Resuscitative Thoracotomy in Penetrating Trauma

被引:12
作者
Fairfax, Lindsay M. [1 ]
Hsee, Li [1 ]
Civil, Ian D. [1 ]
机构
[1] Auckland City Hosp Trauma Serv, Auckland 1023, New Zealand
关键词
EMERGENCY-DEPARTMENT THORACOTOMY; ENDOVASCULAR BALLOON OCCLUSION; LONG-TERM OUTCOMES; ROOM THORACOTOMY; SAVES LIVES; SIMULATION; APPRAISAL; SURGEON; UTILITY; SERIES;
D O I
10.1007/s00268-014-2829-z
中图分类号
R61 [外科手术学];
学科分类号
摘要
The resuscitative thoracotomy (RT) is an important procedure in the management of penetrating trauma. As it is performed only in patients with peri-arrest physiology or overt cardiac arrest, survival is low. Experience is also quite variable depending on volume of penetrating trauma in a particular region. Survival ranges from 0 % to as high as 89 % depending on patient selection, available resources, and location of RT (operating or emergency rooms). In this article, published guidelines are reviewed as well as outcomes. Technical considerations of RT and well as proper training, personnel, and location are also discussed.
引用
收藏
页码:1343 / 1351
页数:9
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