The Degree of Aortic Occlusion in the Setting of Trauma Alters the Extent of Acute Kidney Injury Associated with Mitochondrial Preservation
Am J Physiol Renal Physiol. 2024 Mar 7. doi: 10.1152/ajprenal.00323.2023. Online ahead of print.ABSTRACTResuscitative endovascular balloon occlusion of the aorta (REBOA) is used to control non-compressible hemorrhage not addressed with traditional tourniquets. However, REBOA is associated with acute kidney injury (AKI) and subsequent mortality in severe trauma patients. Herein, we investigated how the degree of aortic occlusion alters AKI in a porcine model. Female Yorkshire-cross swine (n=16, 68.1±0.7Kg) were anesthetized, and had carotid and bilateral femoral arteries accessed for REBOA insertion and distal and proximal...
Source: Am J Physiol Renal P... - March 7, 2024 Category: Urology & Nephrology Authors: Biebele Abel John Mares Justin Hutzler Babita Parajuli Lalitha Kurada Joseph M White Brandon W Propper Ian J Stewart David M Burmeister Source Type: research
The Degree of Aortic Occlusion in the Setting of Trauma Alters the Extent of Acute Kidney Injury Associated with Mitochondrial Preservation
Am J Physiol Renal Physiol. 2024 Mar 7. doi: 10.1152/ajprenal.00323.2023. Online ahead of print.ABSTRACTResuscitative endovascular balloon occlusion of the aorta (REBOA) is used to control non-compressible hemorrhage not addressed with traditional tourniquets. However, REBOA is associated with acute kidney injury (AKI) and subsequent mortality in severe trauma patients. Herein, we investigated how the degree of aortic occlusion alters AKI in a porcine model. Female Yorkshire-cross swine (n=16, 68.1±0.7Kg) were anesthetized, and had carotid and bilateral femoral arteries accessed for REBOA insertion and distal and proximal...
Source: American Journal of Physiology. Renal Physiology - March 7, 2024 Category: Physiology Authors: Biebele Abel John Mares Justin Hutzler Babita Parajuli Lalitha Kurada Joseph M White Brandon W Propper Ian J Stewart David M Burmeister Source Type: research
Successful management of a thoracoabdominal impalement injury
S Afr J Surg. 2023 Nov;61(4):51-52.ABSTRACTA 63-year-old female presented to the hospital with a history of alleged accidental fall onto a rusted iron rod. She was hypotensive but stable. Cooling of the rod while cutting the protruding part was performed as per basic trauma life support (BTLS) access. Following resuscitation, she was re-evaluated clinically and radiologically, and prepared for surgery. The iron rod trajectory was shown on computed tomography (CT) scan to be entering through the left popliteal fossa, then traversing the abdominal cavity with injury to the descending colon and the left dome of the diaphragm....
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: A J Philip D V Sneha N Theckumparampil S Jagdish Source Type: research
Small bowel metastasis from embryonal rhabdomyosarcoma of the extremity- a case report
We report an unusual case of ileal metastases from an upper extremity rhabdomyosarcoma in a 17-year-old male who presented with abdominal pain during a routine follow-up visit. Laparotomy and ileocecectomy for a perforated ileal mass confirmed metastatic embryonal rhabdomyosarcoma with 1 out of 14 positive lymph node metastases. This case demonstrates that, although rare, intra-abdominal metastases should be considered when patients with a rhabdomyosarcoma present with abdominal complaints.PMID:38450697 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: P Joubert M Mihalik Source Type: research
Successful management of a thoracoabdominal impalement injury
S Afr J Surg. 2023 Nov;61(4):51-52.ABSTRACTA 63-year-old female presented to the hospital with a history of alleged accidental fall onto a rusted iron rod. She was hypotensive but stable. Cooling of the rod while cutting the protruding part was performed as per basic trauma life support (BTLS) access. Following resuscitation, she was re-evaluated clinically and radiologically, and prepared for surgery. The iron rod trajectory was shown on computed tomography (CT) scan to be entering through the left popliteal fossa, then traversing the abdominal cavity with injury to the descending colon and the left dome of the diaphragm....
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: A J Philip D V Sneha N Theckumparampil S Jagdish Source Type: research
