Langenbeck's Archives of Surgery

, Volume 396, Issue 4, pp 429–446

Surgical intensive care unit—the trauma surgery perspective

  • Christian Kleber
  • Klaus Dieter Schaser
  • Norbert P. Haas
Review Article

DOI: 10.1007/s00423-011-0765-z

Cite this article as:
Kleber, C., Schaser, K.D. & Haas, N.P. Langenbecks Arch Surg (2011) 396: 429. doi:10.1007/s00423-011-0765-z

Abstract

Purpose

This review addresses and summarizes the key issues and unique specific intensive care treatment of adult patients from the trauma surgery perspective.

Materials and methods

The cornerstones of successful surgical intensive care management are fluid resuscitation, transfusion protocol and extracorporeal organ replacement therapies. The injury-type specific complications and unique pathophysiologic regulatory mechanisms of the traumatized patients influencing the critical care treatment are discussed.

Conclusions

Furthermore, the fundamental knowledge of the injury severity, understanding of the trauma mechanism, surgical treatment strategies and specific techniques of surgical intensive care are pointed out as essentials for a successful intensive care therapy.

Keywords

SurgeryIntensive care unitTraumaInjuryCritical carePolytrauma

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Christian Kleber
    • 1
  • Klaus Dieter Schaser
    • 1
  • Norbert P. Haas
    • 1
  1. 1.Center for Musculoskeletal SurgeryCharité – University Medicine BerlinBerlinGermany