创伤复苏期间成人脊柱固定的实践:改善指南的建议
Tessa Breeding1, Hazem Nasef1, Quratulain Amin1
1NOVA Southeastern University, Dr. Kiran C. Patel College of Allopathic Medicine, Fort Lauderdale, FL, USA.
The American surgeon
|January 12, 2024
概括
目前对创伤患者的脊柱固定可能会增加死亡率和神经学缺陷. 进一步的研究对于完善最佳患者护理和结果的指南至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 神经外科 神经外科
- 创伤外科 手术 创伤外科
背景情况:
- 脊柱固定是怀疑脊柱损伤的成年创伤患者的常见做法.
- 目前关于脊柱固定治疗的指南缺乏关于临床结果的强有力的证据.
研究的目的:
- 评估当前脊柱固定实践对成人创伤患者临床结果的影响.
- 为改善脊柱损伤的实践管理指南的制定提供信息.
主要方法:
- 一个叙述性回顾来自PubMed,ProQuest,Embase,Google Scholar和Cochrane的研究.
- 包括的研究评估了在复苏期间的脊柱固定,并报告了神经学缺陷,死亡率和停留时间等临床结果.
主要成果:
- 审查了九项研究,比较了固定和非固定患者.
- 不动化与更高的死亡率,更长的重症监护室 (ICU) 停留时间 (LOS) 和增加的神经缺陷有关.
- 仅仅固定运动就与间接的神经损伤和较差的功能结果有关.
结论:
- 在创伤复苏中脊柱不动化与神经损伤,死亡率和长时间的ICU-LOS风险增加有关.
- 需要进一步的研究,以建立强有力的证据支持脊柱固定指南.
- 在创伤患者中,最优的固定方法和时间需要进一步研究.
相关概念视频
01:26Flail Chest-II
174
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
174
01:27Fractures: Bone Repair
3.2K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.2K