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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
PubMed
Summary
This summary is machine-generated.

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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.
Keywords:
CoagulopathyHemorrhageResuscitationShockThrombelastographyTransfusion

Related Experiment Videos

  • 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.