Skip to main content
SpringerLink
Log in

Damage Control Cardiothoracic Surgery

  • Chapter
  • First Online:
Damage Control in Trauma Care

  • 963 Accesses

Abstract

Although damage control as a surgical concept and/or technique has become part of the trauma surgeon’s armamentarium for the past 25 years, it is meritorious to review its origins and indications. The concept, as described, takes its origin from Stone’s [1] hallmark work describing the “bailout” approach in honor of World War II paratroopers. In his 1986 seminal paper [1], he recognized a physiological “cluster” of intraoperative signs, i.e., coagulopathy, prompting interruption of trauma surgical procedures after institution of hemorrhage containing measures and packing of the abdominal cavity. He then proposed returning patients to a critical care setting and correcting the coagulopathy of trauma to return to the operating room later for definitive surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Stone HH, Storm PR, Mullins RJ. Management of the major coagulopathy with onset during laparotomy. Am Surg. 1983;197(5):532.

    CAS  Google Scholar 

  2. Burch JM, Oritz VB, Richardson RJ, et al. Abbreviated laparotomy and planned re-opening for critically injured patients. Am Surg. 1992;215:475–84.

    Google Scholar 

  3. Rotondo MF, Schwab CW, MD MG, et al. “Damage control”: an approach for improved survival in exsanguinating penetrating abdominal injury. J Trauma. 1993;35:375–83.

    Article  CAS  PubMed  Google Scholar 

  4. Anderson KA. Pre-hospital care in traumatically induced hemorrhage and exsanguination. J Emerg Nurs. 1984;10:141.

    CAS  PubMed  Google Scholar 

  5. Blaisdell FW, editor. Abdominal trauma: trauma management, vol. 1. Trunkey DD ed. New York: Thiemeand Straatton; 1982.

    Google Scholar 

  6. Asensio JA. Exsanguination from penetrating injuries. Trauma Q. 1990;6:1–25.

    Google Scholar 

  7. Asensio JA, Ierardi R. Exsanguination. Emerg Care Q. 1991;7(3):59–75.

    Google Scholar 

  8. Asensio JA, Hanpeter D, Gomez H, et al. Exsanguination. In: Shoemaker WC, Grenvik A, Ayres SM, Holbrook PR, editors. Textbook of critical care. Philadelphia: WB Saunders; 2000. p. 437–47.

    Google Scholar 

  9. Moore EE. Staged laparotomy for the hypothermia, acidosis, and coagulopathy syndrome. Am J Surg. 1996;172:405–10.

    Article  CAS  PubMed  Google Scholar 

  10. Cosgriff N, Moore EE, Sauaia A, Kenn-Moynihan M, Burch JM, Galloway B. Predicting life-threatening coagulopathy in the massively transfused trauma patient: hypothermia and acidoses revisited. J Trauma. 1997;42:857–61.

    Article  CAS  PubMed  Google Scholar 

  11. Asensio JA, McDuffie L, Petrone P, Roldan G, Forno W, Gambaro E, Salim A, Demetriades D, Murray J, Velmahos G, Shoemaker W, Berne TV, Ramicone E, Chan L. Reliable variables in the exsanguinated patient which indicate damage control and predict outcome. Am J Surg. 2001;182:743–51.

    Article  CAS  PubMed  Google Scholar 

  12. Asensio JA, Wo CJ, Li-Chien C, Lu K, Fathizadeh P, Petrone P, Kuncir E, Kimbrell B, Shoemaker WC. Non-invasive hemodynamic monitoring of patients sustaining severe penetrating thoracic, abdominal and thoracoabdominal injuries for early recognition and therapy of shock. Scand J Surg. 2006;95:152–7.

    Article  CAS  PubMed  Google Scholar 

  13. Asensio JA, Berne JD, Chahwan S, Hanpeter D, Demetriades D, Marengo J, Velmahos GC, Murray J, Shoemaker W, Berne TV. Traumatic injury to the superior mesenteric artery. Am J Surg. 1999;178(3):235–9.

    Article  CAS  PubMed  Google Scholar 

  14. Asensio JA, Britt LD, Forno W, Gambaro E, Borzotta A, Clancy KD, Peitzman A, Miller FB, Spain DA, Lukan J, Mackersie RC, Rogers S, Pasquale MD, Kurek S Jr, Patcher HL, Guth AA, Hoyt DB, Coimbra R, Kearney PA, Tsuei BJ, Ochoa JB, Boulanger BR, Wagner M, Block EFJ, Nicholas JM, Flint LM, Margulies DR, Lee SS, Fulda G, Tinkoff G, Rodriguez JL, Richardson C, Gray DK, Gracias VH, Jacobs DG, Thomason MH, Falcone R, Davis K, Durham RM, Richart CM, Anderson JT, Schenarts PJ, Diaz JJ, Coscia R, Dunham M, Indeck M, Motto C, Wargo C, Lottenberg L, Fallon WFJR, Goettler CE, Brandt MM, Taheri PA, Shah DM, Darling RCIII, Millham F, Dries DJ, McGonigal M, Ali J, Dove DB, McNeir DG, Roldan G, Salim A, Petrone P, Rowe V, Alo K, Ramicone E, Chan L. Multi-institutional experience with the management of superior mesenteric artery injuries. J Am Coll Surg. 2001;193(4):354–66.

