7 results for "trauma anesthesia"
Ketamine as primary anesthetic for upper limb trauma during war: a case series of 100 surgeries at Rafik Hariri University Hospital, Lebanon's National War Trauma Referral Center.
Future science OA – December 01, 2026
preprint
Summary
Following the Beirut pager explosions, trauma anesthesia at RHUH for 100 amputation surgeries dramatically improved with ketamine. Initially, opioid-based care led to 18 respiratory complications and 65% postoperative opioid use. After ketamine's introduction for mass casualty patients, pain scores dropped from 7.8 to 3.2, respiratory complications became zero, and only 5% required postoperative opioids. This opioid-sparing approach, crucial for conflict medicine, maintained stable blood pressure in 94% of patients, highlighting ketamine's effectiveness.
Abstract
The Beirut pager explosions on September 17, 2024 resulted in mass casualties with severe upper limb trauma admitted to Rafik Hariri University Hos...
Development and description of a porcine model of combat casualty care for traumatic-hemorrhagic shock research and medical training.
European journal of trauma and emergency surgery : official publication of the European Trauma Society – May 22, 2025
Summary
Combat injuries often combine severe blood loss with physical trauma, yet most medical training relies on oversimplified models. This research evaluated different anesthesia methods in pigs to create a more realistic training platform for combat casualty care. Using a large animal model, researchers compared three anesthesia types while simulating battlefield injuries and hemorrhagic shock. Ketamine-midazolam and isoflurane proved most effective for training purposes, closely mimicking real-world traumatic injury scenarios.
Abstract
Despite the high incidence of death among cases of hemorrhagic shock associated with polytrauma, few animal models are representative of this combi...
Incidence of post-induction hypotension following emergency rapid sequence induction with ketamine: a systematic review and meta-analysis.
Scandinavian journal of trauma, resuscitation and emergency medicine – May 01, 2025
Summary
When emergency patients need immediate airway management, the choice of anesthetic matters. New analysis reveals that ketamine, a commonly used medication for rapid sequence induction (RSI), performs similarly to other drugs in terms of post-procedure blood pressure drops. Examining data from nearly 32,000 patients across 27 studies, researchers found no significant difference in hypotension rates between ketamine and alternative medications, challenging previous assumptions about its protective effects.
Abstract
Rapid sequence induction (RSI) is a potentially-life saving intervention in critically ill patients. An important adverse effect of this procedure ...
Comparison Between Low-Dose Esketamine and Dexmedetomidine on Postoperative Recovery Quality Among Patients Undergoing Humeral Trauma Surgery in Interscalene Brachial Plexus Block: A Randomized, Double-Blind, Controlled Trial.
Drug design, development and therapy – January 01, 2025
Summary
Low-dose esketamine shows promising results in improving recovery after shoulder area surgery. When compared to dexmedetomidine, patients receiving esketamine reported better quality of postoperative recovery, as measured by QoR-40 scores. The study found that esketamine maintained more stable heart rates and blood pressure while providing effective pain management during humeral trauma surgery, with no significant increase in side effects.
Abstract
Patients with humeral fracture often suffer from post-traumatic neuropsychiatric sequelae, which can cause immense anxiety or fear and worsen recov...
The effect of esketamine combined with sufentanil based patient-controlled intravenous analgesia for postoperative pain in patients undergoing third molar surgery and maxillofacial trauma: a randomized clinical trial.
BMC oral health – December 02, 2024
Summary
A breakthrough in dental pain management: Combining esketamine with sufentanil in patient-controlled intravenous analgesia significantly reduced postoperative pain after third molar and maxillofacial surgeries. The combination not only improved pain control but also decreased nausea and dizziness, leading to better recovery outcomes and higher patient satisfaction compared to traditional methods.
Abstract
This study aims to investigate the effects of combining esketamine with sufentanil for postoperative patient-controlled intravenous analgesia (PCIA...
Effects of Different Anesthesia Applications on Mood, Depression, and Anxiety Levels in Burn Patients.
Journal of burn care & research : official publication of the American Burn Association – November 14, 2024
Summary
Ketamine-based sedation shows promising results in reducing depression and anxiety among patients with burns. A comprehensive analysis of 67 burn patients revealed that those receiving ketamine-based sedation experienced significant mood improvements and decreased anxiety levels after their procedures. While both traditional and ketamine-based methods proved effective, the ketamine group showed notably better results in managing depression symptoms. Remarkably, no participants displayed suicidal tendencies throughout the study period.
Abstract
Adequate and effective pain management and prevention of depression are essential in patients with burns. This study aims to explore the effects of...
Effects of Nebulization With Ketamine and Budesonide on Postoperative Sore Throat in Patients Undergoing Elective Surgeries Under General Anesthesia: A Randomized Controlled Comparative Clinical Study.
Cureus – October 01, 2024
Summary
A common post-surgery issue is a sore throat. Could a simple nebulization help? Researchers investigated if inhaled ketamine or budesonide could prevent postoperative sore throat after general anesthesia. Patients undergoing elective surgeries received one treatment. Both methods effectively reduced discomfort, with symptoms decreasing significantly over time. While ketamine offered slightly quicker relief, budesonide was associated with fewer side effects like hallucinations, proving a safer choice for patient comfort.
Abstract
Background Postoperative sore throat (POST) is a frequent issue after endotracheal intubation, caused by irritation and minor trauma to the throat....