5,272 results match your criteria Diaphragmatic Injuries


Unifying classification for transdiaphragmatic intercostal hernia and other costal margin injuries†.

Eur J Cardiothorac Surg 2019 Feb 15. Epub 2019 Feb 15.

Department of Cardiothoracic Surgery, Northern General Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, South Yorkshire, UK.

Objectives: Taxonomy of injuries involving the costal margin is poorly described and surgical management varies. These injuries, though commonly caused by trauma, may also occur spontaneously, in association with coughing or sneezing, and can be severe. Our goal was to describe our experience using sequential segmental analysis of computed tomographic (CT) scans to perform accurate assessment of injuries around the costal margin. Read More

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http://dx.doi.org/10.1093/ejcts/ezz020DOI Listing
February 2019

A case of stapled resection of redundant diaphragm and early evisceration of gastrointestinal content.

Wideochir Inne Tech Maloinwazyjne 2019 Jan 7;14(1):141-144. Epub 2018 Aug 7.

Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran.

Diaphragm paralysis has been observed following cervical spinal cord and diaphragm injuries. Patients with diaphragm paralysis require plication of the diaphragm if significant pulmonary dysfunction occurs. We aimed to report the unsuccessful stapling technique in the correction of diaphragm paralysis. Read More

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http://dx.doi.org/10.5114/wiitm.2018.77543DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372874PMC
January 2019

Evaluation of Thoracoscopy with Single-Lumen Endotracheal Tube Intubation and Laparoscopy in the Diagnosis of Occult Diaphragmatic Injuries in Penetrating Thoracoabdominal Trauma.

J Laparoendosc Adv Surg Tech A 2019 Jan 10. Epub 2019 Jan 10.

Department of Surgery, Dr. George Mukhari Academic Hospital, Sefako Makgatho Health Sciences University, Pretoria, South Africa.

Background: The diagnosis of traumatic diaphragmatic injuries (TDIs) after penetrating thoracoabdominal trauma is challenging and conventional imaging is unreliable. Laparoscopy and thoracoscopy are minimally invasive modalities of choice in the diagnosis and management of TDI. A little is known on the value of thoracoscopy with single-lumen endotracheal tube intubation (SLETI) in the diagnosis of occult diaphragmatic injuries, and how it compares with laparoscopy. Read More

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http://dx.doi.org/10.1089/lap.2018.0733DOI Listing
January 2019

A young woman with left lower chest pain.

Eur J Intern Med 2018 Dec 26. Epub 2018 Dec 26.

Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran; Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address:

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http://dx.doi.org/10.1016/j.ejim.2018.12.007DOI Listing
December 2018
1 Read
2.300 Impact Factor

Thoracic splenosis presenting as pulmonary space-occupying lesion.

BMC Surg 2018 Dec 20;18(1):119. Epub 2018 Dec 20.

Department of Cardiothoracic Surgery, The Second Affiliated Hospital of Guangxi Medical University, No.166 Da Xuedong Road, Nanning, 530007, Guangxi, China.

Background: Spleen leaves its normal anatomical position and appears in other locations, which is called ectopic spleen. It is most commonly found in the abdomen or pelvis with seeding of the peritoneum, omentum or mesentery. A few of cases of thoracic splenosis associated with traumatic diaphragmatic rupture have been reported. Read More

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http://dx.doi.org/10.1186/s12893-018-0461-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302502PMC
December 2018
3 Reads
1.240 Impact Factor

Veterinary-focused assessment with sonography for trauma-airway, breathing, circulation, disability and exposure: a prospective observational study in 64 canine trauma patients.

J Small Anim Pract 2018 Dec 13. Epub 2018 Dec 13.

Lodi's ICU and Sub ICU Head, ASST Lodi 26900, Italy.

Objective: To describe the technique and findings of the 'veterinary focused assessment with sonography for trauma-airway, breathing, circulation, disability and exposure' protocol in dogs suffering from trauma.

Materials And Methods: Prospective observational study on a new point-of-care ultrasound protocol on 64 dogs suffering from trauma and comparison of findings with radiology.

Results: Comparison of the results of this new ultrasound protocol for trauma patients with radiography findings for pneumothorax, pleural effusion, alveolar-interstitial syndrome and abdominal effusion revealed positive agreement of 89, 83, 100 and 87% and negative agreement of 76, 83, 76 and 92%, respectively. Read More

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http://dx.doi.org/10.1111/jsap.12968DOI Listing
December 2018
2 Reads

Diagnosis of diaphragm injuries using modern 256-slice CT scanners: too early to abandon operative exploration.

