Linked Life Data

9444920

Source:http://linkedlifedata.com/resource/pubmed/id/9444920

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
1998-2-12
pubmed:abstractText
Most orthopedic surgery is elective. Even in the severely traumatized patient, orthopedic surgery is carried out after the patient's general condition stabilizes. Critical postoperative situations are still problems in orthopedic surgery. From November 1992 through May 1995, 7,325 patients were admitted to the orthopedic ward at the National Taiwan University Hospital and underwent surgery. We present a retrospective study of 78 postoperative orthopedic patients who were admitted to a surgical intensive care unit (ICU) during this period. Fourteen of these became vegetative or died. The patients admitted to an ICU were categorized into four groups, based on the type of surgery: arthroplasty (13 patients), spinal surgery (50), fracture other than spine (13), and others (2). The causes of ICU admission in each group were analyzed. The following operations were found to carry a high risk of postoperative complications: revisional total hip arthroplasty (one of four ICU-admitted patients died); debridement for infected total hip arthroplasty (two of two died); bilateral total knee arthroplasty (two of four died); and debridement of spinal infection (three of five died). The associated risk factors for ICU admission were: old age, underlying medical disease, pulmonary embolism in multiple fracture, respiratory compromise in spinal surgery, and massive blood loss. Great care should be taken when performing orthopedic surgery on patients with these risk factors.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0929-6646
pubmed:author
pubmed:issnType
Print
pubmed:volume
96
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
990-5
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1997
pubmed:articleTitle
Evaluation of critical postoperative situations in orthopedic patients.
pubmed:affiliation
Department of Orthopedic Surgery, National Taiwan University Hospital, Taipei.
pubmed:publicationType
Journal Article