Muhammad Ali Naqi; Mehrdad Karajizadeh; Mohammad Reza Yousefi; Leila Shayan; Shahram Paydar
Volume 12, Issue 4 , October 2024, , Pages 168-176
Abstract
Objective: This study aimed to determine the prevalence and survival rate of trauma patients who underwent resuscitative thoracotomy (RT) in a level I trauma center in southern Iran.Methods: This cross-sectional descriptive study conducted at Rajaee Hospital (Shiraz, Iran) from March 2018 to October ...
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Objective: This study aimed to determine the prevalence and survival rate of trauma patients who underwent resuscitative thoracotomy (RT) in a level I trauma center in southern Iran.Methods: This cross-sectional descriptive study conducted at Rajaee Hospital (Shiraz, Iran) from March 2018 to October 2022, included trauma patients who underwent RT surgery. Demographic information, vital signs at arrival, mechanism of injury, type of trauma, admission and discharge dates, length of hospital stay, blood transfusions, associated injuries, and clinical and laboratory parameters were evaluated. Statistical analyses were conducted using SPSS software.Results: A total of 147 trauma patients underwent RT. The patients’ mean age was 39±18.49 years. The majority of participants were men (82.40%). The most prevalent type of damage was blunt trauma, with a survival rate of 3%, followed by penetrating trauma, which had a 20% survival rate. The leading cause of trauma-related fatalities was road traffic accidents (78.9%). The majority of RT procedures (75.5%) took place in cardiopulmonary resuscitation (CPR) rooms. The survival group had lower systolic and diastolic blood pressure levels than the non-survival (83.0±34.96 vs. 97.83±33.10) and (40.75±20.91 vs. 62.48±25.36), respectively. Survivors exhibited a significantly higher Glasgow Coma Scale than non-survivors (8.40±6.14 vs. 4.75±3.84).Conclusion: The study revealed a low survival rate among trauma patients undergoing RT. Blunt chest trauma emerged as an independent predictor of poor outcomes. Future studies should further explore indications and outcomes of RT to better inform clinical practice.
Amir Hosein Shams; Mahsa Ahadi; Mehrdad Karajizadeh; Shahram Paydar
Volume 12, Issue 3 , July 2024, , Pages 146-147
Abstract
We are writing to express my appreciation for the insightful article on pain management in trauma patients and its critical role in improving patient outcomes. The current protocol utilizing acetaminophen and opiate agents has proven to be significantly effective. However, Recent studies have indicated ...
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We are writing to express my appreciation for the insightful article on pain management in trauma patients and its critical role in improving patient outcomes. The current protocol utilizing acetaminophen and opiate agents has proven to be significantly effective. However, Recent studies have indicated that the combination of acetaminophen and NSAIDs can provide superior analgesic effects compared to either agent alone, potentially surpassing the effect of opioids The current protocol utilizing acetaminophen and opiate agents has proven to be significantly effective. However, Recent studies have indicated that the combination of acetaminophen and NSAIDs can provide superior analgesic effects compared to either agent alone, potentially surpassing the effect of opioids. Integrating NSAIDs into the pain management protocol could offer several benefits, including enhanced Pain Relief (3) and Reduced Opioid Consumption. we believe that incorporating acetaminophen plus NSAIDs into the existing pain management algorithm could be a valuable step towards optimizing care for trauma patients. Enclosed is a revised proposed algorithm based on your previously published protocol for the management of acute pain in trauma patients.