Trauma Surg Acute Care Open 2018 26;3(1):e000251. Epub 2018 Nov 26.

Division of Acute Care Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Background: Missed injury of the diaphragm may result in hernia formation, enteric strangulation, and death. Compounding the problem, diaphragmatic injuries are rare and difficult to diagnose with standard imaging. As such, for patients with high suspicion of injury, operative exploration remains the gold standard for diagnosis. Read More

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http://dx.doi.org/10.1136/tsaco-2018-000251DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267309PMC
November 2018

Lateral approach of exploratory laparotomy through the open chest wall injury.

Trauma Case Rep 2018 Dec 28;18:52-55. Epub 2018 Nov 28.

Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Republic of Korea.

A combined laparotomy and thoracotomy is required in a few trauma patients. The anterior approach is a standard procedure used in such cases; however, a different approach may be required. Recently, we managed a patient who presented with a crush injury to the left side of his chest with associated bowel herniation. Read More

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http://dx.doi.org/10.1016/j.tcr.2018.11.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263086PMC
December 2018
1 Read

Rapid and robust restoration of breathing long after spinal cord injury.

Nat Commun 2018 11 27;9(1):4843. Epub 2018 Nov 27.

Department of Neurosciences, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH, 44106, USA.

There exists an abundance of barriers that hinder functional recovery following spinal cord injury, especially at chronic stages. Here, we examine the rescue of breathing up to 1.5 years following cervical hemisection in the rat. Read More

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http://www.nature.com/articles/s41467-018-06937-0
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http://dx.doi.org/10.1038/s41467-018-06937-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258702PMC
November 2018
9 Reads

Relevance of early CT scan diagnosis of blunt diaphragmatic injury: A retrospective analysis from the Northern French Alps Emergency Network.

J Visc Surg 2018 Nov 21. Epub 2018 Nov 21.

Service de chirurgie digestive et de l'urgence, CHU Grenoble-Alpes, CS 102017, 38043 Grenoble cedex, France. Electronic address:

Introduction: Diaphragmatic rupture following blunt trauma occurs rarely. Classically described after high-velocity accidents, ruptures are often associated with multiple organ injuries. The diagnosis is sometimes difficult. Read More

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http://dx.doi.org/10.1016/j.jviscsurg.2018.10.005DOI Listing
November 2018
7 Reads

Post esophagectomy diaphragmatic hernia: a case report of a rare cause of acute respiratory distress.

J Cardiothorac Surg 2018 Nov 15;13(1):114. Epub 2018 Nov 15.

Service of Cardiac Surgery, Multidisciplinary Department of Cardiology, Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, QC, Canada.

Background: Diaphragmatic hernia is frequent among the elderly and is usually associated with mild chronic digestive and respiratory symptoms.

Case Presentation: An elderly post-esophagectomy male patient, in the early postoperative period of cardiac surgery, presented with acute respiratory distress. An emergent surgery was performed to reduce a giant diaphragmatic herniation. Read More

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http://dx.doi.org/10.1186/s13019-018-0802-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238405PMC
November 2018

In trauma, expect the unexpected: a rare case of post-traumatic pancreatitis associated with salmonellosis and enterocolitis.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Pediatric Surgery, Children's Health Children's Medical Center Dallas, Dallas, Texas, USA.

A 16-year-old Hispanic man was transferred to our level I paediatric trauma centre with pancreatitis. Ten days prior, he had sustained a gunshot wound to the abdomen requiring an exploratory laparotomy for repair of a traumatic left diaphragmatic injury. Additional injuries included gastric, renal, liver and pancreatic lacerations as well as a T12 burst fracture that resulted in paraplegia. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22628
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http://dx.doi.org/10.1136/bcr-2018-226286DOI Listing
November 2018
4 Reads

Fontan Failure Secondary to Charcot-Marie-Tooth-Induced Phrenic Neuropathy.

Tex Heart Inst J 2018 08 1;45(4):270-272. Epub 2018 Aug 1.

