publication . Article . Review . 2017

Splenic trauma: WSES classification and guidelines for adult and pediatric patients.

Kjetil Søreide; Fikri M. Abu-Zidan; Matteo Tomasoni; Emiliano Gamberini; Joseph Kashuk; Camilla Bing; Boris Sakakushev; Francesco Salvetti; Frederick A. Moore; Nicola de’ Angelis; ...
Open Access English
  • Published: 18 Aug 2017 Journal: World Journal of Emergency Surgery : WJES, volume 12 (eissn: 1749-7922, Copyright policy)
  • Publisher: BioMed Central
Abstract
Abstract Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic derangement, and the associated injuries. The management of splenic trauma patients aims to restore the homeostasis and the normal physiopathology especially considering the modern tools for bleeding management. Thus, the management of splenic trauma should be ultimately multidisciplinary and based on the physiology of the patient, the anatomy of the injury, and the associated lesions. Lastly, as the managem...
Subjects
free text keywords: Review, Spleen, Trauma, Adult, Pediatric, Classification, Guidelines, Embolization, Surgery, Non-operative, Conservative, Emergency Medicine, BLUNT ABDOMINAL-TRAUMA, SOLID-ORGAN INJURY, SELECTIVE NONOPERATIVE MANAGEMENT, MOLECULAR-WEIGHT HEPARIN, ARTERY EMBOLIZATION, FOLLOW-UP, LIVER-INJURY, COMPUTED-TOMOGRAPHY, CONTRAST BLUSH, NONSURGICAL MANAGEMENT, 3126 Surgery, anesthesiology, intensive care, radiology, RD1-811, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9, Humans, Wounds and Injuries, Abdominal Injuries, Hemodynamics, Guidelines as Topic, Conservative Treatment, Spleen; Trauma; Adult; Pediatric; Classification; Guidelines; Embolization; Surgery; Non-operative; Conservative, Settore MED/18 - Chirurgia Generale, medicine.medical_treatment, medicine, Emergency surgery, Splenic trauma, Pediatric trauma, medicine.disease, Liver injury, business.industry, business, Intensive care medicine, medicine.medical_specialty, Computed tomography, medicine.diagnostic_test, Blunt splenic trauma, Optimal treatment
211 references, page 1 of 15

1.Oxford Centre for Evidence-based Medicine - Levels of Evidence (March 2009) - CEBM. Available from: http://www.cebm.net/oxford-centre-evidence-based-medicine-levels-evidence-march-2009/

Lynn, KN, Werder, GM, Callaghan, RM, Sullivan, AN, Jafri, ZH, Bloom, DA. Pediatric blunt splenic trauma: a comprehensive review. Pediatr Radiol. 2009; 39: 904-916 [OpenAIRE] [PubMed] [DOI]

Mutschler, M, Nienaber, U, Brockamp, T, Wafaisade, A, Fabian, T, Paffrath, T. Renaissance of base deficit for the initial assessment of trauma patients: a base deficit-based classification for hypovolemic shock developed on data from 16,305 patients derived from the TraumaRegister DGU®. Crit Care. 2013; 17: R42 [OpenAIRE] [PubMed] [DOI]

Mutschler, M, Nienaber, U, Münzberg, M, Wölfl, C, Schoechl, H, Paffrath, T. The shock index revisited––a fast guide to transfusion requirement? A retrospective analysis on 21,853 patients derived from the TraumaRegister DGU. Crit Care. 2013; 17: R172 [OpenAIRE] [PubMed] [DOI]

5.American College of Surgeon’s Commitee on Trauma. Advanced Trauma Life Support® (ATLS®) Student manual 9th ed.ed., American College of Surgeon, Chicago; 2012.

Da Luz, LT, Nascimento, B, Shankarakutty, AK, Rizoli, S, Adhikari, NK. Effect of thromboelastography (TEG®) and rotational thromboelastometry (ROTEM®) on diagnosis of coagulopathy, transfusion guidance and mortality in trauma: descriptive systematic review. Crit Care. 2014; 18: 518 [OpenAIRE] [PubMed] [DOI]

Gonzalez, E, Moore, EE, Moore, HB, Chapman, MP, Chin, TL, Ghasabyan, A. Goal-directed hemostatic resuscitation of trauma-induced coagulopathy: a pragmatic randomized clinical trial comparing a viscoelastic assay to conventional coagulation assays. Ann Surg. 2016; 263: 1051-1059 [OpenAIRE] [PubMed] [DOI]

