite Biodegradable Film on Full Thickness Excisional Wound Healing in Rats. Iran J Vet Surg. 2018;13(1):14-22.
30
Kazemi-Darabadi S, Akbari G, Jarolmasjed S-H, Shahbazfar A-A. A Histopathologic study of effects of olive oil plus lime water on third-degree burn in mouse model. Iran J Vet Surg. 2017;12(1):55-63.
31
Javanmardi S, Divband B. Beneficial Effects of Ag-Exchanged Zeolite Nanocomposite on Excisional Wound in Rats. Iran J Vet Surg. 2017;12(1):25-32.
32
Shabrandi A, Azizi S, Hobbenaghi R, Ownagh A, Keshipour S. The healing effect of chitosan supported nano-CeO2 on experimental excisional wound infected with pseudomonas aeruginosa in rat. Iran J Vet Surg. 2017;12(2):9-20.
33
Dogan S, Demirer S, Kepenekci I, Erkek B, Kiziltay A, Hasirci N, et al. Epidermal growth factor-containing wound closure enhances wound healing in non-diabetic and diabetic rats. Int Wound J. 2009;6(2):107-15.
34
Martin JM, Zenilman JM, Lazarus GS. Molecular microbiology: new dimensions for cutaneous biology and wound healing. J Invest Dermatol. 2010;130(1):38-48.
35
Mclaughlin S, Podrebarac J, Ruel M, Suuronen EJ, McNeill B, Alarcon EI. Nano-engineered biomaterials for tissue regeneration: what has been achieved so far? Front Mater. 2016;3:27.
36
Wang EC, Wang AZ. Nanoparticles and their applications in cell and molecular biology. Integr Biol (Camb). 2014;6(1):9-26.
37
Okamoto Y, Shibazaki K, Minami S, Matsuhashi A, Tanioka S, Shigemasa Y. Evaluation of chitin and chitosan on open would healing in dogs. J Vet Med Sci. 1995;57(5):851-4.
38
Mizuno K, Yamamura K, Yano K, Osada T, Saeki S, Takimoto N, et al. Effect of chitosan film containing basic fibroblast growth factor on wound healing in genetically diabetic mice. J Biomed Mater Res A. 2003;64(1):177-81.
39
Kifune K. Clinical application of chitin artificial skin (Beschitin W). Advances in chitin and chitosan; 1992. p. 9-15.
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Azad AK, Sermsintham N, Chandrkrachang S, Stevens WF. Chitosan membrane as a wound-healing dressing: characterization and clinical application. J Biomed Mater Res B Appl Biomater. 2004;69(2):216-22.
41
Archana D, Dutta J, Dutta PK. Evaluation of chitosan nano dressing for wound healing: characterization, in vitro and in vivo studies. Int J Biol Macromol. 2013;57:193-203.
42
Li X, Wang H, Rong H, Li W, Luo Y, Tian K, et al. Effect of composite SiO₂@AuNPs on wound healing: in vitro and vivo studies. J Colloid Interface Sci. 2015;445:312-319.
43
Wang Q, Webster TJ. Nanostructured selenium for preventing biofilm formation on polycarbonate medical devices. J Biomed Mater Res A. 2012;100(12):3205-10.
44
Ramya S, Shanmugasundaram T, Balagurunathan R. Biomedical potential of actinobacterially synthesized selenium nanoparticles with special reference to anti-biofilm, anti-oxidant, wound healing, cytotoxic and anti-viral activities. J Trace Elem Med Biol. 2015;32:30-9.
45
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46
ORIGINAL_ARTICLE
Curcumin and Nanocurcumin Oral Supplementation Improve Muscle Healing in a Rat Model of Surgical Muscle Laceration
Objective: To compare the effects of curcumin and nanocurcumin oral supplementation on the muscle healing rate of an animal model of surgical muscle laceration.Methods: Thirty-two male adult rats were randomly divided into sham, control, curcumin, and nanocurcumin groups. Partial transection of the gastrocnemius muscle was made in the right limb of the control and treatment groups. The sham and control groups received normal saline, curcumin group received 500 mg/kg of curcumin and nanocurcumin group received 100 mg curcumin-loaded nanomicelles orally every day. They euthanized two weeks later and the specimens were stained by hematoxylin-eosin (H&E) and Masson’s trichrome methods. Aspartate transaminase (AST) and creatine phosphokinase (CPK) were measured in blood samples.Results: The percentage of collagen fibers in the nanocurcumin group was significantly lesser than the control and curcumin groups (p<0.001). Muscle fiber regeneration in the treatment groups was significantly higher than the control group (p<0.001). The blood vessels of the nanocurcumin group were significantly more than other groups (p<0.001). Plasma AST had a significant difference in the control group compared to the sham and nanocurcumin groups (p=0.026). The plasma CPK level of the control group was also significantly higher than other groups (p<0.001).Conclusion: In conclusion, although oral curcumin supplementation has little effects because of its poor bioavailability, embedding it in nanoparticles could enhance its systemic effects in promoting the muscle healing process.
https://beat.sums.ac.ir/article_45375_f14c9640bd65305c234e93882f7136da.pdf
2019-07-01
292
299
10.29252/beat-0703013
Muscle laceration
Curcumin
Nano particles
Rat
Siamak
Kazemi-Darabadi
s.kazemi@tabrizu.ac.ir
1
Department of Clinical Sciences, Faculty of Veterinary Medicine, University of Tabriz, Tabriz, Iran
LEAD_AUTHOR
Ramin
Nayebzadeh
2
Department of Clinical Sciences, Faculty of Veterinary Medicine, University of Tabriz, Tabriz, Iran
AUTHOR
Amir Ali
Shahbazfar
3
Department of Pathobiology, Faculty of Veterinary Medicine, University of Tabriz, Tabriz, Iran
AUTHOR
Faranak
Kazemi-Darabadi
4
Emergency Department, Fatemi Hospital, Ardabil University of Medical Sciences, Ardabil, Iran
AUTHOR
Ezzatollah
Fathi
5
Department of Clinical Sciences, Faculty of Veterinary Medicine, University of Tabriz, Tabriz, Iran
AUTHOR
Danna NR, Beutel BG, Campbell KA, Bosco JA 3rd. Therapeutic approaches to skeletal muscle repair and healing. Sports Health. 2014;6(4):348-55.
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Madhyastha R, Madhyastha H, Nakajima Y, Omura S, Maruyama M. Curcumin facilitates fibrinolysis and cellular migration during wound healing by modulating urokinase plasminogen activator expression. Pathophysiol Haemost Thromb. 2010;37(2-4):59-66.