Charcot-Marie-Tooth disease comprises a vast array of defects in myelin integrity that causes progressive peripheral sensorimotor neuropathy. It is the most prevalent inherited peripheral neuropathy, and it can affect the management of coexisting medical conditions. We report the case of a 25-year-old woman who had undergone successful Fontan surgery during childhood, but her Fontan circulation failed as a result of diaphragmatic paresis caused by Charcot-Marie-Tooth disease type 1A. Read More

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http://thij.org/doi/10.14503/THIJ-17-6337
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http://dx.doi.org/10.14503/THIJ-17-6337DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6183634PMC
August 2018
8 Reads

Blunt traumatic diaphragmatic rupture: Single-center experience with 38 patients.

Medicine (Baltimore) 2018 Oct;97(41):e12849

Department of Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, South Korea.

Blunt traumatic diaphragmatic rupture (BTDR) is uncommon, but is associated with high rates of morbidity and mortality. The purpose of this study was to present our experience with management of this injury. Medical records of 38 patients with BTDR who were treated in our hospital from January 2001 to June 2016 were analyzed retrospectively. Read More

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http://dx.doi.org/10.1097/MD.0000000000012849DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203559PMC
October 2018
3 Reads

Effect of Long-Term Polytrauma on Ventilator-Induced Diaphragmatic Dysfunction in a Piglet Model.

Shock 2018 Oct 8. Epub 2018 Oct 8.

Department of Intensive and Intermediate Care, Medical Faculty, RWTH Aachen University, Aachen, Germany.

Introduction: Mechanical ventilation is known to activate oxidative stress and proteolytic pathways in the diaphragm. Trauma by inducing inflammation and activating proteolytic pathways may potentiate the effects of mechanical ventilation on the diaphragm. In a blunt chest trauma with concomitant injuries we tested the hypothesis that trauma via inflammation further activates the proteolytic pathways and worsens atrophy in the diaphragm. Read More

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http://dx.doi.org/10.1097/SHK.0000000000001272DOI Listing
October 2018
4 Reads

Massive hemothorax due to two bleeding sources with minor injury mechanism: a case report.

J Med Case Rep 2018 Oct 7;12(1):291. Epub 2018 Oct 7.

Department of Emergency Medicine, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki City, Osaka, 569-8686, Japan.

Background: Massive hemothorax resulting from a minor injury mechanism is considered to be rare particularly when the diaphragm is injured. We report a case of massive hemothorax with bleeding from the intercostal artery and diaphragmatic damage caused by minor blunt trauma.

Case Presentation: An 83-year-old Japanese man was transported to our hospital 3 hours after falling out of bed. Read More

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https://jmedicalcasereports.biomedcentral.com/articles/10.11
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http://dx.doi.org/10.1186/s13256-018-1813-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174063PMC
October 2018
4 Reads

Incidental right-sided diaphragmatic eventration after blunt thoracoabdominal trauma.

Saudi Med J 2018 Oct;39(10):1057-1059

Department of General Surgery, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail.

[No Abstract Available]. Read More

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http://dx.doi.org/10.15537/smj.2018.10.23240DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6201037PMC
October 2018
48 Reads
0.554 Impact Factor

Diaphragmatic paralysis following open-heart surgery in an 18-month-old child.

Asian Cardiovasc Thorac Ann 2018 Oct 30;26(8):641-642. Epub 2018 Sep 30.

Department of Pediatric Surgery, Hedi-Chaker Hospital, Sfax, Tunisia.

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http://journals.sagepub.com/doi/10.1177/0218492318805338
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http://dx.doi.org/10.1177/0218492318805338DOI Listing
October 2018
2 Reads

Discussion.

Authors:

Surgery 2018 10;164(4):710-711

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http://dx.doi.org/10.1016/j.surg.2018.06.058DOI Listing
October 2018

Naclerio's V sign and continuous diaphragm sign after endoscopy.

BMJ Case Rep 2018 Sep 21;2018. Epub 2018 Sep 21.

Department of Acute Medicine, The University of Tokyo Hospital, Tokyo, Japan.

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http://dx.doi.org/10.1136/bcr-2018-226021DOI Listing
September 2018
1 Read

Sex influences diaphragm muscle response in exercised mdx mice.

Cell Biol Int 2018 Dec 9;42(12):1611-1621. Epub 2018 Oct 9.

Department of Structural and Functional Biology, Institute of Biology, State University of Campinas (UNICAMP), Campinas, São Paulo 13083-970, Brazil.

