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Has Evolution in Awareness of Guidelines for Institution of Damage Control Improved Outcome in the Management of the Posttraumatic Open Abdomen?—Invited Critique
William G. Cheadle, MD;
Glen A. Franklin, MD
Louisville, Ky
Arch Surg. 2004;139:215.
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Asensio and the group from USC have nicely documented the efficacy of damage control as it applies to the treatment of severely injured patients resulting in an open abdomen. Although they have used institutional historical controls for this purpose, this does not detract from their conclusions emphasizing early damage control in select high-risk patients. It is interesting to note that the mortality rate of 24%, laudable in this group of trauma patients, did not change over the decade of observation, but various parameters of morbidity were clearly improved. There was likely a "halo effect" due to faculty/resident awareness, but this often changes behavior prior to its documentation. It is pleasing to see that this clinical standard of care started off with Harlan Stone, MD, who has pioneered so many in the care of the trauma patient. In fact, many of us began . . . [Full Text of this Article]
RELATED ARTICLE
Has Evolution in Awareness of Guidelines for Institution of Damage Control Improved Outcome in the Management of the Posttraumatic Open Abdomen?
Juan A. Asensio, Patrizio Petrone, Gustavo Roldán, Eric Kuncir, Emily Ramicone, and Linda Chan
Arch Surg. 2004;139(2):209-214.
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