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Avci G, Kadioglu H, Sehirli AO, Bozkurt S, Guclu O, Arslan E, et al. Curcumin protects against ischemia/reperfusion injury in rat skeletal muscle. J Surg Res. 2012;172(1):e39-46.
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Thaloor D, Miller KJ, Gephart J, Mitchell PO, Pavlath GK. Systemic administration of the NF-kappaB inhibitor curcumin stimulates muscle regeneration after traumatic injury. Am J Physiol. 1999;277(2):C320-9.
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Lopresti AL. The Problem of Curcumin and Its Bioavailability: Could Its Gastrointestinal Influence Contribute to Its Overall Health-Enhancing Effects? Adv Nutr. 2018;9(1):41-50.
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Nonose N, Pereira JA, Machado PR, Rodrigues MR, Sato DT, Martinez CA. Oral administration of curcumin (Curcuma longa) can attenuate the neutrophil inflammatory response in zymosan-induced arthritis in rats. Acta Cir Bras. 2014;29(11):727-34.
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Yang KY, Lin LC, Tseng TY, Wang SC, Tsai TH. Oral bioavailability of curcumin in rat and the herbal analysis from Curcuma longa by LC-MS/MS. J Chromatogr B Analyt Technol Biomed Life Sci. 2007;853(1-2):183-9.
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42
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43
ORIGINAL_ARTICLE
Developing a Model for Hospitals’ Emergency Department Preparedness in Radiation and Nuclear Incidents and Nuclear Terrorism in Iran
Objective: To develop a national model for hospitals’ Emergency Department (ED) preparedness when facing radiation and nuclear incidents as well as nuclear terrorism in Iran.Methods: This analytical study was carried out in 2019 via Delphi technique in two rounds and prioritization using a pairwise questionnaire. Using classic Delphi technique and pairwise comparison, the components were given to 32 specialists in emergency medicine, nuclear medicine, medical physics, nuclear physics, radiobiology and radiation protection, health in disaster and emergency, and passive defense. Finally, the national model was developed by holding two focus group sessions.Results: The results from the two rounds of Delphi technique showed that 31 factors of preparedness were classified into three main classes, namely staff, stuff, and structure (system). Only three factors were excluded and the rest were agreed upon by the specialists. Given the weight of each class, it was found that staff preparedness and stuff preparedness had the highest and lowest priorities, respectively.Conclusion: Comprehensive preparedness requires enhancing and promoting cultural, social, economic, and political levels. Indeed, all preparedness levels should be promoted in alignment with each other. Hence, governments should align their policies to manage such incidents.
https://beat.sums.ac.ir/article_45376_f3716d91d3249857c6a3f6e499e2254a.pdf
2019-07-01
300
306
10.29252/beat-0703014
Preparedness
Emergency department
hospital
Radiation incidents
Nuclear incidents
Terrorism
Milad
Ahmadi Marzaleh
miladahmadimarzaleh@yahoo.com
1
Ph.D. Candidate of Health in Disasters and Emergencies, Student Research Committee, Department of Health in Disasters and Emergencies, Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
AUTHOR
Rita
Rezaee
rezaeerita@yahoo.com
2
Associate Professor, Health Human Resource Development Research Center, Department of Health Information Management, Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
AUTHOR
Abbas
Rezaianzadeh
rezaiana@gmail.com
3
Professor, School of Health, Department of Epidemiology, Shiraz University of Medical Sciences, Shiraz, Iran.
AUTHOR
Mahnaz
Rakhshan
4
Associate Professor, Department of Nursing, School of Nursing & Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
AUTHOR
Gholamhassan
Haddadi
5
Associate Professor, School of Paramedical, Department of Medical Physics, Shiraz University of Medical Sciences, Shiraz, Iran.
AUTHOR
Mahmoudreza
Peyravi
peyravi110@gmail.com
6
Assistant Professor, Department of Health in Disasters and Emergencies, Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
LEAD_AUTHOR
Jackson MA. Emergency Preparedness for a Radiological Disaster: Davis-Besse Nuclear Power Plant Release. 2015.
1
Burkle FM Jr, Dallas CE. Developing a Nuclear Global Health Workforce Amid the Increasing Threat of a Nuclear Crisis. Disaster Med Public Health Prep. 2016;10(1):129-44.
2
Mustonen R. Preparedness and response to radiological emergencies. Finland: Radiation and Nuclear Safety Authority (STUK); 2018.
3
Davari F, Zahed A. A management plan for hospitals and medical centers facing radiation incidents. J Res Med Sci. 2015;20(9):871-8.
4
Murakawa M. Anesthesia department preparedness for a multiple-casualty incident: lessons learned from the Fukushima earthquake and the Japanese nuclear power disaster. Anesthesiol Clin. 2013;31(1):117-25.
5
Hick JL, Weinstock DM, Coleman CN, Hanfling D, Cantrill S, Redlener I, et al. Health care system planning for and response to a nuclear detonation. Disaster Med Public Health Prep. 2011;5 Suppl 1:S73-88.
6
Bushberg JT, Kroger LA, Hartman MB, Leidholdt EM Jr, Miller KL, Derlet R, et al. Nuclear/radiological terrorism: emergency department management of radiation casualties. J Emerg Med. 2007;32(1):71-85.
7
Powell C. The Delphi technique: myths and realities. J Adv Nurs. 2003;41(4):376-82.
8
Dempsey PA, Dempsey AD. Using nursing research: Process, critical evaluation, and utilization: Lippincott Williams & Wilkins; 2000.
9
Karle H. Global standards and accreditation in medical education: a view from the WFME. Acad Med. 2006;81(12 Suppl):S43-8.
10
Hung HL, Altschuld JW, Lee YF. Methodological and conceptual issues confronting a cross-country Delphi study of educational program evaluation. Eval Program Plann. 2008;31(2):191-8.
11
Zeigler VL, Decker-Walters B. Determining psychosocial research priorities for adolescents with implantable cardioverter defibrillators using Delphi methodology. J Cardiovasc Nurs. 2010;25(5):398-404.
12
Saaty TL. Fundamentals of decision making and priority theory with the analytic hierarchy process: RWS publications; 2000.
13
Lee AH, Chen W-C, Chang C-J. A fuzzy AHP and BSC approach for evaluating performance of IT department in the manufacturing industry in Taiwan. Expert systems with applications. 2008;34(1):96-107.
14
Ghodsi-pour SH. Analytical hierarchy process (AHP). 5th Ed ed. Tehran: Amirkabir University of Tech Pub; 2007.
