Content Search Test - MJ-Trauma and Perioperative Care

Trauma and Perioperative Care_Krishnan

Pdf Summary

This document summarizes key points from a lecture on trauma and peri-operative critical care. The lecture covers principles of damage control resuscitation, including permissive hypotension, hemostasis, and minimizing crystalloid infusions. The use of a massive transfusion protocol and balanced transfusion ratios is also discussed. Pharmacologic adjuncts, such as tranexamic acid, are mentioned as potential treatments for life-threatening hemorrhage. The lecture also covers thoracostomy tube malposition and its management. Post-operative fever is categorized into four groups based on timing, and potential causes for each category are discussed. Malignant hyperthermia, a potentially life-threatening reaction to anesthesia, is described along with its treatment. The surgical inflammatory response and its association with fever are explained, along with the role of cytokines. Sepsis, surgical site infections, and other causes of post-operative fever are mentioned. Several strategies for optimizing outcomes in abdominal surgery are highlighted, including lung-protective ventilation, personalized blood pressure goals, and fluid management. The use of non-invasive ventilation and enhanced recovery after surgery protocols are also discussed. The document concludes with pearls for the boards, including recommendations for managing traumatic hemorrhage and post-operative fever, and highlights the use of specific medications to reverse anticoagulant effects.

Keywords

trauma

peri-operative critical care

damage control resuscitation

permissive hypotension

hemostasis

massive transfusion protocol

tranexamic acid

post-operative fever

malignant hyperthermia

abdominal surgery