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| Format: | Artículo científico |
| Language: | en |
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Universidad del Valle
2020
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| Online Access: | https://www.redalyc.org/articulo.oa?id=28366176011 https://www.redalyc.org/journal/283/28366176011/ https://www.redalyc.org/journal/283/28366176011/html/ https://www.redalyc.org/journal/283/28366176011/28366176011.epub https://www.redalyc.org/journal/283/28366176011/movil |
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Table of Contents:
- Hemodynamically unstable pelvic fracture: A damage control surgical algorithm that fits your reality David Mejia Michael W. Parra Carlos A. Ordoñez Natalia Padilla Yaset Caicedo Salin Pereira Warr Paula Andrea Jurado-Muñoz Mauricio Torres Alfredo Martínez José Julián Serna Fernando Rodríguez-Holguín Alexander Salcedo Alberto García Mauricio Millán Luis Fernando Pino Adolfo González Hadad Mario Alain Herrera Ernest E. Moore Medicina REBOA algorithm damage control pelvic fracture limited resource center Pelvic fractures occur in up to 25% of all severely injured trauma patients and its mortality is markedly high despite advances in resuscitation and modernization of surgical techniques due to its inherent blood loss and associated extra-pelvic injuries. Pelvic ring volume increases significantly from fractures and/or ligament disruptions which precludes its inherent ability to self-tamponade resulting in accumulation of hemorrhage in the retroperitoneal space which inevitably leads to hemodynamic instability and the lethal diamond. Pelvic hemorrhage is mainly venous (80%) from the pre-sacral/pre-peritoneal plexus and the remaining 20% is of arterial origin (branches of the internal iliac artery). This reality can be altered via a sequential management approach that is tailored to the specific reality of the treating facility which involves a collaborative effort between orthopedic, trauma and intensive care surgeons. We propose two different management algorithms that specifically address the availability of qualified staff and existing infrastructure: one for the fully equipped trauma center and another for the very common limited resource center. 2020 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28366176011 https://www.redalyc.org/journal/283/28366176011/ https://www.redalyc.org/journal/283/28366176011/html/ https://www.redalyc.org/journal/283/28366176011/28366176011.epub https://www.redalyc.org/journal/283/28366176011/movil 10.25100/cm.v51i4.4510 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.4 Vol.51