Physical exercise promotes increased muscle damage in the mdx mice, the experimental model of Duchenne muscular dystrophy. Studies suggest that the estrogen level in females makes them less susceptible to muscle injuries. The aim of this study was to characterize the diaphragm (DIA) muscle response to physical exercise in male and female mdx mice. Read More

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http://dx.doi.org/10.1002/cbin.11057DOI Listing
December 2018
3 Reads

A Diaphragmatic Hernia and Pericardial Rupture Caused by Blunt Injury of the Chest: A Case Review.

J Trauma Nurs 2018 Sep/Oct;25(5):323-326

Department of Thoracic Surgery, No. 1 Hospital of BaoDing City, HeBei Province, PR China (Ms Gao and Drs Jia and Zhao); and College of Life Science, HeBei Agricultural University, HeBei Province, PR China (Mr WeiWei and Dr Yangming).

Blunt traumatic diaphragmatic hernias are most commonly seen in combination with other injuries. Right diaphragmatic ruptures with serious pericardium ruptures are relatively rare. The diagnosis of diaphragmatic hernias is not difficult; however, prior to surgery, it is difficult to judge whether pericardium damage has occurred, particularly on the right side. Read More

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http://dx.doi.org/10.1097/JTN.0000000000000395DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6170143PMC
January 2019
13 Reads

[The clinic experience of implantable diaphragm pacer in a patient with high cervical spinal cord injury and literature review].

Zhonghua Jie He He Hu Xi Za Zhi 2018 Sep;41(9):718-723

Department of Spinal and Neural Function Reconstruction, Capital Medical University School of Rehabilitation Medicine(China Rehabilitation Research Center), Beijing 100068, China.

To report the use of implantable diaphragm pacer (IDP) in a patient with high cervical spinal cord injury(HCSCI). A 14-year-old male patient, who suffered from a HCSCI at C2 neurological level and had been on a ventilator for 2 years, received IDP in August 2017 at China Rehabilitation Research Center. A systematic literature review was performed on IDP in patients with HCSCI in Pubmed, CNKI, and Wanfang databases, using the keywords: phrenic nerve and electrical stimulation and spinal cord injury; IDP and spinal cord injury; breathing pacemaker system and spinal cord injury. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1001-0939.2018.09.013DOI Listing
September 2018
2 Reads

Long-term experience with diaphragm pacing for traumatic spinal cord injury: Early implantation should be considered.

Surgery 2018 10 6;164(4):705-711. Epub 2018 Sep 6.

Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio.

Background: Cervical spinal cord injury can result in catastrophic respiratory failure requiring mechanical ventilation with high morbidity, mortality, and cost. Diaphragm pacing was developed to replace/decrease mechanical ventilation. We report the largest long-term results in traumatic cervical spinal cord injury. Read More

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http://dx.doi.org/10.1016/j.surg.2018.06.050DOI Listing
October 2018
2 Reads

Tube Thoracostomy Management in the Combat Wounded.

Am Surg 2018 Aug;84(8):1355-1362

The intent of this study was to characterize the management and subsequent complications of combat injury tube thoracostomies and to determine risk factors for the development of pneumonia (PNA) and retained hemothorax (RH). One hundred fifteen patients with 173 tube thoracostomies met the inclusion criteria and were analyzed. The mean injury severity score was 30. Read More

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August 2018
13 Reads

Use of Telemedicine in Surgical Education: A Seven-Year Experience.

Am Surg 2018 Aug;84(8):1252-1260

Uniformity in surgical education is challenging because surgical experience is based on rotation assignments. With work hour restrictions, the likelihood of residents being exposed to rare or unusual cases is diminished. Telemedicine may create a new learning paradigm for surgical education and supplement exposure for rare or unusual cases. Read More

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August 2018
4 Reads

Methylene Blue for Refractory Shock in Polytraumatized Patient: A Case Report.

J Emerg Med 2018 10 16;55(4):553-558. Epub 2018 Aug 16.

Department of Pediatrics, Ribeirão Preto School of Medicine, University of São Paulo, São Paulo, Brazil.

Background: Methylene blue (MB) has been advocated for the treatment of shock refractory to standard measures. MB is proposed to increase blood pressure in shock by interfering with guanylate cyclase and nitric oxide synthase (NOS) activity. Several studies have evaluated the vasoconstrictive and positive inotropic effects of MB in septic shock patients. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.06.037DOI Listing
October 2018
31 Reads

Tension haemothorax from a bleeding branch of the renal artery following isolated penetrating thoracic trauma: a rare presentation.

