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  • Print publication year: 2015
  • Online publication date: April 2015

Chapter 32 - Anesthetic considerations for abdominal trauma

from Section 3 - Anesthetic considerations

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1. Demetriades D, Murray J, Charalambides K, et al. Trauma fatalities: time and location of hospital deaths. J Am Coll Surg 2004; 198: 20–6.
2. Skinner HA. The Origin of Medical Terms. Baltimore, MD: Williams & Wilkins, 1949.
3. Appleby JP, Nagy AG. Abdominal inquiries associated with the use of seatbelts. Am J Surg 1989; 157: 457–8.
4. Berne JD, Norwood SH, McAuley CE, Villareal DH. Helical computed tomographic angiography: an excellent screening test for blunt cerebrovascular injury. J Trauma 2004; 57: 11–17.
5. Rodriguez-Morales G, Rodriguez A, Shatney CH. Acute rupture of the diaphragm in blunt trauma: Analysis of 60 patients. J Trauma 1986; 26: 438–44.
6. Burgess AR, Eastridge BJ, Young JW, et al. Pelvic ring disruptions: effective classification system and treatment protocols. J Trauma 1990; 30: 848–56.
7. Hoff WS, Holevar M, Nagy KK, et al. Practice management guidelines for the evaluation of blunt abdominal trauma: EAST Practice Management Guidelines Work Group. J Trauma 2002; 53: 602–15.
8. Bickell WH, Wall MJ, Pepe PE, et al. Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. N Engl J Med 1994; 331: 1105–9.
9. Shweiki E, Klena J, Wood GC, Indeck M. Assessing the true risk of abdominal solid organ injury in hospitalized rib fracture patients. J Trauma 2001; 50: 684–8.
10. Healy MA, Simons RK, Winchell RJ, et al. A prospective evaluation of abdominal ultrasound in blunt trauma: is it useful? J Trauma 1996; 40: 875–85.
11. Richards JR, Schleper NH, Woo BD, Bohnen PA, McGahan JP. Sonographic assessment of blunt abdominal trauma: A 4-year prospective study. J Clin Ultrasound 2002; 30: 59–67.
12. Boulanger BR, Kearney PA, Brenneman FD, et al. Utilization of FAST (Focused Assessment with Sonography for Trauma) in 1999: results of a survey of North American trauma centers. Am Surg 2000; 66: 1049–55.
13. Liu M, Lee CH, P’eng FK. Prospective comparison of diagnostic peritoneal lavage, computed tomographic scanning, and ultrasonography for the diagnosis of blunt abdominal injury. J Trauma 1993; 35: 267–70.
14. Rozycki GS. Surgeon performed ultrasound: its use in clinical practice. Ann Surg 1998; 228: 16–28.
15. Boulanger Rose JS, Levitt MA, Porter J, et al. Does the presence of ultrasound really affect computed tomographic scan use? A prospective randomized trial of ultrasound in trauma. J Trauma 2001; 51: 545–50.
16. McKenney MG, McKenney KL, Hong JJ, et al. Evaluating blunt abdominal trauma with sonography: a cost analysis. Am Surg 2001; 67: 930–4.
17. American College of Surgeons, Committee on Trauma. ATLS: Advanced Trauma Life Support for Doctors (Student Course Manual), 9th edition. Chicago, IL: ACS, 2012.
18. Miller MT, Pasquale MD, Bromberg WJ. Not so fast. J Trauma-Injury Infection & Critical Care 2003; 54: 52–60.
19. Kennedy NJ, Ireland MA, McConaghy PM. Transoesophageal echocardiographic examination of a patient with venacaval and pericardial tears after blunt chest trauma. Br J Anaesth 1995; 75: 495–7.
20. Root HD, Hauser CW, McKinley CR, et al. Diagnostic peritoneal lavage. Surgery 1965; 57: 633–7.
21. Davis JR, Morrison AL, Perkins SE, Davis FE, Ochsner MG. Ultrasound: impact on diagnostic peritoneal lavage, abdominal computed tomography, and resident training. Am Surg 1999; 65: 555–9.
22. Drost TF, Rosemurgy AS, Kearney RE, Roberts P. Diagnostic peritoneal lavage: limited indications due to evolving concepts in trauma care. Am Surg 1991; 57: 126–8.
23. Stuhlfaut JW, Anderson SW, Soto JA. Blunt abdominal trauma: current imaging techniques and ct findings in patients with solid organ, bowel, and mesenteric injury. Semin Ultrasound CT MR 2007; 28: 115–29.
