conclusions appropriate surgical stabilization can be safely performed during established post-traumatic hypoxemia using a multidisciplinary approach, continuous monitoring, and serial investigations to diagnose fulminant pathology and associated injuries. results a total of 31 adults (26 males and 5 females) with lis of 0.1 to 2.5 (26 patients) and > 2.5 (five patients) at admission were recru...

BACKGROUND Post-traumatic hypoxemia can deteriorate during operative manipulations. OBJECTIVES In the present study, criteria-based approach was applied to determine optimum conditions for femur surgery. The aim of this study was to optimize perioperative management of post-traumatic hypoxemia. PATIENTS AND METHODS In this prospective observational study, post-traumatic adults with PaO2 < 7...

We describe the case of a 57-year-old man with severe refractory hypoxemia, despite receiving ventilation therapy with 100% oxygen, following a gunshot wound to his left chest. A limited CT scan of the chest with contrast raised the suspicion of an arteriovenous (AV) fistula. Contrast-enhanced transthoracic echocardiography confirmed the presence of a pulmonary AV fistula. Traumatic pulmonary A...

OBJECTIVE This study estimates the prevalence of injured patients requiring prehospital supplemental oxygen based on existing recommendations, and determines whether actual use exceeds those recommendations. PATIENTS AND METHODS Prehospital oxygen use and continuous peripheral oxygen saturation measurements were prospectively collected on a purposive sample of injured civilians transported to...

INTRODUCTION The relationship between hyperoxemia and outcome in patients with traumatic brain injury (TBI) is controversial. We sought to investigate the independent relationship between hyperoxemia and long-term mortality in patients with moderate-to-severe traumatic brain injury. METHODS The Finnish Intensive Care Consortium database was screened for mechanically ventilated patients with a...

Extracorporeal carbon dioxide removal (ECCO2R) permits reductions in alveolar ventilation requirements that the lungs would otherwise have to provide. This concept was applied to a case of hypercapnia refractory to high-level invasive mechanical ventilator support. We present a case of an 18-year-old man who developed post-pneumonectomy acute respiratory distress syndrome (ARDS) after resection...

Background: Hypoxemia is a frequent complication after general anesthesia. It usually takes longer to recover in individuals with respiratory problems. Bakers may suffer from respiratory problems such as asthma. The objective of this study was to compare the occurrence of hypoxemia and duration of supplemental oxygen administration during recovery from general anesthesia in bakers and smokers. ...

BACKGROUND Severe traumatic brain injury (TBI) is a significant health concern and a major burden for society. The period between trauma event and hospital admission in an emergency department (ED) could be a determinant for secondary brain injury and early survival. The aim was to investigate the relationship between prehospital factors associated with secondary brain injury (arterial hypotens...