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Date of Graduation

8-2006

Degree Type

Capstone Project (On-Campus Access Only)

Degree Name

Master of Science in Physician Assistant Studies

First Advisor

Latha Reddy, PA-C

Second Advisor

Jonathon W. Gietzen MS PA-C

Abstract

Complications of thermal injuries include cholecystitis, ischemic colitis, pancreatitis and other abdominal sequelae. The purpose of this study is to review one bum institution's experience with non-graft related medical and surgical complications from 1992-2005. A computerized registry was used for data collection and analysis in this retrospective chart review. 15 patients sustained non-graft related medical complications requiring general surgery. Of these complications, 66% were abdominal in nature. Average TBSA was 34%. Mean age was 57. Ischemic colitis and cholecystitis comprised the majority of complications, 27% and 23% respectfully. 34 non-graft surgeries were performed and 91 % were abdominal procedures. TBSA ~ 20% was related to an increased risk of ischemic colitis and cholecystitis. Age ~ 60 did not appear to increase risk of these complications. Sepsis and vasopressor use was associated with the development of cholecystitis. Laparoscopic Cholecystectomy appears to be safe in bum patients.

Comments

The digital version of this project is currently unavailable to off-campus users; however, it may be requested via interlibrary loan by eligible borrowers from Pacific University Library. Pacific University Library is a free lender. (Library Use: NL)

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