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混合创伤服务:处于损伤控制的前沿。

Hybrid trauma service: on the leading edge of damage Control.

机构信息

Universidad del Valle, Facultad de Salud, Escuela de Medicina, Division of Trauma and Acute Care Surgery, Department of Surgery. Cali, Colombia.

Saiseikai Yokohamashi Tobu Hospital, Department of Trauma and Emergency Surgery, Yokohama, Japan.

出版信息

Colomb Med (Cali). 2021 May 5;52(2):e4014686. doi: 10.25100/cm.v52i2.4686.

DOI:10.25100/cm.v52i2.4686
PMID:34188319
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8216051/
Abstract

Trauma damage control seeks to limit life-threatening bleeding. Sequential diagnostic and therapeutic approaches are the current standard. Hybrid Room have reduced hemostasis time by integrating different specialties and technologies. Hybrid Rooms seek to control bleeding in an operating room equipped with specialized personnel and advanced technology including angiography, tomography, eFAST, radiography, endoscopy, infusers, cell retrievers, REBOA, etc. Trauma Hybrid Service is a concept that describes a vertical work scheme that begins with the activation of Trauma Code when admitting a severely injured patient, initiating a continuous resuscitation process led by the trauma surgeon who guides transfer to imaging, angiography and surgery rooms according to the patient's condition and the need for specific interventions. Hybrid rooms integrate different diagnostic and therapeutic tools in one same room, reducing the attention time and increasing all interventions effectiveness.

摘要

创伤损伤控制旨在限制危及生命的出血。序贯诊断和治疗方法是目前的标准。杂交手术室通过整合不同的专业知识和技术,缩短了止血时间。杂交手术室旨在控制配备有专门人员和先进技术的手术室中的出血,包括血管造影、断层扫描、eFAST、射线照相术、内窥镜检查、输液器、细胞回收器、REBOA 等。创伤杂交服务是一个描述垂直工作方案的概念,该方案从严重创伤患者入院时激活创伤代码开始,启动由创伤外科医生领导的连续复苏过程,根据患者的情况和特定干预措施的需要,指导其转入影像学、血管造影和手术室。杂交手术室将不同的诊断和治疗工具整合在同一个房间内,减少了关注时间并提高了所有干预措施的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd6d/8216051/279a173592fa/1657-9534-cm-52-02-e4014686-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd6d/8216051/014c970dd7be/1657-9534-cm-52-02-e4014686-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd6d/8216051/279a173592fa/1657-9534-cm-52-02-e4014686-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd6d/8216051/014c970dd7be/1657-9534-cm-52-02-e4014686-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd6d/8216051/279a173592fa/1657-9534-cm-52-02-e4014686-gf2.jpg

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本文引用的文献

1
Hybrid emergency room management of a ruptured abdominal aortic aneurysm.腹主动脉瘤破裂的混合急诊室管理
J Vasc Surg Cases Innov Tech. 2020 Dec 28;7(1):21-25. doi: 10.1016/j.jvscit.2020.12.006. eCollection 2021 Mar.
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Cost-effectiveness of a hybrid emergency room system for severe trauma: a health technology assessment from the perspective of the third-party payer in Japan.日本第三方支付视角下的严重创伤混合急诊室系统的成本效益:一项卫生技术评估。
World J Emerg Surg. 2021 Jan 7;16(1):2. doi: 10.1186/s13017-020-00344-x.
3
The need for a rapid transfer to a hybrid operating theatre: Do we lose benefit with poor efficiency?
需要快速转移到杂交手术室:效率低下是否会导致收益损失?
Injury. 2020 Sep;51(9):1987-1993. doi: 10.1016/j.injury.2020.04.029. Epub 2020 Apr 22.
4
Time to Hemorrhage Control in a Hybrid ER System: Is It Time to Change?在混合急诊室系统中控制出血的时间:是时候改变了吗?
Shock. 2021 Dec 1;56(1S):16-21. doi: 10.1097/SHK.0000000000001539.
5
Hybrid Approach for Treatment of Multiple Traumatic Injuries of the Heart, Aorta, and Abdominal Organs.心脏、主动脉和腹部器官多发创伤的混合治疗方法
Korean J Thorac Cardiovasc Surg. 2019 Oct;52(5):372-375. doi: 10.5090/kjtcs.2019.52.5.372. Epub 2019 Oct 5.
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The hybrid emergency room system: a novel trauma evaluation and care system created in Japan.混合急诊室系统:一种在日本创建的新型创伤评估与护理系统。
Acute Med Surg. 2019 Apr 10;6(3):247-251. doi: 10.1002/ams2.412. eCollection 2019 Jul.
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Simultaneous damage control surgery and endovascular procedures for patients with blunt trauma in the hybrid emergency room system: New multidisciplinary trauma team building.在混合急诊室系统中对钝性创伤患者同时进行损伤控制手术和血管内介入治疗:新的多学科创伤团队建设。
J Trauma Acute Care Surg. 2019 Jan;86(1):160-162. doi: 10.1097/TA.0000000000002083.
8
Resuscitative Endovascular Balloon Occlusion of the Aorta: Implementation and Preliminary Results at an Academic Level I Trauma Center.主动脉腔内球囊阻断复苏:在一家学术型 I 级创伤中心的实施及初步结果。
J Am Coll Surg. 2018 Jul;227(1):127-133. doi: 10.1016/j.jamcollsurg.2018.03.042. Epub 2018 Apr 27.
9
The Survival Benefit of a Novel Trauma Workflow that Includes Immediate Whole-body Computed Tomography, Surgery, and Interventional Radiology, All in One Trauma Resuscitation Room: A Retrospective Historical Control Study.新型创伤工作流程的生存获益,包括立即进行全身计算机断层扫描、手术和介入放射学,均在一个创伤复苏室完成:一项回顾性历史对照研究。
Ann Surg. 2019 Feb;269(2):370-376. doi: 10.1097/SLA.0000000000002527.
10
A Novel Combined Hybrid Approach to Enable Revascularisation of a Trauma-Induced Subclavian Artery Injury.一种用于实现创伤性锁骨下动脉损伤血管重建的新型联合混合方法。
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