AI Article Synopsis
- High-pressure injection injuries to the hand are rare but severe, prompting a study that analyzed ten patients from 2005-2018 to identify prognostic factors, treatment strategies, and evaluation methods.
- The study involved assessing for compartment syndrome and performing necessary procedures like fasciotomy and debridement within a critical timeframe, with importance placed on evaluating WBC and neutrophil levels pre- and post-operatively.
- Findings suggest that while aggressive debridement is essential for recovery, complete tissue cleaning from harmful injected substances may not be feasible, and monitoring WBC and neutrophil levels could indicate the effectiveness of the treatment despite the rarity of such cases.
Article Abstract
Background: High-pressure injection injuries of the hand are rare severe injuries. This study aimed to present a retrospective analysis of current and possible prognostic factors, treatment modalities and evaluation criteria.
Methods: Ten patients who had high-pressure injection injury to their upper extremity between 2005-2018 were included in this study. All patients were evaluated for the compartment syndrome; if exists fasciotomy and wide debridement were performed. After the first debridement, the second debridement was considered within the first 24 hours.
Results: In this study, 10 patients (mean age: 30) were evaluated retrospectively. The injected materials were the animal vaccine, thinner, oil, diesel, water, plastic and paint. Preoperative and postoperative mean WBC levels were 14.73 K/µL and 9.62 K/µL, respectively. Preoperative and postoperative mean neutrophil levels were 11.4 K/µL and 6.49 K/µL, respectively.
Conclusion: Early and serial debridement and compartment syndrome evaluation are required. Despite these cautions, amputation may occur. Material, injection force and the time elapsed are the main determinants in prognosis. Aggressive debridement is required in high-pressure injection injuries. However, the adequacy of debridement should be evaluated because it is mostly impossible to completely clean the tissue from diesel or thinner. According to the experience of 10 cases in our series, when clinical and macroscopic debridement adequacy was observed, a decrease in WBC and neutrophil levels was observed simultaneously. For this reason, WBC and neutrophil levels may be an indicator of the adequacy of debridement, although these injuries are very rare, larger series are needed for this interpretation.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.14744/tjtes.2020.26751 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Impact of Pressure and Gas/Oil Ratios (GORs) on the Optimal Parameters for Surfactant Formulations in Chemical EOR: Experimental Study.
ACS Omega
December 2024
Petroleum Engineering Department, King Fahd University of Petroleum & Minerals, Dhahran 31261,Saudi Arabia.
Article Synopsis
- The study focuses on how surfactants can improve oil recovery by reducing interfacial tension between crude oil and injected water, particularly under high-pressure and high-temperature (HPHT) conditions.
- It found that as pressure increases and gas/oil ratios (GOR) rise, water solubilization in microemulsions increases significantly, while oil solubilization decreases.
- The research established optimal salinity levels for different GORs, demonstrating that higher GOR values lead to lower optimal salinity and reduced microemulsion generation, which is crucial for enhancing oil recovery practices in the petroleum industry.
Heterogeneity and permeability estimation of pore-throat structure at different scales in deep tight sandstone reservoirs: A case study of Paleogene Hetaoyuan Formation in Anpeng area, Nanxiang Basin, China.
PLoS One
December 2024
School of Geoscience and Technology, Southwest Petroleum University, Chengdu, China.
Clarifying the pore-throat size and pore size distribution of tight sandstone reservoirs, quantitatively characterizing the heterogeneity of pore-throat structures, is crucial for evaluating reservoir effectiveness and predicting productivity. Through a series of rock physics experiments including gas measurement of porosity and permeability, casting thin sections, scanning electron microscopy, and high-pressure mercury injection, the quality of reservoir properties and microscopic pore-throat structure characteristics were systematically studied. Combined with fractal geometry theory, the effects of different pore throat types, geometric shapes and scale sizes on the fractal characteristics and heterogeneity of sandstone pore throat structure are clarified.
View Article and Find Full Text PDFResearch on efficient numerical simulation method for integration fracking with production in shale oil reservoir with multi-source data.
Sci Rep
December 2024
School of Petroleum Engineering, Xi'an Shiyou University, Xi'an, 710065, China.
Horizontal well hydraulic fracturing technology has significantly enhanced the productivity of shale reservoirs. However, our understanding of the expansion patterns within the complex fracture network and fluid seepage mechanisms under field conditions remains inadequate. Here, this work develops a dynamic geomechanical (DG) model to simulate the complete sequence of operations in hydraulic fracturing.
View Article and Find Full Text PDFSTING modulates HBV-related acute-on-chronic liver failure by mediating autophagy and macrophage polarization.
Immunobiology
December 2024
Department of Clinical Laboratory, Second Affiliated Hospital of Anhui Medical University, No. 678, Furong Road, Hefei 230601, Anhui, China. Electronic address:
Background & Aims: HBV-related acute-on-chronic liver failure (HBV-ACLF) is a severe acute liver injury secondary to HBV-related chronic liver disease (with or without cirrhosis) and is characterized by a high short-term mortality rate. Presently, there is a paucity of experimental models that specifically focus on HBV-ACLF based on chronic hepatitis B. Therefore, this study aimed to establish an experimental mouse model of HBV-ACLF using chronic hepatitis B (CHB) as a basis and investigate the impact of STING activation on the disease.
View Article and Find Full Text PDFSurface wettability governs brine evaporation and salt precipitation during carbon sequestration in saline aquifers: Microfluidic insights.
Sci Total Environ
December 2024
Faculty of Drilling, Oil and Gas, AGH University of Krakow, al. Mickiewicza 30, 30-059, Krakow, Poland.
Carbon sequestration in deep saline aquifers is a promising strategy for reducing atmospheric CO emissions. However, salt precipitation triggered by the evaporation of formation brine into injected supercritical CO can cause injectivity and containment issues in near-wellbore regions. Predicting the distribution of precipitated salts and their impact on near-wellbore properties remains challenging.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!