Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Sep 2019
Evaluation of the compliance between EEG monitoring (Bispectral IndexTM) and Ramsey Sedation Scale to measure the depth of sedation in the patients who underwent procedural sedation and analgesia in the emergency department.
This study aimed to investigate the compliance between electroencephalogram monitoring (Bispectral Index, BIS) and Ramsay Sedation Scale (RSS) to measure the depth of sedation in patients who underwent procedural sedation and analgesia (PSA) in an emergency department. This study also aimed to investigate the usefulness of this compliance for early diagnosis of complications. ⋯ In our study, a high correlation was detected between BIS monitoring and RSS scores. BIS monitoring for PSA can be used as a full-time, objective, and an alternative technique for person-dependent clinical scales and also as an indicator for early diagnosis of complications.
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Ulus Travma Acil Cer · Sep 2019
An evaluation of the effect of ertapenem in rats with sepsis created by cecal ligation and puncture.
Intra-abdominal adhesions are still a major problem which is expected to be reduced by the provision of bacterial decontamination. Various antibiotics have been used to prevent the formation of adhesion in the septic abdomen. This study aims to investigate the efficacy of ertapenem in sepsis of rats induced by cecal ligation and puncture. ⋯ Peritoneal lavage with ertapenem appears to be effective in preventing the adhesion in the septic abdomen. As no difference was detected at the end of a single dose and multiple-dose administration of antibiotics in the adhesion scores, a single dose after surgery seems to be enough. The findings suggest that the results should be evaluated in a clinical trial.
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Acute pancreatitis (AP) is a common inflammatory disease in the emergency department (ED). This study aims to assess the role of CRP and hematologic parameters in mild/severe AP patients and biliary/nonbiliary AP at the time of admission to the ED. ⋯ The use of parameters, such as WBC, CRP, and NLR, in combination with other diagnostic and prognostic tools in emergency service can provide convenience to clinicians at the time of admission and prognosis.
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Ulus Travma Acil Cer · Sep 2019
The diagnostic value of serum urokinase-type plasminogen activator receptor in acute appendicitis.
To measure serum uPAR levels in patients operated with a preliminary diagnosis of acute appendicitis (AA) and to investigate whether these parameters can be used as a biochemical marker in the diagnosis of AA. ⋯ uPAR was found to be significantly higher in the AA patients compared to the control group and patients with surgically determined non-AA pathologies. uPAR can be used as an aid in the diagnosis of acute appendicitis.
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Ulus Travma Acil Cer · Sep 2019
Case ReportsHeterotopic mesenteric and omental ossification incidentally found in a patient with multiple abdominal surgical operations because of gunshot injury.
Heterotopic mesenteric and/or omental ossification is an uncommon bone-like lesion located inside the abdominal cavity. Its etiology is unclear, but most of the patients with this rare disease had a history of a blunt or penetrating abdominal trauma or multiple surgical operations owing to surgical complications. ⋯ However, the surgeon should be aware of this unusual condition, particularly in patients with a previous surgical history. In this study, we present a case of heterotopic mesenteric and omental ossification incidentally found in a 41-year-old man with multiple abdominal surgical operations because of a gunshot injury.