Anesthetic Concerns in Trauma Victims Requiring Operative Intervention: The Patient Too Sick to Anesthetize  

Oleh:

McCunn, Maureen ; Gordon, Emily K.B. ; Scott, Thomas H.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Anesthesiology Clinics (keterangan: ada di ClinicalKey) vol. 28 no. 01 (Mar. 2010), page 97-116.
Topik: Multiple trauma; Injury; Shock; Resuscitation; Massive transfusion; Damage control; Extracorporeal

Ketersediaan

Perpustakaan FK Nomor Panggil: A34.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Trauma is the third leading cause of death in the U.S. Timely acute care anesthetic management of patients following traumatic injury may improve outcome. Recognition of highly-mortal injuries to the brain, heart, lungs, liver, and pelvis should guide trauma-specific management strategies. Rapid intraoperative treatment of life-threatening conditions following injury includes the use of ‘controlled-under resuscitation’ of fluid administration until surgical hemorrhage control, early factor replacement in addition to transfusion of packed red blood cells, and use of adjuvant therapies such as recombinant factor VIIa. These treatment strategies, other recent developments in acute trauma resuscitation, and a review of associated co-existing medical conditions that may impact mortality, are presented.

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