| Autor: |
Gustavo Romero-Velez, Jody M. Kaban, Edward Chao, Erin R. Lewis, Melvin E. Stone, Jr, Sheldon Teperman, Srinivas H. Reddy |
| Jazyk: |
angličtina |
| Rok vydání: |
2020 |
| Předmět: |
|
| Zdroj: |
Trauma Case Reports, Vol 28, Iss , Pp 100324- (2020) |
| Druh dokumentu: |
article |
| ISSN: |
2352-6440 |
| DOI: |
10.1016/j.tcr.2020.100324 |
| Popis: |
Penetrating cardiac injuries have a pre-hospital mortality of 94% with a subsequent in-hospital mortality of 50% among initial survivors (Leite et al., 2017 [1]). The Western Trauma Association (WTA) guidelines recommend resuscitative thoracotomy (RT) for patients with penetrating torso trauma and less than 15 min of cardiopulmonary resuscitation (CPR) Burlew et al. (2012) [2]. Penetrating cardiac injuries are classically repaired using skin-stapling devices and/or suture repair with or without pledgets (Wall et al., 1997 [3]). In this study, we present a case of penetrating cardiac injury where all the aforementioned techniques failed, and a new approach was explored. A fibrinogen/thrombin patch was used in this clinical setting, which is an off-label use of the product, we here present our encouraging outcome. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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