Sociedad Colombiana de Cirugía Pediátrica » trauma

Club de revistas. Computed tomography of blunt abdominal trauma in children

admin — Tue, 13 Dec 2011 13:00:55 +0000

Visrutaratna P, Na-Chiangmai W. Computed tomography of blunt abdominal trauma
in children. Singapore Med J. 2008 Apr;49(4):352-8; quiz 359.

Computed tomography (CT) plays a major role in diagnosis of blunt abdominal trauma of haemodynamically-stable children. The purpose of this article is to review the CT findings in children with hepatic, splenic, renal, adrenal, pancreatic, bowel, and mesentery injuries and in children with blunt abdominal trauma and active haemorrhage.

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Disponible en www.citeulike.org

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Club de revistas. Imagenología del trauma renal.

admin — Thu, 01 Dec 2011 21:00:23 +0000

Kawashima A, Sandler CM, Corl FM, West OC, Tamm EP, Fishman EK, et al. Imaging of renal trauma: a comprehensive review. Radiographics : a review publication of the Radiological Society of North America, Inc. 2001 May;21(3):557-574.

Computed tomography (CT) is the modality of choice in the evaluation of blunt renal injury. Intravenous urography is used primarily for gross assessment of renal function in hemodynamically unstable patients. Selective renal arteriography or venography can provide detailed information regarding vascular injury. Retrograde pyelography is valuable in assessing ureteral and renal pelvic integrity in suspected ureteropelvic junction injury. Ultrasonography is useful in detecting hemoperitoneum in patients with suspected intraperitoneal injury but has limited value in evaluating those with suspected extraperitoneal injury. Occasionally, radionuclide renal scintigraphy or magnetic resonance imaging may prove helpful. Renal injuries can be classified into four large categories based on imaging findings. Category I renal injuries include minor cortical contusion, subcapsular hematoma, minor laceration with limited perinephric hematoma, and small cortical infarct. Category II lesions include major renal lacerations extending to the medulla with or without involvement of the collecting system and segmental renal infarct. Category III lesions are catastrophic renal injuries and include multiple renal lacerations and vascular injury involving the renal pedicle. Category IV injuries are ureteropelvic junction injuries. CT is particularly useful in evaluating traumatic injuries to kidneys with preexisting abnormalities and can help assess the extent of penetrating injuries in selected patients with limited posterior stab wounds. Integration of the imaging findings in renal injury with clinical information is critical in developing a treatment plan.

Disponible en www.citeulike.org

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Club de revistas. Toracoscopia en trauma.

admin — Wed, 30 Nov 2011 13:00:43 +0000

Villavicencio RT, Aucar JA, Wall MJ. Analysis of thoracoscopy in trauma. Surgical endoscopy. 1999 Jan;13(1):3-9.The role of video-assisted thoracic surgery (VATS) in trauma has yet to be established. Up to the time of this writing, reviews of thoracoscopy in trauma have been primarily descriptive rather than analytic. This article analyzes the results of thoracoscopy (nonvideo and VATS) in trauma. Analysis was done by reviewing 28 nonoverlapping studies since the introduction of thoracoscopy in 1910, with a combined total of more than 500 patients. Diagnostically, thoracoscopy has been used primarily to evaluate diaphragmatic injury, continued chest tube bleeding, and suspected cardiac injury. Thoracoscopy has a 98% (188/191 patients) accuracy rate in diagnosing diaphragmatic injuries. Therapeutically, thoracoscopy has been used primarily to control chest tube bleeding, evacuate retained hemothoraces, and evacuate empyemas. Thoracoscopy is 90% (89/99 patients) effective in evacuating retained hemothoraces, 86% (19/22 patients) effective in evacuating empyemas, and 82% (33/40 patients) effective in controlling chest tube bleeding. Thoracoscopy benefits include preventing 62% (323/514) of trauma patients from having a thoracotomy or laparotomy. Risks include a 2% (11/534 patients) procedure-related complication rate and a 0.8% (4/471 patients) missed injury rate. Technical failure rates are 10% (10/99 patients) and 4% (7/199 patients) in evacuation of retained hemothoraces and evaluation of diaphragmatic injuries, respectively. Analysis suggests that thoracoscopy (nonvideo and VATS) can be applied safely and effectively in the care of the injured patient.

Disponible en www.citeulike.org

sccp/colombia

Curso International Trauma Life Support ITLS en Manizales

admin — Wed, 27 Oct 2010 22:04:02 +0000

Curso ITLS sobre manejo inicial del trauma.

Los días 27 y 28 de noviembre se realizará curso “International Trauma Life Support” en la sede de la Cruz Roja Manizales.

