Publications by authors named "Jordan Lilienstein"
Background: Wastage concerns are a barrier to adopting whole blood (WB) therapy in trauma patients. Converting aging WB to red blood cell units (RBCs) may minimize wastage.
Methods: Blood bank records for WB and standard blood products were retrospectively reviewed at a level 1 trauma center from 8/2020 - 3/2023.
Background: Autotransfusion (AT) in trauma laparotomy is limited by concern that enteric contamination (EC) increases complications, including infections. Our goal was to determine if AT use increases complications in trauma patients undergoing laparotomy with EC.
Methods: Trauma patients undergoing laparotomy from October 2011-November 2020 were reviewed.
Background: Mortality in hypotensive patients requiring laparotomy is reported to be 46% and essentially unchanged in 20 years. Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been incorporated into resuscitation protocols in an attempt to decrease mortality, but REBOA can have significant complications and its use in this patient group has not been validated. This study sought to determine the mortality rate for hypotensive patients requiring laparotomy and to evaluate the mortality risk related to the degree of hypotension.
View Article and Find Full Text PDFBackground: Base Deficit (BD) and lactate have been used as indicators of shock and resuscitation. This study was done to evaluate the utility of BD and lactate in identifying shock and resuscitative needs in trauma patients.
Methods: A prospective observational study was performed from 3/2014-12/2018.
Background: Post-extubation stridor is an uncommon complication in medical intensive care units (ICUs) but has not been well studied in trauma patients. We sought to determine the incidence of reintubation due to stridor in trauma patients and describe associated risk factors.
Methods: A retrospective review of all intubated trauma patients was performed.