Surgical intensive care unit-the trauma surgery perspective

被引：7
作者：
Kleber, Christian [1 ]
Schaser, Klaus Dieter [1 ]
Haas, Norbert P. [1 ]
机构：
[1] Charite, Ctr Musculoskeletal Surg, D-13353 Berlin, Germany
来源：
LANGENBECKS ARCHIVES OF SURGERY | 2011年 / 396卷 / 04期
关键词：
Surgery; Intensive care unit; Trauma; Injury; Critical care; Polytrauma; ABDOMINAL COMPARTMENT SYNDROME; SPINAL-CORD-INJURY; RESPIRATORY-DISTRESS-SYNDROME; RENAL REPLACEMENT THERAPY; INDEPENDENT RISK-FACTOR; CRITICALLY-ILL PATIENTS; BASE DEFICIT; FLUID RESUSCITATION; PLANNED REOPERATION; ACUTE COAGULOPATHY;
D O I：
10.1007/s00423-011-0765-z
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
This review addresses and summarizes the key issues and unique specific intensive care treatment of adult patients from the trauma surgery perspective. The cornerstones of successful surgical intensive care management are fluid resuscitation, transfusion protocol and extracorporeal organ replacement therapies. The injury-type specific complications and unique pathophysiologic regulatory mechanisms of the traumatized patients influencing the critical care treatment are discussed. Furthermore, the fundamental knowledge of the injury severity, understanding of the trauma mechanism, surgical treatment strategies and specific techniques of surgical intensive care are pointed out as essentials for a successful intensive care therapy.
引用
收藏
页码：429 / 446
页数：18
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