Advanced diagnostic and therapeutic techniques for anaesthetists in thoracic trauma: an evidence-based review

被引：3

作者：

Pollock, Gabriel A. ^{[1
,2
,3
]}

Lo, Jessie ^{[1
,3
]}

Chou, Henry ^{[1
,2
]}

Kissen, Michael S. ^{[1
,2
,3
]}

Kim, Michelle ^{[1
]}

Zhang, Vida ^{[1
,2
,4
]}

Betz, Alexander ^{[1
]}

Perlman, Ryan ^{[1
,4
]}

机构：

[1] Cedars Sinai Med Ctr, Dept Anaesthesia, Los Angeles, CA 90048 USA

[2] Cedars Sinai Med Ctr, Dept Thorac Anaesthesia, Dept Anaesthesia, Los Angeles, CA 90048 USA

[3] Cedars Sinai Med Ctr, Dept Reg Anaesthesia & Acute Pain Serv, Dept Anaesthesia, Los Angeles, CA 90048 USA

[4] Cedars Sinai Med Ctr, Dept Trauma Anaesthesia, Dept Anaesthesia, Los Angeles, CA USA

来源：

BRITISH JOURNAL OF ANAESTHESIA | 2023年 / 130卷 / 01期

关键词：

lung isolation; POCUS; point-of care ultrasound; regional anaesthesia; thoracic trauma; trauma anaesthesia; viscoelastic testing; ENDOVASCULAR BALLOON OCCLUSION; ASSOCIATION CRITICAL DECISIONS; PRACTICE MANAGEMENT GUIDELINE; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; TRANSTHORACIC ECHOCARDIOGRAPHY; EASTERN ASSOCIATION; REGIONAL ANESTHESIA; AMERICAN SOCIETY; WESTERN TRAUMA; AORTIC INJURY;

D O I：

10.1016/j.bja.2022.07.005

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Anaesthetists play an important role in the evaluation and treatment of patients with signs of thoracic trauma. Anaesthesia involvement can provide valuable input using both advanced diagnostic and therapeutic interventions. Commonly performed interventions may be complicated in this setting including airway management, damage control resuscitation, and acute pain management. Anaesthetists must consider additional factors including airway injuries, vascular injuries, and coagulopathy when treating this population. This evidence-based review discusses traumatic thoracic injuries with a focus on new interventions and modern anaesthesia techniques. This review further serves to support the early involvement of anaesthetists in the emergency department and other areas where they can provide value to the trauma care pathway.

引用

页码：E80 / E91

页数：12

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