A CLINICAL STUDY OF PROGNOSTIC FACTORS IN PERITONITIS SECONDARY TO HOLLOW VISCUS PERFORATION: IN A TERTIARY HOSPITAL

Hemorrhagic shock is a form of hypovolemic shock in which severe blood loss leads to inadequate oxygen delivery at the cellular level. Death from hemorrhage represents a substantial global problem, with more than 60,000 deaths per year in the United States and an estimated 1.9 million deaths per year worldwide, 1.5 million of which result from physical trauma. This case report aims to stress the need of handling cases of hemorrhagic shock in accordance with damage control protocol. Hemorrhagic shock management using permissive hypotension management, bleeding control, massive transfusion protocol (MTP), minimal crystalloid therapy, and adjuvant therapy is the best approach to get optimal outcome to prevent triad of death. In this case, the application of damage control resuscitation has not been fully implemented because of several constraints. Key words: Hemorrhage; Hemorrhagic shock; Permissive hypotension; Massive Transfusion Protocol; MTP; Resuscitation; Damage control Citation: Pohan DK, Sudjud RW, Kurniawan MB, Ramila HN. Anesthetic management on patient with hollow viscus perforation due to blunt abdominal trauma with grade IV hemorrhagic shock. Anaesth. pain intensive care 2021;25(2):217-221. DOI: 10.35975/apic.v25i2.1474 Received: 11 January 2021, Reviewed: 15 January 2021, Accepted: 16 February 2021

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Clinical study on prognostic factors for autotransplantation of teeth with complete root formation

International Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.ijom.2010.06.018 ◽

2010 ◽

Vol 39 (12) ◽

pp. 1193-1203 ◽

Cited By ~ 50

Author(s):

T. Sugai ◽

M. Yoshizawa ◽

T. Kobayashi ◽

K. Ono ◽

R. Takagi ◽

...

Keyword(s):

Prognostic Factors ◽

Clinical Study ◽

Root Formation

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Cas/Medevac in field area: An experience and lessons drawn

Indian Journal of Aerospace Medicine ◽

10.25259/ijasm_2019_7 ◽

2019 ◽

Vol 63 ◽

pp. 33-38

Author(s):

Murtaza ◽

P Biswal

Keyword(s):

United Nations ◽

Medical Care ◽

Hollow Viscus ◽

Mortality And Morbidity ◽

Medical Establishment ◽

Level Ii ◽

Incremental Information ◽

Standard Operating ◽

Field Area ◽

Hollow Viscus Perforation

Introduction: Success of Cas/Medevac missions depends on effective coordination between all agencies involved. The focus by medical authorities on the treatment and medical care at time leads to avoidable procedural complexity. Certain lessons are drawn from the United Nations (UNs) field areas for Cas/Medevac missions/laid down procedures and recommendations made for streamlining our own procedures. Materials and Methods: The data pertaining to Cas/Medevac details from IFH Level-II Malakal (UN Mission in South Sudan [UNMISS]) for January 2017 - February 2018 were collected and analyzed. Standard operating procedures (SOPs) followed in the UN field areas for Cas/Medevac missions were also studied and analyzed. Results and Discussion: A total of 19 cases were air evacuated from IFH Level-II UNMISS to higher medical establishments and 11 cases from periphery to IFH Level-II in 1 year plus period. Aeromedical issues involved are discussed here with emphasis on Medevac of patient with suspicion of hollow viscus perforation/pancreatitis. Procedures and documentation followed in the UN Medevac missions are discussed and suggestions made for improving Cas/ Medevac procedures in field areas. A sample of Cas/Medevac incremental information form is also suggested. Conclusion: Timely evacuation of a casualty to an appropriate medical establishment can reduce mortality and morbidity significantly. Experience of Cas/Medevac missions in the UN field area is presented in this paper along with analysis and discussion on SOPs followed in the UN mission areas. Suggestions are made to refine and streamline our own Cas/Medevac procedures in field areas and theaters of conflict.

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