Similar central hemodynamics but increased postoperative oxygen consumption in unreamed versus reamed intramedullary nailing of femoral fractures

Journal of Trauma - Injury, Infection and Critical Care

Volumn 61, Issue 5, 2006, Pages 1178-1185

  Helttula, Ilmo ^a,b   Karanko, Meri ^a,c   Gullichsen, Eero ^a  

^a UNIVERSITY OF TURKU   (Finland)

^b Mehilainen Oy   (Finland)

^c Pulssi Clinic   (Finland)

Author keywords

Femoral fracture; Hemodynamics; Intramedullary nailing; Right ventricular ejection fraction

Indexed keywords

ADULT; ARTERY CATHETERIZATION; ARTICLE; CARDIOPULMONARY HEMODYNAMICS; CENTRAL VENOUS PRESSURE; CLINICAL ARTICLE; CONTROLLED STUDY; ELECTROCARDIOGRAPHY; FEMALE; FEMUR FRACTURE; GENERAL ANESTHESIA; HEART STRESS; HUMAN; INTRAMEDULLARY NAILING; LUNG ARTERY PRESSURE; MALE; MEAN ARTERIAL PRESSURE; OXYGEN CONSUMPTION; PERIOPERATIVE PERIOD; POSTOPERATIVE PERIOD; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; PULMONARY ARTERY; RADIAL ARTERY; VENOUS OXYGEN TENSION;

ADULT; ANESTHESIA, GENERAL; BLOOD PRESSURE; BONE NAILS; CARDIAC OUTPUT; FEMALE; FEMORAL FRACTURES; FOLLOW-UP STUDIES; FRACTURE FIXATION, INTRAMEDULLARY; HEMOGLOBINS; HUMANS; MALE; OXYGEN CONSUMPTION; POSTOPERATIVE PERIOD; PROSPECTIVE STUDIES; STROKE VOLUME;

EID: 33750939688     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/01.ta.0000243888.31434.b1     Document Type: Article

References (20)

1. Goris RJA, Biert J. Early fixation of fractures in multiple traumatized patients. Int J Intensive Care. 1996;3:89.
2. Kröpfl A, Berger U, Neureiter H, Hertz H, Schlag G. Intramedullary pressure and bone marrow fat intravasation in unreamed femoral nailing. J Trauma. 1997;42:946-954.
3. Wenda K, Ritter G, Ahlers J, et al. Nachweis und Effekte von Knochenmarkseinschwemmungen bei Operationen im Bereich der Femurmarkhöhle. Unfallchirurgie. 1990;93:56-61.
4. Buttaro M, Mocetti E, Alfie V, et al. Fat embolism and related effects during reamed and unreamed intramedullary nailing in a pig model. J Orthop Trauma. 2002;16:239-244.
5. Coles RE, Clements FM, Lardenoye JW, et al. Transesophageal echocardiography in quantification of emboli during femoral nailing: reamed versus unreamed techniques. J South Orthop Assoc. 2000;9:98-104.
6. Helttula I, Karanko M, Gullichsen E. Similar central hemodynamics and oxygenation in reamed and unreamed intramedullary nailing of tibial fractures. J Trauma. 2002;52:308-314.
7. Robinson CM, Ludlam CA, Ray DC, Swann DG, Christie J. The coagulative and cardiorespiratory responses to reamed intramedullary nailing of isolated fractures. J Bone Joint Surg Br. 2001;83:963-973.
8. Greenbaum R, Nunn JF, Prys-Roberts C, Kelman GR, Silk FF. Cardiopulmonary function after fat embolism. Br J Anesth. 1965;37:554-555.
9. Weresh MJ, Stover MD, Bosse MJ, et al. Pulmonary gas exchange during intramedullary fixation of femoral shaft fractures. J Trauma. 1999;46:863-868.
10. Heine TA, Halambeck BL, Mark JB. Fatal pulmonary fat embolism in the early postoperative period. Anesthesiology. 1998;89:1589-1591.
11. Helttula I, Karanko M, Gullichsen E. Central hemodynamics during reamed intramedullary nailing of unilateral tibial fractures. J Trauma. 2000;48:704-710.
12. Müller ME, Nazarian S, Koch P. The Comprehensive Classification of Fractures of Long Bones. New York: Springer-Verlag; 1990.
13. Vincent J-L, Thirion M, Brimioulle S, Lejeune P, Kahn RJ. Thermodilution measurement of right ventricular ejection fraction with a modified pulmonary artery catheter. Intensive Care Med. 1986;12:33-38.
14. Dhainaut J-F, Brunet F, Monsallier JF, et al. Bedside evaluation of right ventricular performance using a rapid computerized thermodilution method. Crit Care Med. 1987:15;148-152.
15. Stevens WC, Cromwell TH, Halsey MJ, et al. The cardiovascular effects of a new inhalation anesthetic, Forane, in human volunteers at constant arterial carbon dioxide tension. Anesthesiology. 1971;35:8-16.
16. Hirvonen EA, Nuutinen LS, Kauko M. Hemodynamic changes due to Trendelenburg position and pneumoperitoneum during laparoscopic hysterectomy. Acta Anestesiol Scand. 1995;39:949-955.
17. Cheatham ML. Right ventricular end-diastolic volume measurements in the resuscitation of trauma victims. Int J Intens Care. 2000:165-176.
18. Mellor A, Soni N. Fat embolism [review article]. Anaesthesia. 2001;56:145-154.
19. Wagner WW Jr, Herve P. Physiology of pulmonary capillary recruitment. Rev Mal Respir. 1989;6:39-44. Article in French.
20. Barre J, Lepouse C, Segal P. Embolism and intramedullary femoral surgery. Rev Chir Orthop. 1997;83:9-21. (Article in French.)