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Phase II: The ICU Phase of Damage Control: Managing the Patient from Door to Door

  • Bryan A. Cotton
  • C. William Schwab

The Intensive Care Unit (ICU) phase has been central to the concept of delayed definitive care of trauma since it was described by Stone and colleagues and later systematically defined and named by Rotondo, Schwab, and colleagues [1, 2]. The initial operative procedures are abbreviated, and temporizing measures are employed, allowing transport to the ICU for correction of metabolic and physiologic problems. When the patient is to return to the operating room for definitive surgical procedures (Phase III) is determined by the success of this phase (Phase II) of care. In addition, careful ICU management can be the difference between prompt fascial closure and rapid liberation from the ventilator and an “unclose-able” abdomen with prolonged mechanical ventilation [3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13].

Keywords

Acute Lung Injury Abdominal Compartment Syndrome Damage Control Open Abdomen Fascial Closure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of SurgeryVanderbilt University School of MedicineNashvilleUSA

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