LIVIVO - Search results -

Search results

Result 1 - 10 of total 67

Search options

Article ; Online: Pulmonary artery bullet embolization.

Donahue, Colleen / Al-Natour, Osama / Gupta, Shailvi / Scalea, Thomas M

The journal of trauma and acute care surgery

2021 Volume 91, Issue 6, Page(s) e150–e151

MeSH term(s)	Clinical Decision-Making ; Embolism/diagnostic imaging ; Embolism/etiology ; Embolism/therapy ; Foreign-Body Migration/diagnosis ; Fractures, Bone/diagnostic imaging ; Fractures, Bone/etiology ; Humans ; Iliac Vein/diagnostic imaging ; Iliac Vein/injuries ; Lumbar Vertebrae/injuries ; Male ; Middle Aged ; Pulmonary Artery/diagnostic imaging ; Pulmonary Artery/injuries ; Radiography, Thoracic/methods ; Tomography, X-Ray Computed/methods ; Watchful Waiting/methods ; Wounds, Gunshot/complications ; Wounds, Gunshot/diagnosis ; Wounds, Gunshot/physiopathology
Language	English
Publishing date	2021-12-01
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	2651070-4
ISSN	2163-0763 ; 2163-0755
ISSN (online)	2163-0763
ISSN	2163-0755
DOI	10.1097/TA.0000000000002314
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.A 127: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

Order via subito

This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: Surgical Training for Civilian Surgeons Interested in Humanitarian Surgery: A Scoping Review.

Mitchell, Jonathan / Zeineddin, Ahmad / Kearse, LaDonna / Downton, Katherine D / Kushner, Adam L / Gupta, Shailvi

The Journal of surgical research

2022 Volume 283, Page(s) 282–287

Abstract: Introduction: Humanitarian surgery is essential to surgical care in limited resource settings. The difficulties associated with resource constraints necessitate special training for civilian surgeons to provide care in these situations. Specific ... ...

Abstract	Introduction: Humanitarian surgery is essential to surgical care in limited resource settings. The difficulties associated with resource constraints necessitate special training for civilian surgeons to provide care in these situations. Specific training or curricula for humanitarian surgeons are not well described in the literature. This scoping review summarizes the existing literature and identifies areas for potential improvement. Methods: A review of articles describing established courses for civilian surgeons interested in humanitarian surgery, as well as those describing training of civilian surgeons in conflict zones, was performed. A total of 4808 abstracts were screened by two independent reviewers, and 257 abstracts were selected for full-text review. Articles describing prehospital care and military experience were excluded from the full-text review. Results: Of the eight relevant full texts, 10 established courses for civilian surgeons were identified. Cadaver-based teaching combined with didactics were the most common course themes. Courses provided technical education focused on the management of trauma and burns as well as emergencies in orthopedics, neurosurgery, obstetrics, and gynecology. Other courses were in specialty surgery, mainly orthopedics. Two fellowship programs were identified, and these provide a different model for training humanitarian surgeons. Conclusions: Humanitarian surgery is often practiced in austere environments, and civilian surgeons must be adequately trained to first do no harm. Current programs include cadaver-based courses focused on enhancing trauma surgery and surgical subspecialty skills, with adjunctive didactics covering resource allocation in austere environments. Fellowships programs may serve as an avenue to provide a more standardized education and a reliable pipeline of global surgeons.
MeSH term(s)	Humans ; Medical Missions ; Surgeons ; Orthopedics/education ; Obstetrics ; Cadaver
Language	English
Publishing date	2022-11-21
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	80170-7
ISSN	1095-8673 ; 0022-4804
ISSN (online)	1095-8673
ISSN	0022-4804
DOI	10.1016/j.jss.2022.10.068
Database	MEDical Literature Analysis and Retrieval System OnLINE

Full text online

Accessible to users with ZB MED library card

In stock of ZB MED Cologne/Königswinter

Zs.A 178: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾

Article ; Online: Global Surgery: The Road Less Traveled and How to Get Back on Track.

Ewbank, Clifton / Derbew, Miliard / Ratnayake, Amila / Gupta, Shailvi / Hughes, Melany C / Wren, Sherry M / Kushner, Adam L

World journal of surgery

2023 Volume 47, Issue 5, Page(s) 1090–1091

MeSH term(s)	Humans ; Surgical Procedures, Operative ; Health Services Accessibility
Language	English
Publishing date	2023-01-28
Publishing country	United States
Document type	Editorial
ZDB-ID	224043-9
ISSN	1432-2323 ; 0364-2313
ISSN (online)	1432-2323
ISSN	0364-2313
DOI	10.1007/s00268-023-06920-x
Database	MEDical Literature Analysis and Retrieval System OnLINE

Full text online

Accessible to users with ZB MED library card

In stock of ZB MED Cologne/Königswinter

Zs.A 1336: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾

Article ; Online: Transitions of Care in Geriatric Medicine.

