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Current Trauma Reports

, Volume 4, Issue 3, pp 177–182 | Cite as

Thoracic Damage Control Surgery

  • Agneta Geldenhuys
Damage Control Beyond The Abdomen (E Degiannis, Section Editor)
  • 19 Downloads
Part of the following topical collections:
  1. Topical Collection on Damage Control Beyond the Abdomen

Abstract

Purpose of Review

An overview of the practice of damage control surgery in the thoracic trauma patient with emphasis on physiological resuscitation and specific management principles of damage to different organs in the chest.

Recent Findings

The advance of endovascular stents use for injuries of the large thoracic vessels can greatly assist in avoiding open surgery with major bleeding in a patient in physiological extremis. Extracorporeal membrane oxygenation (ECMO) can be used in those patients where conventional measures of resuscitation and oxygenation fail as an adjunct to restore normal physiology.

Summary

Thoracic damage control surgery can be employed successfully if the physiology of the patient is paramount during resuscitation chasing the specific goals of reversing the lethal triad of acidosis, coagulopathy, and hypothermia. Abbreviated surgical techniques which mainly achieve hemostasis and control air leaks needs to be carefully employed in the thoracic cavity where packing of organs for hemostasis can greatly compromise cardiorespiratory reserve.

Keywords

Damage control surgery Thoracic trauma 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare no conflicts of interest relevant to this manuscript.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Milpark Netcare HospitalJohannesburgSouth Africa

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