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Acta Biomedica Scientia

Volume 6, Issue 3, 2019
Mcmed International
Acta Biomedica Scientia
Issn
2348 - 215X (Print), 2348 - 2168 (Online)
Frequency
bi-annual
Email
editorabs@mcmed.us
Journal Home page
http://mcmed.us/journal/abs
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Abstract
Title
Midazolam, propofol, Cardiovascular effects
Author
Dr Asif Ahmad Ansari
Email
Dr Asif Ahmad Ansari@gmail.com
keyword
Corneal, Sensitivity, Mechanical, Chemical, Thermal
Abstract
Due to the high postoperative mortality and morbidity rates of conventional open repair of blunt traumatic aortic injury (BTAI), it is not considered the optimal treatment for BTAI. Thoracic endovascular repair may be more appealing as a therapeutic option due to recent advances in the technique. 42 patients (mean age, 47.83 years) with BTAI were admitted to our institution. The early perioperative results of 36 cases (22 open procedures and 14 endovascular procedures) were retrospectively compared. Even though the endovascular repair group had a lower mortality rate (20.0% vs. 0%), the difference was not statistically significant. Paraplegia or endoleaks did not occur. It was found that heparin dosage levels, blood loss, and transfusion amounts decreased statistically significantly during the procedure. The mortality rate and morbidity rate of endovascular repair can be lower than open repair. The therapeutic challenge may arise at the young age of relatively young patients with acute aortic arch angulation and a small aortic diameter. Successful endovascular repair requires improved graft designs, delivery sheaths, and durability
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