Navigation Links
Trauma 411: Prolonged surgery should be avoided in certain cases
Date:9/1/2009

Rosemont, Ill. Trauma patients who sustain multiple fractures are often in serious condition when they arrive at the emergency department. A review article published in the September 2009 issue of the Journal of the American Academy of Orthopaedic Surgeons (JAAOS) explains that trauma patients who have several orthopaedic injuries and are considered to be in unstable condition should only have a few hours of surgery when first arriving at the hospital. This principle is known as 'damage control'.

The benefits of initially limiting time in the operating room for patients with life-threatening injuries include:

  • less blood loss during surgery;
  • fewer complications in the intensive care unit;
  • less stimulation to the immune system; and
  • higher patient survival rates.

According to lead author Hans-Christoph Pape, MD, Chairman of Orthopaedic/Trauma Surgery at the University of Aachen in Aachen, Germany, data shows that too many surgeries and blood loss can weaken the immune system and can lead to a higher likelihood of experiencing complications after surgery."

"If a patient has just a couple of fractures it is of course useful to operate right away," says Dr. Pape. "However, if a patient has life-threatening injuries for example, more than three fractures and perhaps a lacerated liver, it is often too dangerous to do all the surgery right away."

In trauma patients with life-threatening injuries, Dr. Pape and his colleagues found:

  • It often is best to use an external fixator (where pins in the bone are connected by an external bar) to stabilize an orthopaedic injury to stop initial pain and bleeding.
  • Two or three days later, once the patient is stable, data suggests this period to be a more ideal time to begin other more invasive and time-consuming operations.

Pape and his colleagues analyzed data from several trauma registries in Germany. T
'/>"/>

Contact: Lauren Pearson
lpearson@aaos.org
847-384-4031
American Academy of Orthopaedic Surgeons
Source:Eurekalert

Page: 1 2

Related medicine news :

