منابع مشابه
C-clamp and pelvic packing for control of hemorrhage in patients with pelvic ring disruption
BACKGROUND Exsanguinating hemorrhage is the major cause of death in patients with pelvic ring disruption. AIMS The aim of this study was to document outcomes after the stabilization of pelvic ring injuries by a C-clamp and control of hemorrhage by pelvic packing. Physiological parameters were tested as prognostic factors. SETTING AND DESIGN This was a retrospective study at a level I trauma...
متن کاملEfficacy of extra-peritoneal pelvic packing in hemodynamically unstable pelvic fractures, a Propensity Score Analysis
BACKGROUND An option for emergency control of pelvic hemorrhage is Extra-peritoneal Pelvic Packing (EPP), which addresses the retroperitoneal source of exsanguination in pelvic fractures. The aim of this study was to demonstrate the efficacy of early EPP in reducing mortality due to hemorrhage from pelvic fractures, and to evaluate the impact of packing on transfusion requirements within the fi...
متن کاملPelvic ring injuries with haemodynamic instability: efficacy of pelvic packing, a systematic review.
OBJECTIVE To assess the role of pelvic packing as an emergency therapeutic intervention in pelvic fractures with concomitant haemodynamic instability. METHODS A systematic review of the literature in English from the past two decades yielded only three eligible studies. Clinical and methodological heterogeneity across the component studies was assessed by careful recording of certain descript...
متن کاملControlling hemorrhage in exsanguinating pelvic fractures: Utility of extraperitoneal pelvic packing as a damage control procedure
INTRODUCTION Exsanguinating pelvic fractures are still associated with a significant mortality rate of 28-60%. Extraperitoneal pelvic packing (EPP) has been proposed as an optimal method of early haemorrhage control. The aim of this study was to determine the effect of EPP compared with angioembolization as a primary intervention for patients with exsanguinating pelvic fracture. METHOD A pros...
متن کامل[Patients with hemodynamic unstable pelvic fractures in extremis: pelvic packing or angiography?].
The multidisciplinary management of patients with pelvic trauma has improved prognosis, but mortality is still very high. The appropriate treatment strategy remains controversial, especially regarding the control of bleeding in patients whose clinical situation is extreme by using angiography or pelvic packing. We propose using a tool of evidence-based medicine (CAT) the benefit of the completi...
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ژورنال
عنوان ژورنال: Journal of Visceral Surgery
سال: 2013
ISSN: 1878-7886
DOI: 10.1016/j.jviscsurg.2013.07.004