Gupta, Shailvi / Perry, Justin A / Kozar, Rosemary

Clinics in geriatric medicine

2018 Volume 35, Issue 1, Page(s) 45–52

Abstract: Elderly patients are at increased risk for morbidity and mortality after injury or surgery in both the inpatient and postdischarge settings. The importance of discharge destination after the index hospitalization is increasingly recognized as a ... ...

Abstract	Elderly patients are at increased risk for morbidity and mortality after injury or surgery in both the inpatient and postdischarge settings. The importance of discharge destination after the index hospitalization is increasingly recognized as a determinant of long-term survival, with discharge to a post-acute care facility portending a worse prognosis. Efforts to minimize discharge to post-acute care facilities should include early discharge planning. Communication among a multidisciplinary care team sets the groundwork for effective discharge planning and transitions of care. The elderly face several systematic, psychosocial, functional, and financial barriers that pose significant challenges to successful transitions of care.
MeSH term(s)	Aged ; Geriatrics/methods ; Humans ; Patient Discharge/standards ; Postoperative Complications/therapy ; Quality Improvement ; Risk Adjustment ; Skilled Nursing Facilities ; Transitional Care/organization & administration
Language	English
Publishing date	2018-10-03
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1064151-8
ISSN	1879-8853 ; 0749-0690
ISSN (online)	1879-8853
ISSN	0749-0690
DOI	10.1016/j.cger.2018.08.005
Database	MEDical Literature Analysis and Retrieval System OnLINE

Full text online

Accessible to users with ZB MED library card

In stock of ZB MED Cologne/Königswinter

Se 987: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾

Article ; Online: Avoiding immediate whole-body trauma CT: a prospective observational study in stable trauma patients.

Reitano, Elisa / Granieri, Stefano / Sammartano, Fabrizio / Cimbanassi, Stefania / Galati, Miriam / Gupta, Shailvi / Vanzulli, Angelo / Chiara, Osvaldo

Updates in surgery

2022 Volume 74, Issue 1, Page(s) 343–353

Abstract: High energy blunt trauma patients with normal vital signs are usually investigated with a Contrast Enhanced Computed Tomography (CECT) for torso injuries. CECT involves high levels of radiations, often showing no injuries in patients over-triaged to the ... ...

Abstract	High energy blunt trauma patients with normal vital signs are usually investigated with a Contrast Enhanced Computed Tomography (CECT) for torso injuries. CECT involves high levels of radiations, often showing no injuries in patients over-triaged to the trauma center. The aim of our study was to suggest an alternative diagnostic protocol based on Emergency Room (ER) tests (physical exam, blood tests, extended FAST, Chest and Pelvis X-ray) to avoid CECT in selected patients. A prospective cohort study was conducted from September 2018 to September 2019. Five hundred patients fulfilled the inclusion criteria. Patients received torso-CECT scan only if they had at least one positive ER test. The validity of the single component of the protocol and the global validity of the ER tests to detect torso injuries was assessed through sensitivity, specificity, positive (PPV) and negative (NPV) predictive value, positive (+ LR) and negative (- LR) likelihood ratio. Multivariate analysis was performed to identify independent predictors of torso injuries. One hundred and seventy patients received a torso-CECT scan because of positive ER tests. ER tests showed a global sensitivity for torso injuries of 86.96% (95% CI 80.17-92.08) specificity of 83.98%(95% CI 79.79-87.60), PPV of 67.42% (95% CI 61.83-72.54), NPV of 94.41% (95% CI 91.63-96.30) + LR of 5.43 (95% CI 4.25-6.93), - LR of 0.16 (95% CI 0.10-0.24). ER tests in an experienced center seem to be able to identify more severe blunt trauma patients needing CECT. Further studies are advisable to confirm these results.
MeSH term(s)	Abdominal Injuries ; Humans ; Prospective Studies ; Thoracic Injuries/diagnostic imaging ; Tomography, X-Ray Computed ; Wounds, Nonpenetrating/diagnostic imaging
Language	English
Publishing date	2022-01-10
Publishing country	Italy
Document type	Journal Article ; Observational Study
ZDB-ID	2572692-4
ISSN	2038-3312 ; 2038-131X
ISSN (online)	2038-3312
ISSN	2038-131X
DOI	10.1007/s13304-021-01199-w
Database	MEDical Literature Analysis and Retrieval System OnLINE

Full text online

Accessible to users with ZB MED library card

In stock of ZB MED Cologne/Königswinter

Zs.B 101: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾

Article ; Online: Delayed presentation of pericardio-diaphragmatic hernia following blunt trauma: A case report.

