盐水/双极射频能量装置作为固体器官损伤/创伤中血侧体
Summary
本出版物的目标是演示一种新型设备在猪模型中使用模拟固体器官损伤的潜在应用。
Abstract
固体器官（肝脏、脾脏和肾脏）出血通常危及生命，在危重病人中可能难以停止。阻止这种持续出血的传统技术包括高压电烧凝固、局部止血应用和点燃的砷气的输送。本研究/视频的目标是展示一种新能源装置对阻止持久性固体器官出血的疗效。利用双极射频（RF）能量的一种新型仪器，用于从简单的手提机点燃/沸腾滴液盐水，用于阻止猪模型中固体器官损伤的持续出血。该仪器是根据选择性肝切除术的经验推断的。猪模型中固体器官的一系列损伤将不断升级。接下来，这种新型能量装置将按顺序进行控制出血。还将采用标准吸气装置。这种简单的盐水/RF能量仪器有可能阻止持续的固体器官表面/帽性出血，以及与深度撕裂相关的中度出血。
Introduction
由于固体器官损伤而不受控制的出血仍然是钝性创伤和穿透性创伤1的发病率和死亡率的主要原因。随着有效损伤控制复苏策略的出现，腹部外伤非手术管理率继续上升2.因此，需要手术管理的患者有越来越复杂的伤害和相关生理混乱。在这些患者中，早期控制出血是有效的损伤控制复苏和理想结果的重要组成部分。
固体器官损伤的手术管理仍然是创伤、急性护理和普通外科医生的主要能力。各种手术技术和这些损伤的止血辅助技术已描述3。处理固体器官出血的传统技术包括高压电烧凝固、局部止血剂的应用、缝合修复以及部分或全部器官切除。阿贡光束凝固也被描述为4。虽然每种技术在实现下到时都起着作用，但没有一种是普遍适用或成功的。
许多新的工具和止血疗法在选择性手术环境中被描述。这在肝胆外科领域尤为严重。随着对这些工具的熟悉程度的提高，许多工具在创伤的手术管理中也显示出了希望。其中一种装置利用点燃的盐水和双极射频能量的组合来控制出血。此外，它有能力同时密封肝脏6中的中小型胆管。这种工具在固体器官损伤管理中的积极经验，前文已描述6，7，8。,86,
本出版物旨在演示这种新型装置在猪模型中使用模拟固体器官损伤的潜在应用。
Protocol
Representative Results
Discussion
迅速有效地控制出血是现代损伤控制复苏十的重要组成部分。各种手术和辅助技术可用于在固体器官损伤3中控制出血。这些技术都没有被证明在实现性，或成功地实现性系统。此处描述的 SBRF 设备的初始体验是积极的6，7，8。该装置是实现复杂固体器官损伤快速有效的造物的一种宝贵辅助?…
Disclosures
The authors have nothing to disclose.
Acknowledgements
作者没有承认。
Materials
| Aquamantys pump generator | Medtronic | 40-402-1 | |
| Aquamantys 6.0 bipolar sealer | Medtronic | 23-112-1 | |
| Electrosurgical pencil with tip | Megadyne | 0039 | |
| Porcine animal | |||
| Porcine ventilator/induction and anesthetic medications | |||
| 2 x 1 liter bags of 0.9% normal saline | |||
| 2 x scalpels (#10) | |||
| Belfour abdominal retractor | |||
| Suction tubing | |||
| Suction tip | |||
| Suction device/wall connector | |||
| Suction canister | |||
| Debakey forceps | |||
| Metz scissors | |||
| Curved Mayo scissors | |||
| Closing suture (1-0 Nylon) | |||
| 20 x Laparotomy sponges | |||
| 2 x Kelley clamps | |||
| 2 x snap clamps | |||
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