24. Tsang BD, Panacek EA, Brant WE, Wisner DH. Effect of oral contrast administration for abdominal computed tomography in the evaluation of acute blunt trauma. Ann Emerg Med 1997; 30: 7–13.
25. Mckersie RC. Intra-abdominal injury following blunt trauma: identifying the high risk patient using objective risk factors. Arch Surg 1989; 124: 809–13.
26. Smith RS, Fry WR, Morabito DJ, Koehler RH, Organ CH. Therapeutic laparoscopy in trauma. Am J Surg 1995; 170: 632–6.
27. Ivatury RR, Simon RJ, Stahl WM. A critical evaluation of laparoscopy in penetrating abdominal trauma. J Trauma 1993; 34: 822–8.
28. Carey JE, Koo R, Miller R, Stein M. Laparoscopy and thoracoscopy in evaluation of abdominal trauma. Am Surg 1995; 61: 92–5.
29. Grove CA, Lemmon G, Anderson G, McCarthy M. Emergency thoracotomy: appropriate use in the resuscitation of trauma patients. Am Surg 2002; 68: 313–16.
30. Rhee PM, Acosta J, Bridgeman A, et al. Survival after emergency department thoracotomy: review of published data from the past 25 years. J Am Coll Surg 2000; 190: 288–98.
31. Ahmed N, Vernick JJ. Management of liver trauma in adults. J Emerg Trauma Shock 2011; 4 (1): 114–19.
32. Traub AC, Perry JF. Injuries associated with splenic trauma. J Trauma 1981; 21: 840.
33. Green JB, Shackford SR, Sise MJ, et al. Late septic complications in adults following splenectomy for trauma: a prospective analysis in 144 patients. J Trauma 1986; 26: 999–1004.
34. McAnena OJ. Peritoneal lavage enzyme determinations following blunt and penetrating abdominal trauma. J Trauma 1991; 31: 1161–4.
35. Pearlman MD, Tintinalli JE, Lorenz RP. Blunt trauma during pregnancy. N Engl J Med 1990; 323: 1609–13.
36. Rothenberger D, Quattlebaum FW, Perry JF, Zabel J, Fischer RP. Blunt trauma: a review of 103 cases. J Trauma 1978; 18: 173–9.
37. Doan-Wiggins L. Trauma in pregnancy. In Benrubi GI, ed., Obstetric and Gynecologic Emergencies. Philadelphia, PA: Lippincott, 1996, pp. 57–76.
38. Brown HL. Trauma in pregnancy. Obstet Gynecol 2009; 114: 147–60.
39. Hauswald M, Kerr NL. Perimortem cesarean section. Acad Emerg Med 2000; 7: 726.
40. De Pace NL, Betesh JS, Kotler MN. Postmortem cesarean section with recovery of both mother and offspring. JAMA 1982; 248: 971–3.
41. Parker J, Balis N, Chester S, Adey D. Cardiopulmonary arrest in pregnancy, successful resuscitation of mother and infant after immediate cesarean section in labor ward. Aust N Z J Obstet Gynaecol 1996; 36: 207–10.
42. McCartney CJ, Dark A. Cesarean delivery during cardiac arrest in late pregnancy. Anesthesia 1998; 53: 310–11.
43. Katz VL, Dotters DJ, Droegemueller W. Perimortem cesarean delivery. Obstet Gynecol 1986; 68: 571–6.
44. Blow O, Bassam D, Butler K, et al. Speed and efficiency in the resuscitation of blunt trauma patients with multiple injuries: the advantage of diagnostic peritoneal lavage over abdominal computerized tomography. J Trauma 1998; 44: 287–90.
45. Wisner DH, Victor NS, Holcroft JW. Priorities in the management of multiple trauma: intracranial versus intra-abdominal injury. J Trauma 1993; 35: 271–6.
46. Winchell RJ, Hoyt DB, Simons RK. Use of computed tomography of the head in the hypotensive blunt-trauma patient. Ann Emerg Med 1995; 25: 737–42.
47. Biffl WL, Smith WR, Moore EE, et al. Evolution of a multidisciplinary clinical pathway for the management of unstable patients with pelvic fractures. Ann Surg 2001; 233: 843–50.
48. Cullinane DC, Schiller HJ, Zielinski MD, et al. Eastern Association for the Surgery of Trauma practice management guidelines for hemorrhage in pelvic fracture: update and systematic review. J Trauma 2011; 71: 1850–68.
49. Ferrera PC, Verdile VP, Bartfield JM, Snyder HS, Salluzzo RF. Injuries distracting from intraabdominal injuries after blunt trauma. Am J Emerg Med 1998; 16: 145–9.
50. Ovassapian A, Krejcie TC, Yelich SJ, et al. Awake intubation in the patient at high risk of aspiration. Br J Anaesth 1989; 62: 13–16.
51. Pizov R, Segal E, Kaplan L, et al. The use of systolic pressure variation in hemodynamic monitoring during deliberate hypotension in spine surgery. J Clin Anesth 1990; 2: 96–100.
52. Halford F. A critique of intravenous anesthesia in war surgery. Anesthesiology 1943; 4: 67–9.
53. Adams RC, Gray HK. Intravenous anesthesia with pentothal sodium in the case of gunshot wound associated with accompanying severe traumatic shock and loss of blood: report of a case. Anesthesiology 1943; 4: 70–3.
54. Weiskopf RB, Bogetz MS, Roizen MF, Reid IA. Cardiovascular and metabolic sequelae of including anesthesia with ketamine or thiopental in hypovolemic swine. Anesthesiology 1984; 60: 214–19.
55. Bogetz MS, Katz JA. Recall of surgery for major trauma. Anesthesiology 1984; 61: 6–9.
56. Sanchez-Izquierdo-Riera JA, Caballero-Cubedo RE, Perez-Vela JL, et al. Propofol versus midazolam: safety and efficacy for sedating the severe trauma patient. Anesth Analg 1998; 86: 1219–24.
57. Scheller MS. New volatile anesthetics: desflurane and sevoflurane. Semin Anesth 1992; 11: 114–22.
58. Bunker JP, Forrest WH, Mosteller F, ed. The National Halothane Study: a Study of the Possible Association Between Halothane Anesthesia and Postoperative Hepatic Necrosis. Washington, DC: US Government Printing Office, 1969.
59. Smith GC, Kenna JG, Harrison DJ, et al. Autoantibodies to hepatic microsomal carboxylesterase in halothane hepatitis. Lancet 1993; 342: 963–4.
60. Kharasch ED, Frink EJ Jr, Zager R, et al. Assessment of low-flow sevoflurane and isoflurane effects on renal function using sensitive markers of tubular toxicity. Anesthesiology 1997; 86: 1238–53.
61. Eger EI, Gong D, Koblin DD, et al. Dose-related biochemical markers of renal injury after sevoflurane versus desflurane anesthesia in volunteers. Anesth Analg 1997; 85: 1154–63.
62. Eger EI, Bowland T, Ionescu P, et al. Recovery and kinetic characteristics of desflurane and sevoflurane in volunteers after 8-h exposure, including kinetics of degradation products. Anesthesiology 1997; 87: 517–26.
63. Smith LA, Barker DE, Burns RP. Autotransfusion utilization in abdominal trauma. Am Surg 1997; 63: 47–9.
64. Brown CVR, Foulkrod KH, Sadler HT, et al. Autologous blood transfusion during emergency trauma operations. Arch Surg 2010; 145 (7): 690–4.
65. Crosson JT. Complications associated with massive transfusions. Clin Lab Med 1996; 16: 873–82.
66. Sihler KC. Napolitano LM: Complications of massive transfusion. Chest 2010; 137 (1): 209–20.
67. Mitchell KJ, Moncure KE, Onyeije C, Rao MS, Siram S. Evaluation of massive volume replacement in the penetrating trauma patient. J Natl Med Assoc 1994; 86: 926–9.
68. Cosgriff N, Moore EE, Sauaia A, et al. Predicting life-threatening coagulopathy in the massively transfused trauma patient: hypothermia and acidosis revisited. J Trauma 1997; 42: 857–61.
69. Kashuk JL, Moore EE. The emerging role of rapid thromboelastography in trauma care. J Trauma 2009; 67: 417–18.
70. Gentilello LM, Jurkovich GJ, Stark MS, Hassantash SA, O’Keefe GE. Is hypothermia in the victim of major trauma protective or harmful? A randomized, prospective study. Ann Surg 1997; 226: 439–47.
71. Koshimizu T, Saitoh K, Mitsuhata H, et al. Massive bleeding from the ruptured liver and the inferior vena cava controlled with autotransfusion and cerebral ischemia treated with mild hypothermia. Masui 1997; 46: 978–82.
72. Wilson WC. Anesthesia for colorectal surgery. In Block GE, Moosa AR, eds., Operative Colorectal Surgery. Philadelphia, PA: Saunders, 1994, pp. 107–26.
