Results found: 3

Number of results on page

Search results

Search:
in the keywords: shock

Sort By:

Limit search:

Recombinant Human Activated Protein C Administered Twice to The Same Patient with Shock Caused by the Acute Pancreatitis and With Septic Shock As Iatrogenic Complication

100%

Rybicki Z., Truszczyński A., Skibiński M.

Polish Journal of Surgery

2007

vol. 79

issue 1

47-51

We present a case of a patient suffering from severe acute pancreatitis who underwent double treatment with recombinant human activated protein C. The first administration occurred while the patient was in shock secondary to severe acute pancreatitis (not complicated by pancreatic necrosis bacterial contamination). The second administration occurred while the patient was in septic shock secondary to an iatrogenic complication, which developed in convalescent period.

Endovascular Treatment of Ruptured Abdominal Aortic Aneurysms

100%

Jakuczun W., Szostek M., Pogorzelski R., Szostek M., Skórski M.

Polish Journal of Surgery

2008

vol. 80

issue 8

381-386

Aortic aneurysms, especially when ruputured, constitute a direct life threat. Mortality in emergency surgical procedures has been estimated at 50 to 90%. In the recent years great advances have been achieved in the form of endovascular techniques, which offer effective treatment and are associated with a lower risk of complications and death.The aim of the study was to evaluate endovascular treatment in patients with hypovolaemic shock due to aortic rupture in the infrarenal segment.Material and methods. 19 patients with ruptured aortic aneurysms were treated by stentgraft implantation in our department from 2001 to 2006. Bifurcated stentgrafts were used in 6, while aortouniiliac stentgrafts were used in the remaining 13 with consecutive femoro-femoral by-pass grafting.Results. Good results were obtained in 14 (73.7%) patients operated on while in hypovolaemic shock caused by aortic aneurysm rupture.5 patients died in the perioperative period (26.3%). The deaths were caused by shock and multiple organ failure.Conclusions. 1. Advances in vascular surgery offer an effective treatment for patients in hypovolaemic shock due to abdominal aortic aneurysm rupture. 2. New treatment modalities do not lift the surgeon's responsibility to manage shock, which remains the main cause of death in patients with ruptured aortic aneurysms. 3. If the technical conditions for stentgraft implantation are met, endovascular procedures should be the method of choice in cases of ruptured abdominal aortic aneurysm.

Prognostic factors in acute mesenteric ischemia and evaluation with multiple logistic regression analysis effecting morbidity and mortality

75%

Ozturk S., Unver M., Ozdemir M., Bozbıyık O., Turk Y., Firat O., Calıskan C.

Polish Journal of Surgery

2021

vol. 93

issue 1

25-33

Background: Acute mesenteric ischaemia (AMI) is a catastrophic abdominal emergency characterized by sudden critical interruption to the intestinal blood flow which commonly leads to bowel infarction and death. AMI still has a poor prognosis with an in-hospital mortality rate of 50-69 %. This high mortality rate is related to the delay in diagnosis which is often diffucult and overlooked. Early intervention is crucial and the potential for intestinal viability. Methods: The charts of 140 patients who were hospitalazed with AMI between May 1997 and August 2013 in Ege University Faculty of Medicine, department of general surgery were retrospectively reviewed. Demographical and clinical features of patients determining the best predictors which effect on morbidity and mortality were evaluated by Multiple Logistic Regression analysis by Enter method after adjustment for all possible confounding factors. Results: After Multiple LR analysis by Enter method after adjustment for all possible confounding factors affecting morbidity; shock, exploration and stay in hospital were statistically significant. Age, cardiac comorbidities, ASA scores, the time delay between onset of acute abdominal pain to surgery, the presence of acidosis and shock, the involved organs (small bowel and both), type of surgery and medical treatment and small bowel length under 100 cm were statistically significant on mortality. Conclusion: Risk factors related to mortality and morbidity have been poorly analyzed due to lack of prospective studies and smaller number of patients. Early diagnosis generally depends on clinical awareness and suspicion. Age and time of delay between onset of acute abdominal pain to surgery longer than 24 hours are the most important parameters that predict the mortality for patients presenting with shock and acidosis.

Refine search results

3 Polish Journal of Surgery

1 2020

1 2008

1 2007

1 Bozbıyık O.

1 Calıskan C.

1 Firat O.

1 Jakuczun W.

1 Ozdemir M.

1 Ozturk S.

1 Pogorzelski R.

1 Rybicki Z.

1 Skibiński M.

1 Skórski M.

1 Szostek M.

1 Truszczyński A.

1 Turk Y.

1 Unver M.

Search results

Recombinant Human Activated Protein C Administered Twice to The Same Patient with Shock Caused by the Acute Pancreatitis and With Septic Shock As Iatrogenic Complication

Endovascular Treatment of Ruptured Abdominal Aortic Aneurysms

Prognostic factors in acute mesenteric ischemia and evaluation with multiple logistic regression analysis effecting morbidity and mortality