Pub Date : 2022-06-30DOI: 10.24184/tip.2022.7.1.21
D. H. Kim
A peripherally inserted central catheter (PICC) provides long-term central venous access through a peripheral vein in an upper extremity. A trained physician should insert a PICC, but any trained medical professional, such as a specially trained nurse, can perform an insertion. Appropriate PICC placement reduces complications, such as malposition and malfunction of the catheter, venous thrombosis, and infections, and overall catheter performance is better. Complications depend mainly on the adequacy of venous puncture or the positioning of the catheter tip. Better PICC performance depends on learning accurate techniques for insertion. Here, the overall procedure for bedside ultrasonography-guided PICC placement, including patient positioning, catheter preparation, venous assessment and measurement, overall technique, and catheter tip positioning, is described.
{"title":"Bedside peripherally inserted central catheter placement: focus on the procedure","authors":"D. H. Kim","doi":"10.24184/tip.2022.7.1.21","DOIUrl":"https://doi.org/10.24184/tip.2022.7.1.21","url":null,"abstract":"A peripherally inserted central catheter (PICC) provides long-term central venous access through a peripheral vein in an upper extremity. A trained physician should insert a PICC, but any trained medical professional, such as a specially trained nurse, can perform an insertion. Appropriate PICC placement reduces complications, such as malposition and malfunction of the catheter, venous thrombosis, and infections, and overall catheter performance is better. Complications depend mainly on the adequacy of venous puncture or the positioning of the catheter tip. Better PICC performance depends on learning accurate techniques for insertion. Here, the overall procedure for bedside ultrasonography-guided PICC placement, including patient positioning, catheter preparation, venous assessment and measurement, overall technique, and catheter tip positioning, is described.","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"9 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121352532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.24184/tip.2022.7.1.31
D. Ma
Several methods have been developed for performing percutaneous dilatational tracheostomy (PDT) since the introduction of the percutaneous technique in 1955. The percutaneous technique has been an acceptable, quicker, and safer method compared with surgical tracheostomy at the bedside. We described the unassisted PDT based on the modified Selinger technique using the Ciaglia Blue Rhino® percutaneous tracheostomy introducer set.
自1955年经皮气管扩张造口术(PDT)引入以来，已有几种方法被开发出来。与床边的外科气管切开术相比，经皮气管切开术是一种可接受、更快、更安全的方法。我们使用Ciaglia Blue Rhino®经皮气管造口术引入器，描述了基于改良Selinger技术的无辅助PDT。
{"title":"Unassisted percutaneous dilatational tracheostomy","authors":"D. Ma","doi":"10.24184/tip.2022.7.1.31","DOIUrl":"https://doi.org/10.24184/tip.2022.7.1.31","url":null,"abstract":"Several methods have been developed for performing percutaneous dilatational tracheostomy (PDT) since the introduction of the percutaneous technique in 1955. The percutaneous technique has been an acceptable, quicker, and safer method compared with surgical tracheostomy at the bedside. We described the unassisted PDT based on the modified Selinger technique using the Ciaglia Blue Rhino® percutaneous tracheostomy introducer set.","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132319563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.24184/tip.2022.7.1.27
Seok Won Lee
Midline catheters (MCs), which are placed into the main veins of the upper arm, are a middle-ground option between peripheral venous catheters (PVCs) and central venous catheters (CVCs). New-generation MCs can be easily inserted at the bedside by a single operator and can be used until 29 days. Therefore, for a certain group of patients, new-generation MCs can potentially resolve the problems associated with CVCs and the need for recurrent PVC insertion. Therefore, this study aimed to present how to insert new-generation MCs.
{"title":"Midline catheter insertion: focused on the procedure","authors":"Seok Won Lee","doi":"10.24184/tip.2022.7.1.27","DOIUrl":"https://doi.org/10.24184/tip.2022.7.1.27","url":null,"abstract":"Midline catheters (MCs), which are placed into the main veins of the upper arm, are a middle-ground option between peripheral venous catheters (PVCs) and central venous catheters (CVCs). New-generation MCs can be easily inserted at the bedside by a single operator and can be used until 29 days. Therefore, for a certain group of patients, new-generation MCs can potentially resolve the problems associated with CVCs and the need for recurrent PVC insertion. Therefore, this study aimed to present how to insert new-generation MCs.","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"14 18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126026182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blunt cardiac injury (BCI) is common in road traffic accidents due to high energy injuries to the thorax and its structures, such as the anterior and posterior of the chest wall. The severity of BCI is high enough to cause many on-site deaths. However, patients with BCI may also be asymptomatic and exhibit normal findings; thus, diagnosis can be significantly challenging for many clinicians. Moreover, since BCI can be diagnosed through multiple serial tests, it is very important to always consider the possibility of BCI in high-risk patients . Diagnosis of BCI begins with suspicion of BCI, followed by repeated electrocardiograms, echocardiography, and cardiac biomarkers measurements along with intensive observation.