1. Study finds post-traumatic stress symptoms in adolescent children of cancer patients
2. Toxic Shock Drug Might Aid Trauma Victims
3. Center gets national funding for child trauma research
4. Pennsylvania Trauma Systems Foundation Accreditation Status for Trauma Centers
5. Easter Seals Launches Program for Veterans Returning from Iraq and Afghanistan with Traumatic Brain Injuries
6. First Level III Trauma Center Accredited in Pennsylvania
7. Pennsylvania Trauma Center Accreditation Status
8. Value of Most Post-Traumatic Stress Treatments Uncertain
9. California Wildfires - Psychological Effects; Children ... Psychologist Is Available to Discuss Trauma
10. Imaging shows structural changes in mild traumatic brain injury
11. California Association of Marriage & Family Therapists Offers Tips on How to Cope With a Traumatic Event
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:8/21/2014)... (PRWEB) August 21, 2014 Taking its ... all aspects of life, St. Louis’ Sound Mind Café ... better and revolutionized its online presence. Reorganized to highlight ... the new website makes navigating for information and scheduling ... an easily accessible menu-bar in jet black, the cafe’s ...
(Date:8/21/2014)... 2014 According to a recent study ... environmental factors may outweigh genetics in the development and severity ... the world’s population is nearsighted, and this study provides valuable ... is an important finding in the field of ophthalmology,” says ... we finding better ways to treat ophthalmological conditions , ...
(Date:8/21/2014)... While golfing in Scotland and abroad, Biteback ... focused on his game due to the incessant buzzing ... and continual need to spray insect repellent became so ... from insects while golfing. He ultimately found a solution ... Banking Industry, decided to change direction and launch Biteback ...
(Date:8/21/2014)... Denver marketing agency Webolutions® has ... Lung Association in Colorado’s 2014 Run the ‘Rocks ... a sponsor,” said Curt Huber, Chief Development Officer, American ... Lung Association in Colorado, “and we’re eager to see ... they’ve defined.” , Webolutions has also created and is ...
(Date:8/21/2014)... August 21, 2014 HIPAA Secure Now! ... making it possible for EHR vendors to now offer ... requirement for achieving meaningful use. , HIPAA Secure ... to medical practices throughout the U.S. The company assesses ... information (ePHI) from each system and device used by ...
Breaking Medicine News(10 mins):Health News:Sound Mind Cafe Launches Revamped Website and Hires Hypnotist to Team 2Health News:Study Suggests Environmental Factors May Outweigh Genetics When It Comes to Myopia 2Health News:Financial VP Fights Pesky Bugs with Launch of Biteback Sports Insect Shield® Golf Apparel 2Health News:Denver Marketing Agency Webolutions Named Inspirational Sponsor for 2014 Run the ‘Rocks 5K 2Health News:Denver Marketing Agency Webolutions Named Inspirational Sponsor for 2014 Run the ‘Rocks 5K 3Health News:HIPAA Secure Now! Ramps up EHR Partner Program, Helps Healthcare Providers Achieve Meaningful Use under Revised CMS Deadlines 2
... September 15, 2008 In a retrospective analysis of ... older, osteoporosis fractures resulted in fracture-related medical expenses of ... presented at the American Society for Bone and Mineral ... analyze the actual long-term fracture-related medical expenses incurred over ...
... more effective than an older conventional antipsychotic in treating ... metabolic side effects, according to a new study funded ... Mental Health (NIMH). The study was published online ahead ... Journal of Psychiatry . , "Schizophrenia and schizophrenia-related ...
... CREEK, Calif., Sept. 14 Longs Drug,Stores Corporation ... it had,received an unsolicited, non-binding expression of interest ... of $75.00 per share in cash,for all of ... and,negotiating a definitive agreement. Longs, Board of Directors ...
... first time, researchers have identified variations in a single ... affecting African-Americans. This work was conducted by researchers at ... investigators at the Johns Hopkins University. The findings are ... Genetics and will be published in the October ...
... 14 Washington State Nurses,Association (WSNA), representing more ... Center (UWMC), held a candlelight vigil to,demonstrate the ... negotiations. The last mediation session is scheduled on ... between Shifts - The Hospital,s proposal to reduce ...
... Understanding Harmful Bacteria Honored with Special Achievement ... ... 13 The 2008 Albert Lasker Medical,Research Awards ( http://www.laskerfoundation.org ) ... nation,s most,distinguished honor for outstanding basic and clinical medical research,discoveries and ...
Cached Medicine News:Health News:Retrospective study analyzes expenses of osteoporosis-related fracture over 3 years 2Health News:Newer antipsychotics no better than older drug in treating child and adolescent schizophrenia 2Health News:Longs Drug Stores Confirms Receipt of Expression of Interest from Walgreens 2Health News:Longs Drug Stores Confirms Receipt of Expression of Interest from Walgreens 3Health News:Newly found gene variants account for kidney diseases among African-Americans 2Health News:Newly found gene variants account for kidney diseases among African-Americans 3Health News:Newly found gene variants account for kidney diseases among African-Americans 4Health News:Registered Nurses at UW Medical Center Hold Candlelight Vigil to Highlight Concerns for Quality and Safe Patient Care 2Health News:Discoverers of Small Regulatory RNAs and Cholesterol-Lowering Drugs to Receive Lasker Awards for Medical Research 2Health News:Discoverers of Small Regulatory RNAs and Cholesterol-Lowering Drugs to Receive Lasker Awards for Medical Research 3Health News:Discoverers of Small Regulatory RNAs and Cholesterol-Lowering Drugs to Receive Lasker Awards for Medical Research 4
(Date:8/20/2014)... 20, 2014  The National Association of Drug ... achieved by the real-time, pseudoephedrine (PSE) blocking system ... Log Exchange (NPLEx), automatically blocks unlawful PSE sales ... offenders and make arrests. Data released by NPLEx ... blocked the sale of more than 32,105 ...
(Date:8/20/2014)... , Aug. 20, 2014  The National Association ... latest results achieved by the real-time, pseudoephedrine (PSE) ... National Precursor Log Exchange (NPLEx), automatically blocks unlawful ... down methamphetamine offenders and make arrests. Data released ... Missouri blocked the sale of more ...
(Date:8/20/2014)... Aug. 20, 2014 Reportlinker.com ... report is available in its catalogue: ... Infection Control (Sterilization, Disinfection, Testing and ... Given the cost ... demand has increased for solutions that ...
Breaking Medicine Technology:Indiana's Stop-Sale System Achieves Significant Results In Battle Against Meth 2Missouri's Stop-Sale System Achieves Significant Results In Battle Against Meth 2The Market for Hospital-Acquired Infection Control (Sterilization, Disinfection, Testing and Treatment) 2The Market for Hospital-Acquired Infection Control (Sterilization, Disinfection, Testing and Treatment) 3The Market for Hospital-Acquired Infection Control (Sterilization, Disinfection, Testing and Treatment) 4The Market for Hospital-Acquired Infection Control (Sterilization, Disinfection, Testing and Treatment) 5The Market for Hospital-Acquired Infection Control (Sterilization, Disinfection, Testing and Treatment) 6
... Cetrorelix showed good safety and tolerability profile ... level,Japanese partner Shionogi initiates Phase 2b trial, ... AEterna,Zentaris Inc. along with its Japanese partner ... for a Phase 2a trial with,cetrorelix in ...
... WIRE)--Mar 22, 2007 - Nutra Pharma,Corp. (OTCBB: ... for HIV and Multiple Sclerosis has today ... received notification of,acceptance of its paper for ... conference issue., The article, entitled "Alpha-Cobratoxin as ...
Cached Medicine Technology:AEterna Zentaris Reports Positive Results with Cetrorelix in BPH,for Japanese Phase 2a Trial 2AEterna Zentaris Reports Positive Results with Cetrorelix in BPH,for Japanese Phase 2a Trial 3AEterna Zentaris Reports Positive Results with Cetrorelix in BPH,for Japanese Phase 2a Trial 4Nutra Pharma Announces Publication of Research on Treatment for,Multiple Sclerosis 2Nutra Pharma Announces Publication of Research on Treatment for,Multiple Sclerosis 3
Inquire...
BD Vacutainer® Plus Plastic Serum Tubes have spray-coated silica and are used for serum determinations in chemistry, serology, and immunohematology....
VACUETTE paediatric tubes have decreased sample volumes and are ideal for small childrens' veins and geriatric patients....
The inner wall of the tube is coated with spray-dried lithium, ammonium or sodium heparin. These additives are anti-coagulants, which activate anti-thrombins, thus blocking the coagulation cascade of...
Medicine Products: