Pelvic Trauma: factors predicting arterial hemorrhage and the role of Angiography and preperitoneal pelvic packing

2020 ◽  
Vol 30 (11) ◽  
pp. 6376-6383
Author(s):  
Jagteshwar Sandhu ◽  
Robert Abrahams ◽  
Zoe Miller ◽  
Shivank Bhatia ◽  
Tanya L Zakrison ◽  
...  
Keyword(s):  
Pelvic Trauma ◽  
Pelvic Packing ◽  
Preperitoneal Pelvic Packing ◽  
Arterial Hemorrhage

Prospective validation of a new protocol with preperitoneal pelvic packing as the mainstay for the treatment of hemodynamically unstable pelvic trauma: a 5-year experience

2019 ◽  
Author(s):  
Stefano Magnone ◽  
Niccolò Allievi ◽  
Marco Ceresoli ◽  
Federico Coccolini ◽  
Michele Pisano ◽  
...  
Keyword(s):  
Pelvic Trauma ◽  
Pelvic Packing ◽  
Preperitoneal Pelvic Packing

scholarly journals Preperitoneal pelvic packing: Technique and outcomes

2016 ◽  
Vol 33 ◽  
pp. 222-224 ◽  
Author(s):  
Dina M. Filiberto ◽  
Adam D. Fox
Keyword(s):  
Pelvic Packing ◽  
Preperitoneal Pelvic Packing

Preperitoneal pelvic packing in the child with an unstable pelvis: a novel approach

2006 ◽  
Vol 41 (4) ◽  
pp. e17-e19 ◽  
Author(s):  
C. Clay Cothren ◽  
Ernest E. Moore ◽  
Wade R. Smith ◽  
Steve J. Morgan
Keyword(s):  
Pelvic Packing ◽  
Preperitoneal Pelvic Packing ◽  
Novel Approach

Role of vasopressin in acutely altered baroreflex sensitivity during hemorrhage in rats

1991 ◽  
Vol 261 (3) ◽  
pp. R677-R685 ◽  
Author(s):  
B. L. Brizzee ◽  
R. D. Russ ◽  
B. R. Walker
Keyword(s):  
Blood Pressure ◽  
Cardiac Output ◽  
Blood Loss ◽  
Baroreflex Sensitivity ◽  
Peripheral Resistance ◽  
Conscious Rat ◽  
Arterial Blood ◽  
Arterial Hemorrhage ◽  
Moderate Elevation

Experiments were performed to examine the potential role of circulating arginine vasopressin (AVP) on baroreflex sensitivity during hypotensive and nonhypotensive hemorrhage in the conscious rat. Animals were chronically instrumented for measurement of cardiac output, blood pressure, and heart rate (HR). Three potential stimuli for release of AVP were utilized: 1) rapid 20% arterial hemorrhage that resulted in hypotension, 2) nonhypovolemic hypotension induced by intravenous infusion of nitroprusside, and 3) nonhypotensive hemorrhage (rapid 10% arterial blood withdrawal). Hypotensive hemorrhage was associated with significant reductions in blood pressure, cardiac output, HR, and calculated total peripheral resistance, an increase in baroreflex (BRR) bradycardia in response to pressor infusions of phenylephrine, and a moderate elevation in circulating AVP. Prior intravenous administration of a specific V1-vasopressinergic antagonist augmented the hypotensive response to hemorrhage; however, neither V1- nor V2-blockade affected hemorrhage-induced augmentation of the BRR. Inducement of hypotension by infusion of nitroprusside did not alter subsequent BRR sensitivity. Finally, nonhypotensive hemorrhage was associated with an increase in resting HR and augmented BRR sensitivity. However, in contrast to hypotensive hemorrhage, either V1- or V2-antagonism attenuated the increase in BRR sensitivity seen with 10% hemorrhage. These data suggest that, although AVP may play a role in blood pressure maintenance via its direct vasoconstrictor actions during hypotensive hemorrhage, the observed augmentation of BRR sensitivity associated with severe blood loss is not attributable to a vasopressinergic mechanism activated by circulating AVP. However, blood-borne AVP may contribute to BRR sensitivity alterations in response to mild blood loss.

Worth looking! venous thromboembolism in patients who undergo preperitoneal pelvic packing warrants screening duplex

2020 ◽  
Vol 220 (6) ◽  
pp. 1395-1399 ◽  
Author(s):  
Alicia A. Heelan ◽  
Mari Freedberg ◽  
Ernest E. Moore ◽  
Barry K. Platnick ◽  
Fredric M. Pieracci ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
Pelvic Packing ◽  
Preperitoneal Pelvic Packing

Percutaneous balloon catheterization. A technique for the control of arterial hemorrhage caused by pelvic trauma

JAMA ◽  
1974 ◽  
Vol 230 (4) ◽  
pp. 573-575 ◽  
Author(s):  
S. B. Paster
Keyword(s):  
Pelvic Trauma ◽  
Percutaneous Balloon ◽  
Arterial Hemorrhage

scholarly journals Strategies for the management of hemodynamically unstable pelvic fractures: From preperitoneal pelvic packing to definitive internal fixation

2019 ◽  
Vol 42 (11) ◽  
pp. 941-946 ◽  
Author(s):  
Tae Hun Kim ◽  
Yong Cheol Yoon ◽  
Jun Young Chung ◽  
Hyung Keun Song
Keyword(s):  
Internal Fixation ◽  
Pelvic Fractures ◽  
Pelvic Packing ◽  
Preperitoneal Pelvic Packing

scholarly journals Role of CT in Abdominal and Pelvic Trauma

2014 ◽  
Vol 2 (10) ◽  
Author(s):  
Anagha R. Joshi ◽  
Atish L. Komwad ◽  
Saurabh A. Joshi
Keyword(s):  
Pelvic Trauma
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