15
Mortelmans LJM, Gaakeer MI, Dieltiens G, Anseeuw K, Sabbe MB. Are Dutch Hospitals Prepared for Chemical, Biological, or Radionuclear Incidents? A Survey Study. Prehosp Disaster Med. 2017;32(5):483-491.
16
Mitchell CJ, Kernohan WG, Higginson R. Are emergency care nurses prepared for chemical, biological, radiological, nuclear or explosive incidents? Int Emerg Nurs. 2012;20(3):151-61.
17
Lim HCS, Ng KS, Tan HH, Leong KWG. Hospital preparedness for radiation emergencies and medical management of multiple combined radiation injury victims. Proceedings of Singapore Healthcare. 2011;20(3):197-207.
18
Moore BL, Geller RJ, Clark C. Hospital preparedness for chemical and radiological disasters. Emerg Med Clin North Am. 2015;33(1):37-49.
19
Jasper E, Miller M, Sweeney B, Berg D, Feuer E, Reganato D. Preparedness of hospitals to respond to a radiological terrorism event as assessed by a full-scale exercise. J Public Health Manag Pract. 2005;Suppl:S11-6.
20
Treat KN, Williams JM, Furbee PM, Manley WG, Russell FK, Stamper CD Jr. Hospital preparedness for weapons of mass destruction incidents: an initial assessment. Ann Emerg Med. 2001;38(5):562-5.
21
Considine J, Mitchell B. Chemical, biological and radiological incidents: preparedness and perceptions of emergency nurses. Disasters. 2009;33(3):482-97.
22
Dallas CE, Klein KR, Lehman T, Kodama T, Harris CA, Swienton RE. Readiness for Radiological and Nuclear Events among Emergency Medical Personnel. Front Public Health. 2017;5:202.
23
Hung K, Lam E, Wong M, Wong T, Chan E, Graham C. Emergency physicians' preparedness for CBRNE incidents in Hong Kong. Hong Kong Journal of Emergency Medicine. 2013;20(2):90-7.
24
Mortelmans LJ, Van Boxstael S, De Cauwer HG, Sabbe MB; Belgian Society of Emergency and Disaster Medicine (BeSEDiM) study. Preparedness of Belgian civil hospitals for chemical, biological, radiation, and nuclear incidents: are we there yet? Eur J Emerg Med. 2014;21(4):296-300.
25
ORIGINAL_ARTICLE
Dispatcher-Assisted Bystander Cardiopulmonary Resuscitation (Telephone-CPR) and Outcomes after Out of Hospital Cardiac Arrest
Objective: To determine the effects of the implementation of the telephone cardiopulmonary resuscitation (T-CPR) program on the outcomes of out-of-hospital cardiac arrest (OHCA).Methods: In this prospective study, Emergency Medical Service (EMS) dispatchers and all bystanders attending to patients with OHCA were included. The consensus sampling was carried out based on inclusion and exclusion criteria. The data collection tool was consisted of a demographic questionnaire for patients and bystanders accompanied by a checklist for CPR outcomes. Data were collected 6 months before and after the implementation of the T-CPR program and analyzed using SPSS version 18.Results: The results revealed that the percentages of successful and unsuccessful CPR cases before the implementation of the T-CPR program were 28.1% and 71.9%, respectively. However, in total, 32% and 67.8% of the CPR cases were successful and unsuccessful, respectively, after the implementation of the mentioned program. The survival rate increased from 56.5% in the pre-intervention phase to 72.4% in the post-intervention one. In terms of the outcomes, brain complications decreased from 40% in the pre-intervention phase to 32.1% in the post-intervention one; however, the Chi-square test showed no significant difference in terms of CPR outcomes in the two time periods (p=0.797).Conclusion: According to the results, it is recommended that T-CPR programs be developed and dispatchers be trained in the area of this research. The results could be regarded as a guide to EMS managers, healthcare professionals, and the basis for further studies on this subject.
https://beat.sums.ac.ir/article_45377_5430f3506bc92a43bdea059c704453d0.pdf
2019-07-01
307
313
10.29252/beat-0703015
Telephone cardio pulmonary resuscitation (T-CPR)
Dispatchers
Bystanders
Hospital cardiac arrest
Seyedmohammad
Seyedbagheri
1
AUTHOR
Tabandeh
Sadeghi
t.b_sadeghi@yahoo.com
2
LEAD_AUTHOR
Majid
Kazemi
3
AUTHOR
Ali
Esmaieli Nadimi
4
AUTHOR
Perkins GD, Jacobs IG, Nadkarni VM, Berg RA, Bhanji F, Biarent D, et al. Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest: A Statement for Healthcare Professionals From a Task Force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation. Resuscitation. 2015;96:328-40.
1
Deo R, Albert CM. Epidemiology and genetics of sudden cardiac death. Circulation. 2012;125(4):620-37.
2
Dinpanah H, Rastekenari AM. Outcome of Cardiac Arrest Patients Brought to Emergency Department by Private Cars. Iran J Emerg Med. 2015;2(2):58.
3
Azimi B, Motaghi M. The Study of the success of CPR Team in Besat Health & Care hospital in Hamedan in the first six months of 2009. 2010.
4
Neumar RW, Shuster M, Callaway CW, Gent LM, Atkins DL, Bhanji F, et al. Part 1: Executive Summary: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015;132(18 Suppl2):S315-67.
5
Dianati M, Assari-Maraghi A, Paravar M, Gilasi H. Bystander's cardiopulmonary resuscitation rate and related factors in Kashan, Iran in 2014. Feyz Journal of Kashan University of Medical Sciences. 2015;19.
6
Bhanji F, Donoghue AJ, Wolff MS, Flores GE, Halamek LP, Berman JM, et al. Part 14: Education: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015;132(18 Suppl 2):S561-73.
7
Spelten O, Warnecke T, Wetsch WA, Schier R, Böttiger BW, Hinkelbein J. Dispatcher-assisted compression-only cardiopulmonary resuscitation provides best quality cardiopulmonary resuscitation by laypersons: A randomised controlled single-blinded manikin trial. Eur J Anaesthesiol. 2016;33(8):575-80.
8
Bohm K, Rosenqvist M, Hollenberg J, Biber B, Engerström L, Svensson L. Dispatcher-assisted telephone-guided cardiopulmonary resuscitation: an underused lifesaving system. Eur J Emerg Med. 2007;14(5):256-9.
9
Association AH. Highlights of the 2015 American Heart Association guidelines update for CPR and ECC. Dallas, USA: American Heart Association; 2015.
10
Callaway CW, Donnino MW, Fink EL, Geocadin RG, Golan E, Kern KB, et al. Part 8: Post-Cardiac Arrest Care: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015;132(18Suppl 2):S465-82.
