Publications by authors named "B R Goslin"
Background: Surgical stabilization of rib fractures (SSRF) has demonstrated benefit in patients with flail chest and multiple displaced fractures. There is mounting evidence for SSRF following chest wall injury (CWI) for the geriatric trauma population. A recent multi-center retrospective study highlighted a mortality benefit even for those patients aged 80 years and older.
View Article and Find Full Text PDFSurgical stabilization of severe chest wall injury following cardiopulmonary resuscitation.
J Trauma Acute Care Surg
January 2022
Article Synopsis
- Cardiopulmonary resuscitation (CPR) can cause significant chest wall injuries, which may benefit from surgical stabilization of rib fractures (SSRF), especially in patients with severe injuries, as shown by a study of patients treated post-CPR.
- A review of five male patients who underwent SSRF from 2019 to 2020 revealed they all required invasive ventilation, with a mean age of 59, and most had flail chest injuries; they experienced varied hospital stays.
- Post-surgery, patients showed no hardware complications, and while two developed pneumonia, no deaths occurred within 30 days, suggesting that SSRF can be a viable option for improving outcomes after CPR-related chest injuries
Severe chest wall injury following trauma is a significant contributing factor to respiratory failure and need for mechanical ventilation in multiply injured patients. Surgical stabilization of rib fractures (SSRF) is increasingly considered to be advantageous in this population. Surgical stabilization has been shown to improve multiple outcomes including ventilator avoidance, liberation from mechanical ventilation, and diminished pulmonary complications in the trauma population, particularly when performed early.
View Article and Find Full Text PDFObjectives: Reports on the use of endoscopic ultrasound (EUS) in differentiating benign, premalignant, and malignant pancreatic lesions have been widely variable, particularly with cystic neoplasms. We evaluated the use of EUS for cystic pancreatic lesions in a community hospital setting.
Methods: All patients who underwent EUS for cystic pancreatic neoplasms from 2007 to 2010 were reviewed.
Background And Objectives: We examined patients with clinical findings that are concerning for gallbladder malignancy to determine the incidence of pathology-confirmed malignancy and to discover factors that may be used to determine which patients may be initially treated with a laparoscopic approach.
Methods: All patients referred to a surgical oncologist with preoperative findings that are concerning for gallbladder malignancy who had not undergone previous surgical resection from 2005 to 2011 were reviewed. Variables collected included demographics, imaging, operative findings, and final pathology.