Asset Details
Do you wish to reserve the book?
Foley-catheter balloon tamponade
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Foley-catheter balloon tamponade
Do you wish to request the book?
Foley-catheter balloon tamponade
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Foley-catheter balloon tamponade
2017
Overview
Background A previous study from Groote Schuur Hospital (GSH) highlighted the success of FCBT (PNI). Aim This study is an update highlighting the management trends and outcomes. Methods The records of all patients with PNI requiring FCBT for a neck injury presenting to GSH within an 11-month study period were reviewed. Prospectively captured data on the Electronic Trauma Health Record Application (eTHRApp), was retrospectively analysed. Analysed data included demographics, clinical signs on admission, imaging, management and major outcomes. Results Over the 11-month study period, 311 patients with PNI were seen, of which 47 patients (15.1%) required FCBT. All were male; mean age of 28.6 years (range 18-48). Most injuries were caused by stab wounds (91.5%) while 4 patients (8.5%) suffered gunshot wounds. The majority of catheters (85.1%) were inserted by the referral institution. A total of 14 arterial injuries were identified, of which only one had ongoing active bleeding with haemodynamic compromise requiring immediate surgical intervention without prior imaging. The remaining 46 patients were imaged with computerised tomography angiography (CTA). A total of 8 major arterial injuries were found, of which six were surgically repaired; and one carotid injury was stented. A further 6 minor arterial injuries were identified and managed expectantly. A further 4 patients required surgery for their neck injuries: 2 had major venous injuries ligated and 2 required surgery for aerodigestive injuries. The remaining patients had their catheter successfully removed at 48-72 hours. There was no significant bleeding observed in any of these patients. There was one mortality caused by a large cerebral infarct from a common carotid artery injury. Discussion This series shows an increasing use of FCBT for PNI. Major differences from the previous series include the increased use of CT angiography and less reliance on formal angiography for diagnostic purposes. FCBT remains a simple, easy-to-use, yet effective technique.
Publisher
Medpharm Publications
Subject