11
Bobrow BJ, Spaite DW, Vadeboncoeur TF, Hu C, Mullins T, Tormala W, et al. Implementation of a Regional Telephone Cardiopulmonary Resuscitation Program and Outcomes After Out-of-Hospital Cardiac Arrest. JAMA Cardiol. 2016;1(3):294-302.
12
Salari A, Mohammadnejad E, Vanaki Z, Ahmadi F. Survival rate and outcomes of cardiopulmonary resuscitation. Iran J Crit Care Nurs. 2010;3(2):45-9.
13
Besnier E, Damm C, Jardel B, Veber B, Compere V, Dureuil B. Dispatcher-assisted cardiopulmonary resuscitation protocol improves diagnosis and resuscitation recommendations for out-of-hospital cardiac arrest. Emerg Med Australas. 2015;27(6):590-596.
14
Bobrow BJ, Spaite DW, Berg RA, Stolz U, Sanders AB, Kern KB, et al. Chest compression-only CPR by lay rescuers and survival from out-of-hospital cardiac arrest. JAMA. 2010;304(13):1447-54.
15
Hagihara A, Onozuka D, Shibuta H, Hasegawa M, Nagata T. Dispatcher-assisted bystander cardiopulmonary resuscitation and survival in out-of-hospital cardiac arrest. Int J Cardiol. 2018;265:240-245.
16
White L, Rogers J, Bloomingdale M, Fahrenbruch C, Culley L, Subido C, et al. Dispatcher-assisted cardiopulmonary resuscitation: risks for patients not in cardiac arrest. Circulation. 2010;121(1):91-7.
17
Kim TH, Lee YJ, Lee EJ, Ro YS, Lee K, Lee H, et al. Comparison of Cardiopulmonary Resuscitation Quality Between Standard Versus Telephone-Basic Life Support Training Program in Middle-Aged and Elderly Housewives: A Randomized Simulation Study. Simul Healthc. 2018;13(1):27-32.
18
Luc G, Baert V, Escutnaire J, Genin M, Vilhelm C, Di Pompéo C, et al. Epidemiology of out-of-hospital cardiac arrest: A French national incidence and mid-term survival rate study. Anaesth Crit Care Pain Med. 2019;38(2):131-135.
19
Karam N, Marijon E, Dumas F, Offredo L, Beganton F, Bougouin W, et al. Characteristics and outcomes of out-of-hospital sudden cardiac arrest according to the time of occurrence. Resuscitation. 2017;116:16-21.
20
Capucci A, Aschieri D, Piepoli MF, Bardy GH, Iconomu E, Arvedi M. Tripling survival from sudden cardiac arrest via early defibrillation without traditional education in cardiopulmonary resuscitation. Circulation. 2002;106(9):1065-70.
21
ORIGINAL_ARTICLE
Is Emergency Medical Services (EMS) in Islamic Republic of Iran Practical and Efficient in Facing Ebola?
Objective: To evaluate the efficacy and preparedness of Emergency Medical Services (EMS) in Islamic Republic of Iran to face Ebola.Methods: The present study is cross-sectional and somehow descriptive. We used a standard questionnaire that was designed by “center for disease control and prevention”. This questionnaire was captioned “Emergency Medical Services (EMS) checklist for Ebola preparedness”. We collected a lot of data by studying that questionnaire and every manager in every province of Iran were informed about that info in 2016. This data was analyzed by using SSPP software version 16.Results: Findings have showed the average score related to preparation level of EMS in facing Ebola in Iran was 63.73±12.77 percent. There was no significant difference between the country regions regarding the preparedness of to detect (p=0.975), protect (p=0.275) and respond (p=0.344) to ebola outbreaks.The highest score had been achieved by region number 5 and the lowest score belonged to region number 7.Conclusion: Although the acquired average score in this study is higher than standards, considering the increased threat of breaking out biologic threats especially Ebola infection, using and practicing some measures in order to enhance preparation level of Emergency Medical Services counter this infection and similar infectious diseases is inevitable.
https://beat.sums.ac.ir/article_45378_51826d8d9d11fa82909f65aca9cc3fbc.pdf
2019-07-01
315
319
10.29252/beat-0703016
Preparation
Pre-hospital
Emergency Medical Services (EMS)
Ebola
Bioterrorism
Biologic agents
Ali
Jadidi
mrza2013@yahoo.com
1
AUTHOR
Behrooz
Irannejad
2
AUTHOR
Paria
Bahrami
3
AUTHOR
Yaser
Moradi
4
AUTHOR
Mohammadreza
Zaker Tarzam
5
LEAD_AUTHOR
Barras V, Greub G. History of biological warfare and bioterrorism. Clin Microbiol Infect. 2014;20(6):497-502.
1
Lucas J, Dressman HK, Suchindran S, Nakamura M, Chao NJ, Himburg H, et al. A translatable predictor of human radiation exposure. PLoS One. 2014;9(9):e107897.
2
Ryan J. Biosecurity and bioterrorism: containing and preventing biological threats: Butterworth-Heinemann; 2016.
3
Bennett R. Chemical or biological terrorist attacks: an analysis of the preparedness of hospitals for managing victims affected by chemical or biological weapons of mass destruction. Int J Environ Res Public Health. 2006;3(1):67-75.
4
Combs CC. Terrorism in the twenty-first century: Routledge; 2017.
5
Reddick CG, Chatfield AT, Jaramillo PA. Public opinion on National Security Agency surveillance programs: A multi-method approach. Government Information Quarterly. 2015;32(2):129-41.
6
Ramage J, Pillai S. The Public Health Response to Potential Bioterrorism by Toxin Attack. Biological Toxins and Bioterrorism; 2015. p. 323-55.
7
Boscarino JA, Adams RE. Assessing Community Reactions to Ebola Virus Disease and Other Disasters: Using Social Psychological Research to Enhance Public Health and Disaster Communications. Int J Emerg Ment Health. 2015;17(1):234-238.
8
Schultz CH, Koenig KL, Whiteside M, Murray R; National Standardized All-Hazard Disaster Core Competencies Task Force. Development of national standardized all-hazard disaster core competencies for acute care physicians, nurses, and EMS professionals. Ann Emerg Med. 2012;59(3):196-208.e1.
9
Ramage J, Pillai S. The Public Health Response to Potential Toxin Bioterrorism. Biological Toxins and Bioterrorism: Biological Toxins and Bioterrorism; 2013. p. 1-28.