Reid, Jennifer E / Gupta, Shailvi / Scalea, Thomas M / Stein, Deborah M

Trauma case reports

2019 Volume 24, Page(s) 100250

Abstract: Pericardio-diaphragmatic hernias (PDHs) are exceedingly rare. When found in adults, they are most commonly caused by blunt trauma and require immediate repair. We report a case of a 61-year-old female who presented with shortness of breath, chest pain ... ...

Abstract	Pericardio-diaphragmatic hernias (PDHs) are exceedingly rare. When found in adults, they are most commonly caused by blunt trauma and require immediate repair. We report a case of a 61-year-old female who presented with shortness of breath, chest pain and fatigue one month after a motor vehicle collision. Imaging revealed an anterior diaphragmatic rupture with herniation of transverse colon and omentum into the left hemithorax with mass effect on the anterior heart. She underwent exploratory laparotomy revealing a pericardio-diaphragmatic hernia with contents further herniating through a lateral pericardial defect into the left chest. The pericardio-diaphragmatic defect was repaired primarily with non-absorbable sutures. There is an average of only one case report of PDH annually and to our knowledge, this is the first report of pericardio-diaphragmatic hernia with concomitant lateral pericardial defect with herniation of contents into the chest.
Language	English
Publishing date	2019-11-29
Publishing country	Netherlands
Document type	Case Reports
ZDB-ID	2835433-3
ISSN	2352-6440 ; 2352-6440
ISSN (online)	2352-6440
ISSN	2352-6440
DOI	10.1016/j.tcr.2019.100250
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Article: Importance of CT-scan predicting clinical outcomes in gastro-intestinal perforation.

Bini, Roberto / Ronchetta, Clemente / Picotto, Silvia / Scozzari, Gitana / Gupta, Shailvi / Frassini, Simone / Chiara, Osvaldo

Annals of translational medicine

2020 Volume 8, Issue 21, Page(s) 1421

Abstract: Background: Gastrointestinal (GI) perforations are an acute surgical dilemma, with diagnostic workup often requiring abdominal imaging. Post-operative care for these patients may vary and oftentimes includes ICU care for sepsis, but not always. We ... ...

Abstract	Background: Gastrointestinal (GI) perforations are an acute surgical dilemma, with diagnostic workup often requiring abdominal imaging. Post-operative care for these patients may vary and oftentimes includes ICU care for sepsis, but not always. We evaluated if free fluid and air on computed tomography (CT) could be associated with sepsis, septic shock and mortality in GI perforations. The aim of our study was a correlation between a new CT-scan scoring system and septic complications in GI perforations. Methods: We conducted an observational retrospective study about patients who underwent emergency surgery for intestinal perforation between January 2014 and June 2017. Inclusion criteria were a CT-scan positive for free fluid and air, and an intestinal perforation confirmed intraoperatively. A CT-score was created to evaluate location and extent of free fluid and air related to clinical outcome and prognosis. Univariate analysis between the CT score and the various clinical outcomes was conducted with the non-parametric Mann-Whitney test for continuous variables and with the chi-square test for categorical variables. Results: One-hundred and fifty-one patients were evaluated. The mortality was 23.18% and the complications were present in 45.95%. The median CT score for patients who developed complications was 3, compared with a value of 2 in the absence of complications (P=0.008). A CT score of 4 or greater had a sensitivity and specificity for predicting pre-operative sepsis of 73.33% and 64.42% respectively, and for pre-operative septic shock of 35.56% and 93.27%. Looking at post-operative sepsis, sensitivity and specificity were 57.45% and 70.19%, and for septic shock 36.17% and 85.85%. Spearman correlation analysis revealed that at higher scores at CT score corresponded higher scores at the P-POSSUM morbidity, P-POSSUM mortality and WSES Sepsis Severity Score. Conclusions: Our CT score shows a significant correlation with validated predictive scoring systems with regards to predicting sepsis, septic shock and complications-and seems to be a useful outcome predictor in GI perforation.
Language	English
Publishing date	2020-10-14
Publishing country	China
Document type	Journal Article
ZDB-ID	2893931-1
ISSN	2305-5847 ; 2305-5839
ISSN (online)	2305-5847
ISSN	2305-5839
DOI	10.21037/atm-20-2184
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Article ; Online: Inferior vena cava bullet embolization.

Stewart, Shai / Clark, Jaclyn / Gupta, Shailvi / Scalea, Thomas M / Bruns, Brandon

The journal of trauma and acute care surgery

2020 Volume 88, Issue 3, Page(s) e116–e118

MeSH term(s)	Adult ; Echocardiography, Transesophageal ; Embolization, Therapeutic/methods ; Hemorrhage/diagnostic imaging ; Hemorrhage/etiology ; Hemorrhage/therapy ; Humans ; Lung Injury/diagnostic imaging ; Lung Injury/etiology ; Lung Injury/therapy ; Male ; Multiple Trauma/complications ; Multiple Trauma/diagnostic imaging ; Multiple Trauma/surgery ; Thoracotomy/methods ; Vena Cava, Inferior/diagnostic imaging ; Vena Cava, Inferior/injuries ; Wounds, Gunshot/complications ; Wounds, Gunshot/diagnostic imaging ; Wounds, Gunshot/surgery
Language	English
Publishing date	2020-01-16
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	2651070-4
ISSN	2163-0763 ; 2163-0755
ISSN (online)	2163-0763
ISSN	2163-0755
DOI	10.1097/TA.0000000000002578
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.A 127: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: Subclavian artery bullet embolism.

