Damage Control Management in the Polytrauma Patient

von: Hans-Christoph Pape, Andrew B. Peitzman, C. William Schwab, Peter V. Giannoudis

Springer-Verlag, 2010

ISBN: 9780387895086 , 463 Seiten

Format: PDF, OL

Kopierschutz: Wasserzeichen

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Mehr zum Inhalt

Damage Control Management in the Polytrauma Patient


 

Foreword

6

Foreword

9

Preface

11

Contents

12

Contributors

15

Epidemiology and Pathophysiology

21

The Damage Control Approach

22

Epidemiology of Polytrauma

31

Pathogenetic Changes: Isolated Extremity Trauma and Polytrauma

42

Pathogenetic Changes: Secondary Abdominal Compartment Syndrome

62

Impact of Head and Chest Trauma on General Condition

69

Patient Selection: Orthopedic Approach in Isolated Injuries

84

Patient Selection: Orthopedic Approach in Polytrauma

98

Phases of Damage Control

114

Phase 0: Damage Control Resuscitation in the Pre- hospital and Emergency Department Settings

115

Phase I: Abbreviated Surgery

136

Phase II: The ICU Phase of Damage Control: Managing the Patient from Door to Door

184

Phase III: Second Operation Repair of All Injuries General and Orthopedics

222

Orthopedics

239

Phase IV: Late Reconstruction Abdominal Wall Closure: Staged Management Technique

249

Phase IV: Late Reconstruction: Reconstruction of Posttraumatic Soft Tissue Defects

258

The Role of Interventional Radiology

273

Special Aspects of Damage Control

285

Head Injuries in Polytrauma Patients

286

Spinal Injuries in Polytrauma Patients

297

Pelvic Fractures in Polytrauma Patients

304

Vascular Injuries in Polytrauma Patients

320

Pediatric Trauma and Polytrauma Pediatric Patients

335

Damage Control in Elderly Polytrauma Patients

361

Mass Casualties: Military and Civilian

370

A Civilian Perspective

389

Complications and Outcomes

405

Complications and Outcomes: Abdominal, General, and Extremity Complications

406

Critical Decision Points in Managing the Open Abdomen

425

Functional Long-Term Outcomes in Polytrauma Patients with Orthopedic Injuries

439

Index

452