Anaesthetic considerations in polytrauma patients.

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Abstract

Conflict of interest statement: The authors declare No conflict of interest. 15. Chin J Traumatol. 2017 Jun;20(3):125-132. doi: 10.1016/j.cjtee.2017.03.004. Epub 2017 May 17. Updated concepts on the pathophysiology and the clinical management of trauma hemorrhage and coagulopathy. Maegele M(1), Gu ZT(2), Huang QB(3), Yang H(2). Author information: (1)Department for Trauma and Orthopedic Surgery, Cologne-Merheim Medical Center (CMMC), University Witten/Herdecke (UW/H), Campus Cologne-Merheim, Ostmerheimerstr 200, D-51109 Köln, Germany; Institute for Research in Operative Medicine (IFOM), University Witten/Herdecke (UW/H), Campus Cologne-Merheim, Ostmerheimerstr 200, D-51109 Köln, Germany. Electronic address: Marc.Maegele@t-online.de. (2)Department of Intensive Care, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, PR China; Department of Pathophysiology, Guangdong Provincial Key Laboratory of Shock and Microcirculation Research, Southern Medical University, Guangzhou 510515, PR China. (3)Department of Pathophysiology, Guangdong Provincial Key Laboratory of Shock and Microcirculation Research, Southern Medical University, Guangzhou 510515, PR China. Uncontrolled hemorrhage and subsequent trauma-induced coagulopathy (TIC) are still the principle causes for preventable death after trauma and early detection and aggressive management have been associated with reduced mortality. Despite increasing knowledge about trauma resuscitation, best practice to treat this newly defined entity is still under debate. A synopsis of best current knowledge with reference to the updated European trauma guideline on the management of severe trauma hemorrhage and TIC is presented. The implementation of evidence-based local protocols and algorithms including clinical quality and safety management systems together with parameters to assess key measures of bleeding control and outcome is advocated. Copyright © 2017 Daping Hospital and the Research Institute of Surgery of the Third Military Medical University. Production and hosting by Elsevier B.V. All rights reserved. DOI: 10.1016/j.cjtee.2017.03.004 PMCID: PMC5473714