scholarly journals Mechanical Ventilation in the Trauma Patient

2021 ◽  
Author(s):  
Jessica Lovich-Sapola ◽  
Jonathan A. Alter ◽  
Maureen Harders
Keyword(s):  
Mechanical Ventilation ◽  
Extracorporeal Membrane Oxygenation ◽  
Trauma Patient ◽  
Head Trauma ◽  
Abdominal Trauma ◽  
Burn Injury ◽  
The Body ◽  
Management Techniques ◽  
Protective Strategies ◽  
Ventilation Management

In this chapter, we discuss the unique ventilatory strategies of the trauma patient. Injuries can be direct to the lung resulting from the trauma or indirect because of other injury to the body. We will discuss the airway and ventilation management and concerns in a patient with chest trauma, abdominal trauma, head trauma, orthopedic, and burn injury. The chapter will explain lung-protective strategies as well as innovative ventilation management techniques including extracorporeal membrane oxygenation.

BODY TEMPERATURE AS A NEW PREDICTOR OF MORTALITY IN HEAD TRAUMA PATIENTS

2019 ◽  
Vol 3 (1) ◽  
pp. 37
Author(s):  
Nor Hayatunnisa ◽  
Rismia Agustina ◽  
Oski Illiandri
Keyword(s):  
Body Temperature ◽  
Trauma Patient ◽  
Head Trauma ◽  
Psychosocial Functioning ◽  
Sampling Technique ◽  
The Body ◽  
P Value ◽  
Trauma Patients ◽  
Risk Of Mortality ◽  
Elevated Body Temperature

Head trauma is a neurological emergency that has fairly complex impacts such as physical, cognitive, psychosocial functioning, temporary care. Sixty-five percent of patients with head trauma experience elevated body temperature. Any increase in body temperature by 1 ℃ can have a 5% effect on brain blood flow which lead patients to mortality. Nurses are responsible for patients who experience increased body temperature, especially in providing professional nursing care. The purpose of this research is to know the correlation of body with mortality of head trauma patient at RSUD Ulin Banjarmasin. This research uses non probability sampling method with consecutive sampling technique. The study was conducted in December 2017-January 2018 using an observation sheet. The data analysis shows the p value of 0.003 <0.05 which indicates that H0 is rejected means there is a correlation between the body and the mortality of the head trauma patient at Ulin Banjarmasin Hospital. The higher the patient's body temperature the more likely it is to be at risk of mortality.

scholarly journals Rhinological tactics in the complex treatment of patients with severe combined cranio-facial trauma who are on mechanical ventilation

2021 ◽  
pp. 202-211
Author(s):  
V. V. Dvorianchikov ◽  
Yu. K. Yanov ◽  
Ya. A. Nakatis ◽  
V. S. Isachenko ◽  
D. M. Ilyasov ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Mucous Membrane ◽  
Head Trauma ◽  
Nasal Mucosa ◽  
Functional State ◽  
Mucociliary Clearance ◽  
Prolonged Mechanical Ventilation ◽  
The Body ◽  
Facial Trauma ◽  
Malignant Neoplasms

Introduction. In recent years, injuries ranked fourth among the main causes of death of the population after diseases of the cardiovascular system, malignant neoplasms and infectious diseases. The clinical course of associated injuries, as a rule, is characterized by a high number of complications, much more than in isolated injuries.Objective. Explore approaches to improving otorynolaryngological tactics from the standpoint of normalizing the functional state of the nasal mucosa, as well as increasing the effectiveness of treatment of patients with severe concomitant trauma on prolonged mechanical ventilation.Materials and methods. In the process of studying the problem of impaired mucociliary clearance of the nasal mucosa, the functional state of the mucous membrane in patients with severe concomitant head trauma undergoing prolonged artificial lung ventilation was analyzed. We studied the state of one of the most important mechanisms of sanitation and local protection of the respiratory tract - mucociliary clearance, which provides the necessary potential for barrier, cleansing and immune functions. A study was made of the thermal effect of the nasal cavity, pH + of the mucous membrane, the study of the frequency of beating of the cilia of the ciliated epithelium and the rate of mucociliary transportResults and discussion. The results of the study showed that the problem of post-traumatic and nosocomial sinusitis in patients with severe concomitant head trauma must be resolved as soon as possible, with the involvement of modern diagnostic and treatment methods, including the proposed method of artificial ventilation of the nose. The severity of the patient's condition, the severity of the injuries received excludes the use of advanced methods of surgical, otorhinolaryngological treatment.Conclusion. 12:30 PMThe use of minimally invasive methods of treatment, precision technical execution, including under endovideo control, polysinusotomy made it possible not to burden the condition of the victims and exclude iatrogenic damage that could entail irreversible changes in the body and condition of the victim.