BMJ Case Rep 2018 Aug 16;2018. Epub 2018 Aug 16.

Department of Cancer and Surgery, Imperial College London St Mary's Hospital Campus, London, UK.

A 27-year-old man presented to a major trauma centre with two posterolateral thoracic stab injuries over the right scapula and thoracoabdominal junction. He was tachycardic and hypotensive with a chest X-ray revealing a large right-sided tension haemothorax, requiring insertion of two intercostal chest drains. A subsequent CT scan demonstrated a grade 4 right kidney laceration with active back bleeding from a renal artery branch, through a right diaphragmatic defect, into the pleural cavity. Read More

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http://dx.doi.org/10.1136/bcr-2018-225678DOI Listing
August 2018
15 Reads

Complications of 411 laparoscopic urological procedures: A single surgeon experience.

Authors:
Khalid Al-Otaibi

Urol Ann 2018 Jul-Sep;10(3):308-312

Department of Urology, College of Medicine, Imam Abdulrahaman Bin Faisl University, Dammam, Saudi Arabia.

Objectives: The aim of this study is to review the complications of laparoscopic urological procedures performed using a single surgeon during a 12-year period.

Materials And Methods: From June 2004 to May 2017, a total of 411 abdominal urological procedures were performed using the author. They included 250 varicocele ligations, 94 nephrectomies (simple, partial, radical, and nephroureterectomy), 34 adrenalectomies, 22 renal cyst ablation, and 11 pelvic lymph node dissections. Read More

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http://dx.doi.org/10.4103/UA.UA_190_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6060592PMC
August 2018
4 Reads

Imaging and Management of Thoracic Trauma.

Semin Ultrasound CT MR 2018 Aug 26;39(4):347-354. Epub 2018 Mar 26.

Department of Radiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA. Electronic address:

Thoracic injury results from penetrating and blunt trauma and is a major contributor to overall trauma morbidity and mortality in the United States. Modern imaging algorithms utilize ultrasound, chest radiograph, and computed tomography with intravenous contrast to accurately diagnose and effectively treat patients with acute thoracic trauma. This review focuses on the etiologies, signs and symptoms, imaging, and management of several life-threatening thoracic injuries including tracheobronchial rupture, pulmonary parenchymal injury, hemothorax, pneumothorax, diaphragmatic rupture, and axial skeleton injury. Read More

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http://dx.doi.org/10.1053/j.sult.2018.03.006DOI Listing
August 2018
16 Reads

Steering the wheel towards the standard of care: Proposal of a step-by-step ultrasound-guided emergency chest tube drainage and literature review.

Int J Surg 2018 Aug 6;56:315-319. Epub 2018 Jul 6.

General and Trauma Surgery, Hospital das Clínicas, University of São Paulo, Brazil. Electronic address:

Background: Chest tube drainage is a common procedure performed by physicians in the emergency setting. Complications may arise in up to 25% of the cases. These vary from drain misplacement to lethal iatrogenic injuries. Read More

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http://dx.doi.org/10.1016/j.ijsu.2018.07.002DOI Listing
August 2018
16 Reads

Recovery of respiratory function and autonomic diaphragm movement following unilateral recurrent laryngeal nerve to phrenic nerve anastomosis in rabbits.

J Neurosurg Spine 2018 Oct 6;29(4):470-480. Epub 2018 Jul 6.

Departments of3Spine Surgery and.

The authors studied restoration of respiratory function in rabbits, using the recurrent laryngeal nerve to restore function after the phrenic nerve had been severed. The results of this animal study are encouraging and suggest that a similar technique could possibly be used to help patients with severe cervical spinal cord injuries. Read More

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http://dx.doi.org/10.3171/2017.12.SPINE17849DOI Listing
October 2018
15 Reads

Massive intraperitoneal free air induced by pneumothorax and pneumomediastinum.

Int J Surg Case Rep 2018 27;49:78-80. Epub 2018 Jun 27.

Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Japan. Electronic address:

Introduction: Pneumoperitoneum (PP), or air within the abdominal cavity, is frequently a harbinger of serious abdominal pathology and often represents visceral perforation. We herein report a case of combined massive intraperitoneal free air, pneumothorax and pneumomediastinum but emergency laparotomy was negative.

