Blunt Abdominal Trauma, Splenectomy, and Post-Splenectomy Vaccination.
Unlike penetrating abdominal injuries where the decision to operate is relatively straight forward, those combat casualties that sustain blunt abdominal trauma offer more of a diagnostic and clinical challenge. For unstable patients with a positive focused abdominal sonography in trauma or diagnosti...
| Publicado en: | Military Medicine Vol. 183; pp. 98 - 101 |
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| Autores principales: | , , , , , |
| Formato: | Journal Article |
| Publicado: |
Oxford University Press / USA
2018 Supplement
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131630258&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 131630258 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00264075 4DV jtl: Military Medicine issn: 00264075 maglogo: N pubinfo: dt: 2018 Supplement vid: 183 pid: 622 pub: Oxford University Press / USA artinfo: ui: 131630258 131630258 NLM30189065 10.1093/milmed/usy095 NLM30189065 131630258 ppf: 98 ppct: 3 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Blunt Abdominal Trauma, Splenectomy, and Post-Splenectomy Vaccination. aug: au: Stockinger, Zsolt Grabo, Daniel Benov, Avi Tien, Homer Seery, Jason Humphries, Ashley affil: Joint Trauma System, 3698 Chambers Pass, Joint Base San Antonio, Fort Sam Houston, TX sug: subj: Splenectomy Methods Wounds, Nonpenetrating Complications Immunization Methods Ultrasonography Methods Immunization Trends Wounds, Nonpenetrating Surgery Spleen Physiopathology Splenectomy Adverse Effects Abdominal Injuries Complications Abdominal Injuries Surgery Practice Guidelines ab: Unlike penetrating abdominal injuries where the decision to operate is relatively straight forward, those combat casualties that sustain blunt abdominal trauma offer more of a diagnostic and clinical challenge. For unstable patients with a positive focused abdominal sonography in trauma or diagnostic peritoneal lavage, exploratory laparotomy should be undertaken immediately. All grade IV-V splenic injuries should undergo splenectomy, patients undergoing attempted splenic salvage should be monitored in the Role 3 facility and embolization of such splenic injuries may be considered if available. Patients who fail non-operative management of the spleen require splenectomy at the Role 3 prior to aeromedical evacuation. Overwhelming post-splenectomy infection is a serious disease that can progress from a mild flu-like illness to fulminant sepsis in a short period of time. Although relatively rare, it has a high mortality rate with delayed or inadequate treatment. All splenectomized patients and those deemed to be functionally asplenic should be vaccinated within 14 days from splenectomy and prior to aeromedical evacuation. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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