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Titolo:
Hypothermia and the trauma patient
Autore:
Kirkpatric, AW; Chun, R; Brown, R; Simons, RK;
Indirizzi:
Vancouver Hosp & Hlth Sci Ctr, Sect Trauma Serv, Vancouver, BC V5Z 1L7, Canada Vancouver Hosp & Hlth Sci Ctr Vancouver BC Canada V5Z 1L7 V5Z 1L7, Canada Univ Toronto, Anesthesia Training Program, Toronto, ON, Canada Univ Toronto Toronto ON Canada sia Training Program, Toronto, ON, Canada
Titolo Testata:
CANADIAN JOURNAL OF SURGERY
fascicolo: 5, volume: 42, anno: 1999,
pagine: 333 - 343
SICI:
0008-428X(199910)42:5<333:HATTP>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
RETROHEPATIC VENOUS INJURY; DAMAGE CONTROL SURGERY; CIRCULATORY ARREST; ACCIDENTAL HYPOTHERMIA; MILD HYPOTHERMIA; ABBREVIATED LAPAROTOMY; MASSIVE TRANSFUSION; HEMORRHAGIC-SHOCK; ABDOMINAL-TRAUMA; DEEP HYPOTHERMIA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
83
Recensione:
Indirizzi per estratti:
Indirizzo: Kirkpatric, AW Vancouver Hosp & Hlth Sci Ctr, Sect Trauma Serv, 3rd Floor,855 W 10th Ave,Vancouver, BC V5Z 1L7, Canada Vancouver Hosp & Hlth Sci Ctr 3rd Floor,855 W 10th Ave Vancouver BC Canada V5Z 1L7
Citazione:
A.W. Kirkpatric et al., "Hypothermia and the trauma patient", CAN J SURG, 42(5), 1999, pp. 333-343

Abstract

Hypothermia has profound effects on every system in the body, causing an overall slowing of enzymatic reactions and reduced metabolic requirements. Hypothermic, acutely injured patients with multisystem trauma have adverse outcomes when compared with normothermic control patients. Trauma patients are inherently predisposed to hypothermia from a variety of intrinsic and iatrogenic causes, Coagulation and cardiac sequelae are the most pertinent physiological concerns. Hypothermia and coagulopathy often mandate a simplified approach to complex surgical problems. A modification of traditional classification systems of hypothermia, applicable to trauma patients is suggested. There are few controlled investigations, but clinical opinion stronglysupports the active prevention of hypothermia in the acutely traumatized patient. Preventive measures are simple and inexpensive, but the active reversal of hypothermia is much more complicated, often invasive and controversial. The ideal method of rewarming is unclear but must be individualized tothe patient and is institution specific. An algorithm reflecting newer approaches to traumatic injury and technical advances in equipment and techniques is suggested. Conversely, hypothermia has selected clinical benefits when appropriately used in cases of trauma. Severe hypothermia has allowed remarkable survivals in the course of accidental circulatory arrest. The selective applicationof mild hypothermia in severe traumatic brain injury is an area with promise, Deliberate circulatory arrest with hypothermic cerebral protection has also been used for seemingly unrepairable injuries and is the focus of ongoing research.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 16:55:35