ABSTRACT
One hundred thirty-nine pediatric blunt trauma patients 12 years of age or less were cared for using a protocol designed to identify which patients require aggressive surgical therapy and those who can be managed nonoperatively. Sixteen patients (average MISS score, 33) failed to respond to an estimated 20 cc per kilogram of crystalloid fluid resuscitation. Fifteen died, a mortality rate of 94%. One hundred twenty-three patients (average MISS score, 11) responded to less than or equal to 20 cc crystalloid fluid per kilogram with return of normal blood pressure, pulse rate, and nail bed capillary refill. Six died, a mortality rate of 5%, all from central nervous system injuries. Sixty-seven of these patients underwent ultrasound examination for suspected intra-abdominal injuries. Seventeen studies were positive. There were two complications (12%), but all 17 patients in this group were successfully managed nonoperatively. Our data suggest that quantitative crystalloid fluid resuscitation can identify pediatric blunt trauma patients suitable for nonoperative management and that ultrasound is a reliable tool for assessing intra-abdominal injury.
Subject(s)
Abdominal Injuries/therapy , Fluid Therapy , Plasma Substitutes/therapeutic use , Ultrasonography , Wounds, Nonpenetrating/therapy , Abdominal Injuries/diagnosis , Abdominal Injuries/mortality , Blood Transfusion , Body Weight , Brain Injuries/diagnosis , Brain Injuries/therapy , Child , Child, Preschool , Crystalloid Solutions , Female , Humans , Infant , Isotonic Solutions , Male , Plasma Substitutes/administration & dosage , Spinal Cord Injuries/diagnosis , Spinal Cord Injuries/therapy , Wounds, Nonpenetrating/diagnosis , Wounds, Nonpenetrating/mortalitySubject(s)
Emphysema/diagnosis , Escherichia coli Infections/diagnosis , Kidney Transplantation , Pyelonephritis/diagnosis , Ultrasonography , Adult , Emphysema/etiology , Emphysema/microbiology , Escherichia coli Infections/diagnostic imaging , Escherichia coli Infections/etiology , Humans , Kidney/diagnostic imaging , Male , Postoperative Complications , Pyelonephritis/diagnostic imaging , Pyelonephritis/etiology , Tomography, X-Ray ComputedABSTRACT
A 22 gauge "skinny core" (Madayag) biopsy needle, an 18 gauge Menghini needle, and a 14 gauge Tru-cut needle were compared in 51 patients. The Madayag needle was found to have a high recovery rate and provided adequate histological information in a large percentage of cases. However, the larger needles more consistently demonstrated a higher recovery rate and diagnostic specimen than the Madayag needle. The authors recommend that the radiologist become familiar with all three types of needles to facilitate selection of the proper instrument in each case.
