The Treatment of Maxillofacial Trauma in Austere Conditions

Ray, Jacqueline

doi:10.1016/j.cxom.2012.12.009

Cited by 9 publications

(6 citation statements)

References 12 publications

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“… 35 , 36 , 45 In these circumstances, the prevention and prompt correction of major blood loss is critical and requires the availability of blood products. 31 , 36 , 49 , 64 , 65 Postoperative infections are usually prevented with antibiotic prophylaxis and sterilization of instruments, 31 , 66 although the risk of post-operative infection persists in situations such as trauma with contamination, hollow viscus perforation or intra-abdominal abscess and will require full course of antibiotics.…”

Section: Resultsmentioning

confidence: 99%

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Anaesthesia in austere environments: literature review and considerations for future space exploration missions

et al. 2018

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Future space exploration missions will take humans far beyond low Earth orbit and require complete crew autonomy. The ability to provide anaesthesia will be important given the expected risk of severe medical events requiring surgery. Knowledge and experience of such procedures during space missions is currently extremely limited. Austere and isolated environments (such as polar bases or submarines) have been used extensively as test beds for spaceflight to probe hazards, train crews, develop clinical protocols and countermeasures for prospective space missions. We have conducted a literature review on anaesthesia in austere environments relevant to distant space missions. In each setting, we assessed how the problems related to the provision of anaesthesia (e.g., medical kit and skills) are dealt with or prepared for. We analysed how these factors could be applied to the unique environment of a space exploration mission. The delivery of anaesthesia will be complicated by many factors including space-induced physiological changes and limitations in skills and equipment. The basic principles of a safe anaesthesia in an austere environment (appropriate training, presence of minimal safety and monitoring equipment, etc.) can be extended to the context of a space exploration mission. Skills redundancy is an important safety factor, and basic competency in anaesthesia should be part of the skillset of several crewmembers. The literature suggests that safe and effective anaesthesia could be achieved by a physician during future space exploration missions. In a life-or-limb situation, non-physicians may be able to conduct anaesthetic procedures, including simplified general anaesthesia.

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Section: Resultsmentioning

confidence: 99%

“… 26 , 28 , 30 , 31 , 45 , 49 , 51 Sterilization of surgical instruments in austere environments is challenging, but simple dry heat or antiseptic methods are acceptable. 31 , 66 …”

Section: Resultsmentioning

confidence: 99%

Anaesthesia in austere environments: literature review and considerations for future space exploration missions

et al. 2018

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“…Apesar da importante vascularização da face, o trauma mandibular único não está associado a uma perda significativa de sangue a ponto de predispor um quadro de hipotensão ou causar risco à vida. Em sua maioria, é possível identificar rapidamente o local do sangramento e instituir medidas de hemostasia (RAY, 2013;TU-CKETT et al, 2014).…”

Section: Controle Da Hemorragiaunclassified

Princípios De Trauma Facial Causado Por Projétil De Arma De Fogo: Uma Revisão Integrativa

SILVA-NETO¹,

CASTRO²,

VASCONCELOS³

et al. 2023

Teoria E Prática Trauma E Emergência - Edição VIII

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“…The US military recommends repeat debridement and irrigation every 24–48 h before wound cleaning [8]. Debridement can remove devitalized and severely contaminated tissues and can prevent infection, and the basic principles of wound debridement are well accepted in the field of surgical management [9, 10]. However, Edlich et al [4] suggested that less tissue debridement had been associated with a lower rate of wound infection.…”

Section: Introductionmentioning

confidence: 99%

“…Contaminated wounds should never be primarily closed. Delayed primary closure (DPC) appears necessary to treat severely contaminated or macerated wounds after multiple debridement and irrigation procedures [9, 21]. …”

Section: Introductionmentioning

confidence: 99%

Early prevention of trauma-related infection/sepsis

Tian

Liang

2016

Military Med Res

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Trauma still represents one of the major causes of death worldwide. Despite the reduction of post-traumatic sepsis over the past two decades, the mortality of septic trauma inpatients is still high (19.5–23 %). Early prevention of sepsis development can aid in the subsequent treatment of patients and help improve their outcomes. To date, the prevention of trauma-related infection/sepsis has mainly included infection prevention (e.g., surgical management, prophylactic antibiotics, tetanus vaccination, immunomodulatory interventions) and organ dysfunction prevention (e.g., pharmaceuticals, temporary intravascular shunts, lung-protective strategies, enteral immunonutrition, acupuncture). Overall, more efficient ways should be developed to prevent trauma-related infection/sepsis.

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The Treatment of Maxillofacial Trauma in Austere Conditions

Cited by 9 publications

References 12 publications

Anaesthesia in austere environments: literature review and considerations for future space exploration missions

Anaesthesia in austere environments: literature review and considerations for future space exploration missions

Princípios De Trauma Facial Causado Por Projétil De Arma De Fogo: Uma Revisão Integrativa

Early prevention of trauma-related infection/sepsis

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