Control de daños en cirugía ortopédica y traumatología

  1. Laura Noguera Alonso
  2. Lorenzo Alarcón García
  3. Irene Ruiz Adelantado
  4. Clara Sáez Ibarra
Journal:
Revista Sanitaria de Investigación

ISSN: 2660-7085

Year of publication: 2024

Volume: 5

Issue: 5

Type: Article

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Abstract

Politrauma patients are one of the most significant causes of death worldwide. Differents philosophies have evolved to approach their treatment. Damage control, Early Total Care, Early Appropiate Care and, recently, PRISM. However, It must not to establish strict criteria en every patient. In recent years, Early Appropiate Care and PRISM have taken advantaged, based on individualized treatment, continual reevaluations and resuscitation measures. Three parameters have been described to take surgery on consideration: lactate <4mmol/L; ph> 7.25 and base excess > -5.5mmol/L.

Bibliographic References

  • Harwood PJ, Giannoudis P V., Van Griensven M, Krettek C, Pape HC, Thal ER et al. Alterations in the systemic inflammatory response after early total care and damage control procedures for femoral shaft fracture in severely injured patients. J Trauma – Inj Infect Crit Care 2005;58446–54.
  • Pape H-C, Giannoudis P V, Krettek C TO. Timing of fixation of major fractures in blunt polytrauma: role of conventional indicators in clinical decision making. J Orthop Trauma 2005;19551–62.
  • Pape H-C, Giannoudis PV, Krettek C TO. Timing of fixation of major fractures in blunt polytrauma: role of conventional indicators in clinical decision making. J Orthop Trauma 2005 Sep;19(8)551–62.
  • Vallier HA, Wang X, Moore TA, Wilber JH CJ. Timing of orthopaedic surgery in multiple trauma patients: development of a protocol for early appropriate care. J Orthop Trauma. 2013 Oct;27(10):543–51. J Orthop Trauma 2013 Oct;27(10)543–51.
  • Delano MJ, Rizoli SB, Rhind SG, Cuschieri J, Junger W, Baker AJ et al. Prehospital resuscitation of traumatic hemorrhagic shock with hypertonic solutions worsens hypocoagulation and hyperfibrinolysis. Shock 2015;4425– 31.
  • Chen L, Deng H, Cui H, Fang J, Zuo Z, Deng J et al. Inflammatory responses and inflammation-associated diseases in organs. Oncotarget 2018;9:7204–18.
  • Giannoudis P V., Harwood PJ, Loughenbury P, Van Griensven M, Krettek C PH-C. Correlation Between IL-6 Levels and the Systemic Inflammatory Response Score: Can an IL-6 Cutoff Predict a SIRS State? J Trauma Inj Infect Crit Care 2008;65646–52.
  • Giannoudis PV, Giannoudis VP HD. Time to think outside the box: “Prompt-Individualised-Safe Management” (PR.I.S.M.) should prevail in patients with multiple injuries. Inj 2017 Jul;48(7)1279-1282.
  • Teasdale G JB. Assessment of coma and impaired consciousness. A practical scale. Lancet 1974;2:81–84.
  • Champion HR SW et al. A revision of the Trauma Score. J Trauma 1989; 29(5) 623-9.
  • Baker SP, O’Neill B, Haddon W LW. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma 1974;14187–96.
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