• AACN clinical issues · Feb 1999

    Review

    Damage control surgery.

    • S R Zacharias, P Offner, E E Moore, and J Burch.
    • Denver Health Medical Center, CO 80204, USA.
    • AACN Clin Issues. 1999 Feb 1;10(1):95-103; quiz 141-2.

    AbstractThe triad of hypothermia, acidosis, and coagulopathy during initial operative and resuscitation efforts has been recognized as a significant cause of death in patients with traumatic injuries. A staged surgical approach with a brief initial laparotomy, subsequent intensive care unit resuscitation, and a planned reoperation is an emerging technique used in trauma surgery, with application to a variety of other surgical challenges. Successful damage control therapy requires a coordinated multidisciplinary team effort by a trauma team experienced in the process of damage control operations, intensive care unit priorities, and potential complications of this innovative surgical approach.

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