Green, Patience / Clark, Jacyln / Gupta, Shailvi / Scalea, Thomas M / Bruns, Brandon R

The journal of trauma and acute care surgery

2020 Volume 90, Issue 3, Page(s) e65–e66

MeSH term(s)	Embolism/diagnostic imaging ; Embolism/etiology ; Embolism/surgery ; Heart Injuries/complications ; Heart Injuries/diagnostic imaging ; Heart Injuries/surgery ; Humans ; Male ; Subclavian Artery ; Wounds, Gunshot/complications ; Wounds, Gunshot/diagnostic imaging ; Wounds, Gunshot/surgery ; Young Adult
Language	English
Publishing date	2020-10-15
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	2651070-4
ISSN	2163-0763 ; 2163-0755
ISSN (online)	2163-0763
ISSN	2163-0755
DOI	10.1097/TA.0000000000002986
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.A 127: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: Duration of antimicrobial treatment for complicated intra-abdominal infections after definitive source control: A systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma.

Ra, Jin H / Rattan, Rishi / Patel, Nimitt J / Bhattacharya, Bishwajit / Butts, Christopher A / Gupta, Shailvi / Asfaw, Sofya H / Como, John J / Sahr, Sheryl M / Bugaev, Nikolay

The journal of trauma and acute care surgery

2023 Volume 95, Issue 4, Page(s) 603–612

Abstract: Background: Recent studies have evaluated outcomes associated with duration of antimicrobial treatment for complicated intra-abdominal infections (cIAI). The goal of this guideline was to help clinicians better define appropriate antimicrobial duration ... ...

Abstract	Background: Recent studies have evaluated outcomes associated with duration of antimicrobial treatment for complicated intra-abdominal infections (cIAI). The goal of this guideline was to help clinicians better define appropriate antimicrobial duration in patients who have undergone definitive source control for cIAI. Methods: A working group of Eastern Association for the Surgery of Trauma (EAST) performed a systematic review and meta-analyses of the available data pertaining to the duration of antibiotics after definitive source control of cIAI in adult patients. Only studies that compared patients treated with short vs. long duration antibiotic regimens were included. The critical outcomes of interest were selected by the group. Noninferiority of short compared with long duration of antimicrobial treatment was defined as an indicator for a potential recommendation in favor of shorter antibiotics course. The Grading of Recommendations Assessment, Development and Evaluation methodology was used to assess the quality of the evidence and to formulate recommendations. Results: Sixteen studies were included. The short duration ranged from 1 dose to ≤10 days, with an average of 4 days, and the long duration ranged >1 day to 28 days, with an average of 8 days. There were no differences between short and long duration of antibiotics in terms of mortality (odds ratio [OR], 0.90; 95% confidence interval [CI], 0.56-1.44), rate of surgical site infection (OR, 0.88; 95% CI, 0.56-1.38); persistent/recurrent abscess (OR, 0.76; 95% CI, 0.45-1.29); unplanned interventions (OR, 0.53; 95% CI, 0.12-2.26); hospital length of stay (mean difference, -2.62 days; CI, -7.08 to 1.83 days); or readmissions (OR, 0.92; 95% CI, 0.50-1.69). The level of evidence was assessed as very low. Conclusion: The group made a recommendation for shorter (four or less days) versus longer duration (eight or more days) of antimicrobial treatment in adult patients with cIAIs who had definitive source control. Level of evidence: Systematic Review and Meta-Analysis; Level III.
MeSH term(s)	Adult ; Humans ; Anti-Bacterial Agents/therapeutic use ; Anti-Infective Agents/therapeutic use ; Intraabdominal Infections/drug therapy ; Surgical Wound Infection/drug therapy
Chemical Substances	Anti-Bacterial Agents ; Anti-Infective Agents
Language	English
Publishing date	2023-06-15
Publishing country	United States
Document type	Meta-Analysis ; Systematic Review ; Journal Article
ZDB-ID	2651070-4
ISSN	2163-0763 ; 2163-0755
ISSN (online)	2163-0763
ISSN	2163-0755
DOI	10.1097/TA.0000000000003998
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.A 127: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

To top

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

Full text online

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

Full text online

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

Full text online

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

Full text online

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

Order via subito

More links

Kategorien

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito