Damage Control Management in the Polytrauma Patient
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Beschreibung
Damage control surgery was developed as a management technique for severely injured patients whose immune systems are too weak to mount an adequate response to multiple extended procedures. The common goal of treating life-threatening conditions first, then treating major pelvic and extremity fractures requires cooperation between all major subspecialties involved in the care of polytrauma patients. The editors of this book have focused on approaching damage control surgery logically and systematically by dividing treatment into phases. Other vital topics discussed include patient selection, management of vascular injuries, and the timing of secondary definitive procedures. Damage Control Management in the Polytrauma Patient is an unparalleled resource for any clinician who must weigh life-saving operations against limb-threatening conditions.
Supported by the latest research, and covering both isolated extremity trauma and polytrauma, this overview of the damage control concept injuries discusses immunological changes, cascade reactions, and patient selection for the damage control approach.
Orthopedic trauma is largely limited to the stabilization and subsequent surgical management of fractures and dislocations, with most patients presenting to their local emergency departments with isolated injuries. Modern techniques and implants have made outcomes for these injuries more predictable. Intramedullary nailing, for example, has become standard treatment for a displaced fracture of the femoral shaft. These conditions can be managed by the majority of general ort- pedists being trained today. Interestingly, they most likely do not even understand or remember that this treatment evolved from the management of the polytrau- tized patient with fractures. The polytraumatized patient is, of course, a completely different matter. For many years, the only experience with these types of injuries was in casualties sustained by combatants during armed conflicts. Basic concepts such as anest- sia, blood transfusions, intravenous therapy, wound management, and even the development of nursing and the modern hospital were all learned and founded in armed conflicts such as the Crimean War, the Boer War, and World War I. The Second World War saw improvements in the management of both abdominal and extremity wounds, and this was further refined in the Korean and Vietnam Conflicts. These, however, were limited to saving lives and limbs that benefited from very basic care. Understanding even the most rudimentary physiological concepts now taken for granted eluded us, and this showed how limited kno- edge was at that time.
Edited by pioneers in the field
Features multidisciplinary approach
Emphasizes decision-making process
Highlights indications for applying damage control method
Autor*in
Hans-Christoph Pape
Themen in »Damage Control Management in the Polytrauma Patient«
Multiple Multitrauma Polytrauma Surgery abdominal wall complication complications emergency fracture general surgery orthopaedics orthopedics radiology trauma
Stimmen zu »Damage Control Management in the Polytrauma Patient«
From the reviews:
“This unique textbook, with 24 chapters and 58 authors, is both a technical manual and a clear illustration of the cultural challenges faced during a time of … radical transformation, especially by surgeons. … contains some excellent insights and clearly portrays the role of the surgeon throughout the injured patient’s journey, from resuscitation to reconstruction. … integrates damage control philosophy into a practical guide for managing the most severely injured patients. … a valuable resource for any clinicians, especially surgeons, involved in trauma care.” (Russell L. Gruen, Journal of the American Medical Association, Vol. 306 (5), August, 2011)()