List Archives

Sun Jan 14 06:21:43 GMT 2007

skin open for small bowel?  nah.  Don't believe there is any literature addressing that.  Colon?  Definately.  Moore in Denver looked at that: very beneficial to do delayed skin closure.

RD

> From: ldresner at gmail.com> Date: Sat, 13 Jan 2007 20:51:49 -0500> To: trauma-list at trauma.org> Subject: Re: small bowel injury> > one dose preop. none postop- i dont think there is a standard of > care in patients who are in shock postop though.> > leave skin open> > lisa d> suny downstate> > On Jan 11, 2007, at 10:09 PM, Roy Danks wrote:> > > small bowel? one dose. Colon: 24 hrs. I just don't know why, > > with the relative paucity of bacteria in the small bowel why more > > than one dose would be needed. If I do an elective small bowel > > resection for X disease, I don't give them any more than the > > induction antibiotic dose...I guess if you're worried about what > > went into the belly with the bullet, that's something else, but > > can't remember the last time I saw a staph infection of the belly > > after a relatively uncomplicated GSW.> >> >> Date: Thu, 11 Jan 2007 14:36:10 -0500> From: jkepros at pol.net> To: > >> trauma-list at trauma.org> Subject: Re: small bowel injury> > The > >> EAST guidelines (www.east.org) have a pretty clear recommendation > >> of> 24h for that. I believe you are correct.> John Kepros MD> > >> Michigan State University> > > Dear List,> > I was wondering if > >> you could help settle a friendly discussion I> > have with one of > >> my partners...how long to keep antibiotics going> > after small > >> bowel injury? I say no more than 24hr. case in point> > 40 you s/p > >> gsw abdomen, small bowel resection primary anastomosis.> > Any > >> literature support would be helpful. Thanks Joe> >> >> > > >> ---------------------------------> > Everyone is raving about the > >> all-new Yahoo! Mail beta.> > --> > trauma-list : TRAUMA.ORG> > To > >> change your settings or unsubscribe visit:> > http:// > >> www.trauma.org/traumalist.html> > > > --> trauma-list : > >> TRAUMA.ORG> To change your settings or unsubscribe visit:> http:// > >> www.trauma.org/traumalist.html> > _________________________________________________________________> > Fixing up the home? Live Search can help.> > http://imagine-windowslive.com/search/kits/default.aspx? > > kit=improve&locale=en-US&source=wlmemailtaglinenov06--> > trauma-list : TRAUMA.ORG> > To change your settings or unsubscribe visit:> > http://www.trauma.org/traumalist.html> > --> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> http://www.trauma.org/traumalist.html
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small bowel injury