Inversión: $ 400.000

Información: crc.docencia@une.net.co Tel 8866300

Se entrega libro con un mes de anticipación para estudio
Se entrega certificación ITLS internacional con validez de 3 años

Club de Revistas. Dosis de radiación en el estudio de los pacientes politraumatizados.

admin — Sat, 23 Oct 2010 23:40:52 +0000

Reflexionemos acerca de las dosis de radiación…..

Dos artículos. Disponibles en citeulike sccp

Scaife ER, Rollins MD. Managing radiation risk in the evaluation of the pediatric trauma patient. Semin Pediatr Surg. 2010 Nov;19(4):252-6.

Pediatric trauma is usually a nonoperative experience for the pediatric general surgeon. The pediatric trauma surgeon resuscitates the child and then evaluates and triages the identified injuries. A common diagnostic tool is the computed tomography (CT) scan. Most children who require evaluation for significant trauma will get a CT scan, but there are no national guidelines directing the assessment. Injuries to the head, cervical spine, chest, and abdomen can all be imaged with a CT scan; the question is whether the liberal approach to imaging children is appropriate. Over the past decade, concern has arisen about the radiation dose delivered by CT. This concern has generated a national campaign to “image gently.” This article reviews the data involving the risk of medical radiation exposure and discusses strategies for managing the risk.

Brunetti MA, Mahesh M, Nabaweesi R, Locke P, Ziegfeld S, Brown R. Diagnostic Radiation Exposure in Pediatric Trauma Patients. J Trauma. 2010 Aug 27.

BACKGROUND: The amount of imaging studies performed for disease diagnosis has been rapidly increasing. We examined the amount of radiation exposure that pediatric trauma patients receive because they are an at-risk population. Our hypothesis was that pediatric trauma patients are exposed to high levels of radiation during a single hospital visit.

METHODS: Retrospective review of children who presented to Johns Hopkins Pediatric Trauma Center from July 1, 2004, to June 30, 2005. Radiographic studies were recorded for each patient and doses were calculated to give a total effective dose of radiation. All radiographic studies that each child received during evaluation, including any associated hospital admission, were included.

RESULTS: A total of 945 children were evaluated during the study year. A total of 719 children were included in the analysis. Mean age was 7.8 (+/-4.6) years. Four thousand six hundred three radiographic studies were performed; 1,457 were computed tomography (CT) studies (31.7%). Average radiation dose was 12.8 (+/-12) mSv. We found that while CT accounted for only 31.7% of the radiologic studies performed, it accounted for 91% of the total radiation dose. Mean dose for admitted children was 17.9 (+/-13.8) mSv. Mean dose for discharged children was 8.4 (+/-7.8) mSv (p < 0.0001). Burn injuries had the lowest radiation dose [1.2 (+/-2.6) mSv], whereas motor vehicle collision victims had the highest dose [18.8 (+/-14.7) mSv].

CONCLUSION: When the use of radiologic imaging is considered essential, cumulative radiation exposure can be high. In young children with relatively long life spans, the benefit of each imaging study and the cumulative radiation dose should be weighed against the long-term risks of increased exposure.

XVII Congreso Colombiano de Cirugía Pediátrica. Profesor Mizrahínn Méndez M. Cúcuta 5-9 octubre 2010.

admin — Wed, 21 Jul 2010 14:19:44 +0000

Curso de manejo inicial del trauma pediátrico. 5 y 6 de octubre. Universidad de Pamplona.

Organizado por la Sociedad Colombiana de Cirugía Pediátrica y PALS Colombia.

Inversión: $ 600.000

Dirigido a: Cirujanos pediátricos, pediatras, anestesiólogos, intensivistas, médicos generales y enfermeras.

Informes e inscripciones: celular 317 668 7687, fijo (1) 271 1659

e-mail: pilarherreracomunicaciones@gmail.com

Curso de trauma I.T.L.S.

admin — Tue, 23 Feb 2010 03:30:28 +0000

Los días 17 y 18 de julio de 2010 se realizará un curso I.T.L.S. (International Trauma Life Support) a cargo de la Facultad de Ciencias para la Salud de la Univesidad de Caldas y de la Cruz Roja Seccional Caldas.
Inversión: $ 470.000
Se otorgará certificación internacional
Se invita a participar de manera especial a los residendentes de cirugía y estudiantes de últimao año del programa de Medicina y Enfermería.

Mayores informes: webmastersccp@gmail.com

Libro de Trauma Pediátrico

admin — Thu, 03 Dec 2009 23:53:01 +0000

Desde acá puede descargar el libro “Manejo inicial del trauma pediátrico”