Advances in the management of the critically injured patient in the operating room.
Care of trauma patients continues to improve through better understanding of optimal timing of operating room (OR) interventions, improved monitoring for patients with head injury and hemodynamic compromise, optimization of volume status, and use of appropriate vasoactive agents. Investigation of the pathophysiology of trauma patients as they progress to the chronic phase continues to advance interventions in the ICU and the OR. This article is an evidence-based update of anesthetic considerations for these patients, including management of intracranial pressure, cardiac monitoring, management of the damage control abdomen, fluid and hemodynamic management, and control of coagulopathies.
Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA 19104, USA. Kristen.carey@uphs.upenn.edu
Kristen Carey
KC
Rock
Magdalena
M
Bakowitz
Maureen
M
McCunn
D001777:Blood Coagulation; D003161:Compartment Syndromes / Q000628:therapy; D006259:Craniocerebral Trauma / Q000628:therapy; D016638:Critical Illness; D017548:Echocardiography, Transesophageal; D005440:Fluid Therapy; D006439:Hemodynamics; D006801:Humans; D008991:Monitoring, Physiologic; D009873:Operating Rooms; D013124:Spinal Injuries / Q000628:therapy; D014947:Wounds and Injuries / Q000503:physiopathology / Q000628:therapy*