Damage control management in the polytrauma patient

This state-of-the-art guide to damage control surgery focuses on the decision-making process for managing polytrauma patients. Orthopedists, trauma surgeons, and emergency medicine physicians will learn how to effectively coordinate efforts and time surgical procedures when treating severe fractures and soft tissue injuries. Supported by the latest research, the book presents an overview of the damage control concept and the epidemiology of polytrauma injuries. Immunological changes, cascade reactions, and patient selection for the damage control approach are discussed in detail. Both isolated extremity trauma and polytrauma are considered. Indications for life-saving procedures, damage control for truncal injuries, and damage control for extremities and pelvic fractures are outlined as well. The text also covers the management of vascular injuries and the timing of secondary definitive procedures. Edited by authorities in orthopedic trauma and general surgery, this book is an unparalleled resourcefor improving outcomes and implementing the damage control approach in polytrauma care. Edited by pioneers in the field Features multidisciplinary approachEmphasizes decision-making process Highlights indications for applying damagecontrol method INDICE: The damage control approach.- Epidemiology of polytrauma.- Pathogenetic chanes: Isolated extremity trauma and polytrauma.- Pathogenetic changes:Secondary abdominal compartment syndrome.- Impact of head and chest trauma ongeneral condition.- Patient selection: Orthopedic approach in isolated injuries.- Patient selection: Orthopedic approach in polytrauma.- Phase 0: Damage control resuscitation in the pre-hospital and emergency deparatment settings.- Phase I: Abbreviated surgery (General).- Phase 1: Abbreviated surgery (Orthopedics).- Phase II: The ICU phase of damage cotnrol: Managing the patient from door to door.- Phase III: Second operation, repair of all injuries (General).- Phase III: Second operation, repair of all injuries (Orthopedic).- Phase IV: Late reconstruction, abdominal wall closure: Staged management technique.- PhaseIV: Late reconstruction, reconstruction of post-traumatic soft tissue defects.- The role of interventional radiology.- Head injuries in polytrauma patients.- Spinal injuries in polytrauma patients.- Pelvic fractures in polytrauma patients.- Vascular injuries in polytrauma patients.- Pediatric trauma and polytrauma pediatric patients.- Damage control in elderly polytrauma patients.- Masscasualties: A military perspective.- Mass casualties: Civilian.- Abdominal, general, and extremity complications.- Critical decision points in managing theopen abdomen.- Functional long-term outcomes in polytrauma patients with orthopedic injuries.

• ISBN: 978-0-387-89507-9
• Editorial: Springer
• Encuadernacion: Cartoné
• Páginas: 600
• Fecha Publicación: 22/10/2009
• Nº Volúmenes: 1
• Idioma: Inglés