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Tension pneumoperitoneum after blast injury: dramatic improvement in ventilatory and hemodynamic parameters after surgical decompression

Oppenheim, A ; Pizov, R ; Pikarsky, A ; Weiss, Y G ; Zamir, G ; Sprung, C L ; Rivkind, A

The Journal of trauma, May 1998, Vol.44(5), pp.915-7 [Periódico revisado por pares]

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  • Título:
    Tension pneumoperitoneum after blast injury: dramatic improvement in ventilatory and hemodynamic parameters after surgical decompression
  • Autor: Oppenheim, A ; Pizov, R ; Pikarsky, A ; Weiss, Y G ; Zamir, G ; Sprung, C L ; Rivkind, A
  • Assuntos: Blast Injuries -- Complications ; Pneumoperitoneum -- Surgery
  • É parte de: The Journal of trauma, May 1998, Vol.44(5), pp.915-7
  • Descrição: Tension pneumoperitoneum is a known although rare complication of barotrauma, which can accompany blast injury. We report two patients who suffered from severe pulmonary blast injury, accompanied by tension pneumoperitoneum, and who were severely hypoxemic, hypercarbic, and in shock. After surgical decompression of their pneumoperitoneum, respiratory and hemodynamic functions improved dramatically. Several mechanisms to explain this improvement are suggested. In such cases the release of the tension pneumoperitoneum is mandatory, and laparotomy with delayed closure can be contemplated.
  • Idioma: Inglês

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