Publications by authors named "Michael F Ditillo"
Background: Guidelines for management of intracranial hemorrhage do not account for bleed location. We hypothesize that parafalcine subdural hematoma (SDH), as compared to convexity SDH, is a distinct clinical entity and these patients do not benefit from critical care monitoring or repeat imaging.
Methods: We identified patients presenting to a single level I trauma center with isolated head injuries from February 2016 to August 2017.
Article Synopsis
- Therapeutic hypothermia (TH) and targeted temperature management (TTM) can improve neurological outcomes in cardiac arrest survivors, but previous studies largely omitted trauma and surgical patients.
- A study examined the safety of TH/TTM in patients with traumatic or postoperative cardiac arrest, finding a cohort of 32 adults treated with either TH (33°C) or TTM (36°C), and assessed their recovery.
- Complications were noted in some patients, but overall survival to discharge was 41%, with all survivors showing favorable neurological recovery, suggesting TH/TTM may be safe for trauma and surgical patients.
Background: Thoracolumbar spine (TLS) injuries have an incidence rate of 5% in blunt trauma patients. The Eastern Association for the Surgery of Trauma published Practice Management Guidelines for the Screening of Thoracolumbar Spine Fracture in 2007. The Practice Management Guidelines Committee was assembled to reevaluate the literature.
View Article and Find Full Text PDFBackground: Airway pressure release ventilation (APRV) is used both as a rescue therapy for patients with acute lung injury and as a primary mode of ventilation. Unlike assist-control volume (ACV) ventilation that uses spontaneous breathing trials, APRV weaning consists of gradual decreases in supporting pressure. We hypothesized that the APRV weaning process increases total ventilator days compared with those of spontaneous breathing trials-based weaning.
View Article and Find Full Text PDFObjective: To examine whether delayed surgical intervention in adult patients with acute appendicitis is safe by correlating the interval from onset of symptoms to operation (total interval) with the degree of pathology and incidence of postoperative complications.
Summary Background Data: Prompt appendectomy has long been the standard of care for acute appendicitis because of the risk of progression to advanced pathology. This time-honored practice has been recently challenged by studies in pediatric patients, which suggested that acute appendicitis can be managed in an elective manner once antibiotic therapy is initiated.