Department of Anesthesia and Critical Care, Subsection Emergency- and Disaster Relief Medicine, University Hospital of Wuerzburg, Oberduerrbacherstrasse 6, 97080, Würzburg, Germany.
Department of Anesthesia and Critical Care, University Hospital of Wuerzburg, Würzburg, Germany.
Eur J Trauma Emerg Surg. 2021 Dec;47(6):1847-1852. doi: 10.1007/s00068-020-01374-5. Epub 2020 Apr 25.
The trauma centre of the Wuerzburg University Hospital has integrated a pioneering dual-room twin-CT scanner in a multiple trauma pathway. For concurrent treatment of two trauma patients, two carbon CT examination and intervention tables are positioned head to head with one sliding CT-Gantry in the middle. The focus of this study is the process of trauma care with the time to CT (tCT) and the time to operation (tOR) as quality indicator.
All patients with suspected multiple trauma, who required emergency surgery and who were initially diagnosed by the CT trauma protocol between 05/2018 and 12/2018 were included. Data relating to time spans (tCT and tOR), severity of injury and outcome was obtained.
110 of the 589 screened trauma patients had surgery immediately after finishing primary assessment in the ER. The ISS was 17 (9-34) (median and interquartile range, IQR). tCT was 15 (11-19) minutes (median and IQR) and tOR was 96.5 (75-119) minutes (median and IQR). In the first 30 days, seven patients died (6.4%) including two within the first 24 h (2%). There were two ICU days (1-6) (median and IQR) and one (0-1) (median and IQR) ventilator day.
The twin-CT technology is a fascinating tool to organize high-quality trauma care for two multiple trauma patients simultaneously.
维尔茨堡大学医院的创伤中心在多创伤通道中整合了开创性的双室双 CT 扫描仪。为了同时治疗两名创伤患者，将两张碳 CT 检查和介入台头对头放置，中间是一个滑动 CT 龙门架。本研究的重点是创伤护理过程，以 CT 时间（tCT）和手术时间（tOR）作为质量指标。
所有疑似多发伤、需要急诊手术且在 2018 年 5 月至 12 月期间根据 CT 创伤方案初步诊断的患者均纳入研究。收集与时间跨度（tCT 和 tOR）、损伤严重程度和结果相关的数据。
在急诊室完成初步评估后，立即对 589 名筛查出的创伤患者中的 110 名进行了手术。ISS 为 17（9-34）（中位数和四分位距，IQR）。tCT 为 15（11-19）分钟（中位数和 IQR），tOR 为 96.5（75-119）分钟（中位数和 IQR）。在最初的 30 天内，有 7 名患者死亡（6.4%），其中 2 名在最初的 24 小时内死亡（2%）。有 2 个 ICU 日（1-6）（中位数和 IQR）和 1 个（0-1）（中位数和 IQR）呼吸机日。
双 CT 技术是一种组织两名多发伤患者同时进行高质量创伤护理的迷人工具。
