Il Giornale di chirurgia
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Il Giornale di chirurgia · Mar 2009
Misunderstood cardiac involvement with heart impairment in traumatic sternal fracture: an enzyme-guided evaluation.
Isolated sternal fractures occur more and more frequently in traffic road accidents in particular after the introduction of the seat-belt law. This study sets out to assess by laboratory parameters the incidence and consequences of pericardial and myocardial involvement in sternal injury. ⋯ Our results suggest that in traumatic sternal fractures enzymatic activity of CK-MB, echocardiographic investigation and careful monitoring for the first 96 hours are necessary. The cardiac compliance is inadequate in polytrauma patients and can lead to cardiac impairment.
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Il Giornale di chirurgia · Mar 2009
Comparative Study[Advantages and limits of tumescent anesthesia in outpatient surgery].
The Authors report the results of the tumescent anesthesia in 187 patients submitted to various outpatient surgical procedures comparing with those in patients submitted to local anesthesia by direct infiltration.