Traumacast Discussion from Both Sides of the Drape: Intraoperative Resuscitation of the Trauma Patient
Dec 28, 2023
Marissa Mery, an expert in trauma resuscitation, and Jeremy Cannon, a specialist in surgical trauma care, delve into the intricacies of intraoperative resuscitation for trauma patients. They discuss pivotal strategies like permissive hypotension and the effective use of blood products. The conversation highlights the significance of communication among surgical and anesthesia teams and explores the impact of advanced technologies in patient care. Additionally, they touch on the necessity for specialized training and the collaboration between military and civilian practices to enhance outcomes.
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Default Anesthesia Presence & Structured Handoffs
- Make anesthesiology presence in the trauma bay the default whenever possible.
- Use structured handoffs to efficiently communicate critical, time-sensitive patient information between teams.
Challenges of Balanced Resuscitation
- Balanced resuscitation with a 1:1:1 ratio is ideal but challenging to maintain in the OR.
- Implementation complexity and logistics often lead to deviations from ideal resuscitation practices.
Pressors and Calcium in Resuscitation
- Use pressors cautiously in trauma resuscitations, primarily during induction and to temporize hemodynamics.
- Remember adjuncts like calcium routinely during massive transfusion to avoid hypocalcemia complications.