Damage control surgery: use of diagnostic CT after life-saving laparotomy
Abstract Damage control surgery (DCS) is a limited exploratory laparotomy that is performed in unstable trauma patients who, without immediate intervention, would acutely decompensate. Patients usually present with shock physiology and metabolic derangements including acidosis, hypothermia, and coag...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Baghdanian, Armonde A. [verfasserIn] Baghdanian, Arthur H. [verfasserIn] Khalid, Maria [verfasserIn] Armetta, Anthony [verfasserIn] LeBedis, Christina A. [verfasserIn] Anderson, Stephan W. [verfasserIn] Soto, Jorge A. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2016 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Emergency radiology - Heidelberg : Springer, 1994, 23(2016), 5 vom: 11. Mai, Seite 483-495 |
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| Übergeordnetes Werk: |
volume:23 ; year:2016 ; number:5 ; day:11 ; month:05 ; pages:483-495 |
| Links: |
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| DOI / URN: |
10.1007/s10140-016-1400-7 |
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| Katalog-ID: |
SPR008860742 |
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| 100 | 1 | |a Baghdanian, Armonde A. |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Damage control surgery: use of diagnostic CT after life-saving laparotomy |
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| 520 | |a Abstract Damage control surgery (DCS) is a limited exploratory laparotomy that is performed in unstable trauma patients who, without immediate intervention, would acutely decompensate. Patients usually present with shock physiology and metabolic derangements including acidosis, hypothermia, and coagulopathy. Delayed medical correction of these metabolic derangements leads to an irreversible state of coagulopathic hemorrhagic shock and inevitable patient demise. Therefore, once a patient meets DCS criteria, a limited exploratory laparotomy is performed to stabilize life-threatening injury and expedite initiation of medical resuscitation in the intensive care unit (ICU). The surgeon plans to return to the operating room for definitive surgical treatment once the patient is hemodynamically stabilized and the metabolic derangements have been corrected. DCS patients are frequently sent to the ICU with an open abdomen and purposefully retained surgical equipment. The lack of response to resuscitation efforts, persistent hypotension, tachycardia, and/or the development of sepsis are common indications for this patient population to undergo CT imaging. The indications and findings of multi-detector CT (MDCT) in patients post-DCS have not been thoroughly evaluated in the radiology literature. A radiologist’s knowledge of the DCS protocol and pre-imaging surgical interventions helps optimize the MDCT protocol. This enhances the radiologist’s ability to evaluate for failure of surgical interventions performed prior to imaging and to search for injuries in areas that were not explored or that were missed during the initial surgical exploration. | ||
| 650 | 4 | |a Emergency radiology |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Emergency |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Trauma |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a ER, ct |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Computed tomography |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Abdominal |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Abdominal imaging |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Exploratory laparotomy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Laparotomy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Surgery |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Open abdomen |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Packing |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Blunt |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Penetrating |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Gunshot |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Stab |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a mva |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Protocol |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a MDCT |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Contrast |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Injury |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Baghdanian, Arthur H. |e verfasserin |4 aut | |