73. Hirshberg A, Mattox K. Duration of antibiotic treatment in surgical infections of the abdomen. Penetrating abdominal trauma. Eur J Surg Suppl 1996; (576): 6–7.
74. Kirton OC, O’Neill PA, Kestner M, Tortella BJ. Perioperative antibiotic use in high-risk penetrating hollow viscus injury: a prospective randomized, double-blind, placebo-control trial of 24 hours versus 5 days. J Trauma 2000; 49: 822–32.
75. Reihner E, Brismar B. Management of splenic trauma-changing concepts. Eur J Emerg Med 1995; 2: 47–51.
76. Rhee P, Nunley MK, Demetriades D, Velmahos G, Doucet JJ. Tetanus and trauma: a review and recommendations. J Trauma 2005; 58: 1082–8.
77. Kudsk KA, Sheldon GF, Lim RC. Atrial-caval shunting after trauma. J Trauma 1982; 22: 81–5.
78. Bender JS, Bailey CE, Saxe JM, Ledgerwood AM, Lucas CE. The technique of visceral packing: recommended management of difficult fascial closure in trauma patients. J Trauma 1994; 36: 182–5.
79. Brenneman FD, Rizoli SB, Boulanger BR. Abbreviated laparotomy for damage control: a case report. Can J Surg 1994; 37: 237–9.
80. Carmona RH, Peck DZ, Lim RC. The role of packing and planned reoperation in severe hepatic trauma. J Trauma 1984; 24: 779–84.
81. Hirshberg A, Mattox KL. Planned reoperation for severe trauma. Ann Surg 1995; 222: 3–8.
82. Howdieshell TR, Yeh KA, Hawkins ML, Cue JI. Temporary abdominal wall closure in trauma patients: indications, technique, and results. World J Surg 1995; 19: 154–8.
83. Abikhaled JA, Granchi TS, Wall MJ, Hirshberg A, Mattox KL. Prolonged abdominal packing for trauma is associated with increased morbidity and mortality. Am Surg 1997; 63: 1109–12.
84. Meredith JW, Young JS, Bowling J, Roboussin D. Nonoperative management of blunt hepatic trauma: the exception or the rule? J Trauma 1994; 36: 529–34.
85. Collin GR, Bianchi JD. Laparoscopic examination of the traumatized spleen with blood salvage for autotransfusion. Am Surg 1997; 63: 478–80.
86. Guth AA, Pachter HL, Jacobowitz GR. Rupture of the pathologic spleen: is there a role for nonoperative therapy? J Trauma 1996; 41: 214–18.
87. Nance ML, Peden GW, Shapiro MB, et al. Solid viscus injury predicts major hollow viscus injury in blunt abdominal trauma. J Trauma 1997; 43: 618–22.
88. Malbrain ML, Cheatham ML, Kirkpatrick A, et al. Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions. Intensive Care Med 2006; 32 (11): 1722–32.
89. Schein M, Wittmann DH, Aprahamian CC, Condon RE. The abdominal compartment syndrome: the physiological and clinical consequences of elevated intra-abdominal pressure. J Am Coll Surg 1995; 180: 745–53.
90. Iberti TJ, Kelly KM, Gentili DR, Hirsch S, Benjamin E. A simple technique to accurately determine intra-abdominal pressure. Crit Care Med 1987; 15: 1140–2.
91. Kron IL, Harman PK, Nolan SP. The measurement of intra abdominal pressure as a criteria for abdominal re-exploration. Ann Surg 1984; 199: 28–30.
92. Morris JA, Eddy VA, Blinman TA, et al. The staged celiotomy for trauma. Issues in unpacking and reconstruction. Ann Surg 1993; 217: 576–86.
93. Geerts WH, Code KI, Jay RM, Chen E, Szalai JP. A prospective study of venous thromboembolism after major trauma. N Engl J Med 1994; 331: 1601–6.
94. Rogers FB, Shackford SR, Ricci MA, Wilson JT, Parsons S. Routine prophylactic vena cava filter insertion in severely injured trauma patients decreases the incidence of pulmonary embolism. J Am Coll Surg 1995; 180: 641–7.
95. Antonelli M, Moro ML, D’Errico RR, et al. Early and late onset bacteremia have different risk factors in trauma patients. Intensive Care Med 1996; 22: 735–41.
96. Sung CK, Kim KH. Missed injuries in abdominal trauma. J Trauma 1996; 41: 276–82.
97. Hirshberg A, Wall MJ, Allen MK, Mattox KL. Causes and patterns of missed injuries in trauma. Am J Surg 1994; 168: 299–303.