    Article  CAS  PubMed  Google Scholar 

  15. Rotondo MF, Bard MR. Damage control surgery for thoracic injuries. Injury. 2004;35:649–54.

    Article  PubMed  Google Scholar 

  16. Vargo DJ, Battistella FD. Abbreviated thoracotomy and temporary chest closure: an application of damage control after thoracic trauma. Arch Surg. 2001;136:21–4.

    Article  PubMed  CAS  Google Scholar 

  17. Wall MJ Jr, Soltero E. Damage control for thoracic injuries. Surg Clin N Am. 1997;77:863–78.

    Article  PubMed  Google Scholar 

  18. Wilson A, Wall MJ Jr, Maxson R. The pulmonary hilum twist as a thoracic damage control procedure. Am J Surg. 2003;186:49–52.

    Article  PubMed  Google Scholar 

  19. Asensio JA, Stewart BM, Murray J, Fox AH, Falabella A, Gomez H, Ortega A, Fuller CB, Kerstein MD. Penetrating cardiac injuries. Surg Clin N Am. 1996;76:685–724.

    Article  CAS  PubMed  Google Scholar 

  20. Martin RR, Byrne M. Postoperative care and complications of damage control surgery. Sure Clin N Am. 1997;77:930–42.

    Google Scholar 

  21. Biffl WL, Moore EE, Harken AH. Emergency department thoracotomy. In: Mattox KL, Feliciano DV, Moore EE, editors. Trauma. New York: McGraw-Hill; 2000. p. 245–59.

    Google Scholar 

  22. Phelan HA, Patterson SG, Hassan MO, Gonzalez RP, Rodnig CB. Thoracic damage-control operation: principles, techniques, and definitive repair. J Am Coll Surg. 2006;203(6):933–41.

    Article  PubMed  Google Scholar 

  23. Asensio JA, Soto SN, Forno W, Roldan G, Petrone P, Salim A, Rowe V, Demetriades D. Penetrating cardiac injuries: a complex challenge. Injury. 2001;32(7):533–43.

    Article  CAS  PubMed  Google Scholar 

  24. Asensio JA, Murray J, Demetriades D, Berne J, Cornwell EE, Velmahos G, Gomez H, Berne TV. Penetrating cardiac injuries: a prospective study of variables predicting outcomes. J Am Coll Surg. 1998;186(1):24–34.

    Article  CAS  PubMed  Google Scholar 

  25. Asensio JA, Berne JD, Demetriades D, Chan L, Murray J, Falabella A, Gomez H, Chahwan S, Velmahos G, Cornwell EE, Belzberg H, Shoemaker W, Berne TV. One hundred five penetrating cardiac injuries: a 2-year prospective evaluation. J Trauma. 1998;44(6):1073–82.

    Article  CAS  PubMed  Google Scholar 

  26. Machowski MJ, Barnett RE, Harbrecht BG, Miller KR, Franklin GA, Smith JW, Richardson JD, Benns MV. Damage control for thoracic trauma. Am Surg. 2014;80(9):910–3.

    Google Scholar 

  27. Hunt PA, Greaves I, Owens WA. Emergency thoracotomy in thoracic trauma—a review. Injury. 2006;37(1):1–19.

    Article  CAS  PubMed  Google Scholar 

  28. Asensio JA, Arroyo H, Veloz W, Forno W, Gambaro E, Roldan G, Murray J, Velmahos G, Demetriades D. Penetrating thoracoabdominal injuries. The ongoing dilemma—which cavity and when? World J Surg. 2002;26(5):539–43.

    Article  PubMed  Google Scholar 

  29. O’Connor JV, DuBose JJ, Scalea TM. Damage-control thoracic surgery: management and outcomes. J Trauma Acute Care Surg. 2014;77(5):660–5.

    Article  PubMed  Google Scholar 

  30. Asensio JA, Wall M, Minei J, Demetriades D, Britt LD, Tominaga G, Weireter L, Fabian T. Practice management guidelines for emergency department thoracotomy. Am Coll Surg. 2001;193(3):303–9.

    Article  Google Scholar 

  31. Fedalen PA, Bard MR, Piacentino V 3rd, Fisher CA, McCarthy JR, Schina MJ Jr, Furukawa S, Garcia JP. Intraluminal shunt placement and off-pump coronary vascularization for coronary artery stab wound. J Trauma. 2001;50(1):133–5.

    Article  CAS  PubMed  Google Scholar 

  32. Howells GA, Vogel LM, Krause KR, Bair HA, Chengelis DL. Temporary pericardial replacement for thoracic damage control procedures: avoidance of mechanical damage to the heart. J Trauma. 1998;45:623–5.

