Hemodynamically unstable pelvic fracture: A damage control surgical algorithm that fits your reality = Trauma pélvico e inestabilidad hemodinámica: Un algoritmo quirúrgico de control de daños que se adapta con su realidad [documento electrónico] / David Alejandro Mejía Toro, ; Salín Pereira Warr,  . - 2020.
Obra : Colombia Médica

Idioma : Inglés (eng)

Palabras clave :	Hemodynamically Unstable  Damage Control  Pelvic Fracture  REBOA  Limited Resource Center
Resumen :	Pelvic fractures occur in up to 25% of all severely injured trauma patients and its mortality is markedly high despite advances in resuscitation and modernization of surgical techniques due to its inherent blood loss and associated extra-pelvic injuries. Pelvic ring volume increases significantly from fractures and/or ligament disruptions which precludes its inherent ability to self-tamponade resulting in accumulation of hemorrhage in the retroperitoneal space which inevitably leads to hemodynamic instability and the lethal diamond. Pelvic hemorrhage is mainly venous (80%) from the pre-sacral/pre-peritoneal plexus and the remaining 20% is of arterial origin (branches of the internal iliac artery). This reality can be altered via a sequential management approach that is tailored to the specific reality of the treating facility which involves a collaborative effort between orthopedic, trauma and intensive care surgeons. We propose two different management algorithms that specifically address the availability of qualified staff and existing infrastructure: one for the fully equipped trauma center and another for the very common limited resource center.
Mención de responsabilidad :	David Mejia, Michael W. Parra, Carlos A. Ordoñez, Natalia Padilla, Yaset Caicedo, Salin Pereira Warr, Paula Andrea Jurado-Muñoz, Mauricio Torres, Alfredo Martínez, José Julián Serna, Fernando Rodríguez-Holguín, Alexander Salcedo, Alberto García, Mauricio Millán, Luis Fernando Pino, Adolfo González Hadad, Mario Alain Herrera, Ernest E. Moore
Referencia :	Colomb Med (Cali). 2020 Dec 30;51(4):e4214510.
DOI (Digital Object Identifier) :	10.25100/cm.v51i4.4510
PMID :	33795905
Derechos de uso :	CC BY-NC
En línea :	https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/4510
Enlace permanente :	https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5739