scholarly journals Incentive spirometry to prevent pulmonary complications after chest trauma: a retrospective observational study

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Hisashi Dote ◽  
Yohichiro Homma ◽  
Masaaki Sakuraya ◽  
Hiraku Funakoshi ◽  
Shigeru Tanaka ◽  
...  

2021 ◽  
Author(s):  
Naoki Tominaga ◽  
Mineji Hayakawa ◽  
Shoji Yokobori

Abstract Background: The high mortality rate in patients with blunt chest trauma remains a problem. The assessment of blush in hepatic and splenic trauma is important because it indicates the need for emergency hemostatic intervention. However, the frequency and importance of blush in lung contusions are unknown. Therefore, this study aimed to evaluate the frequency of blush in the lung contusion and the relationship between blush and the clinical outcome of patients with blunt chest trauma.Methods: In this retrospective observational study, we enrolled patients with an injury severity score of 16 or higher and a chest abbreviated injury scale of 3 or higher who were admitted to the emergency department of Hokkaido University Hospital from January 1, 2003, to December 31, 2016. Blush was defined as an active extravasation image of an intravascular contrast agent recognized on contrast-enhanced computed tomography. Date of trauma severity, various treatments, and outcomes were recorded from the electrical medical records of the patients.Results: During the study period, 83 patients had severe lung contusions and 12 patients had blush. In-hospital mortality of patients with blush was significantly higher than that of patients without blush. Patients with blush required support through mechanical ventilation more frequently and for a longer duration than patients without blush.Conclusion: Our study revealed that blush in the lung contusions was not rare and was associated with a high risk of mortality in patients with severe blunt chest trauma. We should not hesitate to intervene if a blush of the lung contusion was detected in a patient with blunt chest trauma.





HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S250
Author(s):  
Jin Kyu Cho ◽  
Jae Yool Jang ◽  
Chi Young Jeong ◽  
Soon-Chan Hong


2012 ◽  
Vol 32 (S 01) ◽  
pp. S39-S42 ◽  
Author(s):  
S. Kocher ◽  
G. Asmelash ◽  
V. Makki ◽  
S. Müller ◽  
S. Krekeler ◽  
...  

SummaryThe retrospective observational study surveys the relationship between development of inhibitors in the treatment of haemophilia patients and risk factors such as changing FVIII products. A total of 119 patients were included in this study, 198 changes of FVIII products were evaluated. Results: During the observation period of 12 months none of the patients developed an inhibitor, which was temporally associated with a change of FVIII products. A frequent change of FVIII products didn’t lead to an increase in inhibitor risk. The change between plasmatic and recombinant preparations could not be confirmed as a risk factor. Furthermore, no correlation between treatment regimens, severity, patient age and comorbidities of the patients could be found.



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