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Damage Control Resuscitation for Catastrophic Bleeding
Chase L Andreason1, Timothy H Pohlman2
1Department of Oral Surgery and Hospital Dentistry, Indiana University School of Dentistry, 1121 West Michigan Street, Indianapolis, IN 46202, USA.
Oral and Maxillofacial Surgery Clinics of North America
|October 18, 2016
Summary
Recognizing shock from facial trauma or surgery is challenging. Damage control resuscitation, including hemodynamic, hemostatic, and homeostatic support, is crucial for managing hemorrhage and restoring balance.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
- Critical Care Medicine
Background:
- Hemorrhage from severe facial trauma or complex oral/maxillofacial surgery poses significant challenges.
- Hemorrhage can induce specific hemostatic disorders and homeostatic imbalances during or after resuscitation.
- Traditional resuscitation methods are evolving to address these complex scenarios.
Purpose of the Study:
- To highlight the challenges in recognizing shock due to facial trauma or maxillofacial surgery.
- To discuss the evolution of damage control resuscitation strategies.
- To emphasize the importance of comprehensive resuscitation for hemorrhagic shock.
Main Methods:
- Review of current resuscitation paradigms for hemorrhagic shock.
- Discussion of hemodynamic, hemostatic, and homeostatic resuscitation components.
- Focus on the critical objective of definitive bleeding control.
Main Results:
- Damage control resuscitation has advanced beyond massive transfusion.
- It now integrates hemodynamic, hemostatic, and homeostatic interventions.
- Effective management requires addressing induced hemostatic disorders.
Conclusions:
- Timely recognition of shock in facial trauma/surgery is vital.
- Damage control resuscitation offers a comprehensive approach.
- Definitive hemorrhage control remains the cornerstone of managing hemorrhagic shock.