Wolfgang Stahl

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INTRODUCTION Since data regarding new-onset atrial fibrillation (AF) in septic shock patients are scarce, the purpose of the present study was to evaluate the incidence and prognostic impact of new-onset AF in this patient group. METHODS We prospectively studied all patients with new-onset AF and all patients suffering from septic shock in a non-cardiac(More)
OBJECTIVE To define the incidence, prophylaxis, and treatment of intra-abdominal hypertension (IAH) and its relevance to gut mucosal pH (pHi), multiorgan dysfunction syndrome, and the abdominal compartment syndrome (ACS). METHODS Seventy patients in the SICU at a Level I trauma center (1992-1996) with life threatening penetrating abdominal trauma had(More)
One hundred hemodynamically stable patients with penetrating abdominal trauma (65, stab wounds, 35, gunshot wounds) were evaluated with laparoscopy. Sixty percent of the patients had wounds in the thoracoabdominal area or the upper abdominal quadrants and 25% had injuries located in the lower abdomen and flanks. Fifteen percent had epigastric wounds.(More)
Blunt and penetrating injuries of the extrahepatic biliary system are rare and appear to be increasing in frequency. The severe morbidity associated with these lesions is related to incomplete efforts at diagnosis and errors in therapeutic decisions. The morbidity may be minimized by a high index of suspicion and awareness of these lesions; complete(More)
To study the value of advanced life support (ALS) compared with basic life support (BLS) for penetrating and motor vehicle crash (MVC) patients, data were collected from eight hospitals over 24 months on 781 consecutive patients with Injury Severity Scores > or = 10 as well as on a subset of 219 hypotensive patients. Initial prehospital Revised Trauma(More)
A retrospective analysis of 54 patients (1976-1989) with penetrating rectal injuries was carried out to evaluate the options in management. The diagnosis was made on proctosigmoidoscopy in 39 patients and at laparotomy in 15. Three patients died within 24 hours from extensive associated trauma (Abdominal Trauma Index [ATI] 39.2). In the remaining 51(More)
One hundred patients who were in extremis and required Emergency Room Thoracotomy (ERT) after sustaining penetrating thoracic injuries were analyzed to compare the results of attempted stabilization in the field (n = 51) with those who had immediate transportation (n = 49). The clinical status of the patients in the field and in the E.R. was quantified by(More)
The results of a prospective protocol for penetrating injuries of the colon in 252 patients are presented. The protocol emphasized definitive management of the injury by repair, resection and anastomosis or exteriorized repair. Colostomy was reserved for left colon injuries requiring resection or for delayed treatment. Two hundred nineteen patients (86.9%)(More)
Retrospective analysis of 115 patients with venous injuries managed at Lincoln Hospital in a 7-year period disclosed a total mortality of 15%. Retrohepatic caval injury was uniformly fatal; infrarenal caval injury was not. Fifty-six per cent of victims of truncal venoarterial injuries died. Isolated venous injury of the extremity was never lethal. Ligation(More)
We analyzed 60 patients with penetrating duodenal injuries (1972-1983) treated by two operative techniques: primary repair or anastomosis after debridement, and repair with decompressive enterostomy with or without serosal patch of jejunum. The two treatment groups were comparable in terms of severity of duodenal and associated injuries and clinical status(More)