[A case of malfunction of a pneumatic alarm device warning of a lack of oxygen].
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Biomedical subjects
Publications and source records attributed to U Corbanese.
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We report a case of nasocardiac reflex which occurred during a septorhinoplasty. Management and preventive treatment is briefly discussed.
The reliability of abdominal ultrasonography (US) in a clinical algorithm for emergency management of blunt trauma was evaluated prospectively. From November 1, 1987 to December 31, 1988, of 111 severe trauma victims admitted to our ICU, 63 were screened according to protocol by US for peritoneal fluid and splenic and/or hepatic injuries. The mean age was 49.6 years. The mean ISS and APACHE II Score was 26.9 and 13.7 respectively. The sensitivity of US for detection of peritoneal fluid was 95%, specificity 97.6%, positive predictive value 95%, negative predictive value 97.6% with a prevalence of 31.7%. For hepatic and splenic injuries instead the results were not as good as for abdominal fluid. Twelve patients underwent laparotomy and 6 with abdominal injuries were successfully treated nonoperatively with serial US examinations. Overall mortality was 12 (19%). No patients died for delayed or missed diagnosis of abdominal injury.
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A case of severe airway obstruction secondary to retropharyngeal hematoma in a young multiple trauma patient with a stable occipitoatloid capsular-ligamentous injury is reported. The onset of mechanical obstruction occurred eight hours after the trauma requiring emergent oral intubation, and lasted seventeen days. The initial lateral cervical spine radiograph was negative, whereas the second one performed 7 hours after and initially underestimated, showed a large prevertebral soft tissue swelling. The initial difficult radiological diagnosis of trauma is described, and the therapeutic implications are discussed.