Presentation Of Case: A sixty-seven-year-old man was found unconscious on a road after being hit by a car. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22102612183022
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http://dx.doi.org/10.1016/j.ijscr.2018.06.020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039890PMC
June 2018
19 Reads

Motor and Sensory Function as a Predictor of Respiratory Function Associated With Ventilator Weaning After High Cervical Cord Injury.

Ann Rehabil Med 2018 Jun 27;42(3):457-464. Epub 2018 Jun 27.

Department of Rehabilitation Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.

Objective: To analyze the respiratory function of high cervical cord injury according to ventilator dependence and to examine the correlations between diaphragm movement found on fluoroscopy and sensory and motor functions.

Methods: A total of 67 patients with high cervical spinal cord injury (SCI), admitted to our hospital were enrolled in the study. One rehabilitation physician performed sensory and motor examinations on all patients while each patient was in the supine position on the American Spinal Injury Association (ASIA) standard. Read More

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http://dx.doi.org/10.5535/arm.2018.42.3.457DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6058590PMC
June 2018
6 Reads

Nephrin is necessary for podocyte recovery following injury in an adult mature glomerulus.

PLoS One 2018 20;13(6):e0198013. Epub 2018 Jun 20.

Division of Nephrology, University of Michigan School of Medicine, Ann Arbor, Michigan, United States of America.

Nephrin (Nphs1) is an adhesion protein that is expressed at the podocyte intercellular junction in the glomerulus. Nphs1 mutations in humans or deletion in animal genetic models results in a developmental failure of foot process formation. A number of studies have shown decrease in expression of nephrin in various proteinuric kidney diseases as well as in animal models of glomerular disease. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0198013PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6010211PMC
December 2018
6 Reads

Avoiding Respiratory and Peripheral Muscle Injury During Mechanical Ventilation: Diaphragm-Protective Ventilation and Early Mobilization.

Crit Care Clin 2018 Jul;34(3):357-381

Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada; Division of Respirology, Department of Medicine, University Health Network, Toronto General Hospital, 585 University Avenue, Peter Munk Building, 11th Floor Room 192, Toronto, ON M5G 2N2, Canada. Electronic address:

Both limb muscle weakness and respiratory muscle weakness are exceedingly common in critically ill patients. Respiratory muscle weakness prolongs ventilator dependence, predisposing to nosocomial complications and death. Limb muscle weakness persists for months after discharge from intensive care and results in poor long-term functional status and quality of life. Read More

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http://dx.doi.org/10.1016/j.ccc.2018.03.005DOI Listing
July 2018
10 Reads

Complete abdominal wound and anastomotic leak with diffuse peritonitis closure achieved by an abdominal vacuum sealing drainage in a critical ill patient: a case report.

BMC Surg 2018 Jun 15;18(1):41. Epub 2018 Jun 15.

Department of Digestive and General Surgery, Shimane University Faculty of Medicine, 89-1, Enyacho, Izumo, Shimane, 693-8501, Japan.

Background: Negative pressure wound therapy (NPWT) is a widely accepted technique to treat local infectious wounds of the skin, subcutaneous tissue, fascia, or muscle. Recently, several reports describing the efficacy of NPWT for various types of fistulas and anastomotic leaks have been published. We herein describe a patient with an open abdominal wound due to colonic anastomotic leakage and diffuse peritonitis, in whom abdominal vacuum sealing (AVS) as a modified NPWT was useful for the management of this complex wound. Read More

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http://dx.doi.org/10.1186/s12893-018-0375-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6003133PMC
June 2018
5 Reads

Sudden deaths from positional asphyxia: A case report.

Medicine (Baltimore) 2018 Jun;97(24):e11041

Department of Pathology, Forensic Medicine and Pharmacology, Institute of Biomedical Sciences of the Faculty of Medicine of Vilnius University, Vilnius.

Rationale: Positional asphyxia is a rare cause of sudden death and a difficult diagnosis, based mostly on the circumstances of the incident, along with particular external and internal findings, frequent in asphyxia (signs of sudden death).

Patient Concerns: In this report, we are describing one case of adult who was found positioned in a way that led to eventual asphyxiation.

