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Postinjury Multiple Organ Failure The Relevance of the Timing of Surgical Interventions

Postinjury Multiple Organ Failure : The Relevance of the Timing of Surgical Interventions [Surgical decision making in the polytraumatized patient remains a challenging task and depends on numerous factors such as injury patterns, physiological stability and immunoinflammatory response. For patients approaching physiological instability (“borderline patients”) a staged surgical approach is recommended based on an initial assessment of injury- and patient-related factors, and a continuous re-evaluation of dynamic parameters including acid-base changes, coagulation, blood transfusions and soft tissue status. Such multifactorial assessment, as proposed in the concept of safe definitive surgery, has been shown to be a reliable predictor of early complications and a sound tool to assist in timing surgical interventions.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

Postinjury Multiple Organ Failure The Relevance of the Timing of Surgical Interventions

Part of the Hot Topics in Acute Care Surgery and Trauma Book Series
Editors: Balogh, Zsolt J.; Coimbra, Raul; Di Saverio, Salomone; Kirkpatrick, Andrew W.; Coccolini, Federico
Kalbas, Yannik; Pape, Hans-Christoph
Postinjury Multiple Organ Failure — Mar 17, 2022
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Publisher
Springer International Publishing
Copyright
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022
ISBN
978-3-030-92240-5
Pages
81 –87
DOI
10.1007/978-3-030-92241-2_8
Publisher site
See Chapter on Publisher Site

Abstract

[Surgical decision making in the polytraumatized patient remains a challenging task and depends on numerous factors such as injury patterns, physiological stability and immunoinflammatory response. For patients approaching physiological instability (“borderline patients”) a staged surgical approach is recommended based on an initial assessment of injury- and patient-related factors, and a continuous re-evaluation of dynamic parameters including acid-base changes, coagulation, blood transfusions and soft tissue status. Such multifactorial assessment, as proposed in the concept of safe definitive surgery, has been shown to be a reliable predictor of early complications and a sound tool to assist in timing surgical interventions.]

Published: Mar 17, 2022

Keywords: Safe definitive surgery; Damage control; Polytrauma; Resuscitation; Soft tissue injuries; Acid-base changes; Coagulopathy

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