    Article  CAS  PubMed  Google Scholar 

  33. Wall MJ Jr, Villavicencio RT, Miller CC, Aucar JA, Granchi TA, Liscum KR, Shin D, Mattox KL. Pulmonary tractotomy as an abbreviated thoracotomy technique. J Trauma. 1998;45(6):1015–23.

    Article  PubMed  Google Scholar 

  34. Asensio JA, Demetriades D, Berne JD, Velmahos G, Cornwell EE 3rd, Murray J, Gomez H, Falabella A, Chahwan S, Shoemaker W, Berne TV. Stapled pulmonary tractotomy: a rapid way to control hemorrhage in penetrating pulmonary injuries. J Am Coll Surg. 1997;185:504–5.

    Article  Google Scholar 

  35. Velmahos GC, Baker C, Demtriades D, Goodman J, Murray JA, Asensio JA. Lung-sparing surgery after penetrating trauma using tractotomy, partial lobectomy, and pneumorraphy. Arch Surg. 1999;134:186–9.

    Article  CAS  PubMed  Google Scholar 

  36. Cothren C, Moore EE, Biffl WL, Franciose RJ, Offner PJ, Burch JM. Lung-sparing techniques are associated with improved outcome compared with anatomic resection for severe lung injuries. J Trauma. 2002;53:483–7.

    Article  PubMed  Google Scholar 

  37. Asensio JA, Mazzini FN, Gonzalo R, Iglesias E, Vu T. The Argon Beam Coagulator. An effective adjunct to stapled pulmonary tractotomy to control hemorrhage in penetrating pulmonary injuries. J Am Coll Surg. 2012;214(3):e9–e12.

    Article  PubMed  Google Scholar 

  38. Shapiro MB, Jenkins DH, Schwab CW, Rotondo MF. Damage control: collective review. J Trauma. 2000;49(5):969–78.

    Article  PubMed  CAS  Google Scholar 

  39. Aucar JA, Hirshberg A. Damage control for vascular injuries. Surg Clin N Am. 1997;77(4):853–62.

    Article  PubMed  CAS  Google Scholar 

  40. Asensio JA, Berne J, Demetriades D, Murray J, Gomez H, Falabella A, Fox A, Velmahos G, Shoemaker W, Berne TV. Penetrating esophageal injuries. Time interval of safety for preoperative evaluation—how long is safe. J Trauma. 1997;43(2):319–24.

    Article  CAS  PubMed  Google Scholar 

  41. Asensio JA, Chahwan S, Forno W, MacKersie R, Wall M, Lake J, Minard G, Kirton O, Nagy K, Karmy-Jones R, Brundage S, Hoyt D, Winchell R, Kralovich K, Shapiro M, Falcone R, McGuire E, Ivatury R, Stoner M, Yelon J, Ledgerwood A, Luchette F, Schwab CW, Frankel H, Chang B, Coscia R, Maull K, Wang D, Hirsch E, Cue J, Schmacht D, Dunn E, Miller F, Powell M, Sherck J, Enderson B, Rue L III, Warren R, Rodriquez J, West M, Weireter L, Britt LD, Dries D, Dunham CM, Malangoni M, Fallon W, Simon R, Bell R, Hanpeter D, Gambaro E, Ceballos J, Torcal J, Alo K, Ramicone E, Chan L. Penetrating esophageal injuries: multicenter study of the American Association for the Surgery of Trauma. J Trauma. 2001;50(2):289–96.

    Article  CAS  PubMed  Google Scholar 

  42. Caceres M, Buechter KJ, Tillou A, Shih JA, Liu D, Steeb G. Thoracic packing for uncontrolled bleeding in penetrating thoracic injuries. South Med J. 2004;97:637–41.

    Article  PubMed  Google Scholar 

  43. Lang JL, Gonzalez RP, Aldy KN, Carroll EA, Eastman AL, White CQ, Funk GA, Phelan HA. Does temporary chest wall closure with or without chest packing improve survival for trauma patients in shock after emergent thoracotomy? J Trauma. 2001;703:705–9.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Creighton University School of Medicine, Omaha, NE, USA

    J. Shaw B.A., M.S., Bradley J. Phillips M.D., F.A.C.S. & Juan A. Asensio M.D., F.A.C.S., F.C.C.M.

  2. Department of Clinical and Translational Research, Creighton University, Omaha, NE, USA

    J. Shaw B.A., M.S. & Juan A. Asensio M.D., F.A.C.S., F.C.C.M.

  3. F. Edward Hébert School of Medicine, Walter Reed National Military Medical Center, Bethesda, MD, USA

    Juan A. Asensio M.D., F.A.C.S., F.C.C.M.

Authors
  1. J. Shaw B.A., M.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Bradley J. Phillips M.D., F.A.C.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Juan A. Asensio M.D., F.A.C.S., F.C.C.M.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Juan A. Asensio M.D., F.A.C.S., F.C.C.M. .

Editor information

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

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Shaw, J., Phillips, B.J., Asensio, J.A. (2018). Damage Control Cardiothoracic 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_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-72607-6_13

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-72606-9

  • Online ISBN: 978-3-319-72607-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation