The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · May 2012
Comparative StudyEffectiveness of short-term 6-hour high-volume hemofiltration during refractory severe septic shock.
The effectiveness of a single 6-hour session of high-volume hemofiltration (HVHF) was evaluated in terms of decreased norepinephrine (NE) requirements, progressive refractory hypotension and hypoperfusion by the fourth hour, and observed versus expected hospital mortality in patients with refractory severe septic shock. ⋯ III, therapeutic study.
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J Trauma Acute Care Surg · May 2012
Comparative StudyPrehospital nausea and vomiting after trauma: Prevalence, risk factors, and development of a predictive scoring system.
Nausea and vomiting are common problems in trauma patients and potentially dangerous during trauma resuscitation. These symptoms are present in up to 10% of ambulance patients, but their prevalence in trauma patients is largely unknown. The aim of this study was to determine the prevalence of prehospital nausea and vomiting in trauma patients and evaluate antiemetic usage. ⋯ V, epidemiological study.
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J Trauma Acute Care Surg · May 2012
Multicenter Study Comparative StudyRepeat imaging in trauma transfers: a retrospective analysis of computed tomography scans repeated upon arrival to a Level I trauma center.
The repetition of computed tomography (CT) imaging in caring for injured patients transferred between institutions is common, but it is not well studied. Our objective is to quantify and describe the characteristics associated with repeating chest and abdominal CT images for patients transferred to trauma centers and to determine whether repeat imaging leads to delays in definitive care or disparate outcomes. ⋯ III, therapeutic study.
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J Trauma Acute Care Surg · May 2012
Randomized Controlled Trial Comparative StudyProtocol-directed versus physician-directed weaning from noninvasive ventilation: the impact in chronic obstructive pulmonary disease patients.
Noninvasive ventilation (NIV), a technique widely used in intensive care units (ICUs), eliminates the need for many patients in respiratory failure to undergo intubation. However, few articles have described how to wean patients from NIV. Herein, we put forward a protocol to be performed by respiratory therapists to wean patients from NIV. ⋯ II.
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J Trauma Acute Care Surg · May 2012
Comparative StudyLate reconstruction of posterior acetabular wall fractures using iliac crest.
Reconstructing late posterior acetabular wall fractures is challenging. This study evaluates the use of the iliac crest strut graft for posterior acetabular wall reconstruction. ⋯ IV, therapeutic study.