Posttraumatisches Multiorganversagen

Más información sobre el libro

The book explores the prevention of organ failure through early detection of at-risk patients, addressing the feasibility of identifying these patients at the accident site and in shock rooms. It discusses the implications of early recognition for immediate ventilation therapy and the impact of preclinical treatment on post-traumatic organ failure, weighing the benefits of "load and go" versus "stay and play" approaches. The management of severely injured patients in shock rooms and the importance of quality control in preventing post-traumatic organ failure are also examined. The text delves into mediator modulation, highlighting the role of acute inflammation mediators and proteinase inhibitor therapy in polytrauma, as well as the significance of steroid therapy. It discusses the elimination of mediators through blood washing techniques, such as hemofiltration, and the importance of bacterial and endotoxin translocation in shock. Additionally, the book addresses the prevention of organ failure by avoiding secondary damage, emphasizing diagnostic methods like conventional chest X-rays and CT scans for lung injury detection. It covers cerebral monitoring in intubated polytrauma patients, classification of neurological syndromes from head trauma, and strategies for managing severe abdominal trauma with massive bleeding. The text also discusses fracture management and postoperative inflammatory responses, underscoring the impo