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Open Damage Control Vascular Surgery

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Damage Control in Trauma Care

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Abstract

Damage control vascular surgery incorporates strategies to achieve rapid control of hemorrhage while mitigating ischemia by establishing adequate end-organ perfusion in an abbreviated initial intervention. Vascular damage control surgery functions in concert with damage control resuscitation focused on the correction of physiologic derangements and metabolic acidosis, the correction of coagulopathy, appropriate blood product transfusion, and active patient warming measures to ameliorate hypothermia. Ultimately, the patient’s physiology dictates the technical feasibility of vascular intervention and determines operative planning with respect to injury management. Surgeon experience and technical familiarity with vascular injury and location of the vascular injury are significant factors that alter patient outcomes.

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Authors and Affiliations

  1. The Department of Surgery, Uniformed Services University of the Health Sciences, Walter Reed National Military Medical Center, Bethesda, MD, USA

    Joseph M. White M.D., F.A.C.S.

  2. Walter Reed National Military Medical Center, Bethesda, MD, USA

    Todd E. Rasmussen M.D., F.A.C.S.

  3. F. Edward Hebert School of Medicine—“America’s Medical School”, Uniformed Services University of the Health Sciences, Bethesda, MD, USA

    Todd E. Rasmussen M.D., F.A.C.S.

Authors
  1. Joseph M. White M.D., F.A.C.S.
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  2. Todd E. Rasmussen M.D., F.A.C.S.
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Correspondence to Todd E. Rasmussen M.D., F.A.C.S. .

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Editors and Affiliations

  1. Tulane School of Medicine, New Orleans, Louisiana, USA

    Juan Duchesne

  2. LAC+USC Medical Center, University of Southern California, Los Angeles, California, USA

    Kenji Inaba

  3. St Mary’s Hospital, Imperial College Healthcare NHS Trust, London, United Kingdom

    Mansoor Ali Khan

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White, J.M., Rasmussen, T.E. (2018). Open Damage Control Vascular Surgery. In: Duchesne, J., Inaba, K., Khan, M. (eds) Damage Control in Trauma Care. Springer, Cham. https://doi.org/10.1007/978-3-319-72607-6_11

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  • DOI: https://doi.org/10.1007/978-3-319-72607-6_11

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