We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Damage Control in the Management of Ruptured Abdominal Aortic Aneurysm: Preliminary Results.
- Authors
Tadlock, Matthew D.; Sise, Michael J.; Riccoboni, Steven T.; Sise, C. Beth; Sack, Daniel I.; Sise, Robert G.; Yang, Jack C.; Borut, Jeffrey J.; King, Bryan S.
- Abstract
Background: This study compared damage control measures (DCM), including operative techniques (DCO) and resuscitative measures (DCR), with standard treatment (ST) for ruptured abdominal aortic aneurysm (rAAA). Methods: Historical cohort study methodology was used to evaluate outcomes for rAAA repairs related to DCM or ST over a 74-month period at a level I trauma center. Results: Of 28 repairs, 13 (46.4%) were DCM. Compared to ST patients, DCM patients had a lower mean preoperative BP (64.6 vs. 83.2 mm Hg, P = .03) and greater intraoperative blood loss (4.6 vs. 2.1 liters, P = .033). Patients who had both DCR and DCO (DCO & DCR) received more plasma (6.8 vs 2.6 units, P = .039) and less crystalloid (2.8 vs 10.5 liters, P = .005) than those receiving DCO only. A modest decrease in mortality was seen in the DCO & DCR group compared to DCO only. No DCO-related graft infections were observed. Conclusion: DCR use may prove beneficial in the management of rAAA.
- Subjects
UNITED Kingdom; ORGAN rupture; THERAPEUTICS; ABDOMINAL surgery; ABDOMINAL aortic aneurysms; AORTA surgery; BLOOD pressure; VASCULAR surgery; CHI-squared test; COMPUTER software; STATISTICAL correlation; FLUID therapy; HEMORRHAGE; INTRAOPERATIVE monitoring; LONGITUDINAL method; HEALTH outcome assessment; SURGERY; SURVIVAL analysis (Biometry); T-test (Statistics); SURGICAL therapeutics; PHYSICIAN practice patterns; DATA analysis; TREATMENT effectiveness; RETROSPECTIVE studies
- Publication
Vascular & Endovascular Surgery, 2010, Vol 44, Issue 8, p638
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574410375132