Hemodynamically unstable non-compressible penetrating torso trauma: a practical surgical approach
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Redalyc
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| Formato: | Artículo científico |
| Lenguaje: | en |
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Universidad del Valle
2021
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| _version_ | 1876447263253856256 |
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| author | Mauricio Millán |
| author_facet | Mauricio Millán |
| contents | Hemodynamically unstable non-compressible penetrating torso trauma: a practical surgical approach Mauricio Millán Carlos A. Ordoñez Michael W. Parra Yaset Caicedo Natalia Padilla Luis Fernando Pino Fernando Rodríguez-Holguín Alexander Salcedo Alberto García José Julián Serna Mario Alain Herrera Laureano Quintero Fabian Hernández Carlos Serna Adolfo González Hadad Medicina REBOA aortic occlusion median sternotomy Damage control surgery hemodynamically unstable non Penetrating torso trauma is the second leading cause of death following head injury. Traffic accidents, falls and overall blunt trauma are the most common mechanism of injuries in developed countries; whereas, penetrating trauma which includes gunshot and stabs wounds is more prevalent in developing countries due to ongoing violence and social unrest. Penetrating chest and abdominal trauma have high mortality rates at the scene of the incident when important structures such as the heart, great vessels, or liver are involved. Current controversies surround the optimal surgical approach of these cases including the use of an endovascular device such as the Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) and the timing of additional imaging aids. This article aims to shed light on this subject based on the experience earned during the past 30 years in trauma critical care management of the severely injured patient. We have found that prioritizing the fact that the patient is hemodynamically unstable and obtaining early open or endovascular occlusion of the aorta to gain ground on avoiding the development of the lethal diamond is of utmost importance. Damage control surgery starts with choosing the right surgery of the right cavity in the right patient. For this purpose, we present a practical and simple guide on how to perform the surgical approach to penetrating torso trauma in a hemodynamically unstable patient. 2021 reseña 0120-8322 https://www.redalyc.org/articulo.oa?id=28366681001 https://www.redalyc.org/journal/283/28366681001/ https://www.redalyc.org/journal/283/28366681001/html/ https://www.redalyc.org/journal/283/28366681001/28366681001.epub https://www.redalyc.org/journal/283/28366681001/movil 10.25100/cm.v51i4.4592 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.2 Vol.52 |
| format | Artículo científico |
| id | redalyc_28366681001 |
| institution | Redalyc |
| language | en |
| publishDate | 2021 |
| publisher | Universidad del Valle |
| spellingShingle | Hemodynamically unstable non-compressible penetrating torso trauma: a practical surgical approach Mauricio Millán Medicina REBOA aortic occlusion median sternotomy Damage control surgery hemodynamically unstable non Hemodynamically unstable non-compressible penetrating torso trauma: a practical surgical approach Mauricio Millán Carlos A. Ordoñez Michael W. Parra Yaset Caicedo Natalia Padilla Luis Fernando Pino Fernando Rodríguez-Holguín Alexander Salcedo Alberto García José Julián Serna Mario Alain Herrera Laureano Quintero Fabian Hernández Carlos Serna Adolfo González Hadad Medicina REBOA aortic occlusion median sternotomy Damage control surgery hemodynamically unstable non Penetrating torso trauma is the second leading cause of death following head injury. Traffic accidents, falls and overall blunt trauma are the most common mechanism of injuries in developed countries; whereas, penetrating trauma which includes gunshot and stabs wounds is more prevalent in developing countries due to ongoing violence and social unrest. Penetrating chest and abdominal trauma have high mortality rates at the scene of the incident when important structures such as the heart, great vessels, or liver are involved. Current controversies surround the optimal surgical approach of these cases including the use of an endovascular device such as the Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) and the timing of additional imaging aids. This article aims to shed light on this subject based on the experience earned during the past 30 years in trauma critical care management of the severely injured patient. We have found that prioritizing the fact that the patient is hemodynamically unstable and obtaining early open or endovascular occlusion of the aorta to gain ground on avoiding the development of the lethal diamond is of utmost importance. Damage control surgery starts with choosing the right surgery of the right cavity in the right patient. For this purpose, we present a practical and simple guide on how to perform the surgical approach to penetrating torso trauma in a hemodynamically unstable patient. 2021 reseña 0120-8322 https://www.redalyc.org/articulo.oa?id=28366681001 https://www.redalyc.org/journal/283/28366681001/ https://www.redalyc.org/journal/283/28366681001/html/ https://www.redalyc.org/journal/283/28366681001/28366681001.epub https://www.redalyc.org/journal/283/28366681001/movil 10.25100/cm.v51i4.4592 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.2 Vol.52 |
| title | Hemodynamically unstable non-compressible penetrating torso trauma: a practical surgical approach |
| topic | Medicina REBOA aortic occlusion median sternotomy Damage control surgery hemodynamically unstable non |
| url | https://www.redalyc.org/articulo.oa?id=28366681001 https://www.redalyc.org/journal/283/28366681001/ https://www.redalyc.org/journal/283/28366681001/html/ https://www.redalyc.org/journal/283/28366681001/28366681001.epub https://www.redalyc.org/journal/283/28366681001/movil |