Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Oct 2006
Randomized Controlled Trial[The use of the laryngeal mask airway and the cuffed oropharyngeal airway during percutaneous tracheostomy].
The aim of our study is to compare the safety and efficiency of the use of the laryngeal mask airway (LMA) and the cuffed oropharyngeal airway (COPA) with the use of endotracheal tube (ETT) for maintain patent airway during percutaneous tracheostomy (PCT). ⋯ In our study, LMA and COPA were inserted easily during PCT with high success rates, but airway manipulations were higher in the COPA group. In our opinion, supra/infraglottic airway devices to maintain patent airway during PCT should be chosen according to patient's status and physician's experience.
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Ulus Travma Acil Cer · Oct 2006
Case ReportsConservative management of a grade V renal trauma associated with a grade III hepatic lesion: is it possible?
Conservative management of solid abdominal organ injuries has been increasing and challenging trauma surgeons. This case report describes a successful non-operative management of a grade V renal lesion associated to a grade III hepatic lesion. Such lesions have not been described in conjunction in the revised literature.
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Ulus Travma Acil Cer · Oct 2006
[The evaluation of bicycle accidents that were admitted to a pediatric emergency department].
We planned this study to evaluate trauma cases secondary to bicycle driving in childhood and to draw attention to the importance of the regulation of traffic rules, the education of bicycle drivers, and the importance of helmet usage. ⋯ Bicycle drivers should have specific education, helmet use must become widespread and special traffic regulations have to be settled.
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Ulus Travma Acil Cer · Oct 2006
[The factors affecting the morbidity and mortality in chest trauma].
We evaluated thoracic trauma cases with respect to etiologic causes, other system injuries accompanying to the thoracic trauma, treatment methods and outcomes and the prognostic factors affecting the need for thoracotomy, length of hospital stay, morbidity and mortality in the light of relevant literature data. ⋯ The high white blood cell count, high lung injury scale grade, 3 and more rib fractures and accompanying head injury were determined as the prognostic factors affecting the morbidity and mortality.
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Trauma is tissue damage caused by an extrinsic force. The stress response comprises an activation of neurohumoral and physiologic process that would lead to improved survivability of an untreated organism following a traumatic injury. The sequelae of inadequate pain control following an injury are more than physiological. ⋯ Early or even preemptive treatment of pain have been shown to reduce analgesic requirements over time. Individual patients will have widely variant requirements for pain medications, so induction of analgesia must be carefully adjusted, ideally in a closely monitored environment. Pharmacotherapy and interventional methods can be used in a wide variety for the management of pain in trauma and burns.