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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10156522 | PMC |
| http://dx.doi.org/10.5847/wjem.j.1920-8642.2023.051 | DOI Listing |
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Current advances in neurocritical care.
J Intensive Med
January 2025
Department of Critical Care Medicine, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
This review summarizes the current research advances and guideline updates in neurocritical care. For the therapy of ischemic stroke, the extended treatment time window for thrombectomy and the emergence of novel thrombolytic agents and strategies have brought greater hope for patient recovery. Minimally invasive hematoma evacuation and goal-directed bundled management have shown clinical benefits in treating cerebral hemorrhage.
View Article and Find Full Text PDFEmphysematous pyelonephritis with rare and severe iliac vascular complications: a case report and review.
Front Med (Lausanne)
January 2025
Department of Urology, Second People's Hospital of Yichang, Second People's Hospital of China Three Gorges University, Yichang, China.
Emphysematous pyelonephritis (EPN) is a rare but severe necrotizing infection often associated with diabetes, ureteral obstruction, and gas production in the renal parenchyma and perinephric area. This report describes a 54-year-old man with type 2 diabetes who presented with right lumbar pain and was diagnosed with EPN complicated by right ureteral calculi and perinephric gas accumulation. Despite initial improvement with fluid resuscitation, antibiotics, and drainage, inadequate blood glucose control led to a worsening of the infection, eventually involving the psoas major muscle and iliac vessels.
View Article and Find Full Text PDFWestern Trauma Association critical decisions in trauma: Damage-control resuscitation.
J Trauma Acute Care Surg
February 2025
From the Department of Surgery, Division of Acute Care Surgery, University of Florida College of Medicine (C.A.C.), Gainesville, Florida; Methodist Dallas Medical Center (M.L.), Dallas, Texas; Department of Surgery, Loma Linda University School of Medicine (R.C.), Loma Linda, California; Department of Surgery, Division of Trauma, Acute Care & Critical Care Surgery, Tulane University School of Medicine (J.C.D.), New Orleans, Louisiana; Department of Surgery, Division of Vascular Surgery, University of Maryland School of Medicine (C.F.), Baltimore, Maryland; University of Kansas Medical Center (J.H.), Kansas City, Kansas; Department of Surgery, Division of Emergency General Surgery and Acute Care Surgery, University of Alabama at Birmingham (J.B.H.), Birmingham, Alabama; Department of Surgery, Division of Trauma and Acute Care Surgery, University of Alabama (J.B.H.), Bethesda, Maryland; Department of Surgery, Division of Trauma, Surgical Critical Care and Acute Care Surgery, University of Arizona College of Medicine-Phoenix (N.K.), Phoenix, Arizona; Division of Acute Care Surgery, Department of Surgery (M.J.M., M.S.), Los Angeles General Medical Center, Los Angeles, California; Division of Vascular Surgery and Endovascular Therapy (G.A.M.), Keck Medical Center of USC, Los Angeles, California; Department of Surgery, Division of Acute Care Surgery (L.J.M.), The University of Texas McGovern Medical School-Houston Red Duke Trauma Institute, Memorial Hermann Hospital, Houston, Texas; Department of Surgery, Division of General and Acute Care Surgery, Medical University of South Carolina (A.R.P.), North Charleston, South Carolina; Department of Surgery, Section of General Surgery, Trauma and Surgical Critical Care, Yale School of Medicine (K.M.S.), New Haven, Connecticut; Department of Surgery, Division of Trauma and Acute Care Surgery, UCSF Department of Surgery at Zuckerberg San Francisco General Hospital (R.T.), University of California, San Francisco, San Francisco, California; Department of Surgery, Division of Trauma and Acute Care Surgery, St. Joseph's Hospital and Medical Center (J.A.W.), Phoenix, Arizona; and Program in Trauma (D.M.S), University of Maryland School of Medicine, Baltimore, Maryland.
Non-Occlusive Mesenteric Ischemia in Aortic Surgery: What You Need to Know.
Ann Vasc Surg
January 2025
Institute of Cardiac and Aortic Disorders, SRM Institutes for Medical Science (SIMS Hospitals), Chennai, India.
Background: Nonocclusive mesenteric ischemia (NOMI), a subtype of acute mesenteric ischemia, is primarily caused by mesenteric arterial vasoconstriction and decreased vascular resistance, leading to impaired intestinal perfusion.Commonly observed after cardiac surgery, NOMI affects older patients with cardiovascular or systemic diseases, accounting for 20-30% of acute mesenteric ischemia cases with a mortality rate of ∼50%. This review explores NOMI's pathophysiology, clinical implications in aortic dissection, and the unmet needs in diagnosis and management, emphasizing its prognostic significance.
View Article and Find Full Text PDFContinuous renal replacement therapy with cytokine-adsorbing hemofilter to control resuscitative endovascular balloon occlusion of the aorta-related ischemia-reperfusion injury in a swine hemorrhagic shock model.
Eur J Trauma Emerg Surg
January 2025
Department of Emergency and Critical Care Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chiba, 260-8677, Japan.
Purpose: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is beneficial for uncontrollable torso bleeding; however, prolonged REBOA causes ischemia-reperfusion injury. The purpose of this study is to examine the hypothesis that continuous renal replacement therapy (CRRT) with a cytokine-adsorbing hemofilter would improve mortality due to hemorrhagic shock with REBOA-reperfusion injury by controlling metabolic acidosis, hyperkalemia, and hypercytokinemia.
Methods: Hemorrhagic shock with 40% blood loss was induced by phlebotomy in eight female swine.
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