Training Operating Room Teams in Damage Control Surgery for Trauma: A Followup Study of the Norwegian Model

2007 ◽  
Vol 205 (5) ◽  
pp. 712-716 ◽  
Author(s):  
Kari S. Hansen ◽  
Per E. Uggen ◽  
Guttorm Brattebø ◽  
Torben Wisborg
Keyword(s):  
Operating Room ◽  
Damage Control ◽  
Damage Control Surgery ◽  
Operating Room Teams

scholarly journals Severe liver injury with traumatic cardiac arrest successfully treated by damage control surgery and transcatheter arterial embolization in the hybrid operating room: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Masahiro Hagiwara ◽  
Yoshihiro Iwata ◽  
Hiroyuki Takahashi ◽  
Koji Imai ◽  
Hideki Yokoo ◽  
...  
Keyword(s):  
Early Intervention ◽  
Operating Room ◽  
Transcatheter Arterial Embolization ◽  
Cardiopulmonary Arrest ◽  
Damage Control ◽  
Damage Control Surgery ◽  
Arterial Embolization ◽  
Trauma Team ◽  
Hybrid Operating Room ◽  
Control Approach

Abstract Background The damage control approach is known to reduce the mortality rate in severely injured patients and has now become a common practice. Transcatheter arterial embolization (TAE) has been shown to be useful with combining with damage control laparotomy in identifying and controlling active arterial hemorrhage. Hybrid operating room (OR) allows both damaged control surgery and TAE in the same location in minimal time. We report a case of a patient with three cardiac arrests who was saved by early intervention using damage control surgery (DCS) with interventional radiology (IVR) in the hybrid OR. Case presentation A 46-year-old woman was injured in a collision with a tree while snowboarding. She was eventually transported to hybrid operating room in our hospital with the diagnosis of significant liver laceration and hemorrhagic shock. Damage control surgery was performed with perihepatic packing (PHP) and TAE was conducted to stop active bleeding from right hepatic artery. She experienced 3 times of cardiopulmonary arrest, which was successfully resuscitated on each occasion. Although she had total of 3 times of laparotomy but tolerated well. She was discharged on day 82 of hospitalization and showed no neurological sequelae. Conclusion Saving the life of a patient with severe trauma requires a multidisciplinary approach with cooperation and early information sharing among trauma team members. Sharing treatment strategy with the trauma team and early intervention using DCS with IVR in the hybrid operating room could save the patient’s life.

scholarly journals Damage control surgery: Our experience

2010 ◽  
Vol 57 (4) ◽  
pp. 69-73
Author(s):  
Zeljko Lausevic ◽  
Vladimir Resanovic ◽  
Goran Vukovic ◽  
Aleksandar Karamarkovic ◽  
Dejan Radenkovic ◽  
...  
Keyword(s):  
Operating Room ◽  
Damage Control ◽  
Damage Control Surgery ◽  
Trauma Patients ◽  
Emergency Center ◽  
Medical Facilities ◽  
The World ◽  
Injured Patients ◽  
Uncontrolled Bleeding

Damage control surgery represents widely implemented technique of treatment of seriously injured patients all over the world. In medical facilities with large number of seriously injured patients, type of injuries often imposes method of damage control surgery as ultimate way in treating such patients. In Emergency center from 2005-2009. 895 patients had been operated because of the trauma to the abdomen and thorax. Method of damage control surgery had been implanted on 41 patients (4.6% of all operated patients). 18 patients died, and 30 seriously injured patients that hadn?t been treated according to this method had died in operating room. Likewise, 11 non-trauma patients were treated according to the principles of damage control surgery because of uncontrolled bleeding. The greatest challenge today is defining criteria for choosing right patients for damage control surgery.

Chronic mesenteric ischaemia presenting as possible large bowl malignancy: an easily overlooked differential diagnosis

2021 ◽  
Vol 14 (3) ◽  
pp. e240202
Author(s):  
Benjamin McDonald
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Weight Loss ◽  
Differential Diagnosis ◽  
Damage Control ◽  
Damage Control Surgery ◽  
Mesenteric Ischaemia ◽  
Abdominal Symptoms ◽  
Chronic Mesenteric Ischaemia ◽  
Descending Colon

An 80-year-old woman presented to a regional emergency department with postprandial pain, weight loss and diarrhoea for 2 months and a Computed Tomography (CT) report suggestive of descending colon malignancy. Subsequent investigations revealed the patient to have chronic mesenteric ischaemia (CMI) with associated bowel changes. She developed an acute-on-chronic ischaemia that required emergency transfer, damage control surgery and revascularisation. While the patient survived, this case highlights the importance of considering CMI in elderly patients with vague abdominal symptoms and early intervention to avoid potentially catastrophic outcomes.

Damage control surgery

2021 ◽  
Vol 21 (S1) ◽  
pp. 147-154
Author(s):  
C. Güsgen ◽  
A. Willms ◽  
R. Schwab
Keyword(s):  
Damage Control ◽  
Damage Control Surgery

scholarly journals Evidence for use of damage control surgery and damage control interventions in civilian trauma patients: a systematic review

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Derek J. Roberts ◽  
◽  
Niklas Bobrovitz ◽  
David A. Zygun ◽  
Andrew W. Kirkpatrick ◽  
...  
Keyword(s):  
Systematic Review ◽  
Damage Control ◽  
Penetrating Trauma ◽  
Damage Control Surgery ◽  
Trauma Patients ◽  
Clinical Scenario ◽  
Cross Sectional ◽  
Iliac Vessel ◽  
Civilian Trauma ◽  
Definitive Surgery

Abstract Background Although damage control (DC) surgery is widely assumed to reduce mortality in critically injured patients, survivors often suffer substantial morbidity, suggesting that it should only be used when indicated. The purpose of this systematic review was to determine which indications for DC have evidence that they are reliable and/or valid (and therefore in which clinical situations evidence supports use of DC or that DC improves outcomes). Methods We searched 11 databases (1950–April 1, 2019) for studies that enrolled exclusively civilian trauma patients and reported data on the reliability (consistency of surgical decisions in a given clinical scenario) or content (surgeons would perform DC in that clinical scenario or the indication predicted use of DC in practice), construct (were associated with poor outcomes), or criterion (were associated with improved outcomes when DC was conducted instead of definitive surgery) validity for suggested indications for DC surgery or DC interventions. Results Among 34,979 citations identified, we included 36 cohort studies and three cross-sectional surveys in the systematic review. Of the 59 unique indications for DC identified, 10 had evidence of content validity [e.g., a major abdominal vascular injury or a packed red blood cell (PRBC) volume exceeding the critical administration threshold], nine had evidence of construct validity (e.g., unstable patients with combined abdominal vascular and pancreas gunshot injuries or an iliac vessel injury and intraoperative acidosis), and six had evidence of criterion validity (e.g., penetrating trauma patients requiring > 10 U PRBCs with an abdominal vascular and multiple abdominal visceral injuries or intraoperative hypothermia, acidosis, or coagulopathy). No studies evaluated the reliability of indications. Conclusions Few indications for DC surgery or DC interventions have evidence supporting that they are reliable and/or valid. DC should be used with respect for the uncertainty regarding its effectiveness, and only in circumstances where definitive surgery cannot be entertained.

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