{"title":"Unpredictable cardiac arrest caused by blunt cardiac injuries with sternum fracture: a case report","authors":"Miyoung Jang, P. Y. Jung","doi":"10.24184/tip.2021.6.1.5","DOIUrl":"https://doi.org/10.24184/tip.2021.6.1.5","url":null,"abstract":"Blunt cardiac injury (BCI) is common in road traffic accidents due to high energy injuries to the thorax and its structures, such as the anterior and posterior of the chest wall. The severity of BCI is high enough to cause many on-site deaths. However, patients with BCI may also be asymptomatic and exhibit normal findings; thus, diagnosis can be significantly challenging for many clinicians. Moreover, since BCI can be diagnosed through multiple serial tests, it is very important to always consider the possibility of BCI in high-risk patients . Diagnosis of BCI begins with suspicion of BCI, followed by repeated electrocardiograms, echocardiography, and cardiac biomarkers measurements along with intensive observation.","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134398582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-30DOI: 10.24184/tip.2021.6.1.12
Hye Jung Cho, S. Jang, P. Y. Jung
Self-extubation can lead to detrimental outcomes for the patient. Complications that result from self-extubation range from laryngeal injury, respiratory distress, arrhythmia, pneumonia, to even death. With respect to patient safety, not only is prevention of self-extubation one of the most important goals in all intensive care units around the world, but also it is one of the most common mishaps in the area of intensive care. Since self-extubation and consequent re-intubation are unexpected events, they can embarrass the medical staff and negatively affect the treatment choice, and consequently, require other invasive procedures that may not have been necessary. The most important thing for patients exposed to self-extubation is to keep in mind the presence of airway damage, which can be confirmed through our experience as described here, through repeated re-intubations and eventually tracheostomy.
{"title":"Self-extubation after major trauma: another trauma?","authors":"Hye Jung Cho, S. Jang, P. Y. Jung","doi":"10.24184/tip.2021.6.1.12","DOIUrl":"https://doi.org/10.24184/tip.2021.6.1.12","url":null,"abstract":"Self-extubation can lead to detrimental outcomes for the patient. Complications that result from self-extubation range from laryngeal injury, respiratory distress, arrhythmia, pneumonia, to even death. With respect to patient safety, not only is prevention of self-extubation one of the most important goals in all intensive care units around the world, but also it is one of the most common mishaps in the area of intensive care. Since self-extubation and consequent re-intubation are unexpected events, they can embarrass the medical staff and negatively affect the treatment choice, and consequently, require other invasive procedures that may not have been necessary. The most important thing for patients exposed to self-extubation is to keep in mind the presence of airway damage, which can be confirmed through our experience as described here, through repeated re-intubations and eventually tracheostomy.","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128836775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Isolated acute hemorrhagic cholecystitis (AHC) after blunt trauma is extremely rare. Thus, alcoholic liver cirrhosis can be a risk factor for this type of injury. The use of point-of-care ultrasound as a monitoring tool for suspicious gallbladder injuries facilitates rapid recognition and decision-making. Therefore, laparoscopic cholecystectomy was recommended for treating traumatic AHC in patients with hemodynamically stable liver cirrhosis.
{"title":"Isolated acute hemorrhagic cholecystitis in liver cirrhosis after blunt trauma","authors":"Yoonjung Heo, D. H. Kim","doi":"10.24184/tip.2021.6.1.1","DOIUrl":"https://doi.org/10.24184/tip.2021.6.1.1","url":null,"abstract":"Isolated acute hemorrhagic cholecystitis (AHC) after blunt trauma is extremely rare. Thus, alcoholic liver cirrhosis can be a risk factor for this type of injury. The use of point-of-care ultrasound as a monitoring tool for suspicious gallbladder injuries facilitates rapid recognition and decision-making. Therefore, laparoscopic cholecystectomy was recommended for treating traumatic AHC in patients with hemodynamically stable liver cirrhosis.","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124004367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-30DOI: 10.24184/tip.2021.6.1.22
D. Lee, P. Y. Jung
Surgical wound dehiscence after a laparotomy is a serious complication, and it presents the mechanical wound healing failure of surgical incisions. Since the development of needleless suture techniques, there have been attempts to use a needleless suture for wounds from several surgery types. Recently, many studies have shown that a needleless suture technique leads to good wound healing results. It is rapid, cost effective, can minimize ventilator dependency, and is well tolerated by patients. Here, we report a case of a patient who received a needleless suture technique for midline laparotomy wound dehiscence.
