Does Clamshell Thoracotomy Better Facilitate Thoracic Life-Saving Procedures Without Increased Complication Compared with an Anterolateral Approach to Resuscitative Thoracotomy? Results from the American Association for the Surgery of Trauma Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery Registry
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Le résumé fourni par la source
BACKGROUND: Resuscitative thoracotomy (RT) is life-saving in select patients and can be accomplished through a left anterolateral (AT) or clamshell thoracotomy (CT). CT may provide additional exposure, facilitating certain operative procedures, but the added blood and heat loss and time to perform it may increase complications. No prospective multicenter comparison of techniques has yet been reported. STUDY DESIGN: The observational AAST Aortic Occlusion for Resuscitation in Trauma and Acute care surgery (AORTA) registry was used to compare AT and CT in RT. RESULTS: AORTA recorded 1,218 RTs at 46 trauma centers from June 2014 to January 2020. Overall survival after RT was 6.0% (AT 6.6%; [59 of 900]; CT 4.2% [13 of 296], p = 0.132). Among all RTs, 11.1% (142 of 1,278) surviving at least 24 hours were used tocompare AT (112) and CT (30). There was no difference between the 2 groups withregard to age, sex, Injury Severity Score, or mechanism of injury (Table 1). CT was significantly more likely to be used in patients needing resection of the lung or cardiac repair. CT was not associated with increased local thoracic/systemic complications, higher transfusion requirement, or greater ventilator, ICU, or hospital days compared with AT. CONCLUSIONS: Clamshell thoracotomy facilitates thoracic life-saving procedures withoutincreased systemic or thoracic complications compared with AT in patients undergoing RT.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Does Clamshell Thoracotomy Better Facilitate Thoracic Life-Saving Procedures Without Increased Complication Compared with an Anterolateral Approach to Resuscitative Thoracotomy? Results from the American Association for the Surgery of Trauma Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery Registry
- Date Crossref
- 01/12/2020
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Maryland Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
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University of Maryland Medical System pays non établi dans la noticeÉtablissement de santé
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The University of Texas Health Science Center at Houston pays non établi dans la noticeUniversité ou école supérieure
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University of Pennsylvania Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
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University of Southern California Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
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Denver Health Medical Center pays non établi dans la noticeÉtablissement de santé
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Health and Hospital Corporation pays non établi dans la noticeOrganisme public
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University of Colorado Denver pays non établi dans la noticeUniversité ou école supérieure
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University of Texas Health Sciences Center-Houston Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
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University of Texas Health Sciences Center–Houston Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
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Denver Health and Hospital Authority Department of Surgery pays non établi dans la noticeÉtablissement de santé
Department of Surgery — University of Maryland, University of Maryland Medical System et The University of Texas Health Science Center at Houston, avec 8 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.