Resuscitative Thoracotomy: An Update

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Resuscitative Thoracotomy: An Update.

BACKGROUND Resuscitative thoracotomy is a heroic procedure that may offer the only survival hope for trauma patients in extremis. However, this operation has been the subject of much debate and its use, feasibility, outcomes, and cost are being continuously re-evaluated. METHODS This is a review of the most current (after 2000) literature on resuscitative thoracotomy, based on computer databa...

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Resuscitative thoracotomy following wartime injury.

BACKGROUND The evidence for resuscitative thoracotomy (RT) in trauma patients following wartime injury is limited; its indications and timings are less defined in battle injury. The aim of this study was to analyze survival as well as the causes and times of death in patients undergoing RT within the context of modern battlefield resuscitation. METHODS A retrospective cohort study was perform...

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Training non-surgeons to perform resuscitative thoracotomy

Professor Moritz Schiff, a distinguished 19th century physiologist, provided the first description of thoracotomy, open cardiac massage and aortic compression for the resuscitation of cardiac arrest in 1874 [1] . In 1896, Ludwig Rehn performed the first successful thoracotomy, pericardotomy and cardiac wound repair on a young man dying from cardiac tamponade following a right ventricle stab wou...

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Implementation of resuscitative endovascular balloon occlusion of the aorta as an alternative to resuscitative thoracotomy for noncompressible truncal hemorrhage.

BACKGROUND Hemorrhage remains the leading cause of death in trauma patients. Proximal aortic occlusion, usually performed by direct aortic cross-clamping via thoracotomy, can provide temporary hemodynamic stability, permitting definitive injury repair. Resuscitative endovascular balloon occlusion of the aorta (REBOA) uses a minimally invasive, transfemoral balloon catheter, which is rapidly ins...

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Western Trauma Association critical decisions in trauma: resuscitative thoracotomy.

BACKGROUND In the past three decades, there has been a significant clinical shift in the performance of resuscitative thoracotomy (RT), from a nearly obligatory procedure before declaring any trauma patient deceased to a more selective application of RT. We have sought to formulate an evidence-based guideline for the current indications for RT after injury in the patient. METHODS The Western ...

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ژورنال

عنوان ژورنال: Scandinavian Journal of Surgery

سال: 2014

ISSN: 1457-4969,1799-7267

DOI: 10.1177/1457496913514735