Le concept de damage control resuscitation

Noël, Antoine; Mérat, Stéphane; Ausset, Sylvain; Rudnicki, S. de; Mion, G.

doi:10.1016/j.annfar.2011.05.016

Cited by 25 publications

(6 citation statements)

References 99 publications

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“…The frequency of mass casualty situations [1,5] and the severity of traumatic injuries requiring surgical damage control under anesthesia [2,3] led us to take stock of anesthesia practice at HN2 Togo, more than 8 years after its deployment in Mali. One hundred and six (106) cases of anesthesia and resuscitation were performed over a period of 5 years (60 months), i.e.…”

Section: Discussionmentioning

confidence: 99%

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Anesthesia practice in collective emergency situations: Example of Togo army peacekeeping hospital

P Sando,

HD Sama,

Y Akala

et al. 2023

World J. Adv. Res. Rev.

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Objective: To report on anesthesia activities at the Togo Armed Forces Hospital deployed to Kidal in northern Mali as part of the Minusma. Patients and methods: This is a retrospective descriptive study carried out from 1er March 2015 to 29 February 2020. Results: One hundred and six (106) patients were treated under anaesthesia, i.e. an average of 21.2 per year. The mean age was 28.9 years, with extremes of 4 and 57 years. The patients were predominantly male, with a sex ratio of 25.5. Military personnel accounted for 74% of patients. Traumatic emergencies were the most frequent (56.4%), including 42.3% war injuries. Trauma and visceral surgeries were the most common at 48.1% and 47.2%. 66.1% of patients were classified as ASA1u. General anesthesia with orotracheal intubation (GA + OTI) was used in 56.6%. Ketamine (68.4%) and Propofol (31.6%) were most commonly used. Rocuronium was used in 88.3% of cases, and Fentanyl was the only morphine used. All patients received minimal monitoring of blood pressure, pulse, electrocardiogram, oxygen saturation and capnogram. Twenty (20) % of patients received a transfusion of packed red blood cells; only one patient received a transfusion of lyophilized plasma. Tranexamic acid was used in 9.4% of patients. Multimodal analgesia was provided with Paracetamol, Nefopam, Ketoprofen and Morphine. Forty-two patients were evacuated after stabilization, 59.5% to level 3 (Dakar) and 40.5% to level 2+ (Bamako). Intraoperative complications were dominated by arterial hypotension (35.2%) and shivering (19.6%). We recorded 0.6% intraoperative deaths. Conclusion: The organization of anesthesia care remains a major challenge in areas with limited medical resources and in conflict zones. It is possible thanks to improved medical equipment and ongoing simulation of medical and paramedical staff in emergency and disaster medicine.

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Section: Discussionmentioning

confidence: 99%

“…It is a field hospital, with the practice of "war surgery". The practice of such emergency anesthesia is risky, and relies on damage control techniques [2,3]. The problems posed by emergency anesthesia take into account the patient's condition, severity and impact on vital functions [4].…”

Section: Introductionmentioning

confidence: 99%

Anesthesia practice in collective emergency situations: Example of Togo army peacekeeping hospital

P Sando,

HD Sama,

Y Akala

et al. 2023

World J. Adv. Res. Rev.

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“…The MT strategy has a low incidence in the total population, but its repercussions bring with it a large amount of material, personal and organizational health resources ( 1 , 4 , 6 , 8 , 15 - 16 , 41 ) . This incidence, described in the studies included in the review and expressed as percentage in relation to the traumatized population, will depend on the sphere where the sample was collected and the inclusion criteria used ( 20 - 37 ) .…”

Section: Discussionmentioning

confidence: 99%

“…Gradually, in the last decades, new strategies and protocols have been developed with the aim of preventing the so-called “lethal triad”, with its components: acidosis, hypothermia and coagulopathy, caused by the great loss of blood ( 4 - 5 ) . In this context, aiming at its prevention and resolution, the Damage Control Surgery (DCS) emerged, which is exclusively used in the operating room and, over the years, it has evolved towards the concept of Damage Control Resuscitation (DCR), encompassing the out-of-hospital and hospital emergency areas ( 2 , 6 - 7 ) . Within the main strategies of the DCR, it is worth highlighting the so-called Massive Transfusion (MT), which consists of the administration of ten or more blood products (red blood cells, plasma and platelets) within the first 24 hours, according to the traditional concept ( 4 , 8 - 9 ) .…”

Section: Introductionmentioning

confidence: 99%

Massive transfusion triggers in severe trauma: Scoping review

Estebaranz-Santamaría

Santos

Pedraz‐Marcos

2018

Rev. Latino-Am. Enfermagem

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Objective to identify the predictive variables or the massive transfusion triggers in severely traumatized patients through the existing scales.Method a review of the literature was carried out using the Scoping Review method across the electronic databases CINAHL, MEDLINE, LILACS, the Cochrane and IBECS libraries, and the Google Scholar search tool.Results in total, 578 articles were identified in the search and the 36 articles published in the last ten years were included, of which 29 were original articles and 7 review articles. From the analysis, scales for massive transfusion and their predictive triggers were examined.Conclusion the absence of universal criteria regarding the massive transfusion triggers in traumatized patients has led to the development of different scales, and the studies on their validation are considered relevant for the studies about when to initiate this strategy.

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“…Le DC a comme objectif de conjuguer étroitement les actions de réanimation et de chirurgie, selon une temporalité spécifique pour le meilleur pronostic vital et fonctionnel du patient. En pratique, ses deux volets en sont la réanimation DC et la chirurgie DC [74]. Les objectifs du premier sont :…”

Section: Damage Control Intrahospitalier Et Prise En Charge Médicale unclassified

Recommandations de bonne pratique clinique concernant la prise en charge médicale des victimes d’une « tuerie de masse »

Cesaréo

Raux

Soulat

et al. 2018

Ann. Fr. Med. Urgence

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Le concept de damage control resuscitation

Cited by 25 publications

References 99 publications

Anesthesia practice in collective emergency situations: Example of Togo army peacekeeping hospital

Anesthesia practice in collective emergency situations: Example of Togo army peacekeeping hospital

Massive transfusion triggers in severe trauma: Scoping review

Recommandations de bonne pratique clinique concernant la prise en charge médicale des victimes d’une « tuerie de masse »

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