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Journal of Acute Care Surgery最新文献

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Oxygen Targets in Critical Illness: Commentary on the Pro–Con Debate 危重疾病中的氧靶:正反辩论评论
Pub Date : 2022-12-31 DOI: 10.5005/jp-journals-10089-0035
S. A. Pasha
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引用次数: 0
Pyoderma Gangrenosum in an Immunosuppressed Patient 免疫抑制患者坏疽性脓皮病
Pub Date : 2022-12-31 DOI: 10.5005/jp-journals-10089-0018
P. Rangappa, Karthik Rao, I. Jacob, Sudhakar Almad
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引用次数: 0
Echocardiography in Intensive Care Unit: We Need a Certification Program 重症监护病房的超声心动图:我们需要一个认证计划
Pub Date : 2022-12-31 DOI: 10.5005/jp-journals-10089-0027
B. Rao
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引用次数: 0
Spontaneous Tumor Lysis Syndrome in an Undiagnosed Solid Organ Malignancy: Adenocarcinoma of the Colon 未确诊的实体器官恶性肿瘤的自发性肿瘤溶解综合征:结肠腺癌
Pub Date : 2022-12-31 DOI: 10.5005/jp-journals-10089-0029
R. Shetty, Sanjana Anand, R. Rajavardhan, K. Anoop
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引用次数: 0
Abdominal Cocoon: A Rare Case of Intestinal Obstruction 腹部茧:一例罕见的肠梗阻
Pub Date : 2022-12-31 DOI: 10.5005/jp-journals-10089-0022
P. Rangappa, Karthik Rao, Sudhakar Almad, R. Deshpande, Veeresh M Annigeri
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引用次数: 0
Conservative Oxygen Therapy is the Way Forward in Critical Illness 保守氧疗是危重疾病的前进方向
Pub Date : 2022-12-31 DOI: 10.5005/jp-journals-10089-0030
S. A. Pasha, S. Muzaffar, Neeraj Guttikonda
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引用次数: 0
Feasibility of Hybrid Training for Basic and Advanced Cardiac Life Support during COVID-19 Pandemic COVID-19大流行期间基础和高级心脏生命支持混合训练的可行性
Pub Date : 2022-12-31 DOI: 10.5005/jp-journals-10089-0025
P. Malhotra, Alexander Thomas, Saravana Kumar, Viju Wilben, A. Alva, M. Kanchi, CC Vinil Kumar, Vimal Bharadwaj, Ratan Guptha, TS Srinath
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引用次数: 0
Hemoadsorption (CytoSorb®) in Management of Cytokine Storm and Implication in COVID-19 Pandemic 血液吸附(CytoSorb®)在细胞因子风暴管理中的作用及其在COVID-19大流行中的意义
Pub Date : 2022-12-31 DOI: 10.5005/jp-journals-10089-0019
S. Prasad, Shivangi Mishra, H. Maheshwarappa, Shreedhar S. Joshi, R. Premkumar
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引用次数: 0
Implications for Anesthesia in Takayasu's Arteritis for Bentall Surgery 本特尔手术中高松动脉炎麻醉的意义
Pub Date : 2022-12-31 DOI: 10.5005/jp-journals-10089-0021
Priya Jain, P. Natarajan, Noel MP Samy, V. Shetty
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引用次数: 0
To Reduce the Incidence of Postoperative Intraabdominal Abscess, the Application of Nonoperative Management Should be Circumspect Considering Patient Factors and the Nature of Acute Appendicitis 为降低术后腹内脓肿的发生率,应结合患者因素及急性阑尾炎的性质,慎重应用非手术治疗
Pub Date : 2022-11-30 DOI: 10.17479/jacs.2022.12.3.111
You Jin Lee, K. Yoon
Purpose: Surgery and nonoperative management (NOM) are the treatment modalities for acute appendicitis (AA). There is little evidence to indicate which treatment method should be performed according to the patient's condition or disease severity, surgical extension, and timing after an appendectomy. This study aimed to evaluate postoperative intra-abdominal abscess (PIAA) associated with these factors.Methods: The medical records of 839 patients who underwent appendectomy after a diagnosis of AA between 2019 and 2020 at Gangneung Asan Medical Centre were reviewed retrospectively. The factors associated with PIAA were evaluated.Results: Postoperative complications occurred in 92 patients. Following appendectomy, 16 (1.9%), 83 (9.9%), and three (0.4%) patients developed PIAA, surgical site infection, and incisional hernia, respectively. The American Society of Anesthesiologists class, complicated appendicitis on preoperative abdominal computed tomography, failure of NOM, and extensive surgery above appendectomy were associated with the development of PIAA. However, a laparoscopic approach, irrigation, indwelling drain, ultrasonic dissection, and use of sterile bags were not associated with the development of PIAA.Conclusion: NOM for some patients with complicated AA is an attractive treatment modality. However, to reduce the incidence of PIAA, the application of NOM should be circumspect considering patient factors and the nature of acute appendicitis. Furthermore, appendectomy should be performed as early as possible for patients not indicated for NOM.
目的:手术加非手术治疗是急性阑尾炎(AA)的治疗方式。很少有证据表明应该根据患者的病情或疾病严重程度、手术扩展和阑尾切除术后的时间选择哪种治疗方法。本研究旨在评估与这些因素相关的术后腹内脓肿(PIAA)。方法:回顾性分析江陵牙山医疗中心2019 ~ 2020年诊断为AA后行阑尾切除术的839例患者的病历。评估与PIAA相关的因素。结果:92例患者出现术后并发症。阑尾切除术后,分别有16例(1.9%)、83例(9.9%)和3例(0.4%)患者发生PIAA、手术部位感染和切口疝。美国麻醉医师学会分级、术前腹部计算机断层扫描显示的复杂阑尾炎、NOM失败、阑尾切除术后的广泛手术与PIAA的发生有关。然而,腹腔镜入路、冲洗、留置引流、超声解剖和无菌袋的使用与PIAA的发生无关。结论:对于部分合并AA的患者,NOM是一种有吸引力的治疗方式。然而,为了减少PIAA的发生率,应用NOM时应考虑患者因素和急性阑尾炎的性质。此外,对于无NOM适应症的患者,应尽早行阑尾切除术。
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引用次数: 0
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Journal of Acute Care Surgery
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