Publications by authors named "H Spivak"
Article Synopsis
- Venovenous extracorporeal membrane oxygenation (VV ECMO) is used for severe acute respiratory distress syndrome and has recently been applied to trauma patients with lung injuries; the study compares survival outcomes of these two groups.
- The study analyzed data from 516 patients (438 nontrauma and 78 trauma) over eight years, revealing that trauma patients generally had poorer health indicators but similar survival rates compared to nontrauma patients.
- The results showed that trauma patients experienced shorter ECMO durations, more severe conditions before treatment, but managed a comparable survival rate to those without trauma, suggesting effectiveness in trauma care with VV ECMO.
Background: Sleeve gastrectomy (SG) remains the most performed bariatric surgery. As numbers of SG increase, so do the numbers of patients requiring conversion for insufficient weight loss or weight regain. However, the literature has cited complication rates as high as 30% for reoperative bariatric surgery.
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- Surgical stabilization of rib fractures (SSRF) leads to lower mortality but is associated with a higher risk of infectious complications compared to epidural analgesia (EA).
- A retrospective study analyzed data from 2,252 patients undergoing SSRF and 1,299 receiving EA, finding that SSRF patients tended to be younger but had higher rates of sepsis and specific infections like VAP, CAUTI, and CLABSI.
- Although patients who underwent SSRF showed increased odds of developing complications, the overall mortality and length of hospital stay were similar between the two treatment groups.