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...
Autores principales: | , |
---|---|
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 |