Kashuk, JL, Moore, EE, Sawyer, M, Le, T, Johnson, J, Biffl, WL. Postinjury coagulopathy management: goal directed resuscitation via POC thrombelastography. Ann Surg. 2010; 251: 604-614 [PubMed] [DOI]

Rossaint, R, Cerny, V, Coats, TJ, Duranteau, J, Fernández-Mondéjar, E, Gordini, G. Key issues in advanced bleeding care in trauma. Shock. 2006; 26: 322-331 [OpenAIRE] [PubMed] [DOI]

Carr, JA, Roiter, C, Alzuhaili, A. Correlation of operative and pathological injury grade with computed tomographic grade in the failed nonoperative management of blunt splenic trauma. Eur J Trauma Emerg Surg. 2012; 38: 433-438 [OpenAIRE] [PubMed] [DOI]

Kirkpatrick, AW, Sirois, M, Laupland, KB, Liu, D, Rowan, K, Ball, CG. Hand-held thoracic sonography for detecting post-traumatic pneumothoraces: the extended focused assessment with sonography for trauma (EFAST). J Trauma. 2004; 57: 288-295 [PubMed] [DOI]

Doody, O, Lyburn, D, Geoghegan, T, Govender, P, Monk, PM, Torreggiani, WC. Blunt trauma to the spleen: ultrasonographic findings. Clin Radiol. 2005; 60: 968-976 [OpenAIRE] [PubMed] [DOI]

El-Matbouly, M, Jabbour, G, El-Menyar, A, Peralta, R, Abdelrahman, H, Zarour, A. Blunt splenic trauma: assessment, management and outcomes. Surgeon. 2016; 14: 52-58 [OpenAIRE] [PubMed] [DOI]

Soffer, D, Wiesel, O, Schulman, CI, Ben Haim, M, Klausner, JM, Kessler, A. Doppler ultrasound for the assessment of conservatively treated blunt splenic injuries: a prospective study. Eur J Trauma Emerg Surg. 2011; 37: 197-202 [OpenAIRE] [PubMed] [DOI]

Bee, TK, M a, C, Miller, PR, Pritchard, FE, Fabian, TC. Failures of splenic nonoperative management: is the glass half empty or half full?. J Trauma. 2001; 50: 230-236 [OpenAIRE] [PubMed] [DOI]

211 references, page 1 of 15
Abstract
Abstract Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic derangement, and the associated injuries. The management of splenic trauma patients aims to restore the homeostasis and the normal physiopathology especially considering the modern tools for bleeding management. Thus, the management of splenic trauma should be ultimately multidisciplinary and based on the physiology of the patient, the anatomy of the injury, and the associated lesions. Lastly, as the managem...
Subjects
free text keywords: Review, Spleen, Trauma, Adult, Pediatric, Classification, Guidelines, Embolization, Surgery, Non-operative, Conservative, Emergency Medicine, BLUNT ABDOMINAL-TRAUMA, SOLID-ORGAN INJURY, SELECTIVE NONOPERATIVE MANAGEMENT, MOLECULAR-WEIGHT HEPARIN, ARTERY EMBOLIZATION, FOLLOW-UP, LIVER-INJURY, COMPUTED-TOMOGRAPHY, CONTRAST BLUSH, NONSURGICAL MANAGEMENT, 3126 Surgery, anesthesiology, intensive care, radiology, RD1-811, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9, Humans, Wounds and Injuries, Abdominal Injuries, Hemodynamics, Guidelines as Topic, Conservative Treatment, Spleen; Trauma; Adult; Pediatric; Classification; Guidelines; Embolization; Surgery; Non-operative; Conservative, Settore MED/18 - Chirurgia Generale, medicine.medical_treatment, medicine, Emergency surgery, Splenic trauma, Pediatric trauma, medicine.disease, Liver injury, business.industry, business, Intensive care medicine, medicine.medical_specialty, Computed tomography, medicine.diagnostic_test, Blunt splenic trauma, Optimal treatment
211 references, page 1 of 15

1.Oxford Centre for Evidence-based Medicine - Levels of Evidence (March 2009) - CEBM. Available from: http://www.cebm.net/oxford-centre-evidence-based-medicine-levels-evidence-march-2009/

