The evolving concept of damage control in neurotrauma: application of military protocols in Civilian Settings with limited resources

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dc.contributor.authorRUBIANO ESCOBAR, ANDRES MARIANO
dc.contributor.authorMaldonado Morán, Miguel Angel
dc.contributor.authorMontenegro Muñoz, Jorge Hernan
dc.contributor.authorRestrepo, Claudia M.
dc.contributor.authorKhan, Ahsan Ali
dc.contributor.authorMonteiro, Ruy
dc.contributor.authorFaleiro, Rodrigo Moreira
dc.contributor.authorCarreño, José N.
dc.contributor.authorAmorim, Robson
dc.contributor.authorPAIVA, WELLINGSON
dc.contributor.authorMuñoz, Erick
dc.contributor.authorParanhos, Jorge
dc.contributor.authorSoto, Alvaro R.
dc.contributor.authorArmonda, Rocco A.
dc.contributor.authorRosenfeld, Jeffrey V.
dc.contributor.orcidRubiano, Andrés M. [0000-0001-8931-3254]
dc.date.accessioned2020-05-08T00:21:07Z
dc.date.available2020-05-08T00:21:07Z
dc.date.issued2019
dc.description.abstractenglishObjective: The aim of the present review was to describe the evolution of the damage control concept in neurotrauma, including the surgical technique and medical postoperative care, from the lessons learned from civilian and military neurosurgeons who have applied the concept regularly in practice at military hospitals and civilian institutions in areas with limited resources. Methods: The present narrative review was based on the experience of a group of neurosurgeons who participated in the development of the concept from their practice working in military theaters and low-resources settings with an important burden of blunt and penetrating cranial neurotrauma. Results: Damage control surgery in neurotrauma has been described as a sequential therapeutic strategy that supports physiological restoration before anatomical repair in patients with critical injuries. The application of the concept has evolved since the early definitions in 1998. Current strategies have been supported by military neurosurgery experience, and the concept has been applied in civilian settings with limited resources. Conclusion: Damage control in neurotrauma is a therapeutic option for severe traumatic brain injury management in austere environments. To apply the concept while using an appropriate approach, lessons must be learned from experienced neurosurgeons who use this technique regularly.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.wneu.2019.01.005
dc.identifier.issn1878-8750
dc.identifier.urihttps://hdl.handle.net/20.500.12495/2510
dc.language.isoeng
dc.publisherElsevierspa
dc.publisher.journalWorld neurosurgeryspa
dc.relation.ispartofseriesWorld neurosurgery, 1878-8750, Vol. 125, 2019, p. e82-e93spa
dc.relation.urihttps://www.sciencedirect.com/science/article/abs/pii/S1878875019300646?via%3Dihub
dc.rights.creativecommons2019
dc.rights.localAcceso cerradospa
dc.subject.decsTraumatismos craneocerebralesspa
dc.subject.decsProcedimientos quirúrgicos reconstructivosspa
dc.subject.decsNeurocirujanosspa
dc.subject.keywordsDamage controlspa
dc.subject.keywordsGlobal surgeryspa
dc.subject.keywordsLow resourcesspa
dc.titleThe evolving concept of damage control in neurotrauma: application of military protocols in Civilian Settings with limited resourcesspa
dc.title.translatedThe evolving concept of damage control in neurotrauma: application of military protocols in Civilian Settings with limited resourcesspa
dc.typearticlespa
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localartículospa

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Andres M.Rubiano, MiguelMaldonado, JorgeMontenegro, Claudia M.Restrepo, Ahsan AliKhan, RuyMonteiro,Rodrigo M.Faleiro, José N.Carreño,RobsonAmorim Wellingson,PaivaErickMuñoz,_2019.pdf
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