Diagnoses: The final diagnosis of positional asphyxia was determined after the autopsy. Read More

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http://dx.doi.org/10.1097/MD.0000000000011041DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023692PMC
June 2018
7 Reads

Diaphragm electromyography guidance for a lung transplant recipient with difficult weaning from mechanical ventilation: A case report.

Medicine (Baltimore) 2018 Jun;97(23):e10989

Department of Thoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.

Rationale: Many factors contribute to a complicated postoperative course following difficult weaning off a ventilator after lung transplantation.

Patient Concerns: A female patient underwent a successful surgery but received a size-mismatched lung graft. The graft had been pruned before transplantation. Read More

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http://dx.doi.org/10.1097/MD.0000000000010989DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999510PMC
June 2018
31 Reads

Use of Ultrasound-Guided Superficial Cervical Plexus Block for Pain Management in the Emergency Department.

J Emerg Med 2018 07 29;55(1):87-95. Epub 2018 May 29.

Department of Family Medicine, University of British Columbia, Nanaimo, British Columbia, Canada.

Background: Although use of the superficial cervical plexus block (SCPB) by anesthesia for perioperative indications is well described, there is a paucity of research on use of SCPB in the emergency department (ED).

Objective: This prospective observational study aims to prospectively characterize the feasibility, potential for efficacy, and safety of ultrasound-guided SCPB in a convenience sample of ED patients presenting with painful conditions of the "cape" distribution of the neck and shoulder.

Methods: Data were gathered prospectively on a convenience sample of 27 patients presenting to a community ED with painful conditions involving the distribution of the SCPB: para-cervical muscle spasm/pain (n = 8), clavicle fractures (n = 7), acromioclavicular joint injuries (n = 3), radicular pain (n = 3), and rotator cuff disorders (n = 6). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07364679183036
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http://dx.doi.org/10.1016/j.jemermed.2018.04.030DOI Listing
July 2018
27 Reads

Right-sided diaphragmatic rupture in a poly traumatized patient.

Ann Surg Treat Res 2018 Jun 29;94(6):342-345. Epub 2018 May 29.

Department of Trauma Surgery, Cheju Halla General Hospital, Jeju, Korea.

Traumatic diaphragmatic rupture (TDR) is uncommon, and may be associated with other severe life-threatening injuries after blunt trauma. Recently, we experienced a right-sided TDR patient with other multiple life-threatening injuries. A 59-year-old female inflicted with a right-sided TDR accompanied by herniated liver was treated with thoracoscopic exploration. Read More

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http://dx.doi.org/10.4174/astr.2018.94.6.342DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5976576PMC
June 2018
8 Reads

An Exceptional Case of Acute Respiratory Failure Caused by Intra-Thoracic Gastric Perforation Secondary to Overeating.

J Forensic Sci 2019 Jan 24;64(1):292-294. Epub 2018 May 24.

Institute of Public Health, Legal Medicine Section, Catholic University Medical School, Largo Francesco Vito, 1 - 00168, Rome, RM, Italy.

An 18-year-old female patient arrived at the emergency department complaining of abdominal pain and fullness after a heavy meal. Physical examination revealed she was filthy and cover in feces, and she experienced severe abdominal distension. She died in ED and a diagnostic autopsy examination was requested. Read More

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http://dx.doi.org/10.1111/1556-4029.13825DOI Listing
January 2019
9 Reads

Quick, safe, and effective maneuver to prevent phrenic nerve injury during cryoballoon ablation of atrial fibrillation.

J Interv Card Electrophysiol 2018 Nov 24;53(2):233-238. Epub 2018 May 24.

Arrhythmia Center, Tokyo Medical and Dental University, Tokyo, Japan.

Purpose: Phrenic nerve (PN) injury is a typical complication of cryoballoon ablation (CBA) of pulmonary veins. The PN function is monitored by palpating the abdomen during PN pacing, and freezing is prematurely terminated when a reduction in the diaphragm movement is recognized. This study aimed to investigate the efficacy and safety of a "pull-back" maneuver to prevent PN injury. Read More

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http://dx.doi.org/10.1007/s10840-018-0379-2DOI Listing
November 2018

Analysis of 89 patients who underwent tube thoracostomy performed by general surgeons.

Turk J Surg 2018 3;34(1):49-52. Epub 2017 Sep 3.

Department of General Surgery, İstanbul Training and Research Hospital, İstanbul, Turkey.

