Regular inhaled beta-agonist treatment in bronchial asthma: Sears MR, Taylor DR, Print CG, et al Lancet 336: 1391–1396 Dec 1990
✍ Scribed by Cindy Madden
- Book ID
- 104310868
- Publisher
- Elsevier Science
- Year
- 1991
- Tongue
- English
- Weight
- 234 KB
- Volume
- 20
- Category
- Article
- ISSN
- 1097-6760
No coin nor oath required. For personal study only.
✦ Synopsis
The purpose of this study was to compare the complications of computed tomography (CT) with diagnostic peritoneal lavage (DPL) in the evaluation of penetrating or blunt abdominal trauma. In all, 2,809 DPLs and 1,331 CTs were performed, the choice of which was determined by the individual trauma surgeon. The usual criteria for a positive DPL were used. There were 25 complications associated with DPL --eight falsenegatives, three false-positives, and 14 technical errors. Technical errors included injuries to the bladder, stomach, small bowel, colon, mesentery, iliac artery, and vein. There were no deaths associated with complications of DPLs. There were 46 complications associated with CT -25 false-negatives (15 true false-negatives and ten misinterpreted CTs), three false-positives, 13 delays in operative intervention in hemodynamically stable patients (one death), and five deaths in hemodynamically unstable patients. Fourteen of the 15 true false-negatives went to surgery, as did nine of the ten patients with misinterpreted CTs. The one death in the 13 stable patients was the result of delay in recognition of an expanding epidural hematoma. Among the five unstable patients who died, two deaths were considered nonpreventable, two were from other management errors, and 178/824