Publications
7 results found
Bass GA, Mohseni S, Ryan EJ, et al., 2023, Clinical practice selectively follows acute appendicitis guidelines, EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY, ISSN: 1863-9933
- Author Web Link
- Cite
- Citations: 3
Davies J, Johnson R, Kashef E, et al., 2022, How to deliver an effective primary survey report for the trauma CT: A radiological and surgical perspective, TRAUMA-ENGLAND, Vol: 24, Pages: 99-108, ISSN: 1460-4086
Penn C, Khan M, 2020, Is laparoscopy still of value in managing the patient with abdominal trauma?, TRAUMA-ENGLAND, Vol: 22, Pages: 40-44, ISSN: 1460-4086
Clough RAJ, Khan M, 2019, Initial CABC: Advances that have led to increased survival in military casualties, TRAUMA-ENGLAND, Vol: 21, Pages: 247-251, ISSN: 1460-4086
- Author Web Link
- Cite
- Citations: 1
Khan M, Boutelle M, 2019, The military applications of physiological sensors, TRAUMA-ENGLAND, Vol: 21, Pages: 3-5, ISSN: 1460-4086
Duchesne JC, Tatum D, Jones G, et al., 2017, Multi-institutional analysis of neutrophil-to-lymphocyte ratio (NLR) in patients with severe hemorrhage: A new mortality predictor value, JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, Vol: 83, Pages: 888-893, ISSN: 2163-0755
- Author Web Link
- Cite
- Citations: 21
Garara B, Wood A, Marcus HJ, et al., 2016, INTRAMUSCULAR DIAPHRAGMATIC STIMULATION FOR PATIENTS WITH TRAUMATIC HIGH CERVICAL INJURIES AND VENTILATOR DEPENDENT RESPIRATORY FAILURE: A SYSTEMATIC REVIEW OF SAFETY AND EFFECTIVENESS, Injury, Vol: 47, Pages: 539-544, ISSN: 0020-1383
BackgroundIntramuscular diaphragmatic stimulation using an abdominal laparoscopic approach has been proposed as a safer alternative to traditional phrenic nerve stimulation. It has also been suggested that early implementation of diaphragmatic pacing may prevent diaphragm atrophy and lead to earlier ventilator independence. The aim of this study was therefore to systematically review the safety and effectiveness of intramuscular diaphragmatic stimulators in the treatment of patients with traumatic high cervical injuries resulting in long-term ventilator dependence, with particular emphasis on the affect of timing of insertion of such stimulators.MethodsThe Cochrane database and PubMed were searched between January 2000 and June 2015. Reference lists of selected papers were also reviewed. The inclusion criteria used to select from the pool of eligible studies were: (1) reported on adult patients with traumatic high cervical injury, who were ventilator-dependant, (2) patients underwent intramuscular diaphragmatic stimulation, and (3) commented on safety and/or effectiveness.Results12 articles were included in the review. Reported safety issues post insertion of intramuscular electrodes included pneumothorax, infection, and interaction with pre-existing cardiac pacemaker. Only one procedural failure was reported. The percentage of patients reported as independent of ventilatory support post procedure ranged between 40% and 72.2%. The mean delay of insertion ranged from 40 days to 9.7 years; of note the study with the average shortest delay in insertion reported the greatest percentage of fully weaned patients.ConclusionsAlthough evidence for intramuscular diaphragmatic stimulation in patients with high cervical injuries and ventilator dependent respiratory failure is currently limited, the technique appears to be safe and effective. Earlier implantation of such devices does not appear to be associated with greater surgical risk, and may be more effective. Further high
This data is extracted from the Web of Science and reproduced under a licence from Thomson Reuters. You may not copy or re-distribute this data in whole or in part without the written consent of the Science business of Thomson Reuters.