Surgical Intensive Care Unit--the Trauma Surgery Perspective

Overview

Journal Langenbecks Arch Surg

Specialty General Surgery

Date 2011 Mar 4

PMID 21369845

Citations 3

Authors

Christian Kleber

Klaus Dieter Schaser

Norbert P Haas

Affiliations

Soon will be listed here.

Abstract

Purpose: This review addresses and summarizes the key issues and unique specific intensive care treatment of adult patients from the trauma surgery perspective.

Materials And Methods: The cornerstones of successful surgical intensive care management are fluid resuscitation, transfusion protocol and extracorporeal organ replacement therapies. The injury-type specific complications and unique pathophysiologic regulatory mechanisms of the traumatized patients influencing the critical care treatment are discussed.

Conclusions: Furthermore, the fundamental knowledge of the injury severity, understanding of the trauma mechanism, surgical treatment strategies and specific techniques of surgical intensive care are pointed out as essentials for a successful intensive care therapy.

Citing Articles

[Tension pneumomediastinum and tension pneumothorax following tracheal perforation during cardiopulmonary resuscitation].

Buschmann C, Tsokos M, Kurz S, Kleber C Anaesthesist. 2015; 64(7):520-6.

PMID: 26036317 DOI: 10.1007/s00101-015-0042-6.

Overall distribution of trauma-related deaths in Berlin 2010: the weakest links of the chain of survival are emergency medicine and critical care: reply.

Kleber C, Giesecke M, Buschmann C World J Surg. 2012; 37(2):475.

PMID: 23076709 DOI: 10.1007/s00268-012-1828-1.

Overall distribution of trauma-related deaths in Berlin 2010: advancement or stagnation of German trauma management?.

Kleber C, Giesecke M, Tsokos M, Haas N, Schaser K, Stefan P World J Surg. 2012; 36(9):2125-30.

PMID: 22610265 DOI: 10.1007/s00268-012-1650-9.

References

Cook D, Crowther M, Douketis J . Thromboprophylaxis in medical-surgical intensive care unit patients. J Crit Care. 2005; 20(4):320-3. DOI: 10.1016/j.jcrc.2005.09.007. View

Bracken M, Shepard M, Holford T, Leo-Summers L, Aldrich E, Fazl M . Administration of methylprednisolone for 24 or 48 hours or tirilazad mesylate for 48 hours in the treatment of acute spinal cord injury. Results of the Third National Acute Spinal Cord Injury Randomized Controlled Trial. National Acute Spinal Cord.... JAMA. 1997; 277(20):1597-604. View

Mehta R, Pascual M, Gruta C, Zhuang S, Chertow G . Refining predictive models in critically ill patients with acute renal failure. J Am Soc Nephrol. 2002; 13(5):1350-7. DOI: 10.1097/01.asn.0000014692.19351.52. View

Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B . Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2002; 345(19):1368-77. DOI: 10.1056/NEJMoa010307. View

Bickell W, Wall Jr M, Pepe P, Martin R, Ginger V, Allen M . Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. N Engl J Med. 1994; 331(17):1105-9. DOI: 10.1056/NEJM199410273311701. View

Davis J, Shackford S, Mackersie R, Hoyt D . Base deficit as a guide to volume resuscitation. J Trauma. 1988; 28(10):1464-7. DOI: 10.1097/00005373-198810000-00010. View

Bratton S, Chestnut R, Ghajar J, McConnell Hammond F, Harris O, Hartl R . Guidelines for the management of severe traumatic brain injury. II. Hyperosmolar therapy. J Neurotrauma. 2007; 24 Suppl 1:S14-20. DOI: 10.1089/neu.2007.9994. View

Bolliger D, Gorlinger K, Tanaka K . Pathophysiology and treatment of coagulopathy in massive hemorrhage and hemodilution. Anesthesiology. 2010; 113(5):1205-19. DOI: 10.1097/ALN.0b013e3181f22b5a. View

Brower R, Matthay M, Morris A, Schoenfeld D, Thompson B, Wheeler A . Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000; 342(18):1301-8. DOI: 10.1056/NEJM200005043421801. View

10.

Cinnella G, DAmbrosio M, Brienza N, Tullo L, Fiore T . Transesophageal echocardiography for diagnosis of traumatic aortic injury: an appraisal of the evidence. J Trauma. 2004; 57(6):1246-55. DOI: 10.1097/01.ta.0000133576.35999.00. View

11.

Allen M, Kopp B, Erstad B . Stress ulcer prophylaxis in the postoperative period. Am J Health Syst Pharm. 2004; 61(6):588-96. DOI: 10.1093/ajhp/61.6.588. View

12.

Peitzman A, Ford H, Harbrecht B, Potoka D, Townsend R . Injury to the spleen. Curr Probl Surg. 2001; 38(12):932-1008. DOI: 10.1067/msg.2001.119121. View

13.

Chan L . Nutritional support in acute renal failure. Curr Opin Clin Nutr Metab Care. 2004; 7(2):207-12. DOI: 10.1097/00075197-200403000-00016. View

14.

Levi A, Hurlbert R, Anderson P, Fehlings M, Rampersaud R, Massicotte E . Neurologic deterioration secondary to unrecognized spinal instability following trauma--a multicenter study. Spine (Phila Pa 1976). 2006; 31(4):451-8. DOI: 10.1097/01.brs.0000199927.78531.b5. View

15.

Kreymann K, Berger M, Deutz N, Hiesmayr M, Jolliet P, Kazandjiev G . ESPEN Guidelines on Enteral Nutrition: Intensive care. Clin Nutr. 2006; 25(2):210-23. DOI: 10.1016/j.clnu.2006.01.021. View

16.

Hadley M, Walters B, Grabb P, Oyesiku N, Przybylski G, Resnick D . Blood pressure management after acute spinal cord injury. Neurosurgery. 2002; 50(3 Suppl):S58-62. DOI: 10.1097/00006123-200203001-00012. View

17.

Demetriades D . Colon injuries: new perspectives. Injury. 2004; 35(3):217-22. DOI: 10.1016/j.injury.2003.11.004. View

18.

Dimopoulou I, Tsagarakis S . Hypothalamic-pituitary dysfunction in critically ill patients with traumatic and nontraumatic brain injury. Intensive Care Med. 2005; 31(8):1020-8. DOI: 10.1007/s00134-005-2689-y. View

19.

Scheulen J, Munster A . The Parkland formula in patients with burns and inhalation injury. J Trauma. 1982; 22(10):869-71. DOI: 10.1097/00005373-198210000-00011. View

20.

Davis J, Kaups K . Base deficit in the elderly: a marker of severe injury and death. J Trauma. 1998; 45(5):873-7. DOI: 10.1097/00005373-199811000-00005. View