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Chapter 31 - Trauma Anesthesia

Published online by Cambridge University Press:  24 May 2023

By
Amanda Frantz ,
Meghan Brennan  and
Corey Scher
Edited by
Alan David Kaye  and
Richard D. Urman
Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
Richard D. Urman
Affiliation:
Brigham and Women’s Hospital, Boston
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Summary

A primary survey is performed immediately on admission to evaluate and treat life-threatening injuries such as hemorrhage, airway, and brain injuries. Hemorrhage leads to 40% of trauma-related deaths, particularly in the first 24 hours. Thromboelastography (TEG), rotational thromboelastometry (ROTEM), complete blood count, fibrinogen, prothrombin time (PT), activated partial thromboplastin time (aPTT), and international normalized ratio (INR) should be obtained to evaluate coagulation targeted to obtain clot stability [1]. It is also essential to measure renal and liver function, as both affect coagulation and drug elimination [2].

Type
Chapter
Information
Cambridge Handbook of Anesthesiology , pp. 472 - 484
Publisher: Cambridge University Press
Print publication year: 2023

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