Publications by authors named "O M Guillamondegui"
Introduction: The AUA recommends delayed-phase imaging (DPI) in renal injuries to evaluate the collecting system. A renal trauma imaging protocol for early conservative management of urinary extravasation (UE) was implemented to improve guideline adherence. We aimed to determine if increased adherence led to changes in outcomes.
View Article and Find Full Text PDFBackground: Laparoscopic subtotal cholecystectomy (SC) is used for the difficult cholecystectomy, but published experience with resource use for SC is limited. We hypothesized that the need for advanced resources are common after SC.
Study Design: This was a retrospective review of laparoscopic cholecystectomies between 2017 and 2021 at a large center.
Background: Alcohol withdrawal syndrome (AWS) is associated with increased morbidity and mortality in the trauma population. Benzodiazepines (BZDs) are standard of care for AWS; however, given the risk of delirium with BZDs and reports of BZD-refractory withdrawal, phenobarbital (PHB) has emerged as an alternative therapy for AWS. Safety and efficacy studies of PHB for AWS in trauma patients are lacking.
View Article and Find Full Text PDFArticle Synopsis
- Prehospital tourniquets are standard for trauma patients with limb vascular injuries, but their use can lead to vasospasm, which complicates imaging results like computed tomography angiography (CTA).
- A study was conducted on 251 trauma patients with tourniquets in a Level 1 Trauma Center, where it was found that 45% of those who had a CTA showed false positive results for arterial injuries.
- Despite investigating correlations, factors like the timing of tourniquet removal didn't significantly influence false positives, while female patients and vasospasm were noted as contributing factors.
Background: Frequent neurological examinations in patients with traumatic brain injury (TBI) disrupt sleep-wake cycles and potentially contribute to the development of delirium.
Objective: To evaluate the risk of delirium among patients with TBI with respect to their neuro-check frequencies.
Methods: A retrospective study of patients presenting with TBI at a single level I trauma center between January 2018 and December 2019.