10
Fessler SJ, Simon HK, Yancey AH 2nd, Colman M, Hirsh DA. How well do General EMS 911 dispatch protocols predict ED resource utilization for pediatric patients? Am J Emerg Med. 2014;32(3):199-202.
11
Meisel ZF, Shea JA, Peacock NJ, Dickinson ET, Paciotti B, Bhatia R, et al. Optimizing the patient handoff between emergency medical services and the emergency department. Ann Emerg Med. 2015;65(3):310-317.e1.
12
Li HL, Tang WJ, Ma YK, Jia JM, Dang RL, Qiu EC. Emergency response to nuclear, biological and chemical incidents: challenges and countermeasures. Mil Med Res. 2015;2:19.
13
Al-Shaqsi S, Gauld R, McBride D, Al-Kashmiri A, Al-Harthy A. Self-reported preparedness of New Zealand acute care providers to mass emergencies before the Canterbury Earthquakes: a national survey. Emerg Med Australas. 2015;27(1):55-61.
14
Lioy PJ, Laskin JD, Georgopoulos PG. Preparedness and response to chemical and biological threats: the role of exposure science. Ann N Y Acad Sci. 2016;1378(1):108-117.
15
Thompson J, Rehn M, Lossius HM, Lockey D. Risks to emergency medical responders at terrorist incidents: a narrative review of the medical literature Crit Care. 2014;18(5):521.
16
Coignard-Biehler H, Isakov A, Stephenson J. Pre-hospital transportation in Western countries for Ebola patients, comparison of guidelines. Intensive Care Med. 2015;41(8):1472-6.
17
Lowe JJ, Jelden KC, Schenarts PJ, Rupp LE, Hawes KJ, Tysor BM, et al. Considerations for safe EMS transport of patients infected with Ebola virus. Prehosp Emerg Care. 2015;19(2):179-83.
18
Malich G, Coupland R, Donnelly S, Nehme J. Chemical, biological, radiological or nuclear events: The humanitarian response framework of the International Committee of the Red Cross. International Review of the Red Cross. 2015;97(899):647-61.
19
McCoy CE, Lotfipour S, Chakravarthy B, Schultz C, Barton E. Emergency medical services public health implications and interim guidance for the Ebola virus in the United States. West J Emerg Med. 2014;15(7):723-7.
20
Nathan MA. Bioterrorism Preparedness and Response for Healthcare Professionals; 2015.
21
In: World Health Organization. Ebola virus disease preparedness: taking stock and moving forward.Geneva: Switzerland. [Accessed: 14-16 January 2015]., Available from: https://www.who.int/csr/resources/publications/ebola/preparedness-meeting-report/en/
22
S Shojafard J, Moradian M, Nadrian H, Haghi MN. Assessment Of Emergency Medical Services Personnel Preparedness Against Biological Incidents. 2014.
23
Mortelmans LJ, Van Boxstael S, De Cauwer HG, Sabbe MB; Belgian Society of Emergency and Disaster Medicine (BeSEDiM) study. Preparedness of Belgian civil hospitals for chemical, biological, radiation, and nuclear incidents: are we there yet? Eur J Emerg Med. 2014;21(4):296-300.
24
Kotora JG. An assessment of Chemical, Biological, Radiologic, Nuclear, and Explosive preparedness among emergency department healthcare providers in an inner city emergency department. Am J Disaster Med. 2015;10(3):189-204.
25
Pakhereh E, Rezaeirad M, Tahmasbi B, Akbarpour F. Ranking the Factors Affecting Readiness of Prehospital Emergency Care According to the Perspectives of Staff in Mazandaran Prehospital Emergency Services. Journal of Mazandaran University of Medical Sciences. 2016;25(134):261-9.
26
ORIGINAL_ARTICLE
Successful Medical Management of Methamphetamine Induced Ileus; A Rare Case Report and Literature Review
Ileus is a very rare complication of methamphetamine (MET) intoxication. We herein report a 15-year-old non-addict girl who ingested about 5 gr of MET. She suffered from bowel obstruction manifestations. She was treated by intravenous metoclopramide and erythromycin. On next morning, she became restlessness with tachycardia and sweeting that was treated by intravenous diazepam. Abdominal-pelvic computerized tomography (CT) scan confirmed generalize dilatation in small intestine and more prominent in colon with no ischemia or mechanical obstruction. It also showed some hyperdense collections in ascending colon, sigmoid and rectum. MET was detected in her urine. On the third day, the bowel obstruction signs resolved. On fourth day, the prokinetic drugs were discontinued and whole bowel irrigation by polyethylene-glycol was performed. She passed the drug packages, and was discharged in well condition on fifth day. MET intoxication can induce ileus, specially, in the higher doses of MET and physicians should mention this rare MET presentation.
https://beat.sums.ac.ir/article_45360_c1888fa0dd8b08d3693da33cf7b058f5.pdf
2019-07-01
320
323
10.29252/beat-0703017
Amphetamine
catecholamine
Gastrointestinal
Ileus
Mohammad
Moshiri
moshirimo@gmail.com
1
Medical Toxicology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Zahra
Ataee
2
AUTHOR
Parastoo
Rahimi
3
Veterinary faculty of Islamic Azad University, Science and Research Branch, Tehran, Iran
AUTHOR
Elham
Ansari
4
Mashhad University of medical sciences, Mashhad, Iran
AUTHOR
Leila
Etemad
etemadl@mums.ac.ir
5
Pharmaceutical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
LEAD_AUTHOR
Krasnova IN, Cadet JL. Methamphetamine toxicity and messengers of death. Brain Res Rev. 2009;60(2):379-407.
1
Hedden SL, Kennet J, Lipari R, Medley G, Tice T. Center for Behavioral Health Statistics and Quality. Behavioral health trends in the United States: Results from the 2014 National Survey on Drug Use and Health. SAMHSA, USA: Department of Health and Human Services (NHS); 2015. p. 1-36.
2
Gray SD, Fatovich DM, McCoubrie DL, Daly FF. Amphetamine-related presentations to an inner-city tertiary emergency department: a prospective evaluation. Med J Aust. 2007;186(7):336-9.
3
Cruickshank CC, Dyer KR. A review of the clinical pharmacology of methamphetamine. Addiction. 2009;104(7):1085-99.
4
Moshiri M, Ghadiri A, Etemad L,. Methamphetamine induced ileus in rat. Forensic Science International, Elsevier Ireland Ltd. Elsevier House, Brookvale Plaza, Irland; 2017.
5
Hoffman RS, Howland MA, Lewin NA, Nelson LS, Goldfrank LR. Goldfrank's Toxicologic Emergencies, (ebook): McGraw Hill Professional; 2014.
