Damage control resuscitation is a systemic approach to major exsanguinating trauma incorporating several strategies to decrease mortality & morbidity. Several authors applied the term “damage control” to this surgical resuscitation strategy and delineated damage control into three separate phases. Phase one consists of initial resuscitation and initial control of hemorrhage and contamination followed by intra peritoneal packing after management of abdominal injuries, particularly after gun shot wounds and rapid closure to allow for resuscitation to normal physiology in the intensive care unit and a subsequent definitive re-exploration. The second phase involves correction of acidosis, hypothermia, and trauma associated coagulopathy. Phase three involves the return to the operating room for definitive repair which includes anesthetic management of traumatic patients through perioperative monitoring, Induction of anesthesia by choosing appropriate type of anesthesia either general or regional anesthesia, dealing with post operative complications. |