| 700 | 1 | |a Khalid, Maria |e verfasserin |4 aut | |
| 700 | 1 | |a Armetta, Anthony |e verfasserin |4 aut | |
| 700 | 1 | |a LeBedis, Christina A. |e verfasserin |4 aut | |
| 700 | 1 | |a Anderson, Stephan W. |e verfasserin |4 aut | |
| 700 | 1 | |a Soto, Jorge A. |e verfasserin |4 aut | |
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10.1007/s10140-016-1400-7 doi (DE-627)SPR008860742 (SPR)s10140-016-1400-7-e DE-627 ger DE-627 rakwb eng 610 ASE 44.64 bkl Baghdanian, Armonde A. verfasserin aut Damage control surgery: use of diagnostic CT after life-saving laparotomy 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Damage control surgery (DCS) is a limited exploratory laparotomy that is performed in unstable trauma patients who, without immediate intervention, would acutely decompensate. Patients usually present with shock physiology and metabolic derangements including acidosis, hypothermia, and coagulopathy. Delayed medical correction of these metabolic derangements leads to an irreversible state of coagulopathic hemorrhagic shock and inevitable patient demise. Therefore, once a patient meets DCS criteria, a limited exploratory laparotomy is performed to stabilize life-threatening injury and expedite initiation of medical resuscitation in the intensive care unit (ICU). The surgeon plans to return to the operating room for definitive surgical treatment once the patient is hemodynamically stabilized and the metabolic derangements have been corrected. DCS patients are frequently sent to the ICU with an open abdomen and purposefully retained surgical equipment. The lack of response to resuscitation efforts, persistent hypotension, tachycardia, and/or the development of sepsis are common indications for this patient population to undergo CT imaging. The indications and findings of multi-detector CT (MDCT) in patients post-DCS have not been thoroughly evaluated in the radiology literature. A radiologist’s knowledge of the DCS protocol and pre-imaging surgical interventions helps optimize the MDCT protocol. This enhances the radiologist’s ability to evaluate for failure of surgical interventions performed prior to imaging and to search for injuries in areas that were not explored or that were missed during the initial surgical exploration. Emergency radiology (dpeaa)DE-He213 Emergency (dpeaa)DE-He213 Trauma (dpeaa)DE-He213 ER, ct (dpeaa)DE-He213 Computed tomography (dpeaa)DE-He213 Abdominal (dpeaa)DE-He213 Abdominal imaging (dpeaa)DE-He213 Exploratory laparotomy (dpeaa)DE-He213 Laparotomy (dpeaa)DE-He213 Surgery (dpeaa)DE-He213 Open abdomen (dpeaa)DE-He213 Packing (dpeaa)DE-He213 Blunt (dpeaa)DE-He213 Penetrating (dpeaa)DE-He213 Gunshot (dpeaa)DE-He213 Stab (dpeaa)DE-He213 mva (dpeaa)DE-He213 Protocol (dpeaa)DE-He213 MDCT (dpeaa)DE-He213 Contrast (dpeaa)DE-He213 Injury (dpeaa)DE-He213 Baghdanian, Arthur H. verfasserin aut Khalid, Maria verfasserin aut Armetta, Anthony verfasserin aut LeBedis, Christina A. verfasserin aut Anderson, Stephan W. verfasserin aut Soto, Jorge A. verfasserin aut Enthalten in Emergency radiology Heidelberg : Springer, 1994 23(2016), 5 vom: 11. Mai, Seite 483-495 (DE-627)271599332 (DE-600)1480928-X 1438-1435 nnns volume:23 year:2016 number:5 day:11 month:05 pages:483-495 https://dx.doi.org/10.1007/s10140-016-1400-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.64 ASE AR 23 2016 5 11 05 483-495 |
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10.1007/s10140-016-1400-7 doi (DE-627)SPR008860742 (SPR)s10140-016-1400-7-e DE-627 ger DE-627 rakwb eng 610 ASE 44.64 bkl Baghdanian, Armonde A. verfasserin aut Damage control surgery: use of diagnostic CT after life-saving laparotomy 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Damage control surgery (DCS) is a limited exploratory laparotomy that is performed in unstable trauma patients who, without immediate intervention, would acutely decompensate. Patients usually present with shock physiology and metabolic derangements including acidosis, hypothermia, and coagulopathy. Delayed medical correction of these metabolic derangements leads to an irreversible state of coagulopathic hemorrhagic shock and inevitable patient