6
Ghadiri A, Etemad L, Moshiri M, Moallem SA, Jafarian AH, Hadizadeh F, et al. Exploring the effect of intravenous lipid emulsion in acute methamphetamine toxicity. Iran J Basic Med Sci. 2017;20(2):138-144.
7
Moshiri M, Hosseiniyan SM, Moallem SA, Hadizadeh F, Jafarian AH, Ghadiri A, et al. The effects of vitamin B(12) on the brain damages caused by methamphetamine in mice. Iran J Basic Med Sci. 2018;21(4):434-438.
8
Carlson TL, Plackett TP, Gagliano RA Jr, Smith RR. Methamphetamine-induced paralytic ileus. Hawaii J Med Public Health. 2012;71(2):44-5.
9
Brannan TA, Soundararajan S, Houghton BL. Methamphetamine-associated shock with intestinal infarction. MedGenMed. 2004;6(4):6.
10
Holubar SD, Hassinger JP, Dozois EJ, Masuoka HC. Methamphetamine colitis: a rare case of ischemic colitis in a young patient. Arch Surg. 2009;144(8):780-2.
11
Pei Z, Zhang X. Methamphetamine intoxication in a dog: case report. BMC Vet Res. 2014;10:139.
12
Ahmadian-Moghadam H, Sadat-Shirazi MS, Zarrindast MR. Cocaine- and amphetamine-regulated transcript (CART): A multifaceted neuropeptide. Peptides. 2018;110:56-77.
13
Rychlik A, Gonkowski S, Nowicki M, Calka J. Cocaine-and amphetamine-regulated transcript immunoreactive nerve fibres in the mucosal layer of the canine gastrointestinal tract under physiological conditions and in inflammatory bowel disease. Veterinarni Medicina. 2015;60(7):361–7.
14
ORIGINAL_ARTICLE
Acute Subdural Hemorrhage of a Convexity Meningioma in the Postpartum Period; Case Report and Literature Review
New onset seizures in pregnancy or the postpartum period can be of great importance and denote various underlying pathologies. Eclampsia and cerebrovascular accidents are common, and brain tumors are uncommon causes of postpartum seizures among others. Acute presentation of brain tumors in pregnancy or the postpartum period is extremely rare. Meningiomas are the most common benign intracranial tumors. Although 1.3 to 2.4% of these benign tumors may bleed, acute presentation of them with hemorrhage is quite rare. Herein, we report a rare case of a 36-year-old lady who presented with severe headache, seizure, and loss of consciousness in the postpartum period, five days after delivery of a full-term baby. Primary emergency evaluation revealed an extra-axial lesion with subdural hemorrhage. A Decompressive craniectomy was performed, hematoma was evacuated, and the tumor was totally resected. Histopathologic evaluation was consistent with a fibroblastic meningioma (WHO grade I). She was discharged in good general condition. Our case highlights the significance of complete evaluation of patients with new-onset seizures in pregnancy or the postpartum period. Although uncommon, brain tumors in pregnancy can have potentially devastating outcomes which may necessitate prompt surgical intervention.
https://beat.sums.ac.ir/article_45365_3e54fd4d36935348d15359ee03bfdc04.pdf
2019-07-01
324
329
10.29252/beat-0703018
Convexity Meningioma
Pregnancy
Brain Neoplasm
Hemorrhage
Seizure
Mohammad
Sadegh Masoudi
1
Department of Neurosurgery, Shiraz University of Medical Sciences Neurotrauma Research Center, AJA University of Medical Sciences, Tehran, Iran
AUTHOR
Saber
Zafar Shamspour
saberzsp@gmail.com
2
Department of Neurosurgery, Shiraz University of Medical Sciences
LEAD_AUTHOR
Mohammad
Ghasemi-Rad
3
Department of Radiology, Baylor college of medicine, Houston, Texas
AUTHOR
Neda
Soleimani
4
Department of Pathology, Shiraz University of Medical Sciences
AUTHOR
Abbas
Rakhsha
5
Department of Neurosurgery, Shiraz University of Medical Sciences
AUTHOR
Christie
Lincoln
6
Department of Radiology, Baylor college of medicine, Houston, Texas
AUTHOR
1. Hambra DV, Danilo de P, Alessandro R, Sara M, Juan GR. Meningioma associated with acute subdural hematoma: A review of the literature. Surg Neurol Int. 2014;5(Suppl 12):S469-71.
1
2. Ravindran K, Gaillard F, Lasocki A. Spontaneous subdural haemorrhage due to meningioma in the post-partum setting. J Clin Neurosci. 2017;39:77-9.
2
3. Bonfield CM, Engh JA. Pregnancy and brain tumors. Neurol Clin. 2012;30(3):937-46.
3
4. Bosnjak R, Derham C, Popovic M, Ravnik J. Spontaneous intracranial meningioma bleeding: clinicopathological features and outcome. J Neurosurg. 2005;103(3):473-84.
4
5. Bollig KJ, Jackson DL. Seizures in Pregnancy. Obstet Gynecol Clin North Am. 2018;45(2):349-67.
5
6. Hart LA, Sibai BM. Seizures in pregnancy: epilepsy, eclampsia, and stroke. Semin Perinatol. 2013;37(4):207-24.
6
7. Zack MM, Kobau R. National and State Estimates of the Numbers of Adults and Children with Active Epilepsy - United States, 2015. MMWR Morb Mortal Wkly Rep. 2017;66(31):821-5.
7
8. Sibai BM. Eclampsia. VI. Maternal-perinatal outcome in 254 consecutive cases. Am J Obstet Gynecol. 1990;163(3):1049-54; discussion 54-5.
8
9. Laviv Y, Bayoumi A, Mahadevan A, Young B, Boone M, Kasper EM. Meningiomas in pregnancy: timing of surgery and clinical outcomes as observed in 104 cases and establishment of a best management strategy. Acta Neurochir (Wien). 2017.
9
10. Terry AR, Barker FG, 2nd, Leffert L, Bateman BT, Souter I, Plotkin SR. Outcomes of hospitalization in pregnant women with CNS neoplasms: a population-based study. Neuro Oncol. 2012;14(6):768-76.
10
11. DeAngelis LM. Central nervous system neoplasms in pregnancy. Adv Neurol. 1994;64:139-52.
11
12. Laviv Y, Ohla V, Kasper EM. Unique features of pregnancy-related meningiomas: lessons learned from 148 reported cases and theoretical implications of a prolactin modulated pathogenesis. Neurosurg Rev. 2018;41(1):95-108.
