The tenets of intrathoracic packing during damage control thoracic surgery for trauma patients: a systematic review.
Purpose: Although Damage Control Thoracic Surgery (DCTS) has become a provocative alternative to treat patients with chest injuries who are critically ill and physiologically depleted, the management approaches of chest-packing and the measurement of clinically relevant outcomes are not well establi...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 47; no. 2; pp. 423 - 435 |
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| Autores principales: | , , , , , , , , , |
| Formato: | algorithm pictorial research systematic review tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2021
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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=149594461&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149594461 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Apr2021 vid: 47 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 149594461 144442028 149594461 149594461 10.1007/s00068-020-01428-8 149594461 ppf: 423 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The tenets of intrathoracic packing during damage control thoracic surgery for trauma patients: a systematic review. aug: au: Manzano-Nunez, Ramiro Chica, Julian Gómez, Alexandra Naranjo, Maria P. Chaves, Harold Muñoz, Luis E. Rengifo, Javier E. Caicedo-Holguin, Isabella Puyana, Juan C. García, Alberto F. affil: Clinical Research Center, Fundacion Valle del Lili, Cali, Colombia sug: subj: Thoracic Surgery Methods Thoracic Injuries Surgery Hemorrhage Prevention and Control Hemostatic Techniques Emergency Patients Human Systematic Review Medline Trauma ab: Purpose: Although Damage Control Thoracic Surgery (DCTS) has become a provocative alternative to treat patients with chest injuries who are critically ill and physiologically depleted, the management approaches of chest-packing and the measurement of clinically relevant outcomes are not well established. In this paper, we systematically reviewed the available knowledge and evidence about intra-thoracic packing during DCTS for trauma patients. We furthermore inform on the management approaches, surgical strategies, and mortality associated with this intervention. Methods: We identified articles in MEDLINE and SCOPUS. We reviewed all studies that included trauma patients with chest injuries and managed with intrathoracic packing during DCTS. Studies were eligible if the use of intrathoracic packing in trauma populations was reported. Results: We identified 14 studies with a total of 211 patients. Overall, intrathoracic packing was used in 131 trauma patients. Packing was most commonly used to arrest persistent coagulopathic bleeding or oozing either from raw surfaces or repaired structures and in conjunction with other operative techniques. Pneumonectomy was a deadly intervention; however, one study reported survivors when pneumonectomy was deferred. Conclusion: Packing is a feasible, reliable and potentially effective complementary method for hemorrhage control. Therefore, we recommend that packing can be used liberally as a complement to rapid lung-sparing techniques. pubtype: Academic Journal doctype: algorithm pictorial research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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