The Damage Control Sequence and Underlying Logic

Rotondo, Michael F.; Zonies, David

doi:10.1016/s0039-6109(05)70582-x

Cited by 398 publications

(219 citation statements)

References 74 publications

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“…Despite the use of damage control in trauma patients, the mortality-associated damage control has been reported above 40% in some series [114][115][116][117][118][119][120].…”

Section: Viability Of the Bowelmentioning

confidence: 99%

Management of Peritonitis in the Critically Ill Patient

Ordóñez

Puyana

2006

Surgical Clinics of North America

108

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“…Despite the use of damage control in trauma patients, the mortality-associated damage control has been reported above 40% in some series [114][115][116][117][118][119][120].…”

Section: Viability Of the Bowelmentioning

confidence: 99%

Management of Peritonitis in the Critically Ill Patient

Ordóñez

Puyana

2006

Surgical Clinics of North America

108

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“…47 This philosophy was then coined "damage control" by Rotondo and colleagues, given its obvious conceptual similarity to the Navy's use of the same term. 48,49 Although this concept has resulted in a substantial improvement in mortality when applied to the correct patient population, 49 it also commits the patient to a series of subsequent operative procedures aimed at restoring gastrointestinal continuity and abdominal wall closure. 26 Unfortunately, many patients are eventually left with "open" abdomens because of generalized visceral edema caused by their initial resuscitation and the prevention of ACS.…”

Section: Discussionmentioning

confidence: 99%

The impact of a massive transfusion protocol (1:1:1) on major hepatic injuries: Does it increase abdominal wall closure rates?

et al. 2013

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Background: Massive transfusion protocols (MTPs) using high plasma and platelet ratios for exsanguinating trauma patients are increasingly popular. Major liver injuries often require massive resuscitations and immediate hemorrhage control. Current published literature describes outcomes among patients with mixed patterns of injury. We sought to identify the effects of an MTP on patients with major liver trauma.Methods: Patients with grade 3, 4 or 5 liver injuries who required a massive blood component transfusion were analyzed. We compared patients with high plasma:red blood cell:platelet ratio (1:1:1) transfusions (2007)(2008)(2009)) with patients injured before the creation of an institutional MTP (2005MTP ( -2007.Results: Among 60 patients with major hepatic injuries, 35 (58%) underwent resuscitation after the implementation of an MTP. Patient and injury characteristics were similar between cohorts. Implementation of the MTP significantly improved plasma: red blood cell:platelet ratios and decreased crystalloid fluid resuscitation (p = 0.026). Rapid improvement in early acidosis and coagulopathy was superior with an MTP (p = 0.009). More patients in the MTP group also underwent primary abdominal fascial closure during their hospital stay (p = 0.021). This was most evident with grade 4 injuries (89% vs. 14%). The mean time to fascial closure was 4.2 days. The overall survival rate for all major liver injuries was not affected by an MTP (p = 0.61). Conclusion:The implementation of a formal MTP using high plasma and platelet ratios resulted in a substantial increase in abdominal wall approximation. This occurred concurrently to a decrease in the delivered volume of crystalloid fluid.Contexte : Les protocoles de transfusion massive (PTM) impliquant des rapports plasma:plaquettes élevés sont de plus en plus populaires pour traiter les patients atteints d'un traumatisme hémorragique. Les chirurgies majeures du foie requièrent souvent le déclenchement de protocoles de transfusion massive et une maîtrise immé-diate de l'hémorragie. La littérature actuelle décrit les résultats chez des patients victimes de divers types de traumatismes. Nous avons voulu mesurer les effets d'un PTM sur les patients ayant subi un traumatisme majeur au foie. Résultats : Sur 50 patients ayant subi des lésions hépatiques majeures, 35 (58 %) ont reçu des traitements de réanimation après la mise en place du PTM. Les caractéristiques propres aux patients et à leurs blessures étaient similaires entre les cohortes. L'application du PTM a significativement amélioré les rapports plasma:culots globulaires:plaquettes et réduit l'administration de cristalloïdes à des fins de réanimation liquidienne (p = 0,026). L'amélioration rapide de l'acidose naissante et de la coagulopathie a été meilleure avec le PTM (p = 0,009). Plus de patients du groupe soumis au PTM ont aussi subi une fermeture aponévrotique abdominale primaire durant leur séjour hospitalier (p = 0,021). Cela s'est surtout observé avec les lésions de grade 4 (89 % c. 14 %). Le délai moyen av...

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“…The most common groups at risk for uncontrollable bleeding, if definitive repair is attempted, include patients with high energy blunt torso injuries, multiple penetrating injuries of the chest and abdomen, and patients presenting with hemorrhagic shock, hypothermia or visible coagulopathy (10).…”

Section: History Of Damage Control Surgerymentioning

confidence: 99%

Damage Control - A Paradigm Change in Trauma and Emergency Surgery

Leppäniemi¹

2010

Polish Journal of Surgery

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The Damage Control Sequence and Underlying Logic

Cited by 398 publications

References 74 publications

Management of Peritonitis in the Critically Ill Patient

Management of Peritonitis in the Critically Ill Patient

The impact of a massive transfusion protocol (1:1:1) on major hepatic injuries: Does it increase abdominal wall closure rates?

Damage Control - A Paradigm Change in Trauma and Emergency Surgery

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