12
13. Lakshmi Prasad G, Ramdurg SR, Suri A, Mahapatra AK. A rare association of meningioma with intratumoral bleed and acute subdural hematoma. Neurol India. 2010;58(6):977-8.
13
14. Lefranc F, Nagy N, Dewitte O, Baleriaux D, Brotchi J. Intracranial meningiomas revealed by non-traumatic subdural haematomas: a series of four cases. Acta Neurochir (Wien). 2001;143(10):977-82; discussion 82-3.
14
15. Martinez-Lage JF, Poza M, Martinez M, Esteban JA, Antunez MC, Sola J. Meningiomas with haemorrhagic onset. Acta Neurochir (Wien). 1991;110(3-4):129-32.
15
16. Nery B, Costa RAF, Pereira LCT, Quaggio E, Coronatto LH, Tirapelli D, et al. Spontaneous subdural hematoma associated with microcystic meningioma: first case report in the literature. Br J Neurosurg. 2017:1-4.
16
17. Bingas B, Meese M. [Subdural hematoma with a rare etiology (case report)]. Nervenarzt. 1966;37(4):175-7.
17
18. Cusick JF, Bailey OT. Association of ossified subdural hematomas and a meningioma. Case report. Journal of neurosurgery. 1972;37(6):731-4.
18
19. Modesti LM, Binet EF, Collins GH. Meningiomas causing spontaneous intracranial hematomas. J Neurosurg. 1976;45(4):437-41.
19
20. Walsh JW, Winston KR, Smith T. Meningioma with subdural hematoma. Surg Neurol. 1977;8(4):293-5.
20
21. Everett BA, Kusske JA, Pribram HW. Anticoagulants and intracerebral hemorrhage from an unsuspected meningioma. Surg Neurol. 1979;11(3):233-5.
21
22. Patil AA. Intracranial meningioma with subdural membrane. A case report. Acta Neurochir (Wien). 1982;66(1-2):103-7.
22
23. Wang AM, Chinwuba CE, O'Reilly GV, Kleefield J. Subdural hematoma in patients with brain tumor: CT evaluation. J Comput Assist Tomogr. 1985;9(3):511-3.
23
24. Kotwica Z, Zawirski M. Subdural hematoma caused by cerebral tumors. Zentralbl Neurochir. 1986;47(3):259-62.
24
25. Tokunaga T, Kuboyama M, Kojo N, Matsuo H, Shigemori M, Kuramoto S. [A case of acute subdural hematoma associated with convexity meningioma]. No Shinkei Geka. 1988;16(12):1389-93.
25
26. Jones NR BP. Intracranial haemorrhage from meningiomas: a report of five cases. Br J Neurosurg. 1989;3(6):8.
26
27. Sato K, Sugawara T, Fujiwara S, Mizoi K, Yoshimoto T. [A case of small meningioma with acute subdural hematoma]. No Shinkei Geka. 1989;17(7):687-90.
27
28. Niikawa S, Kawaguchi M, Sugimoto S, Hattori T, Ohkuma A. Meningioma associated with subdural hematoma--case report. Neurol Med Chir (Tokyo). 1990;30(3):169-72.
28
29. Chaskisa C RC, Notermana J, Flament-Durandb J, Brotchia J. Meningioma associated with subdural haematoma: report of two cases and review of the literature. Clinical Neurology and Neurosurgery. 1992;94(3):6.
29
30. Chen JW UH, Grafe MR. Unsuspected meningioma presenting as a subdural haematoma. J Neural Neurosurg Psychiatry. 1992;55(2):2.
30
31. Renowden SA, Hourihan MD. Case report: acute subdural haematoma--an unusual presentation of a meningioma. Clin Radiol. 1992;45(5):351-2.
31
32. Ueno M, Nakai E, Naka Y, Kido T, Itakura T, Komai N. Acute subdural hematoma associated with vacuolated meningioma--case report. Neurol Med Chir (Tokyo). 1993;33(1):36-9.
32
33. Shimizu J, Tazawa T, Park-Matsumoto YC, Katano T, Akiba Y, Kuroiwa T. [Meningioma associated with acute subdural hematoma: a case report]. No Shinkei Geka. 1998;26(8):743-7.
33
34. Sunada I, Nakabayashi H, Matsusaka Y, Yamamoto S. Meningioma associated with acute subdural hematoma--case report. Radiat Med. 1998;16(6):483-6.
34
35. Okuno S, Touho H, Ohnishi H, Karasawa J. Falx meningioma presenting as acute subdural hematoma: case report. Surg Neurol. 1999;52(2):180-4.
35
36. Goyal A, Singh AK, Kumar S, Gupta V, Singh D. Subdural hemorrhage associated with falcine meningioma. Neurol India. 2003;51(3):419-21.
36
37. Mitsuhara T, Ikawa F, Ohbayashi N, Imada Y, Abiko M, Inagawa T. [A case of petrotentorial meningioma presented as an acute subdural hemorrhage]. No Shinkei Geka. 2006;34(8):827-32.
37
38. Kashimura H, Arai H, Ogasawara K, Beppu T, Kurose A, Ogawa A. Lipomatous meningioma with concomitant acute subdural hematoma--case report. Neurol Med Chir (Tokyo). 2008;48(10):466-9.
38
39. Worm PV, Ferreira MP, Ferreira NP, Cechetti F. Subdural haematoma in a patient with meningioma. Arq Neuropsiquiatr. 2009;67(2A):308-10.
39
40. Chonan M, Niizuma K, Koyama S, Kon H, Sannohe S, Kurotaki H, et al. [An operated case of a meningioma causing acute subdural hematoma]. No Shinkei Geka. 2013;41(3):235-9.
40
41. Kim JH, Gwak HS, Hong EK, Bang CW, Lee SH, Yoo H. A case of benign meningioma presented with subdural hemorrhage. Brain Tumor Res Treat. 2015;3(1):30-3.