Objective: Death due to thoracic trauma accounts for 20% of all trauma deaths. The aim of this study was to discuss the approach applied by general surgeons to thoracic trauma in our center.

Material And Methods: A total of 89 patients (82 male, 7 female; mean age: 26. Read More

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http://dx.doi.org/10.5152/UCD.2017.3692DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5937659PMC
September 2017
3 Reads

Cough-induced nonunion rib fractures and herniation: surgical repair and review.

Asian Cardiovasc Thorac Ann 2018 Jun 24;26(5):416-418. Epub 2018 Apr 24.

Department of Trauma Surgery, VU University Medical Center, Amsterdam, The Netherlands.

We present the case of a 57-year-old man who had suffered pain in the left hemithorax for a year, which started after a period of severe coughing during pneumonia. The pain was triggered by lying down. A computed tomography scan revealed two nonunion costal fractures. Read More

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http://dx.doi.org/10.1177/0218492318772769DOI Listing
June 2018
11 Reads

A case of tension faecopneumothorax after delayed diagnosis of traumatic diaphragmatic hernia.

Surg Case Rep 2018 Apr 20;4(1):37. Epub 2018 Apr 20.

Department of Surgery, Wollongong Hospital, Locked Bag 8808, South Coast Mail Centre, NSW, 2521, Australia.

Background: Traumatic diaphragmatic injuries from blunt or penetrating trauma are difficult to detect in the acute setting and, if missed, can result in significant morbidity and mortality in the future. We present a case demonstrating the natural progression of this resulting in faecopneumothorax, which is a rare but serious presentation.

Case Presentation: A 22-year-old young man presented with left upper quadrant and chest pain, nausea, vomiting, and intermittent obstipation with a background of previous lower chest wall stabbings. Read More

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http://dx.doi.org/10.1186/s40792-018-0447-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5910439PMC
April 2018
7 Reads

Heimlich Maneuver-Induced Diaphragmatic Rupture and Hiatal Hernia.

Am J Med Sci 2018 Apr 6;355(4):e13. Epub 2018 Jan 6.

Divisions of Pulmonary, Critical Care and Sleep Medicine, University of Texas Health, McGovern Medical School, Houston, Texas.

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http://dx.doi.org/10.1016/j.amjms.2017.11.009DOI Listing

Delayed traumatic parasternal hernia causes jejunal necrosis: A case report.

Trauma Case Rep 2017 Jun 7;9:30-33. Epub 2017 Jun 7.

Department of Thoracic Surgery, No. 1 Hospital of BaoDing City, China.

Diaphragmatic injury is a common clinical condition, and it may be difficult to avoid diaphragmatic hernia if detection and treatment is not timely. Parasternal hernia is mostly congenital. It is relatively rare in adults, and intestinal obstruction as a complication of intrathoracic intestinal herniation occurs only rarely. Read More

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http://dx.doi.org/10.1016/j.tcr.2017.05.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5883187PMC
June 2017
1 Read

Importance of the capability for complete resuscitative treatment combining surgery and interventional radiology for potentially lethal multiple injuries: A case report.

Trauma Case Rep 2017 Oct 1;11:13-17. Epub 2017 Nov 1.

Department of Emergency and Critical Care Medicine, Tokai University School of Medicine, Japan.

Background: Recently, trauma management has been complicated owing to the introduction of damage-control strategies and interventional radiology. Here, we discuss important aspects regarding survival of patients with severe trauma.

Case Presentation: A 74-year-old Japanese woman experienced a traffic accident on a highway. Read More

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http://dx.doi.org/10.1016/j.tcr.2017.10.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5887058PMC
October 2017
1 Read

Laparoscopic approach to the management of penetrating traumatic diaphragmatic injury.

Trauma Case Rep 2017 Aug 5;10:4-11. Epub 2017 Aug 5.

Department of Surgery, Trauma and Acute Care Surgery Service, Tan Tock Seng Hospital, Singapore.

Background: Traditionally, laparotomy/thoracotomy is the standard approach for thoracoabdominal injuries. However, it has a non-therapeutic rate of 12-40% and 40% morbidity. Laparoscopy, as a diagnostic and therapeutic modality, has evolved to be integral to general and subspecialty surgeons in the management of patients. Read More

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http://dx.doi.org/10.1016/j.tcr.2017.05.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5887061PMC
August 2017
3 Reads