demise. Therefore, once a patient meets DCS criteria, a limited exploratory laparotomy is performed to stabilize life-threatening injury and expedite initiation of medical resuscitation in the intensive care unit (ICU). The surgeon plans to return to the operating room for definitive surgical treatment once the patient is hemodynamically stabilized and the metabolic derangements have been corrected. DCS patients are frequently sent to the ICU with an open abdomen and purposefully retained surgical equipment. The lack of response to resuscitation efforts, persistent hypotension, tachycardia, and/or the development of sepsis are common indications for this patient population to undergo CT imaging. The indications and findings of multi-detector CT (MDCT) in patients post-DCS have not been thoroughly evaluated in the radiology literature. A radiologist’s knowledge of the DCS protocol and pre-imaging surgical interventions helps optimize the MDCT protocol. This enhances the radiologist’s ability to evaluate for failure of surgical interventions performed prior to imaging and to search for injuries in areas that were not explored or that were missed during the initial surgical exploration. Emergency radiology (dpeaa)DE-He213 Emergency (dpeaa)DE-He213 Trauma (dpeaa)DE-He213 ER, ct (dpeaa)DE-He213 Computed tomography (dpeaa)DE-He213 Abdominal (dpeaa)DE-He213 Abdominal imaging (dpeaa)DE-He213 Exploratory laparotomy (dpeaa)DE-He213 Laparotomy (dpeaa)DE-He213 Surgery (dpeaa)DE-He213 Open abdomen (dpeaa)DE-He213 Packing (dpeaa)DE-He213 Blunt (dpeaa)DE-He213 Penetrating (dpeaa)DE-He213 Gunshot (dpeaa)DE-He213 Stab (dpeaa)DE-He213 mva (dpeaa)DE-He213 Protocol (dpeaa)DE-He213 MDCT (dpeaa)DE-He213 Contrast (dpeaa)DE-He213 Injury (dpeaa)DE-He213 Baghdanian, Arthur H. verfasserin aut Khalid, Maria verfasserin aut Armetta, Anthony verfasserin aut LeBedis, Christina A. verfasserin aut Anderson, Stephan W. verfasserin aut Soto, Jorge A. verfasserin aut Enthalten in Emergency radiology Heidelberg : Springer, 1994 23(2016), 5 vom: 11. Mai, Seite 483-495 (DE-627)271599332 (DE-600)1480928-X 1438-1435 nnns volume:23 year:2016 number:5 day:11 month:05 pages:483-495 https://dx.doi.org/10.1007/s10140-016-1400-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.64 ASE AR 23 2016 5 11 05 483-495 |
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10.1007/s10140-016-1400-7 doi (DE-627)SPR008860742 (SPR)s10140-016-1400-7-e DE-627 ger DE-627 rakwb eng 610 ASE 44.64 bkl Baghdanian, Armonde A. verfasserin aut Damage control surgery: use of diagnostic CT after life-saving laparotomy 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Damage control surgery (DCS) is a limited exploratory laparotomy that is performed in unstable trauma patients who, without immediate intervention, would acutely decompensate. Patients usually present with shock physiology and metabolic derangements including acidosis, hypothermia, and coagulopathy. Delayed medical correction of these metabolic derangements leads to an irreversible state of coagulopathic hemorrhagic shock and inevitable patient demise. Therefore, once a patient meets DCS criteria, a limited exploratory laparotomy is performed to stabilize life-threatening injury and expedite initiation of medical resuscitation in the intensive care unit (ICU). The surgeon plans to return to the operating room for definitive surgical treatment once the patient is hemodynamically stabilized and the metabolic derangements have been corrected. DCS patients are frequently sent to the ICU with an open abdomen and purposefully retained surgical equipment. The lack of response to resuscitation efforts, persistent hypotension, tachycardia, and/or the development of sepsis are common indications for this patient population to undergo CT imaging. The indications and findings of multi-detector CT (MDCT) in patients post-DCS have not been thoroughly evaluated in the radiology literature. A radiologist’s knowledge of the DCS protocol and pre-imaging surgical interventions helps optimize the MDCT protocol. This enhances the radiologist’s ability to evaluate for failure of surgical interventions performed prior to imaging and to search for injuries in areas that were not explored or that were missed during the initial surgical exploration. Emergency radiology (dpeaa)DE-He213 Emergency (dpeaa)DE-He213 Trauma (dpeaa)DE-He213 ER, ct (dpeaa)DE-He213 Computed tomography (dpeaa)DE-He213 Abdominal (dpeaa)DE-He213 Abdominal imaging (dpeaa)DE-He213 Exploratory laparotomy (dpeaa)DE-He213 Laparotomy (dpeaa)DE-He213 Surgery (dpeaa)DE-He213 Open abdomen (dpeaa)DE-He213 Packing (dpeaa)DE-He213 Blunt (dpeaa)DE-He213 Penetrating (dpeaa)DE-He213 Gunshot (dpeaa)DE-He213 Stab (dpeaa)DE-He213 mva (dpeaa)DE-He213 Protocol (dpeaa)DE-He213 MDCT (dpeaa)DE-He213 Contrast (dpeaa)DE-He213 Injury (dpeaa)DE-He213 Baghdanian, Arthur H. verfasserin aut Khalid, Maria verfasserin aut Armetta, Anthony verfasserin aut LeBedis, Christina A. verfasserin aut Anderson, Stephan W. verfasserin aut Soto, Jorge A. verfasserin aut Enthalten in Emergency radiology Heidelberg : Springer, 1994 23(2016), 5 vom: 11. Mai, Seite 483-495 (DE-627)271599332 (DE-600)1480928-X 1438-1435 nnns volume:23 year:2016 number:5 day:11 month:05 pages:483-495 https://dx.doi.org/10.1007/s10140-016-1400-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.64 ASE AR 23 2016 5 11 05 483-495 |
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10.1007/s10140-016-1400-7 doi (DE-627)SPR008860742 (SPR)s10140-016-1400-7-e DE-627 ger DE-627 rakwb eng 610 ASE 44.64 bkl Baghdanian, Armonde A. verfasserin aut Damage control surgery: use of diagnostic CT after life-saving laparotomy 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Damage control surgery (DCS) is a limited exploratory laparotomy that is performed in unstable trauma patients who, without immediate intervention, would acutely decompensate. Patients usually present with shock physiology and metabolic derangements including acidosis, hypothermia, and coagulopathy. Delayed medical correction of these metabolic derangements leads to an irreversible state of coagulopathic hemorrhagic shock and inevitable patient demise. Therefore, once a patient meets DCS criteria, a limited exploratory laparotomy is performed to stabilize life-threatening injury and expedite initiation of medical resuscitation in the intensive care unit (ICU). The surgeon plans to return to the operating room for definitive surgical treatment once the patient is hemodynamically stabilized and the metabolic derangements have been corrected. DCS patients are frequently sent to the ICU with an open abdomen and purposefully retained surgical equipment. The lack of response to resuscitation efforts, persistent hypotension, tachycardia, and/or the development of sepsis are common indications for this patient population to undergo CT imaging. The indications and findings of multi-detector CT (MDCT) in patients post-DCS have not been thoroughly evaluated in the radiology literature. A radiologist’s knowledge of the DCS protocol and pre-imaging surgical interventions helps optimize the MDCT protocol. This enhances the radiologist’s ability to evaluate for failure of surgical interventions performed prior to imaging and to search for injuries in areas that were not explored or that were missed during the initial surgical exploration. Emergency radiology (dpeaa)DE-He213 Emergency (dpeaa)DE-He213 Trauma (dpeaa)DE-He213 ER, ct (dpeaa)DE-He213 Computed tomography (dpeaa)DE-He213 Abdominal (dpeaa)DE-He213 Abdominal imaging (dpeaa)DE-He213 Exploratory laparotomy (dpeaa)DE-He213 Laparotomy (dpeaa)DE-He213 Surgery (dpeaa)DE-He213 Open abdomen (dpeaa)DE-He213 Packing (dpeaa)DE-He213 Blunt (dpeaa)DE-He213 Penetrating (dpeaa)DE-He213 Gunshot (dpeaa)DE-He213 Stab (dpeaa)DE-He213 mva (dpeaa)DE-He213 Protocol (dpeaa)DE-He213 MDCT (dpeaa)DE-He213 Contrast (dpeaa)DE-He213 Injury (dpeaa)DE-He213 Baghdanian, Arthur H. verfasserin aut Khalid, Maria verfasserin aut Armetta, Anthony verfasserin aut LeBedis, Christina A. verfasserin aut Anderson, Stephan W. verfasserin aut Soto, Jorge A. verfasserin aut Enthalten in Emergency radiology Heidelberg : Springer, 1994 23(2016), 5 vom: 11. Mai, Seite 483-495 (DE-627)271599332 (DE-600)1480928-X 1438-1435 nnns volume:23 year:2016 number:5 day:11 month:05 pages:483-495 https://dx.doi.org/10.1007/s10140-016-1400-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.64 ASE AR 23 2016 5 11 05 483-495 |
