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Analysis of risk factors for poor healing and long-duration pain in conservative treatment of rib fractures.
Medicine (Baltimore)
December 2024
Department of Ultrasound, Peking University First Hospital - MiYun Hospital, Beijing, China.
Rib fractures are a common injury following blunt chest trauma, accounting for approximately 10% of all traumatic injuries and up to 50% of blunt chest trauma cases. These fractures are associated with a high risk of complications, such as pneumothorax, hemothorax, and pulmonary infections, and can significantly impact respiratory function. This study analyzes the risk factors for poor healing and long-duration pain in the conservative treatment of rib fractures, providing a reference for clinicians in choosing conservative treatment and formulating treatment plans.
View Article and Find Full Text PDFInterstitial lipoid pneumonia-A complication of intravenous administration of lipid emulsions in critically ill patients.
Virchows Arch
December 2024
Department of Pathology, VU University Medical Center, Room 0E48, De Boelelaan 1117 1081 HV, Amsterdam, The Netherlands.
Lipoid pneumonia is a rare entity most often associated with inhalation of foreign material (i.e. "fire-eater's lung"), silicone injection, and severe trauma.
View Article and Find Full Text PDFPrehospital Trauma Compendium: Vasopressors in Trauma - a Position Statement and Resource Document of NAEMSP.
Prehosp Emerg Care
December 2024
Department of Emergency Medicine, North Memorial Health Level I Trauma Center, Minneapolis, Minnesota.
Acutely injured trauma patients may develop shock from several potential mechanisms, including hypovolemic shock from hemorrhage, neurogenic shock from traumatic brain injury (TBI) or spinal cord injury, obstructive shock from tension pneumothorax or pericardial tamponade, or a mix of several of these mechanisms. Regardless of the cause, restoration of adequate perfusion is of critical importance to reduce the morbidity and mortality of trauma patients with shock. Multiple interventions including hemorrhage control, volume resuscitation with intravenous fluids or blood products, and pleural decompression procedures are used to address some of these issues and are discussed elsewhere in the trauma compendium.
View Article and Find Full Text PDFFDG PET/CT Performed Prior to CT-Guided Percutaneous Biopsy of Lung Masses is Associated With an Increased Diagnostic Rate and Often Identifies Alternate Safer Sites to Biopsy.
Can Assoc Radiol J
December 2024
Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, AB, Canada.
To determine the benefit of a FDG PET/CT scan prior to CT-guided lung biopsy on the rate of diagnosis, rate of complication, and the identification of potentially safer biopsy sites. This retrospective observational cross-sectional study evaluated consecutive adult patients who underwent CT-guided lung biopsy in 2020 or 2021 at 2 Canadian tertiary care hospitals. These patients were grouped into those that had PET/CT performed within 8 weeks prior to biopsy, within 8 weeks after biopsy, or no PET/CT scan within this time frame.
View Article and Find Full Text PDFIdentifying Risk Factors Associated With False-Negative Results in US-Guided Percutaneous Transthoracic Needle Lung Biopsy of Subpleural Pulmonary Lesions.
Thorac Cancer
December 2024
Department of Ultrasonography, Shanghai Pulmonary Hospital of Tongji University School of Medicine, Shanghai, China.
Background: This study aims to investigate the factors influencing false-negative results in ultrasound-guided percutaneous transthoracic needle lung biopsy results (US-PTLB).
Materials And Methods: This ambispective cohort study included patients with subpleural pulmonary lesions who underwent US-PTLB with benign pathological findings between April 2017 and June 2022 (retrospective cohort) and between July 2022 and October 2022 (prospective cohort). In the retrospective cohort, comparative and logistic regression analyses were performed to identify independent risk factors for false-negative biopsy results.
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