Trauma Operative Procedures

✍ Scribed by J. F. Baskett (auth.), G. Berlot MD, H. Delooz MD, A. Gullo MD (eds.)

• Publisher: Springer-Verlag Mailand
• Year: 1999
• Tongue: English
• Leaves: 207
• Series: Topics in Anaesthesia and Critical Care
• Edition: 1
• Category: Library

✦ Synopsis

Trauma has assumed a prominent role in contemporary medicine as an event that can significantly influence clinical variables such as morbidity, functional deficits and consequential disability, and mortality. Trauma is the principal cause of death in the population below 40 years of age in industrialized coun­ tries. Therefore, there is great interest in studying traumatic events from both the clinical and epidemiological viewpoints. The importance of trauma is exem­ plified by the fact that in many countries the trauma patient is first treated in specialized "trauma centers", in which the diagnostic and treatment processes are facilitated by the 24-hour presence of personnel having interdisciplinary competencies. Trauma in this context consists of any acute, often unexpected, condition. Many of the medical difficulties associated with trauma occur in a relatively brief period that spans from the first call for help to the initiation of first aid measures. A correct approach depends on the availability of experienced personnel. The first measures of aid must guarantee, above all, the patient's survival. The most critical, initial phases of care to trauma patients are represented by the triad: first aid, triage, and transport. Specific morbidity indices, whether anatomical, func­ tional or mixed, are indispensable elements for monitoring a patient's clinical evolution. The immediate availability of "essential" drugs is imperative to con­ front the clinical situations that often present in the acute post-traumatic phase.

✦ Table of Contents

Front Matter....Pages I-XI
Planning, organisation, education, triage and research in immediate medical care: an introduction....Pages 1-7
Current trauma scoring systems and their applications: a review....Pages 9-29
Assessing the severity of trauma and the quality of trauma care....Pages 31-37
Trauma transport....Pages 39-47
A pre-hospital pharmacological review....Pages 49-53
Haemorrhagic shock: pathophysiology and treatment....Pages 55-63
Fluid management in trauma....Pages 65-72
Hydroxyethyl starch and coagulation....Pages 73-81
Colloid-induced renal complications....Pages 83-90
Airway management....Pages 91-104
Thermal homeostasis in trauma patients....Pages 105-111
Prevention and management of pulmonary inhalation....Pages 113-118
Vasopressors and inotropes in trauma: when, where, how long....Pages 119-125
Creating a trauma anaesthesia service....Pages 127-143
Anaesthetic implications of drug abuse in trauma patients....Pages 145-160
Common PACU problems in trauma patients....Pages 161-168
Three-in-one block as locoregional analgesia for hip fractures....Pages 169-173
Recommendations for blood transfusion in trauma patients....Pages 175-188
Update on cardiopulmonary resuscitation: guidelines for volunteers....Pages 189-195
Guidelines on trauma management....Pages 197-203
Back Matter....Pages 205-209

✦ Subjects

Anesthesiology; Internal Medicine