Update of Inpatient Management of Polytrauma Patients
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Published:
Sep 20, 2013
Keywords:
: inpatient management of polytrauma patients, intensive care of polytrauma patients
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Abstract
I npatient care of polytrauma victims requires careful attention to detail, and meticulous treatment of ongoing injuries and complications after the immediate resuscitation and damage control surgery. This discussion provides an update on the management of coagulopathy, respiratory failure, and prevention and treatment of venous thromboembolism in polytrauma victims. SpeciÀ cally, the role of thromboelastography, ratios of blood product transfusions, newer modes of respiratory support including airway pressure release ventilation and veno-venous extracorporeal membrane oxygenation, and the use of mechanical and chemoprophylaxis for prophylaxis and management of venous thromboembolism are addressed.
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1.
Weinacker A. Update of Inpatient Management of Polytrauma Patients. BKK Med J [Internet]. 2013 Sep. 20 [cited 2024 Nov. 13];6(1):104. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/218650
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References
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18. Schultz DJ, Brasel KJ, Washington L, et al. Incidence of asymptomatic pulmonary embolism in moderately to severely injured trauma patients. J Trauma 2004;56:727-31.
2. Tobin JM, Varon AJ. Review article: update in trauma anesthesiology: perioperative resuscitation management. Anesth Analg 2012;115:1326-33.
3. Duchesne JC, McSwain NE Jr, Cotton BA et al. Damage control resuscitation: the new face of damage control. J Trauma 2010;69:976-90.
4. Brohi K, Singh J, Heron M, et al. Acute traumatic coagulopathy. J Trauma 2003;54:1127-30.
5. MacLeod JB, Lynn M, McKenney MG, et al. Early coagulopathy predicts mortality in trauma. J Trauma 2003;55: 39-44.
6. Kashuk JL, Moore EE, Sawyer M, et al. Postinjury coagulopathy management: goal directed resuscitation via POC thrombelastography. Ann Surg 2010;251:604-14.
7. Cotton BA, Faz G, Hatch QM, et al. Rapid thrombelastography delivers real-time results that predict transfusion within 1 hour of admission. J Trauma 2011;71:407-14.
8. CRASH-2 trial collaborators, Shakur H, Roberts I, et al. Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a randomised, placebo-controlled trial. Lancet 2010;376:23-32.
9. Fries D. The early use of fibrinogen, prothrombin complex concentrate, and recombinant-activated factor VIIa in massive bleeding. Transfusion 2013;53:S91-5.
10. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med 2000;342: 1301-8.
11. Putensen C, Zech S, Wrigge H, et al. Long-term effects of spontaneous breathing during ventilatory support in patients with acute lung injury. Am J Respir Crit Care Med 2001;164:43-9.
12. Firstenberg MS, Nelson K, Abel E, et al. Extracorporeal membrane oxygenation for complex multiorgan system trauma. Case Rep Surg 2012;2012:897184.
13. Madershahian N, Wittwer T, Strauch J, et al. Application of ECMO in multitrauma patients with ARDS as rescue therapy. J Card Surg 2007;22:180-4.
14. Gould MK, Garcia DA, Wren SM, et al. Prevention of VTE in nonorthopedic surgical patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012;141:S227-77.
15. Falck-Ytter Y, Francis CW, Johanson NA, et al. Prevention of VTE in orthopedic surgery patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012;141:S278-325.
16. Bates SM, Jaeschke R, Stevens SM, et al. Diagnosis of DVT: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012; 14:S351-418.
17. Kearon C, Akl EA, Comerota AJ, et al. Antithrombotic therapy for VTE disease: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012;141:S419-94.
18. Schultz DJ, Brasel KJ, Washington L, et al. Incidence of asymptomatic pulmonary embolism in moderately to severely injured trauma patients. J Trauma 2004;56:727-31.