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Damage Control Cardiothoracic Surgery

  • J. Shaw
  • Bradley J. Phillips
  • Juan A. Asensio
Chapter

Abstract

Although damage control as a surgical concept and/or technique has become part of the trauma surgeon’s armamentarium for the past 25 years, it is meritorious to review its origins and indications. The concept, as described, takes its origin from Stone’s [1] hallmark work describing the “bailout” approach in honor of World War II paratroopers. In his 1986 seminal paper [1], he recognized a physiological “cluster” of intraoperative signs, i.e., coagulopathy, prompting interruption of trauma surgical procedures after institution of hemorrhage containing measures and packing of the abdominal cavity. He then proposed returning patients to a critical care setting and correcting the coagulopathy of trauma to return to the operating room later for definitive surgery.

Keywords

Thoracic Trauma Damage control Surgical techniques 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • J. Shaw
    • 1
    • 2
  • Bradley J. Phillips
    • 1
  • Juan A. Asensio
    • 1
    • 2
    • 3
  1. 1.Department of SurgeryCreighton University School of MedicineOmahaUSA
  2. 2.Department of Clinical and Translational ResearchCreighton UniversityOmahaUSA
  3. 3.F. Edward Hébert School of Medicine, Walter Reed National Military Medical CenterBethesdaUSA

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