Clinical experience with landiolol hydrochloride in conservative management of blunt aortic injury

Patients with associated major injuries [2] or those with no severe associated injuries or major comorbidities [3] can be safely managed with delayed repair after blood pressure and contractility are adequately controlled. [...]definitive nonoperative management may be chosen in a hemodynamically st...

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Bibliographic Details
Published in:The American journal of emergency medicine 2013-08, Vol.31 (8), p.1290.e3-1290.e5
Main Authors: Hifumi, Toru, MD, Okada, Ichiro, MD, Kiriu, Nobuaki, MD, Kato, Hiroshi, MD, Inoue, Junichi, MD, Koido, Yuichi, MD
Format: Article
Language:English
Subjects:
Adrenergic beta-Antagonists - therapeutic use
Adult
Anesthesia
Aorta - injuries
Aortography
Blood pressure
Emergency
Emergency medical care
Fractures
Heart
Heart rate
Humans
Injuries
Intensive care
Male
Medical treatment
Morpholines - therapeutic use
Patients
Tomography
Tomography, X-Ray Computed
Trauma
Urea - analogs & derivatives
Urea - therapeutic use
Veins & arteries
Wounds, Nonpenetrating - drug therapy
Citations: Items that this one cites
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Summary:Patients with associated major injuries [2] or those with no severe associated injuries or major comorbidities [3] can be safely managed with delayed repair after blood pressure and contractility are adequately controlled. [...]definitive nonoperative management may be chosen in a hemodynamically stable case after medical therapy, particularly in association with major extrathoracic injuries [1]. In the acute phase of severe trauma, the heart rate is influenced by several factors such as hypovolemia caused by massive bleeding, pain, anxiety, fever, and sympathetic activation. [...]close monitoring of vital signs and volume status, along with echocardiography, is mandatory during ?-blocker administration [13,14].
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2013.03.044