Current trends in the management of hemodynamically unstable pelvic ring injuries.
Purpose Of Review: Complex traumatic pelvic ring disruptions are associated with a high mortality rate due to associated retroperitoneal hemorrhage, traumatic-hemorrhagic shock, and postinjury coagulopathy. The present review provides an update on current management strategies to improve survival ra...
| Publicado en: | Current Opinion in Critical Care Vol. 23; no. 6; pp. 511 - 520 |
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| Autores principales: | , , |
| Formato: | review Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Dec2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126118914&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 126118914 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10705295 GGP jtl: Current Opinion in Critical Care issn: 10705295 maglogo: N pubinfo: dt: Dec2017 vid: 23 iid: 6 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 126118914 126118914 NLM29095714 126118914 10.1097/MCC.0000000000000454 NLM29095714 126118914 ppf: 511 ppct: 9 formats: tig: atl: Current trends in the management of hemodynamically unstable pelvic ring injuries. aug: au: Stahel, Philip F. Burlew, Clay C. Moore, Ernest E. affil: Department of Orthopaedics and Neurosurgery, School of Medicine, Denver Health Medical Center, University of Colorado, Denver sug: subj: Blood Coagulation Disorders Therapy Retroperitoneal Space Injuries Resuscitation Methods Fractures Surgery Pelvic Bones Surgery Hemorrhage Therapy Hemodynamics Pelvic Bones Physiopathology Survival Fractures Complications Blood Coagulation Disorders Etiology Pelvic Bones Injuries Embolization, Therapeutic Methods Hemorrhage Etiology Hemorrhage Physiopathology Fracture Fixation Methods Blood Transfusion Methods Blood Coagulation Disorders Physiopathology Critical Path ab: Purpose Of Review: Complex traumatic pelvic ring disruptions are associated with a high mortality rate due to associated retroperitoneal hemorrhage, traumatic-hemorrhagic shock, and postinjury coagulopathy. The present review provides an update on current management strategies to improve survival rates form hemodynamically unstable pelvic ring injuries.Recent Findings: Recently published international consensus guidelines have attempted to standardize the classification of hemodynamically unstable pelvic ring injuries and provided classification-based management algorithms for acute resuscitation and pelvic ring stabilization.Summary: Acute management strategies for pelvic ring disruptions with associated hemorrhagic shock include resuscitative endovascular balloon occlusion of the aorta for patients 'in extremis' in conjunction with point-of-care guided resuscitation for postinjury coagulopathy. Recent data indicate that a protocol of early pelvic external fixation in conjunction with direct preperitoneal pelvic packing and subsequent angioembolization in patients with ongoing hemorrhage results in significantly improved survival from retroperitoneal exsanguinating hemorrhage in at-risk patients with historic mortality rates as high as 50-60%. pubtype: Academic Journal doctype: review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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