41
ORIGINAL_ARTICLE
Delayed Intracerebral Hemorrhage after Synthetic Cannabis (Bonsai) Abuse; Case Report and Literature Review
Bonsai is a synthetic cannabinoid (SC) substance which can cause lung toxicity with chronic use. However, there are few case reports in literature related to bonsai-induced intracerebral hemorrhage in literature. A 25-year-old man presented at the Emergency Room (ER) with dyspnea, hemoptysis and agitation subsequent to bonsai use. He became unconscious in ER and was then intubated and admitted to the intensive care unit (ICU). The cranial computed tomography (CT) scan was non-specific and a thoracic CT scan revealed consolidation and the appearance of “ground-glass” in the lung, and therefore, development of diffuse alveolar hemorrhage was considered. The patient recovered consciousness on the second day of hospitalization and was extubated. During follow-up, he lost consciousness once again and on the cranial CT images, hemorrhage areas located in the left frontal and right posterior parietal regions were observed. Nevertheless, no surgical intervention was considered. The patient recovered consciousness three weeks after the second intubation and was transferred to the psychiatry clinic. In patients with synthetic cannabinoid substance abuse, life-threatening intracranial complications in the early and/or late phase should be kept in mind in addition to respiratory and systemic complications in the acute phase.
https://beat.sums.ac.ir/article_45367_065b83ca2b2373ffc68c6fa1d312dff8.pdf
2019-07-01
330
334
10.29252/beat-0703019
Cannabis
Intracranial Hemorrhage
Ground-glass appearance
Gülçin
Aydin
1
Kırıkkale University School of Medicine, Department of Anesthesiology and Reanimation, Kirikkale, Turkey
LEAD_AUTHOR
Bülent
Bakar
2
Kırıkkale University School of Medicine, Department of Neurosurgery, Kirikkale, Turkey
AUTHOR
Winstock AR, Barratt MJ. Synthetic cannabis: a comparison of patterns of use and effect profile with natural cannabis in a large global sample. Drug Alcohol Depend. 2013;131(1-2):106-11.
1
Sevinc MM, Kinaci E, Bayrak S, Yardimci AH, Cakar E, Bektaş H. Extraordinary cause of acute gastric dilatation and hepatic portal venous gas: Chronic use of synthetic cannabinoid. World J Gastroenterol. 2015;21(37):10704-8.
2
Barceló B, Pichini S, López-Corominas V, Gomila I, Yates C, Busardò FP et al. Acute intoxication caused by synthetic cannabinoids 5F-ADB and MMB-2201: A case series. Forensic Sci Int. 2017;273:e10-e4.
3
Mills B, Yepes A, Nugent K. Synthetic Cannabinoids. Am J Med Sci. 2015;350(1):59-62.
4
Hoyte CO, Jacob J, Monte AA, Al-Jumaan M, Bronstein AC, Heard KJ. A characterization of synthetic cannabinoid exposures reported to the National Poison Data System in 2010. Ann Emerg Med. 2012;60(4):435-8.
5
Singh NN, Pan Y, Muengtaweeponsa S, Geller TJ, Cruz-Flores S. Cannabis-related stroke: case series and review of literature. J Stroke Cerebrovasc Dis. 2012;21(7):555-60.
6
Kamat AS, Aliashkevich AF, Denton JR, Fitzjohn TP. Headache after substance abuse: a diagnostic dilemma. J Clin Neurosci. 2012;19(3):464-6.
7
Ray WZ, Krisht KM, Schabel A, Schmidt RH. Subarachnoid hemorrhage from a thoracic radicular artery pseudoaneurysm after methamphetamine and synthetic cannabinoid abuse: case report. Global Spine J. 2013;3(2):119-24.
8
Rose DZ, Guerrero WR, Mokin MV, Gooch CL, Bozeman AC, Pearson JM, et al. Hemorrhagic stroke following use of the synthetic marijuana "spice". Neurology. 2015;85(13):1177-9.
9
Wolff V, Jouanjus E. Strokes are possible complications of cannabinoids use. Epilepsy Behav. 2017;70(Pt B): 355-63.
10
Riccardello GJ Jr, Maldjian PD. Pulmonary hemorrhage in acute heroin overdose: a report of two cases. Emerg Radiol. 2017;24(6):709-12.
11
ORIGINAL_ARTICLE
Orbital Cellulitis Due To Leech Therapy
A 59-year-old woman was admitted to the emergency department with complaints of redness and swelling in both eyes and face. She had a long history of headache, therefore applied leech treatment occasionally. Swelling began on the face after the treatment of leech therapy. Vital signs were as follows; fever: 36.5°C, BP: 126/81 mmHg, heart rate: 84/min and sO2: 98%; respiratory rate: 12/min. In physical examination, GCS was 15, conscious, oriented cooperative. There was no lymphadenopathy in the palpation of the head and neck examination.
https://beat.sums.ac.ir/article_45362_4eced32c44a4d48061526156af382814.pdf
2019-07-01
335
336
10.29252/beat-0703021
Hirudotherapy
Leech therapy
Orbital cellulitis
Mazlum
Kılıç
1
Fatih Sultan Mehmet Education and Research Hospital
AUTHOR
Rohat
Ak
rohatakmd@gmail.com
2
Kartal Dr. Lütfi Kırdar Education and Research Hospital,Istanbul
LEAD_AUTHOR
Iqbal A, Jan A, Quraishi HA, Sheeraz M, Shah A, Rather SA, et al. Leech therapy ın medıcal scıence–a revıew. Global J Res Med Plants Indigen Med.2018;7(6):75-85.
1
Robinson K, Postelnick M, Rhodes N, Qi C, Malczynski M, Widmaier V, et al. Implementing Infection Prevention for Leech Therapy. Am J Infect Control. 2019;47(6):S15.
2
ORIGINAL_ARTICLE
Methodological Issue on Reporting of Systematic Review of Diagnostic Accuracy of Rapid Ultrasound in Shock
DearEditor,
We were interested to read a systematic review article that was recently published in the Bulletin of Emergency and Trauma journal (volume 6, issue 2) [1]. The aim of authors was to review the evidences to evaluate the effectiveness of the RUSH protocol in determining the exact types of shock in patients referred to the emergency department. We recognize that there are some incorrect approaches to reporting of this precious work. In our overview, authors presented data through literature search using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowchart in the methods section. Data from literature search must be addressed to the result section. This data are not the subsections under the methods section.
https://beat.sums.ac.ir/article_45361_64f68ee31c715a46c745bfd9fafae624.pdf
2019-07-01
337
338
10.29252/beat-0703020
Methodological Issue
Diagnostic
Accuracy
Rapid ultrasound
Shock
MohammadBagher
Shamsi
mbshamsi@yahoo.com
1
AUTHOR
Morteza
Arab-Zozani
arab.hta@gmail.com
2
AUTHOR
Maryam
Mirzaei
mirzaei.m.epid92@gmail.com
3
LEAD_AUTHOR
Keikha M, Salehi-Marzijarani M, Soldoozi Nejat R, Sheikh Motahar Vahedi H, Mirrezaie SM. Diagnostic Accuracy of Rapid Ultrasound in Shock (RUSH) Exam; A Systematic Review and Meta-analysis. Bull Emerg Trauma. 2018;6(4):271-278.
1
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