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Related Experiment Videos

Damage control surgery--the intensivist's role.

Scott G Sagraves1, Eric A Toschlog, Michael F Rotondo

  • 1Department of Surgery, East Carolina University, Brody School of Medicine, 600 Moye Blvd, Greenville, NC 27834, USA. ssagrave@pcmh.com

Journal of Intensive Care Medicine
|May 16, 2006
PubMed
Summary
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Damage control surgery, initially for trauma, now aids critically ill patients. This approach involves abbreviated surgery followed by intensive care unit resuscitation for physiologic correction before definitive treatment.

Area of Science:

  • Surgical critical care
  • Abdominal surgery

Background:

  • Damage control surgery has evolved over 20 years.
  • Expanded role for critically ill, non-traumatized patients.

Observation:

  • Physicians observe a pattern of severe physiologic derangement in extremis patients.
  • Abbreviated laparotomy is prompted for hemorrhage and contamination control.

Findings:

  • Emphasis shifts to the intensive care unit for correcting physiologic deficits.
  • Definitive reconstructive surgery follows physiologic stabilization.

Implications:

  • Reviews the concept of damage control for pathophysiologically depleted patients.
  • Summarizes ICU resuscitation, identifies pitfalls, and delineates treatment plans.

Related Experiment Videos

  • Discusses complications like abdominal compartment syndrome and challenging abdominal wall closures.