EPIDEMIOLOGY AND OUTCOMES OF ELECTRIC BURN INJURY AT TERTIARY CARE CENTER IN JODHPUR, RAJASTHAN

2019 ◽  
Vol 3 (6) ◽  
Author(s):  
Bharti Saraswat ◽  
Ashok Yadav ◽  
Krishna Kumar Maheshwari
Keyword(s):  
Burn Injury ◽  
Low Voltage ◽  
Care Center ◽  
Tertiary Care ◽  
The Body ◽  
Electrical Injury ◽  
Age Group ◽  
Electric Circuits ◽  
Medical College ◽  
Social Burden

Background- Electric burns and injuries are the result of electric current passing through the body. Temporary or permanent damage can occur to the skin, tissues, and major organs. Methods- This prospective study was carried out on patients admitted in burn unit of department of surgery M.G. Hospital associated with Dr. S.N. Medical College Jodhpur. Records of the patients admitted from January 2018 to December 2018 were studied. Bed head tickets of the patients evaluated in detail. Results- In our study out of 113 patients maximum no. of patients were in age group of 21-30 years 44 (38.94%) followed by age group <11 years in 21 (18.58%) patients and age group of > 60 years in only 3 (2.65%).39 (34.51%) patients were farmer and 15 (13.27%) were electrician in out of 113 total patients, while 37 (32.74%) were without any occupation. 65 (57.52%) cases of high voltage (HV) electrical injury and 48 (42.48%) cases were of low voltage (LV) electrical injury. Conclusion- Morbidity leading to permanent disabilities make the person physically dependent on others. It can be prevented by educating the people about the proper handling to electric circuits & devices. Proper communication among the electricians may help in lowering such accidents. Proper rehabilitation of the handicapped person & employment to the member of the affected family may reduce the social burden caused by such electricity concerned accidents.

Analysis of Nosocomial Infections in Post–Cardiac Surgery Extracorporeal Membrane Oxygenation Support Therapy

2018 ◽  
Vol 21 (5) ◽  
pp. E387-E391 ◽  
Author(s):  
Binfei Li ◽  
Geqin Sun ◽  
Zhou Cheng ◽  
Chuangchuang Mei ◽  
Xiaozu Liao ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Cardiac Surgery ◽  
Extracorporeal Membrane Oxygenation ◽  
Hospital Stay ◽  
Nosocomial Infections ◽  
Total Hospital ◽  
Secondary Infections ◽  
Total Hospital Stay ◽  
Mechanical Ventilation Time ◽  
Post Cardiac Surgery

Objectives: This study aims to analyze the nosocomial infection factors in post–cardiac surgery extracorporeal membrane oxygenation (ECMO) supportive treatment (pCS-ECMO). Methods: The clinical data of the pCS-ECMO patients who obtained nosocomial infections (NI) were collected and analyzed retrospectively. Among the 74 pCS-ECMO patients, 30 occurred with NI, accounting for 40.5%; a total of 38 pathogens were isolated, including 22 strains of Gram-negative bacteria (57.9%), 15 strains of Gram-positive bacteria (39.5%), and 1 fungus (2.6%). Results: Multidrug-resistant strains were highly concentrated, among which Acinetobacter baumannii and various coagulase-negative staphylococci were the main types; NI was related to mechanical ventilation time, intensive care unit (ICU) residence, ECMO duration, and total hospital stay, and the differences were statistically significant (P < .05). The binary logistic regression analysis indicated that ECMO duration was a potential independent risk factor (OR = 0.992, P = .045, 95.0% CI = 0.984-1.000). Conclusions: There existed significant correlations between the secondary infections of pCS-ECMO and mechanical ventilation time, ICU residence, ECMO duration, and total hospital stay; therefore, hospitals should prepare appropriate preventive measures to reduce the incidence of ECMO secondary infections.

scholarly journals Successful hemostasis of bleeding gastric inflammatory fibroid polyp by endoscopic treatment in a patient with severe COVID-19

2021 ◽  
Author(s):  
Ayako Murota ◽  
Shinji Yoshi ◽  
Ryu Okuda ◽  
Sae Oowada ◽  
Tsukasa Yamakawa ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Lung Injury ◽  
Extracorporeal Membrane Oxygenation ◽  
Endoscopic Treatment ◽  
Gastrointestinal Symptoms ◽  
Closed Circuit ◽  
Intestinal Damage ◽  
Medical Procedures ◽  
Inflammatory Fibroid Polyp ◽  
Fibroid Polyp

AbstractThe coronavirus disease-2019 (COVID-19) has rapidly become a pandemic, resulting in a global suspension of non-emergency medical procedures such as screening endoscopic examinations. There have been several reports of COVID-19 patients presenting with gastrointestinal symptoms such as diarrhea and vomiting. In this report, we present a case of successful hemostasis of bleeding gastric inflammatory fibroid polyp by endoscopic treatment in a patient with severe COVID-19. The case was under mechanical ventilation with extracorporeal membrane oxygenation (ECMO), and the airway was on a closed circuit. This indicates that COVID-19 is associated with not only lung injury but also intestinal damage, and that proper protective protocols are essential in guaranteeing the best outcomes for patients and clinical professionals during this pandemic.

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