Contemporary management of traumatic cardiac arrest and peri-arrest states: a narrative review.
Cardiac tamponade
Clamshell
Exsanguinating
Hypovolaemia
Hypoxia
REBOA
Tension pneumothorax
Thoracotomy
Trauma
Traumatic cardiac arrest
Journal
Journal of anesthesia, analgesia and critical care
ISSN: 2731-3786
Titre abrégé: J Anesth Analg Crit Care
Pays: England
ID NLM: 9918591885906676
Informations de publication
Date de publication:
26 Sep 2024
26 Sep 2024
Historique:
received:
08
07
2024
accepted:
29
08
2024
medline:
27
9
2024
pubmed:
27
9
2024
entrez:
26
9
2024
Statut:
epublish
Résumé
Trauma is a leading cause of death and disability worldwide across all age groups, with traumatic cardiac arrest (TCA) presenting a significant economic and societal burden due to the loss of productive life years. Despite TCA's high mortality rate, recent evidence indicates that survival with good and moderate neurological recovery is possible. Successful resuscitation in TCA depends on the immediate and simultaneous treatment of reversible causes according to pre-established algorithms. The HOTT protocol, addressing hypovolaemia, oxygenation (hypoxia), tension pneumothorax, and cardiac tamponade, forms the foundation of TCA management. Advanced interventions, such as resuscitative thoracotomy and resuscitative endovascular balloon occlusion of the aorta (REBOA), further enhance treatment. Contemporary approaches also consider metabolic factors (e.g. hyperkalaemia, calcium imbalances) and hemostatic resuscitation. This narrative review explores the advanced management of TCA and peri-arrest states, discussing the epidemiology and pathophysiology of peri-arrest and TCA. It integrates classic TCA management strategies with the latest evidence and practical applications.
Identifiants
pubmed: 39327636
doi: 10.1186/s44158-024-00197-9
pii: 10.1186/s44158-024-00197-9
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
66Informations de copyright
© 2024. The Author(s).
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