Critical Care for Orthopaedic Injuries

cocuk-yogunbakim-5-2-kapak-wosonayiyok

Ender GÜMÜŞOĞLUa , Mehmet ÇOLAKa

aMersin University Faculty of Medicine, Department of Orthopedics and Traumatology, Mersin, Türkiye

ABSTRACT
Trauma is one of the leading causes of mortality and morbidity in pediatric patients. Since pediatric multitrauma should be managed multidisciplinarily, pediatric trauma centres have been established in the United States of America. Health care and social support needed by pediatric trauma patients are provided in these centres with a close coordination. There are trauma scoring systems that guide follow-up and treatment in multitrauma management and help to predict prognosis. Injury Severity Score, Glasgow Coma Scale, Pediatric Trauma Score are some of them, but all scoring systems have strengths and weaknesses. In orthopaedics and traumatology practice, treatment management of multitrauma patients and timing of surgical interventions have evolved and changed over time. It is necessary to decide which of the orthopaedic approaches defined for the treatment management of the multitrauma patient should be continued with the evaluation of the clinical situation of each patient. Pelvic injuries, femur fractures and tibia fractures are frequently observed in multitrauma patients with orthopaedic injuries. These injuries should be closely monitored because of the metabolic problems they may cause and should be identified as temporary or permanent as soon as possible. Open communication should be established with the family of the pediatric multitrauma patient and misleading information should be avoided.
Keywords: Multiple trauma; orthopedic procedures; critical care

