Publications by authors named "B van den Burg"
Article Synopsis
- The study investigates the impact of platelet transfusions on mortality in trauma patients experiencing massive bleeding.
- Data collected from Dutch trauma centers showed that patients receiving a higher platelet to red blood cell (RBC) ratio had significantly lower mortality rates within 6 and 12 hours compared to those receiving lower ratios or no platelets.
- The findings suggest that higher platelet ratios, along with better plasma:RBC ratios, may lead to improved survival outcomes in these patients, though the ideal transfusion strategy is still uncertain.
Article Synopsis
- The study investigates the use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) to manage severe abdominal bleeding by finding standardized catheter insertion lengths, aimed at improving practices in emergencies without x-ray guidance.
- By analyzing CT scans of 1354 non-trauma patients, researchers established that catheter insertion distances vary based on age and sex, with males generally needing longer insertions.
- Results showed optimal catheter lengths of 430 mm for zone I and varied lengths (234-264 mm) for zone III, highlighting significant anatomical differences that could impact emergency interventions.*
In the Netherlands the primary care (General Practitioner or homecare nurse) encounter a variety of wounds ranging from traumatic to diabetic foot ulcers. According to a recent study 82.4% of the patients with a wound can be treated in a primary setting with the GP as medical supervisor.
View Article and Find Full Text PDFLate and persistent type II endoleaks (EL2) following Endovascular Aneurysm Repair (EVAR) have been recognized as an independent and significant risk factor for aneurysm sac growth and secondary procedures. Solutions are available for treatment, with varying success rates; preventive perioperative sac embolization with coils appears safe and effective. The objective of this study is to compare whole blood coagulation elicited by a textile stent-graft equipped with thrombogenic, patented "Kardiozis" fibers (PKF) to that elicited by embolization coils in an in vitro study.
View Article and Find Full Text PDFThe haemostatic effect of deep-frozen platelets versus room temperature-stored platelets in the treatment of surgical bleeding: MAFOD-study protocol for a randomized controlled non-inferiority trial.
Trials
September 2022
Background: The Netherlands Armed Forces have been successfully using deep-frozen (- 80 °C) thrombocyte concentrate (DTC) for the treatment of (massive) bleeding trauma patients in austere environments since 2001. However, high-quality evidence for the effectiveness and safety of DTCs is currently lacking. Therefore, the MAssive transfusion of Frozen bloOD (MAFOD) trial is designed to compare the haemostatic effect of DTCs versus room temperature-stored platelets (RSP) in the treatment of surgical bleeding.
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