• Find People
  • Campus Map
  • PiratePort
  • A-Z
    • About
    • Submit
    • Browse
    • Login
    View Item 
    •   ScholarShip Home
    • Other Campus Research
    • Open Access
    • View Item
    •   ScholarShip Home
    • Other Campus Research
    • Open Access
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of The ScholarShipCommunities & CollectionsDateAuthorsTitlesSubjectsTypeDate SubmittedThis CollectionDateAuthorsTitlesSubjectsTypeDate Submitted

    My Account

    Login

    Statistics

    View Google Analytics Statistics

    Damage control surgery: It's evolution over the last 20 years

    Thumbnail
    View/ Open
    12.pdf (48.20Kb)

    Show full item record
    
    Author
    Waibel, Brett H; Rotondo, Michael MF
    Abstract
    In less than twenty years, what began as a concept for the treatment of exsanguinating truncal trauma patients has become the primary treatment model for numerous emergent, life threatening surgical conditions incapable of tolerating traditional methods. Its core concepts are relative straightforward and simple in nature: first, proper identification of the patient who is in need of following this paradigm; second, truncation of the initial surgical procedure to the minimal necessary operation; third, aggressive, focused resuscitation in the intensive care unit; fourth, definitive care only once the patient is optimized to tolerate the procedure. These simple underlying principles can be molded to a variety of emergencies, from its original application in combined major vascular and visceral trauma to the septic abdomen and orthopedics. A host of new resuscitation strategies and technologies have been developed over the past two decades, from permissive hypotension and damage control resuscitation to advanced ventilators and hemostatic agents, which have allowed for a more focused resuscitation, allowing some of the morbidity of this model to be reduced. The combination of the simple, malleable paradigm along with better understanding of resuscitation has proven to be a potent blend. As such, what was once an almost lethal injury (combined vascular and visceral injury) has become a survivable one.
    URI
    http://hdl.handle.net/10342/7857
    Subject
    Patients. Wounds and injuries. Therapeutics. Surgical procedures, operative. Control.
    Date
    2012-03-15
    Citation:
    APA:
    Waibel, Brett H, & Rotondo, Michael MF. (March 2012). Damage control surgery: It's evolution over the last 20 years. Revista do Colégio Brasileiro de Cirurgiões, (39:4), p.314-321. Retrieved from http://hdl.handle.net/10342/7857

    Display/Hide MLA, Chicago and APA citation formats.

    MLA:
    Waibel, Brett H, and Rotondo, Michael MF. "Damage control surgery: It's evolution over the last 20 years". Revista do Colégio Brasileiro de Cirurgiões. 39:4. (314-321.), March 2012. February 27, 2021. http://hdl.handle.net/10342/7857.
    Chicago:
    Waibel, Brett H and Rotondo, Michael MF, "Damage control surgery: It's evolution over the last 20 years," Revista do Colégio Brasileiro de Cirurgiões 39, no. 4 (March 2012), http://hdl.handle.net/10342/7857 (accessed February 27, 2021).
    AMA:
    Waibel, Brett H, Rotondo, Michael MF. Damage control surgery: It's evolution over the last 20 years. Revista do Colégio Brasileiro de Cirurgiões. March 2012; 39(4) 314-321. http://hdl.handle.net/10342/7857. Accessed February 27, 2021.
    Collections
    • Open Access

    xmlui.ArtifactBrowser.ItemViewer.elsevier_entitlement

    East Carolina University has created ScholarShip, a digital archive for the scholarly output of the ECU community.

    • About
    • Contact Us
    • Send Feedback