Has Current French Training for Military Orthopedic Surgeons Deployed in External Operations Been Appropriately Adapted?
Discussion: The large variety and technical nature of the performed operations requires the training of highly qualified military orthopedic surgeons with both experience in war surgery and management of after-effects and complications. Orthopedists are also required to carry out procedures dealing with neurosurgery, general, and/or vascular surgery on missions. These data highlight the complexity of military surgeons' training along with the hyper-specialization of the civilian medical world. For more than 10 yr, French military surgeons have benefited from a training program called ACDS to meet these objectives. This initial training seems to be appropriated adapted in view of the managed pathologies. PMID: 29547944 [PubMed - as supplied by publisher]
CONCLUSIONS: The current protocol for rnTMS for language mapping identified language-negative sites with good dependability but was unable to reliably detect language-positive spots. Further refinements of the technique will be needed to establish rnTMS language mapping as a useful clinical tool. PMID: 32470943 [PubMed - as supplied by publisher]
CONCLUSIONS: Length of stay, direct cost per case, and ICU days were significantly less after the adoption of the STP, and ICU bed utilization was freed for acute admissions and transfers. There were no substantial complications or adverse patient outcomes in the STP group. PMID: 32470928 [PubMed - as supplied by publisher]
Publication date: June 2020Source: Journal of Hospital Infection, Volume 105, Issue 2Author(s): D. Zhang, H. Zhuo, G. Yang, H. Huang, C. Li, X. Wang, S. Zhao, J. Moliterno, Y. Zhang
Publication date: September 2020Source: Interdisciplinary Neurosurgery, Volume 21Author(s): Thomas Wychowski, A. James Fessler, Jacob Nadler, Nimish Mohile, Benjamin H. Brinkmann, Gregory A. Worrell, Kevin Walter, Gretchen L. Birbeck
CONCLUSIONS: ISs and ADs, while commonly observed during intraoperative stimulation for brain mapping, do not negatively affect patient outcomes. PMID: 32442979 [PubMed - as supplied by publisher]
Cranio/Sculpt C, 10cc, Bone Void Filler, UDI: 00813845021129 - Product Usage: CRANIO/SCULPT C is a calcium phosphate bone void filler indicated for the repair or filling of neurosurgical burr holes, other cranial bone defects and craniotomy cuts with a surface area no larger than 25cm2. CRANIO/SCULPT C may be used in the restoration or augmentation of bony contours of the cranial bone skeleton.
Conclusion Comatose patients with suspected multiple injuries should only be admitted to hospitals with a continuous neurosurgical service because intracranial operations are more frequent in the first 48 hours than extracranial operations. Depending on the neurologic status of the patient, an urgent surgical decompression may be essential for a good outcome. The GCS alone is not a sufficient tool for the neurologic assessment and the prognosis of patients with multiple injuries. The onset of clinical signs of brainstem dysfunction indicates a critical deterioration of the functioning of the central nervous sys...
Publication date: September 2020Source: Interdisciplinary Neurosurgery, Volume 21Author(s): Abiodun Idowu Okunlola, Olakunle Fatai Babalola, Cecilia Kehinde Okunlola, Akinola Akinmade, Paul Abiola, Tesleem Olayinka Orewole
Abstract We emulated instances of open traumatic brain injuries (TBI) happened in a maritime disaster. New Zealand rabbit animal models were used to evaluate the pathophysiological changes in open TBI with and without the influence of artificial seawater. New Zealand rabbits were randomly divided into 3 groups. Control group consisted of only normal animals. Animals in TBI and TBI+Seawater groups underwent craniotomy with dura mater incised and brain tissue exposed to free-fall impact. Afterward, only TBI+Seawater group received on-site artificial seawater infusion. Brain water content (BWC) and permeability of bl...
Abstract Mass evacuation with decompressive craniotomy is considered a standard intervention for acute subdural hematoma (ASDH). However, hemispheric swelling complicates the intraoperative and postoperative management of ASDH patients, and previous studies have revealed that this approach can damage ischemic/reperfusion (I/R) injury. Few studies have focused on the cerebrovascular response following traumatic brain injury (TBI). To characterize the relative cerebral blood flow (rCBF) before and after removal of the hematoma, rats were injured by a subdural infusion of 400 μL of venous blood or paraffin oil. MR...