Management of Pediatric Solid Organ Injuries

被引:2
作者
Lyttle, Bailey D. [1 ,2 ]
Williams, Regan F. [3 ]
Stylianos, Steven [4 ]
机构
[1] Univ Colorado, Sch Med, Dept Surg, 12631 East 17th Ave, Room 6111, Aurora, CO 80045 USA
[2] Childrens Hosp Colorado, 12631 East 17th Ave,Room 6111, Aurora, CO 80045 USA
[3] Le Bonheur Childrens Hosp, Dept Surg, 49 North Dunlap Ave,Second Floor, Memphis, TN 38105 USA
[4] Columbia Univ, Morgan Stanley Childrens Hosp, Vagelos Coll Phys & Surg, Div Pediat Surg, 3959 Broadway Rm 204 N, New York, NY 10032 USA
来源
CHILDREN-BASEL | 2024年 / 11卷 / 06期
关键词
pediatric trauma; solid organ injury; spleen; liver; kidney; pancreas; surgery; BLUNT ABDOMINAL-TRAUMA; CONTRAST-ENHANCED ULTRASOUND; ABBREVIATED BEDREST PROTOCOL; RENAL-ARTERY OCCLUSION; VERY-LOW RISK; NONOPERATIVE MANAGEMENT; LIVER-INJURY; SHOCK-INDEX; PROSPECTIVE VALIDATION; COMPUTED-TOMOGRAPHY;
D O I
10.3390/children11060667
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Solid organ injury (SOI) is common in children who experience abdominal trauma, and the management of such injuries has evolved significantly over the past several decades. In 2000, the American Pediatric Surgical Association (APSA) published the first societal guidelines for the management of blunt spleen and/or liver injury (BLSI), advocating for optimized resource utilization while maintaining patient safety. Nonoperative management (NOM) has become the mainstay of treatment for SOI, and since the publication of the APSA guidelines, numerous groups have evaluated how invasive procedures, hospitalization, and activity restrictions may be safely minimized in children with SOI. Here, we review the current evidence-based management guidelines in place for the treatment of injuries to the spleen, liver, kidney, and pancreas in children, including initial evaluation, inpatient management, and long-term care, as well as gaps that exist in the current literature that may be targeted for further optimization of protocols for pediatric SOI.
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页数:20
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