Abstract
Injury to the liver is suspected in all patients with penetrating or blunt trauma that involves the lower chest and upper abdomen. Numerous analyses have shown that isolated liver injury with the exception of severe injury is relatively unimportant as a cause of death or serious complications. Results have demonstrated that the pattern of associated organ injuries is a major determinant of complications and of the ultimate outcome of patients with hepatic injuries. Severe blunt brain trauma is the most important associated injury seen in conjugation with blunt hepatic trauma [1].
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Rivkind A, Siegel JH, Dunhum CM (1989) Patterns of organ injury in blunt hepatic trauma and their significance for management and outcome. J Trauma 29: 1398–1415
Scott CM, Grasbergerer RC, Heerao TF et al (1988) Intraabdominal sepsis after hepatic trauma. Am J Surg 155: 284–288
Ramsay G, Runcie C (1989) Hepatic dysfunction in shock. In: Vincent JL (ed) Update in intensive care and emergency medicine. Springer, Berlin Heidelberg New York, pp 386–375
Colletti LM, Kunkel SL, Walz A et al (1996) The role of cytokine networks in the local liver injury following hepatic ischemia/reperfusion in the rat. Hepatology 23: 506–514
Koeppel TA, Lehmann TG, Thies JC et al (1996) Impact of N-acetylcysteine on the hepatic microcirculation after orthotopic liver transplantation. Transplantation 61: 1397–1407
Fukuzawa K, Emre S, Senyuz O et al (1995) N-acetylcysteine ameliorates reperfusion injury after warm hepatic ischemia. Transplantation 59: 6–9
Schiano TD, Ehrenpreis ED (1998) Gut and hepatobiliary dysfunction. In: Hall JB, Schmidt GA, Wood LDH (eds) Principles of critical care. Mc Graw-Hill, New York, pp 1223–1236
Gattinoni L, Brazzi L, Pelosi P (1996) Does cardiovascular optimization reduce mortality. In: Vincent JL (ed) Yearbook of intensive care and emergency medicine. Springer, Berlin Heidelberg New York, pp 308–318
Dahn MS, Lange MP, Jacobs LA (1988) Central mixed and splanchnic venous oxygen saturation monitoring. Intensive Care Med 14: 373–378
Dahn MS, Lange MP, Benn S (1999) The influence of hepatic venous oxygen saturation on the liver’s synthetic response to metabolic stress. Proc Soc Exp Biol 221: 39–45
Kaku N (1987) Short-term and long-term changes with blunt liver injury. J Trauma 27: 607–614
Martini C, Viviand X, Potie F (1997) Use and misuse of catecholamines: combination in septic shock patients. In: Vincent JL (ed) Yearbook of intensive care and emergency medicine. Springer, Berlin Heidelberg New York, pp 289–304
Hawker F (1993) Liver trauma. In: Park GR (ed) Critical care management. WB Saunders, London, pp 356–371
Zaloga GP, Roberts PR (1997) Early enteral feeding improves outcome. In: Vincent JL (ed) Yearbook of intensive care and emergency medicine. Springer, Berlin Heidelberg New York, pp 701–714
Jolliet P, Pichard C, Biolo G et al (1999) Enteral nutrition in intensive care patients: a practical approach. Clin Nutr 18 (1): 47–56
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2000 Springer-Verlag Italia
About this paper
Cite this paper
Kremžar, B., Špec-Marn, A. (2000). Intensive Treatment of the Patient with Hepatic Trauma. In: Gullo, A. (eds) Anesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2286-7_47
Download citation
DOI: https://doi.org/10.1007/978-88-470-2286-7_47
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-0095-7
Online ISBN: 978-88-470-2286-7
eBook Packages: Springer Book Archive