{"title":"Usefulness of a needleless suture technique for midline laparotomy wound dehiscence: a case report","authors":"D. Lee, P. Y. Jung","doi":"10.24184/tip.2021.6.1.22","DOIUrl":"https://doi.org/10.24184/tip.2021.6.1.22","url":null,"abstract":"Surgical wound dehiscence after a laparotomy is a serious complication, and it presents the mechanical wound healing failure of surgical incisions. Since the development of needleless suture techniques, there have been attempts to use a needleless suture for wounds from several surgery types. Recently, many studies have shown that a needleless suture technique leads to good wound healing results. It is rapid, cost effective, can minimize ventilator dependency, and is well tolerated by patients. Here, we report a case of a patient who received a needleless suture technique for midline laparotomy wound dehiscence.","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"123 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131835014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-30DOI: 10.24184/tip.2021.6.1.19
Hancheol Jo, D. H. Kim
A 57-year-old male patient was diagnosed with grade 2 spleen laceration and other multiple organ injuries after a rollover car accident. The patient was hemodynamically stable. Thus, transarterial embolization was performed to the splenic artery (SA). In angiography, the patient’s SA arised from a proper hepatic artery. The embolization finished successfully and the patient was discharged from the hospital on day 12 without any complications. Transarterial SA embolization may be feasible in patients who have varying SA origins even though the procedure is technically more challenging and a longer catheter may be needed compared to those of the usual case.
{"title":"Transarterial embolization for traumatic splenic injury in a patient with a variant origin of splenic artery from the proper hepatic artery","authors":"Hancheol Jo, D. H. Kim","doi":"10.24184/tip.2021.6.1.19","DOIUrl":"https://doi.org/10.24184/tip.2021.6.1.19","url":null,"abstract":"A 57-year-old male patient was diagnosed with grade 2 spleen laceration and other multiple organ injuries after a rollover car accident. The patient was hemodynamically stable. Thus, transarterial embolization was performed to the splenic artery (SA). In angiography, the patient’s SA arised from a proper hepatic artery. The embolization finished successfully and the patient was discharged from the hospital on day 12 without any complications. Transarterial SA embolization may be feasible in patients who have varying SA origins even though the procedure is technically more challenging and a longer catheter may be needed compared to those of the usual case.","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"74 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130491452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A 65-year-old male patient had extraperitoneal hematoma of the anterior abdominal wall after blunt trauma. The patient was treated with conservative management because of stable hemodynamics without deterioration of physical examination and laboratory tests; however, computed tomography revealed active bleeding. In abdominal wall hematoma, physical examination, hemodynamic monitoring, and laboratory tests may be the most important factor in determining a therapeutic plan. Repetitive imaging can be obtained and invasive treatment should be considered if these indices suggest hematoma exacerbation. Patients with abdominal trauma who have altered coagulation status should be carefully monitored for abdominal wall hematoma. Detecting abdominal wall hematoma is important because it may be the clue for potential intra-abdominal organ injury or delayed complication.
{"title":"Active extraperitoneal hematoma in the anterior abdominal wall after blunt injury","authors":"Hancheol Jo, Jeongseok Yun, D. H. Kim","doi":"10.24184/tip.2021.6.1.9","DOIUrl":"https://doi.org/10.24184/tip.2021.6.1.9","url":null,"abstract":"A 65-year-old male patient had extraperitoneal hematoma of the anterior abdominal wall after blunt trauma. The patient was treated with conservative management because of stable hemodynamics without deterioration of physical examination and laboratory tests; however, computed tomography revealed active bleeding. In abdominal wall hematoma, physical examination, hemodynamic monitoring, and laboratory tests may be the most important factor in determining a therapeutic plan. Repetitive imaging can be obtained and invasive treatment should be considered if these indices suggest hematoma exacerbation. Patients with abdominal trauma who have altered coagulation status should be carefully monitored for abdominal wall hematoma. Detecting abdominal wall hematoma is important because it may be the clue for potential intra-abdominal organ injury or delayed complication.","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121181611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-30DOI: 10.24184/tip.2021.6.1.25
B. Song, P. Y. Jung
The causes of intestinal obstruction are diverse with tissue adhesion, incarcerated hernia, and large bowel neoplasm being the most common causes. Cancer is not easy to diagnose in patients with a history of intestinal obstruction after the intraperitoneal operation following blunt trauma. Herein, we report the case of a patient who was diagnosed with colon cancer after undergoing adhesiolysis due to intestinal obstruction.
{"title":"Intestinal obstruction after trauma laparotomy: a rare case due to colon cancer","authors":"B. Song, P. Y. Jung","doi":"10.24184/tip.2021.6.1.25","DOIUrl":"https://doi.org/10.24184/tip.2021.6.1.25","url":null,"abstract":"The causes of intestinal obstruction are diverse with tissue adhesion, incarcerated hernia, and large bowel neoplasm being the most common causes. Cancer is not easy to diagnose in patients with a history of intestinal obstruction after the intraperitoneal operation following blunt trauma. Herein, we report the case of a patient who was diagnosed with colon cancer after undergoing adhesiolysis due to intestinal obstruction.","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121925905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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