Cargando…

Damage control strategy in bleeding trauma patients

Hemorrhagic shock is a main cause of death in severe trauma patients. Bleeding trauma patients have coagulopathy on admission, which may even be aggravated by incorrectly directed resuscitation. The damage control strategy is a very urgent and essential aspect of management considering the acute coa...

Descripción completa

Detalles Bibliográficos
Autores principales: Kim, Maru, Cho, Hangjoo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Critical Care Medicine 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7808849/
https://www.ncbi.nlm.nih.gov/pubmed/33423438
http://dx.doi.org/10.4266/acc.2020.00941
_version_ 1783636989840457728
author Kim, Maru
Cho, Hangjoo
author_facet Kim, Maru
Cho, Hangjoo
author_sort Kim, Maru
collection PubMed
description Hemorrhagic shock is a main cause of death in severe trauma patients. Bleeding trauma patients have coagulopathy on admission, which may even be aggravated by incorrectly directed resuscitation. The damage control strategy is a very urgent and essential aspect of management considering the acute coagulopathy of trauma and the physiological status of bleeding trauma patients. This strategy has gained popularity over the past several years. Patients in extremis cannot withstand prolonged definitive surgical repair. Therefore, an abbreviated operation, referred to as damage control surgery (DCS), is needed. In addition to DCS, the likelihood of survival should be maximized for patients in extremis by providing appropriate critical care, including permissive hypotension, hemostatic resuscitation, minimization of crystalloid use, early use of tranexamic acid, and avoidance of hypothermia and hypocalcemia. This review presents an overview of the evolving strategy of damage control in bleeding trauma patients.
format Online
Article
Text
id pubmed-7808849
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Korean Society of Critical Care Medicine
record_format MEDLINE/PubMed
spelling pubmed-78088492021-01-26 Damage control strategy in bleeding trauma patients Kim, Maru Cho, Hangjoo Acute Crit Care Review Article Hemorrhagic shock is a main cause of death in severe trauma patients. Bleeding trauma patients have coagulopathy on admission, which may even be aggravated by incorrectly directed resuscitation. The damage control strategy is a very urgent and essential aspect of management considering the acute coagulopathy of trauma and the physiological status of bleeding trauma patients. This strategy has gained popularity over the past several years. Patients in extremis cannot withstand prolonged definitive surgical repair. Therefore, an abbreviated operation, referred to as damage control surgery (DCS), is needed. In addition to DCS, the likelihood of survival should be maximized for patients in extremis by providing appropriate critical care, including permissive hypotension, hemostatic resuscitation, minimization of crystalloid use, early use of tranexamic acid, and avoidance of hypothermia and hypocalcemia. This review presents an overview of the evolving strategy of damage control in bleeding trauma patients. Korean Society of Critical Care Medicine 2020-11 2020-11-30 /pmc/articles/PMC7808849/ /pubmed/33423438 http://dx.doi.org/10.4266/acc.2020.00941 Text en Copyright © 2020 The Korean Society of Critical Care Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Kim, Maru
Cho, Hangjoo
Damage control strategy in bleeding trauma patients
title Damage control strategy in bleeding trauma patients
title_full Damage control strategy in bleeding trauma patients
title_fullStr Damage control strategy in bleeding trauma patients
title_full_unstemmed Damage control strategy in bleeding trauma patients
title_short Damage control strategy in bleeding trauma patients
title_sort damage control strategy in bleeding trauma patients
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7808849/
https://www.ncbi.nlm.nih.gov/pubmed/33423438
http://dx.doi.org/10.4266/acc.2020.00941
work_keys_str_mv AT kimmaru damagecontrolstrategyinbleedingtraumapatients
AT chohangjoo damagecontrolstrategyinbleedingtraumapatients