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Infectious complications following duodenal and/or pancreatic trauma.
TLDR
A retrospective review of the records of 167 patients seen at an urban Level I trauma center for injury to the duodenum and/or pancreas found the most important risk factors for these infections included hypothermia and the presence of a pancreatic injury.
Cocaine and the critical care challenge.
TLDR
Cocaine use is an expanding health hazard, despite intense governmental efforts to contain its distribution and use, and recognition of the signs and symptoms of cocaine toxicity help anticipate the subsequent organ dysfunction and implement earlier organ system support.
Cystic lung disease.
TLDR
Prenatal imaging has allowed us to better understand their natural history and devise strategies for prenatal and postnatal management, whereas others can be managed expectantly.
Initial Laparotomy Versus Peritoneal Drainage in Extremely Low Birthweight Infants With Surgical Necrotizing Enterocolitis or Isolated Intestinal Perforation: A Multicenter Randomized Clinical Trial.
TLDR
There was no overall difference in death or NDI rates at 18 to 22 months corrected age between initial laparotomy versus drainage, however, the preoperative diagnosis of NEC or IP modified the impact of initial treatment.
Eosinophilic abscess and eosinophilic pseudotumor presenting as bile duct masses: a report of 2 cases.
TLDR
2 patients who had obstructive jaundice caused by an eosinophilic abscess and an eOSInophilic pseudotumor mimicking a neoplastic process in the biliary tree are presented.
Incidence of pneumothorax from intercostal nerve block for analgesia in rib fractures.
TLDR
The incidence of PTX per individual intercostal nerve blocked is low, and for most patients with rib fractures one INBP is sufficient to allow adequate respiratory exercises and discharge from the hospital.
Access to the hypertrophic pylorus: does it make a difference to the patient?
TLDR
While the operative time of Laparoscopic repair for PS is less than in either of the open approaches, laparoscopic surgery may increase the risk for atypical injuries to the bowel and proper attention should be paid to dissection of the structures and the selection of laparoscopically instruments.
Correlation of revised trauma score and injury severity score (TRISS) predicted probability of survival with peer-reviewed determination of trauma deaths.
TLDR
The peer review process is very sensitive and may be more discerning in identifying PRD than TRISS and the higher the PS the more likely the death was found preventable by peer review.
Differences in arterial and mixed venous IL-6 levels: the lungs as a source of cytokine storm in sepsis.
TLDR
The lung appears to be a major producer of IL-6 in patients with an inflammatory lung process, producing a marked difference in ART and MV IL- 6 levels.
Overview of current pediatric burn care.
TLDR
An overview of the initial evaluation and resuscitative measures for pediatric burn patients, most current wound care, indications for grafting, and the role of nutrition, including use of pharmacologic adjuncts are provided.
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