Referanslar

  1. Sawe HR, Milusheva S, Croke K, Karpe S, Mfinanga JA. Pediatric trauma burden in Tanzania: analysis of prospective registry data from thirteen health facilities. Inj Epidemiol. 2022;9(1):3. [Crossref]  [PubMed]  [PMC]
  2. Franzén L, Ortenwall P, Backteman T. Children in Sweden admitted to intensive care after trauma. Injury. 2007;38(1):91-7. [Crossref]  [PubMed]
  3. Kim KA, Wang MY, Griffith PM, Summers S, Levy ML. Analysis of pediatric head injury from falls. Neurosurg Focus. 2000;8(1):e3. [Crossref]  [PubMed]
  4. Sharma OP, Oswanski MF, Stringfellow KC, Raj SS. Pediatric blunt trauma: a retrospective analysis in a Level I trauma center. Am Surg. 2006;72(6):538-43. [Crossref]  [PubMed]
  5. Russell K, Biswas S. Pediatric trauma center vs. adult trauma center: which is better? Curr Opin Anaesthesiol. 2023;36(2):159-62. [Crossref]  [PubMed]
  6. Baker SP, O'Neill B, Haddon W Jr, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974;14(3):187-96. [Crossref]  [PubMed]
  7. Cook A, Weddle J, Baker S, Hosmer D, Glance L, Friedman L, et al. A comparison of the Injury Severity Score and the Trauma Mortality Prediction Model. J Trauma Acute Care Surg. 2014;76(1):47-52; discussion 52-3. [Crossref]  [PubMed]
  8. Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974;2(7872):81-4. [Crossref]  [PubMed]
  9. Tepas JJ 3rd, Ramenofsky ML, Mollitt DL, Gans BM, DiScala C. The Pediatric Trauma Score as a predictor of injury severity: an objective assessment. J Trauma. 1988;28(4):425-9. [Crossref]  [PubMed]
  10. Bradford DS, Foster RR, Nossel HL. Coagulation alterations, hypoxemia, and fat embolism in fracture patients. J Trauma. 1970;10(4):307-21. [Crossref]  [PubMed]
  11. Riska EB, von Bonsdorff H, Hakkinen S, Jaroma H, Kiviluoto O, Paavilainen T. Primary operative fixation of long bone fractures in patients with multiple injuries. J Trauma. 1977;17(2):111-21. [Crossref]  [PubMed]
  12. Rotondo MF, Zonies DH. The damage control sequence and underlying logic. Surg Clin North Am. 1997;77(4):761-77. [Crossref]  [PubMed]
  13. Ecke H, Faupel L, Quoika P Gedanken zum Zeitpunkt der Operation bei Frakturen des Oberschenkelknochens [Considerations on the time of surgery of femoral fractures]. Unfallchirurgie. 1985;11(2):89-93. [Crossref]  [PubMed]
  14. Guerado E, Bertrand ML, Cano JR, Cerván AM, Galán A. Damage control orthopaedics: State of the art. World J Orthop. 2019;10(1):1-13. [Crossref]  [PubMed]  [PMC]
  15. Roberts DJ, Zygun DA, Faris PD, Ball CG, Kirkpatrick AW, Stelfox HT; Indications for Trauma Damage Control Surgery International Study Group. Opinions of Practicing Surgeons on the Appropriateness of Published Indications for Use of Damage Control Surgery in Trauma Patients: An International Cross-Sectional Survey. J Am Coll Surg. 2016;223(3):515-29. [Crossref]  [PubMed]
  16. Pape HC, Giannoudis PV, Krettek C, Trentz O. Timing of fixation of major fractures in blunt polytrauma: role of conventional indicators in clinical decision making. J Orthop Trauma. 2005;19(8):551-62. [Crossref]  [PubMed]
  17. Giannoudis PV, Giannoudi M, Stavlas P. Damage control orthopaedics: lessons learned. Injury. 2009;40 Suppl 4:S47-52. [Crossref]  [PubMed]
  18. Gupta B, Farooque K. Early total care to early appropriate care - What every anesthesiologist must know! J Anaesthesiol Clin Pharmacol. 2023;39(1):3-10. [Crossref]  [PubMed]  [PMC]
  19. Bates P, Parker P, McFadyen I, Pallister I. Demystifying damage control in musculoskeletal trauma. Ann R Coll Surg Engl. 2016;98(5):291-4. [Crossref]  [PubMed]  [PMC]
  20. Roslee C, Hinsley HCL, Rossiter ND. "The swinging pendulum"-the evolution of (Orthopaedic) trauma care.(An explanation of the controversies & analysis of the evidence.). Orthopaedics and Trauma. 2017;31(2):62-7. [Crossref]
  21. Delano MJ, Rizoli SB, Rhind SG, Cuschieri J, Junger W, Baker AJ, et al. Prehospital Resuscitation of Traumatic Hemorrhagic Shock with Hypertonic Solutions Worsens Hypocoagulation and Hyperfibrinolysis. Shock. 2015; 44(1):25-31. [Crossref]  [PubMed]  [PMC]
  22. Berwin JT, Pearce O, Harries L, Kelly M. Managing polytrauma patients. Injury. 2020;51(10):2091-6. [Crossref]  [PubMed]
  23. Giannoudis PV, Giannoudis VP, Horwitz DS. Time to think outside the box: 'Prompt-Individualised-Safe Management' (PR.I.S.M.) should prevail in patients with multiple injuries. Injury. 2017;48(7):1279-82. [Crossref]  [PubMed]
  24. Kobziff L. Traumatic pelvic fractures. Orthop Nurs. 2006;25(4):235-41; quiz 242-3. [Crossref]  [PubMed]
  25. Holden CP, Holman J, Herman MJ. Pediatric pelvic fractures. J Am Acad Orthop Surg. 2007;15(3):172-7. [Crossref]  [PubMed]
  26. Grisoni N, Connor S, Marsh E, Thompson GH, Cooperman DR, Blakemore LC. Pelvic fractures in a pediatric level I trauma center. J Orthop Trauma. 2002;16(7):458-63. [Crossref]  [PubMed]
  27. Ismail N, Bellemare JF, Mollitt DL, DiScala C, Koeppel B, Tepas JJ 3rd. Death from pelvic fracture: children are different. J Pediatr Surg. 1996;31(1):82-5. [Crossref]  [PubMed]
  28. Giannoudis PV, Pape HC. Damage control orthopaedics in unstable pelvic ring injuries. Injury. 2004;35(7):671-7. [Crossref]  [PubMed]
  29. Ertel W, Keel M, Eid K, Platz A, Trentz O. Control of severe hemorrhage using C-clamp and pelvic packing in multiply injured patients with pelvic ring disruption. J Orthop Trauma. 2001;15(7):468-74. [Crossref]  [PubMed]
  30. Osborn PM, Smith WR, Moore EE, Cothren CC, Morgan SJ, Williams AE, et al. Direct retroperitoneal pelvic packing versus pelvic angiography: A comparison of two management protocols for haemodynamically unstable pelvic fractures. Injury. 2009;40(1):54-60. [Crossref]  [PubMed]
  31. Lahoti O, Arya A. Management of Orthopaedic Injuries in Multiply Injured Child. Indian J Orthop. 2018;52(5):454-61. [Crossref]  [PubMed]  [PMC]
  32. Khak M, Hakimi H, Manafi Rasi A. Damage Control Orthopedics in Multitrauma Patients: A Pediatric Case Presentation and Literature Review. Trauma Monthly. 2017;22(3). [Crossref]
  33. Pape HC, Auf'm'Kolk M, Paffrath T, Regel G, Sturm JA, Tscherne H. Primary intramedullary femur fixation in multiple trauma patients with associated lung contusion--a cause of posttraumatic ARDS? J Trauma. 1993;34(4):540-7; discussion 547-8. [Crossref]  [PubMed]
  34. Nandra RS, Wu F, Gaffey A, Bache CE. The management of open tibial fractures in children: a retrospective case series of eight years' experience of 61 cases at a paediatric specialist centre. Bone Joint J. 2017;99-B(4):544-53. [Crossref]  [PubMed]