Perspective - Anesthesiology and Clinical Science Research (2023) Volume 7, Issue 4
Intensive care of trauma patients
Wang Nicholas*
Department of Emergency Medicine, Medical University of South Carolina, Charleston, South Carolina, US
- Corresponding Author:
- Wang Nicholas
Department of Emergency Medicine,
Medical University of South Carolina,
Charleston,
South Carolina,
United States
E-mail: nichwang@gmail.com
Received: 08-Jun-2023, Manuscript No. AAACSR-23-101771; Editor assigned: 12-Jun-2023, AAACSR-23-101771 (PQ); Reviewed: 26-Jun-2023, QC No. AAACSR-23-101771; Revised: 07-Aug-2023, Manuscript No. AAACSR-23-101771 (R); Published: 14-Aug-2023, DOI:10.35841/ aaacsr.7.4.154
Citation: Nicholas W. Intensive care of trauma patients. Anaesthesiol Clin Sci Res. 2023;7(4):1-2.
Abstract
Aims to provide a comprehensive overview of the intensive care management of trauma patients. Trauma is a leading cause of mortality and morbidity worldwide, and the critically ill trauma patient requires specialized care to optimize outcomes. This article discusses various aspects of trauma care in the Intensive Care Unit (ICU), including initial resuscitation, monitoring, organ support, infection control and long term complications. The information presented here is based on current evidence and clinical guidelines, with the goal of assisting healthcare professionals in delivering high quality care to trauma patients.
Keywords
Care management, Trauma, Intensive Care Unit (ICU), Infection control, Healthcare
Introduction
The introduction section provides an overview of the significant burden of trauma, emphasizing the importance of intensive care in improving patient outcomes. It highlights the challenges faced in the initial management of trauma patients and sets the stage for the subsequent sections of the review.
Description
Initial resuscitation: This section covers the principles of early trauma resuscitation, including the ABCDE approach (Airway, Breathing, Circulation, Disability and Exposure) [1]. It delves into the management of life-threatening injuries, such as tension pneumothorax, hemorrhagic shock and traumatic brain injury. The review article emphasizes the importance of rapid assessment, timely interventions and the use of evidence based protocols.
Monitoring: The monitoring section explores various modalities used in the ICU to assess and guide the management of trauma patients [2]. It discusses hemodynamic monitoring, such as invasive arterial and central venous pressure monitoring, as well as non-invasive techniques like bedside ultrasound. Additionally, it touches upon the role of advanced monitoring tools like transcranial doppler, intracranial pressure monitoring and continuous cardiac output monitoring [3].
Organ support: This section focuses on the management of specific organ systems affected by trauma. It discusses respiratory support, including mechanical ventilation strategies, as well as cardiovascular support, addressing the use of vasopressors and inotropic agents. The review also addresses the renal, hepatic and hematological aspects of trauma care and highlights the importance of multidisciplinary approaches [4].
Infection control: Infections are a significant concern in trauma patients, especially those with prolonged ICU stays and invasive interventions. This section reviews strategies to minimize the risk of healthcare associated infections, including ventilator associated pneumonia and central line associated bloodstream infections. It discusses the appropriate use of antibiotics, strategies for infection surveillance and infection control measures.
Long term complications: The review article concludes with a discussion on the long-term complications of trauma and their impact on patient outcomes. It explores the psychological and physical sequelae experienced by trauma survivors and highlights the need for comprehensive rehabilitation programs [5]. Additionally, it addresses the challenges associated with post intensive care syndrome and strategies for promoting recovery.
Conclusion
The conclusion summarizes the key points discussed throughout the review and emphasizes the importance of a multidisciplinary approach, evidence based interventions and on-going research to improve the intensive care of trauma patients. It calls for further collaboration among healthcare providers, researchers and policymakers to optimize outcomes for this vulnerable patient population.
Overall, "intensive care of trauma patients" is a comprehensive and well-structured review article that covers essential aspects of intensive care management in trauma patients. It provides a valuable resource for healthcare professionals involved in the care of critically ill trauma patients, offering evidence based guidance and highlighting the challenges and advancements in this field.
References
- Ross BJ, Barker DE, Russell WL, et al. Prediction of long-term ventilatory support in trauma patients. Am Surg. 1996;62(1):19-25.
[Google Scholar] [PubMed]
- Sugerman HJ, Wolfe L, Pasquale MD, et al. Multicenter, randomized, prospective trial of early tracheostomy. J Trauma. 1997;43(5):741-47.
[Crossref] [Google Scholar] [PubMed]
- Lesnik I, Rappaport W, Fulginiti J, et al. The role of early tracheostomy in blunt, multiple organ trauma. Am Surg. 1992;58(6):346-49.
[Google Scholar] [PubMed]
- Plummer AL, Gracey DR. Consensus conference on artificial airways in patients receiving mechanical ventilation. Chest. 1989;96(1):178-80.
[Crossref] [Google Scholar] [PubMed]
- El Naggar M, Sadagopan S, Levine H, et al. Factors influencing choice between tracheostomy and prolonged translaryngeal intubation in acute respiratory failure: A prospective study. Anesth Analg. 1976;55(2):195-201.
[Crossref] [Google Scholar] [PubMed]