A5012703753- Trauma Management and Diagnosis
- Trauma and Emergency Care Studies
- Traumatic Ocular and Foreign Body Injuries
- Shoulder and Clavicle Injuries
- Renal cell carcinoma treatment
- Spinal Fractures and Fixation Techniques
- Cardiac Arrest and Resuscitation
- Renal and related cancers
- Prostate Cancer Diagnosis and Treatment
- Cutaneous Melanoma Detection and Management
- Surgical Simulation and Training
- Cancer Diagnosis and Treatment
- Airway Management and Intubation Techniques
- Pediatric Hepatobiliary Diseases and Treatments
- Cancer Genomics and Diagnostics
- Restraint-Related Deaths
- Nerve Injury and Rehabilitation
- Cancer Immunotherapy and Biomarkers
- Pelvic floor disorders treatments
- Bladder and Urothelial Cancer Treatments
- Simulation-Based Education in Healthcare
- Pregnancy-related medical research
- Respiratory Support and Mechanisms
- Pneumothorax, Barotrauma, Emphysema
- Gallbladder and Bile Duct Disorders
Riverside Methodist Hospital
2019-2024
OhioHealth
2021-2024
ORCID
2023
Chest Wall Injury Society
2023
University of Puerto Rico at Carolina
2021
Medical University of South Carolina
2021
Doctors Hospital
2020
Boston University
2020
Valley Hospital
2020
University of Minnesota
2020
Outcomes after surgical stabilization of rib fractures (SSRF) have not been studied in patients with multiple and traumatic brain injury (TBI). We hypothesized that SSRF, as compared nonoperative management, is associated favorable outcomes TBI.A multicenter, retrospective cohort study was performed TBI between January 2012 July 2019. Patients who underwent SSRF were to those managed nonoperatively. The primary outcome mechanical ventilation-free days. Secondary intensive care unit length...
Literature on outcomes after SSRF, stratified for rib fracture pattern is scarce in patients with moderate to severe traumatic brain injury (TBI; Glasgow Coma Scale ≤ 12). We hypothesized that SSRF associated improved as compared nonoperative management without hampering neurological recovery these patients. A post hoc subgroup analysis of the multicenter, retrospective CWIS-TBI study was performed TBI and by having sustained a non-flail or flail chest between January 1, 2012 July 31, 2019....
Background Muscle pathology resulting in internal rotation contractures children with neonatal brachial plexus palsy places abnormal stresses on the glenohumeral joint and limits global shoulder function. The objective of this study was to assess clinical radiographic outcomes treated an arthroscopic release or without tendon transfer, so-called arthroscopically assisted Sever-L'Episcopo procedure. Methods Fifty average age 5.1 years who underwent transfer were retrospectively reviewed....
Malignant melanoma is an aggressive neural crest cell-derived neoplasm with a propensity for metastasis to almost any organ. Gastrointestinal may manifest as gallbladder polyps. We report case of metastatic malignant diagnosed in 81-year-old male after cholecystectomy performed acute cholecystitis. Cholecystectomy remains the standard care treatment isolated metastasis, especially setting symptomatic disease. Mutation-directed chemotherapeutic and immunotherapeutic modalities serve...
Cardiopulmonary resuscitation (CPR) contributes to significant chest wall injury similar blunt trauma. With benefits realized for surgical stabilization of rib fractures (SSRFs) flail injuries and severely displaced following trauma, SSRF CPR could be advantageous, provided good functional neurologic outlook. Experience is limited. We present a review patients treated with at our institution CPR.A retrospective analysis undergoing was performed between 2019 2020. Perioperative inpatient data...
BACKGROUND Often missed in blunt chest wall injury, costal cartilage injuries can cause instability, refractory pain, and deformity. Notably, there is only a small amount of evidence regarding hardware performance when applied to cartilage. In prior multicenter study, failure rate was found be approximately 3% following surgical stabilization rib fractures (SSRFs) for all fracture locations. The aim the current study evaluate injuries. METHODS All patients undergoing SSRF performed at our...
The presence of six or more rib fractures a displaced fracture due to cardiopulmonary resuscitation (CPR) has been associated with longer hospital and intensive care unit (ICU) length stay (LOS). Evidence on the effect surgical stabilization (SSRF) following CPR is limited. This study aimed evaluate outcomes after SSRF versus nonoperative management in patients multiple CPR.An international, retrospective was performed who underwent for between January 1, 2012, July 31, 2020. Patients were...
We report the case of a 71-year-old male who initially presented with urosepsis and was found to have rib fracture his right 6th flail segment an associated abscess. Given concern for infection, surgical fixation titanium plating not pursued during washout abscess instead, he successfully underwent stabilization bilateral suture transfixation. He continued on prolonged course antibiotics Klebsiella pneumonia osteomyelitis discharged uneventfully optimal pain control adequate respiratory effort.
Rib fractures are one of the most common injuries following blunt trauma. When associated with penetrating trauma, projectile velocity and immense energy transfer cause significant rib fracture displacement fragmentation. As a result, these patients potentially exposed to an even higher risk complications compared those seen in more simple fractures. Unfortunately, there is limited research regarding technical considerations for surgical stabilization (SSRF) severely displaced bone loss...
BACKGROUND Over the last two decades, acute management of rib fractures has changed significantly. In 2021, Chest Wall injury Society (CWIS) began recognizing centers that epitomize their mission as CWIS Collaborative Centers. The primary aim this study was to determine resources, surgical expertise, access care, and institutional support are present among centers. METHODS A survey performed including all Centers evaluating resources available at hospital for treatment patients with chest...
Di Napoli, Marissa BS; Doben, Andrew R. MD; DeVoe, William B. Eriksson, Evert MD, FACS, FCCPAuthor Information
Rib fractures are common after motor vehicle collisions. The hormonal changes associated with pregnancy decrease the stiffness and increase laxity of cartilage tendons. effect these on injury mechanics is not completely understood.To compare incidences chest wall following blunt thoracic trauma between pregnant nonpregnant women.The authors conducted a retrospective review female patients seen at level I center from 2009 to 2017 collision. Patient characteristics were compared determine if...
Objectives: Surgical stabilization of rib fractures (SSRF) improves outcomes in patients with flail chest and displaced impaired pulmonary function. Elderly frail such injuries are at risk for significant morbidity may benefit from SSRF. The 5-factor modified frailty index (mFI-5) is a validated predictor postoperative outcomes. purpose this study to evaluate the relationship between following SSRF tertiary care trauma center. Methods: A retrospective review undergoing 2015 2019. Patients...
Critical Care Medicine: January 2020 - Volume 48 Issue 1 p 94 doi: 10.1097/01.ccm.0000619248.06547.7f
Severe chest wall injury following trauma is a significant contributing factor to respiratory failure and need for mechanical ventilation in multiply injured patients. Surgical stabilization of rib fractures (SSRF) increasingly considered be advantageous this population. has been shown improve multiple outcomes including ventilator avoidance, liberation from ventilation, diminished pulmonary complications the population, particularly when performed early. During coronavirus disease 2019...