Lynn, KN, Werder, GM, Callaghan, RM, Sullivan, AN, Jafri, ZH, Bloom, DA. Pediatric blunt splenic trauma: a comprehensive review. Pediatr Radiol. 2009; 39: 904-916 [OpenAIRE] [PubMed] [DOI]

Mutschler, M, Nienaber, U, Brockamp, T, Wafaisade, A, Fabian, T, Paffrath, T. Renaissance of base deficit for the initial assessment of trauma patients: a base deficit-based classification for hypovolemic shock developed on data from 16,305 patients derived from the TraumaRegister DGU®. Crit Care. 2013; 17: R42 [OpenAIRE] [PubMed] [DOI]

Mutschler, M, Nienaber, U, Münzberg, M, Wölfl, C, Schoechl, H, Paffrath, T. The shock index revisited––a fast guide to transfusion requirement? A retrospective analysis on 21,853 patients derived from the TraumaRegister DGU. Crit Care. 2013; 17: R172 [OpenAIRE] [PubMed] [DOI]

5.American College of Surgeon’s Commitee on Trauma. Advanced Trauma Life Support® (ATLS®) Student manual 9th ed.ed., American College of Surgeon, Chicago; 2012.

Da Luz, LT, Nascimento, B, Shankarakutty, AK, Rizoli, S, Adhikari, NK. Effect of thromboelastography (TEG®) and rotational thromboelastometry (ROTEM®) on diagnosis of coagulopathy, transfusion guidance and mortality in trauma: descriptive systematic review. Crit Care. 2014; 18: 518 [OpenAIRE] [PubMed] [DOI]

Gonzalez, E, Moore, EE, Moore, HB, Chapman, MP, Chin, TL, Ghasabyan, A. Goal-directed hemostatic resuscitation of trauma-induced coagulopathy: a pragmatic randomized clinical trial comparing a viscoelastic assay to conventional coagulation assays. Ann Surg. 2016; 263: 1051-1059 [OpenAIRE] [PubMed] [DOI]

Kashuk, JL, Moore, EE, Sawyer, M, Le, T, Johnson, J, Biffl, WL. Postinjury coagulopathy management: goal directed resuscitation via POC thrombelastography. Ann Surg. 2010; 251: 604-614 [PubMed] [DOI]

Rossaint, R, Cerny, V, Coats, TJ, Duranteau, J, Fernández-Mondéjar, E, Gordini, G. Key issues in advanced bleeding care in trauma. Shock. 2006; 26: 322-331 [OpenAIRE] [PubMed] [DOI]

Carr, JA, Roiter, C, Alzuhaili, A. Correlation of operative and pathological injury grade with computed tomographic grade in the failed nonoperative management of blunt splenic trauma. Eur J Trauma Emerg Surg. 2012; 38: 433-438 [OpenAIRE] [PubMed] [DOI]

Kirkpatrick, AW, Sirois, M, Laupland, KB, Liu, D, Rowan, K, Ball, CG. Hand-held thoracic sonography for detecting post-traumatic pneumothoraces: the extended focused assessment with sonography for trauma (EFAST). J Trauma. 2004; 57: 288-295 [PubMed] [DOI]

Doody, O, Lyburn, D, Geoghegan, T, Govender, P, Monk, PM, Torreggiani, WC. Blunt trauma to the spleen: ultrasonographic findings. Clin Radiol. 2005; 60: 968-976 [OpenAIRE] [PubMed] [DOI]

El-Matbouly, M, Jabbour, G, El-Menyar, A, Peralta, R, Abdelrahman, H, Zarour, A. Blunt splenic trauma: assessment, management and outcomes. Surgeon. 2016; 14: 52-58 [OpenAIRE] [PubMed] [DOI]

Soffer, D, Wiesel, O, Schulman, CI, Ben Haim, M, Klausner, JM, Kessler, A. Doppler ultrasound for the assessment of conservatively treated blunt splenic injuries: a prospective study. Eur J Trauma Emerg Surg. 2011; 37: 197-202 [OpenAIRE] [PubMed] [DOI]

Bee, TK, M a, C, Miller, PR, Pritchard, FE, Fabian, TC. Failures of splenic nonoperative management: is the glass half empty or half full?. J Trauma. 2001; 50: 230-236 [OpenAIRE] [PubMed] [DOI]

211 references, page 1 of 15
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