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

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Damage Control Management in the Polytrauma Patient

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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 [3–13].

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Authors and Affiliations

  1. Department of Surgery, Vanderbilt University School of Medicine, 1211 21st Avenue South, 404 MAB, Nashville, TN, 37212, USA

    Bryan A. Cotton

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  2. Department of Surgery, University of Pennsylvania School of Medicine University of Pennsylvania Medical CenterUniversity of Pittsburgh, Pittsburgh, PA, USA

    C. William Schwab

  3. Leeds General Infirmary University Hospital Trauma and Orthopedic Surgery, University of Leeds, Leeds, Yorkshire, UK

    Peter V. Giannoudis

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Cotton, B.A., Schwab, C.W. (2010). Phase II: The ICU Phase of Damage Control: Managing the Patient from Door to Door. In: Pape, HC., Peitzman, A., Schwab, C.W., Giannoudis, P.V. (eds) Damage Control Management in the Polytrauma Patient. Springer, New York, NY. https://doi.org/10.1007/978-0-387-89508-6_10

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