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10.1007/s10140-016-1400-7 doi (DE-627)SPR008860742 (SPR)s10140-016-1400-7-e DE-627 ger DE-627 rakwb eng 610 ASE 44.64 bkl Baghdanian, Armonde A. verfasserin aut Damage control surgery: use of diagnostic CT after life-saving laparotomy 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Damage control surgery (DCS) is a limited exploratory laparotomy that is performed in unstable trauma patients who, without immediate intervention, would acutely decompensate. Patients usually present with shock physiology and metabolic derangements including acidosis, hypothermia, and coagulopathy. Delayed medical correction of these metabolic derangements leads to an irreversible state of coagulopathic hemorrhagic shock and inevitable patient demise. Therefore, once a patient meets DCS criteria, a limited exploratory laparotomy is performed to stabilize life-threatening injury and expedite initiation of medical resuscitation in the intensive care unit (ICU). The surgeon plans to return to the operating room for definitive surgical treatment once the patient is hemodynamically stabilized and the metabolic derangements have been corrected. DCS patients are frequently sent to the ICU with an open abdomen and purposefully retained surgical equipment. The lack of response to resuscitation efforts, persistent hypotension, tachycardia, and/or the development of sepsis are common indications for this patient population to undergo CT imaging. The indications and findings of multi-detector CT (MDCT) in patients post-DCS have not been thoroughly evaluated in the radiology literature. A radiologist’s knowledge of the DCS protocol and pre-imaging surgical interventions helps optimize the MDCT protocol. This enhances the radiologist’s ability to evaluate for failure of surgical interventions performed prior to imaging and to search for injuries in areas that were not explored or that were missed during the initial surgical exploration. Emergency radiology (dpeaa)DE-He213 Emergency (dpeaa)DE-He213 Trauma (dpeaa)DE-He213 ER, ct (dpeaa)DE-He213 Computed tomography (dpeaa)DE-He213 Abdominal (dpeaa)DE-He213 Abdominal imaging (dpeaa)DE-He213 Exploratory laparotomy (dpeaa)DE-He213 Laparotomy (dpeaa)DE-He213 Surgery (dpeaa)DE-He213 Open abdomen (dpeaa)DE-He213 Packing (dpeaa)DE-He213 Blunt (dpeaa)DE-He213 Penetrating (dpeaa)DE-He213 Gunshot (dpeaa)DE-He213 Stab (dpeaa)DE-He213 mva (dpeaa)DE-He213 Protocol (dpeaa)DE-He213 MDCT (dpeaa)DE-He213 Contrast (dpeaa)DE-He213 Injury (dpeaa)DE-He213 Baghdanian, Arthur H. verfasserin aut Khalid, Maria verfasserin aut Armetta, Anthony verfasserin aut LeBedis, Christina A. verfasserin aut Anderson, Stephan W. verfasserin aut Soto, Jorge A. verfasserin aut Enthalten in Emergency radiology Heidelberg : Springer, 1994 23(2016), 5 vom: 11. Mai, Seite 483-495 (DE-627)271599332 (DE-600)1480928-X 1438-1435 nnns volume:23 year:2016 number:5 day:11 month:05 pages:483-495 https://dx.doi.org/10.1007/s10140-016-1400-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.64 ASE AR 23 2016 5 11 05 483-495 |
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Enthalten in Emergency radiology 23(2016), 5 vom: 11. Mai, Seite 483-495 volume:23 year:2016 number:5 day:11 month:05 pages:483-495 |
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Emergency radiology Emergency Trauma ER, ct Computed tomography Abdominal Abdominal imaging Exploratory laparotomy Laparotomy Surgery Open abdomen Packing Blunt Penetrating Gunshot Stab mva Protocol MDCT Contrast Injury |
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Baghdanian, Armonde A. @@aut@@ Baghdanian, Arthur H. @@aut@@ Khalid, Maria @@aut@@ Armetta, Anthony @@aut@@ LeBedis, Christina A. @@aut@@ Anderson, Stephan W. @@aut@@ Soto, Jorge A. @@aut@@ |
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2016-05-11T00:00:00Z |
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| author |
Baghdanian, Armonde A. |
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Baghdanian, Armonde A. ddc 610 bkl 44.64 misc Emergency radiology misc Emergency misc Trauma misc ER, ct misc Computed tomography misc Abdominal misc Abdominal imaging misc Exploratory laparotomy misc Laparotomy misc Surgery misc Open abdomen misc Packing misc Blunt misc Penetrating misc Gunshot misc Stab misc mva misc Protocol misc MDCT misc Contrast misc Injury Damage control surgery: use of diagnostic CT after life-saving laparotomy |
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610 ASE 44.64 bkl Damage control surgery: use of diagnostic CT after life-saving laparotomy Emergency radiology (dpeaa)DE-He213 Emergency (dpeaa)DE-He213 Trauma (dpeaa)DE-He213 ER, ct (dpeaa)DE-He213 Computed tomography (dpeaa)DE-He213 Abdominal (dpeaa)DE-He213 Abdominal imaging (dpeaa)DE-He213 Exploratory laparotomy (dpeaa)DE-He213 Laparotomy (dpeaa)DE-He213 Surgery (dpeaa)DE-He213 Open abdomen (dpeaa)DE-He213 Packing (dpeaa)DE-He213 Blunt (dpeaa)DE-He213 Penetrating (dpeaa)DE-He213 Gunshot (dpeaa)DE-He213 Stab (dpeaa)DE-He213 mva (dpeaa)DE-He213 Protocol (dpeaa)DE-He213 MDCT (dpeaa)DE-He213 Contrast (dpeaa)DE-He213 Injury (dpeaa)DE-He213 |
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ddc 610 bkl 44.64 misc Emergency radiology misc Emergency misc Trauma misc ER, ct misc Computed tomography misc Abdominal misc Abdominal imaging misc Exploratory laparotomy misc Laparotomy misc Surgery misc Open abdomen misc Packing misc Blunt misc Penetrating misc Gunshot misc Stab misc mva misc Protocol misc MDCT misc Contrast misc Injury |
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ddc 610 bkl 44.64 misc Emergency radiology misc Emergency misc Trauma misc ER, ct misc Computed tomography misc Abdominal misc Abdominal imaging misc Exploratory laparotomy misc Laparotomy misc Surgery misc Open abdomen misc Packing misc Blunt misc Penetrating misc Gunshot misc Stab misc mva misc Protocol misc MDCT misc Contrast misc Injury |
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ddc 610 bkl 44.64 misc Emergency radiology misc Emergency misc Trauma misc ER, ct misc Computed tomography misc Abdominal misc Abdominal imaging misc Exploratory laparotomy misc Laparotomy misc Surgery misc Open abdomen misc Packing misc Blunt misc Penetrating misc Gunshot misc Stab misc mva misc Protocol misc MDCT misc Contrast misc Injury |
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| title |
Damage control surgery: use of diagnostic CT after life-saving laparotomy |
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| title_full |
Damage control surgery: use of diagnostic CT after life-saving laparotomy |
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Baghdanian, Armonde A. |
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Emergency radiology |
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Baghdanian, Armonde A. Baghdanian, Arthur H. Khalid, Maria Armetta, Anthony LeBedis, Christina A. Anderson, Stephan W. Soto, Jorge A. |
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610 ASE 44.64 bkl |
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Baghdanian, Armonde A. |
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10.1007/s10140-016-1400-7 |
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610 |
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verfasserin |
| title_sort |
damage control surgery: use of diagnostic ct after life-saving laparotomy |
| title_auth |
Damage control surgery: use of diagnostic CT after life-saving laparotomy |
| abstract |
Abstract Damage control surgery (DCS) is a limited exploratory laparotomy that is performed in unstable trauma patients who, without immediate intervention, would acutely decompensate. Patients usually present with shock physiology and metabolic derangements including acidosis, hypothermia, and coagulopathy. Delayed medical correction of these metabolic derangements leads to an irreversible state of coagulopathic hemorrhagic shock and inevitable patient demise. Therefore, once a patient meets DCS criteria, a limited exploratory laparotomy is performed to stabilize life-threatening injury and expedite initiation of medical resuscitation in the intensive care unit (ICU). The surgeon plans to return to the operating room for definitive surgical treatment once the patient is hemodynamically stabilized and the metabolic derangements have been corrected. DCS patients are frequently sent to the ICU with an open abdomen and purposefully retained surgical equipment. The lack of response to resuscitation efforts, persistent hypotension, tachycardia, and/or the development of sepsis are common indications for this patient population to undergo CT imaging. The indications and findings of multi-detector CT (MDCT) in patients post-DCS have not been thoroughly evaluated in the radiology literature. A radiologist’s knowledge of the DCS protocol and pre-imaging surgical interventions helps optimize the MDCT protocol. This enhances the radiologist’s ability to evaluate for failure of surgical interventions performed prior to imaging and to search for injuries in areas that were not explored or that were missed during the initial surgical exploration. |
| abstractGer |
Abstract Damage control surgery (DCS) is a limited exploratory laparotomy that is performed in unstable trauma patients who, without immediate intervention, would acutely decompensate. Patients usually present with shock physiology and metabolic derangements including acidosis, hypothermia, and coagulopathy. Delayed medical correction of these metabolic derangements leads to an irreversible state of coagulopathic hemorrhagic shock and inevitable patient demise. Therefore, once a patient meets DCS criteria, a limited exploratory laparotomy is performed to stabilize life-threatening injury and expedite initiation of medical resuscitation in the intensive care unit (ICU). The surgeon plans to return to the operating room for definitive surgical treatment once the patient is hemodynamically stabilized and the metabolic derangements have been corrected. DCS patients are frequently sent to the ICU with an open abdomen and purposefully retained surgical equipment. The lack of response to resuscitation efforts, persistent hypotension, tachycardia, and/or the development of sepsis are common indications for this patient population to undergo CT imaging. The indications and findings of multi-detector CT (MDCT) in patients post-DCS have not been thoroughly evaluated in the radiology literature. A radiologist’s knowledge of the DCS protocol and pre-imaging surgical interventions helps optimize the MDCT protocol. This enhances the radiologist’s ability to evaluate for failure of surgical interventions performed prior to imaging and to search for injuries in areas that were not explored or that were missed during the initial surgical exploration. |
| abstract_unstemmed |
Abstract Damage control surgery (DCS) is a limited exploratory laparotomy that is performed in unstable trauma patients who, without immediate intervention, would acutely decompensate. Patients usually present with shock physiology and metabolic derangements including acidosis, hypothermia, and coagulopathy. Delayed medical correction of these metabolic derangements leads to an irreversible state of coagulopathic hemorrhagic shock and inevitable patient demise. Therefore, once a patient meets DCS criteria, a limited exploratory laparotomy is performed to stabilize life-threatening injury and expedite initiation of medical resuscitation in the intensive care unit (ICU). The surgeon plans to return to the operating room for definitive surgical treatment once the patient is hemodynamically stabilized and the metabolic derangements have been corrected. DCS patients are frequently sent to the ICU with an open abdomen and purposefully retained surgical equipment. The lack of response to resuscitation efforts, persistent hypotension, tachycardia, and/or the development of sepsis are common indications for this patient population to undergo CT imaging. The indications and findings of multi-detector CT (MDCT) in patients post-DCS have not been thoroughly evaluated in the radiology literature. A radiologist’s knowledge of the DCS protocol and pre-imaging surgical interventions helps optimize the MDCT protocol. This enhances the radiologist’s ability to evaluate for failure of surgical interventions performed prior to imaging and to search for injuries in areas that were not explored or that were missed during the initial surgical exploration. |
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| title_short |
Damage control surgery: use of diagnostic CT after life-saving laparotomy |
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https://dx.doi.org/10.1007/s10140-016-1400-7 |
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| author2 |
Baghdanian, Arthur H. Khalid, Maria Armetta, Anthony LeBedis, Christina A. Anderson, Stephan W. Soto, Jorge A. |
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Baghdanian, Arthur H. Khalid, Maria Armetta, Anthony LeBedis, Christina A. Anderson, Stephan W. Soto, Jorge A. |
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| doi_str |
10.1007/s10140-016-1400-7 |
| up_date |
2024-07-03T23:32:53.905Z |
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| score |
7.399441 |