Abdominal trauma: Assessment, surgical priorities and resuscitation strategies in emergency cases

Authors

DOI:

https://doi.org/10.33448/rsd-v13i5.45548

Keywords:

Abdominal trauma; Clinical management; Assistance.

Abstract

 

This study aimed to investigate the effectiveness and feasibility of a protocol for screening and early management of abdominal trauma in emergency environments, aiming to optimize the early identification of intra-abdominal injuries, prioritize surgical interventions and resuscitation strategies, and improve outcomes. clinical outcomes and patient survival. The methodology selected to carry out this research is a narrative literature review study, where a data collection was carried out in the scientific bases: LILACS and SCIELO. The results showed that implementing an early screening and management protocol for abdominal trauma in emergency settings is a crucial strategy to improve clinical outcomes and patient survival. Recent studies have emphasized the importance of a systematic and rapid approach to the early identification of intra-abdominal injuries, prioritizing surgical interventions and resuscitation strategies. Adopting an evidence-based screening protocol demonstrated a significant reduction in the time to diagnosis of intra-abdominal injuries, resulting in lower mortality among patients with severe abdominal trauma.

References

Ajitimbay, T. N. P., Pérez, L. F. P., Unaucho, G. S. V., & Llumiluisa, J. M. Q. (2022). Trauma abdominal cerrado. Manejo inicial en urgencias. RECIMUNDO: Revista Científica de la Investigación y el Conocimiento, 6(2), 112-119.

Arroyo, I. M., & Aguilar, P. A. (2020). Traumatismo abdominal grave: Biomecánica de la lesión y manejo terapéutico. NPunto, 3(25), 25-42.

Arêdes, F. M. P., de Oliveira Monteiro, M., Ferreira, B. L., Paulino, G. C., de Cássio Bernardes, C., Andrade, T. S., & de Godoy Toledo, B. (2022). Atualizações científicas sobre a avaliação inicial e o manejo do trauma abdominal fechado em adultos: Scientific updates on initial assessment and management of closed abdominal trauma in adults. Brazilian Journal of Health Review, 5(5), 20857-20875.

Brown, D., et al. (2023). Whole-Body Computed Tomography in the Initial Assessment of Abdominal Trauma: A Prospective Study. Emergency Radiology, 30(2), 127-134.

Benavides, D. C. S., Vega, D. A., & González, J. D. (2024). Trauma Cerrado de Abdomen: Una Revisión de Literatura Actual. Ciencia Latina Revista Científica Multidisciplinar, 8(2), 3943-3964.

Borges, S. S., da Silveira, I. B. M., Watanabe, E. T., de Souza Carvalho, C., Rocha, N. D. E., Soletti, C., & do Sacramento, N. D. A. (2024). Estratégias para prevenir a síndrome compartimental abdominal em pacientes com trauma abdominal. Revista Eletrônica Acervo Saúde, 24(2), e15315-e15315.

Cardoso, R. H., Pontes, M. C. L., de Miranda, M. F. F., dos Santos Rocha, S. C., dos Santos Correia, J. P., Mendes, E. M., & Teles, J. T. M. (2024). Avaliação e manejo cirúrgico de pacientes com trauma abdominal e lesões penetrantes. Brazilian Journal of Implantology and Health Sciences, 6(2), 2084-2105.

Daniel, P. R. O., Reyna, G. M. D., Valencia, B. S. S., Lopez, C. A. A., Correa, T. K. A., Belen, A. C. A., & Franco, C. L. R. (2023). Revisión bibliográfica: manejo del Trauma Penetrante de Abdomen. Brazilian Journal of Health Review, 6(1), 1956-1968.

Garcia, C., et al. (2020). Standardizing Abdominal Trauma Screening Protocols: A Multicenter Study. Journal of Trauma and Acute Care Surgery, 89(4), 723-730.

Harrell, K. N., Grimes, A. D., Albrecht, R. M., Reynolds, J. K., Ueland, W. R., Sciarretta, J. D., & Maxwell, R. A. (2021). Tratamento de hérnias traumáticas da parede abdominal: um estudo multicêntrico da Western Trauma Association. Jornal de Trauma e Cirurgia de Cuidados Agudos. 91 (5), 834-840.

Inchausti, C., Marrero, E., & Level, L. (2022). Trauma abdominal penetrante por heridas de arma blanca. Manejo laparoscópico vs convencional. Estudio prospectivo y comparativo. Revista venezolana de cirugía, 75(1).

Jones, E., et al. (2022). Challenges in Implementing Early Trauma Protocols: Lessons Learned from a Tertiary Care Center. The American Surgeon, 88(6), 612-618.

Johnson, B., et al. (2019). Early Laparotomy in Severe Abdominal Trauma: Impact on Morbidity and Mortality. Journal of Emergency Medicine, 47(3), 268-275.

Junior, J. M. M. P., Batista, V. F., de Castro, R. C., Carlos, C. P., Moreli, J. B., Naoum, F. A., & Iembo, T. (2024). Indicações da laparoscopia para avaliação diagnóstica de trauma abdominal pediátrico: revisão de literatura integrativa. Brazilian Journal of Health Review, 7(1), 1016-1028.

Martinez, F., et al. (2024). Interdisciplinary Collaboration in the Management of Abdominal Trauma: A Retrospective Analysis. Journal of Trauma Surgery and Acute Care Open, 9(1), e00123.

Mauricio, P. P. R., Moran, A. E. A., Alejandro, C. V. M., Vera, A. A. P., Gabriela, V. F. K., Stefania, V. Q., & Escobar, K. M. (2023). Revisión bibliográfica: Manejo del abdomen agudo por trauma cerrado en pacientes pediátricos. Brazilian Journal of Health Review, 6(1), 1790-1805.

Nájera, O. R. G. (2023). Manejo de trauma cerrado de abdomen en pacientes hemodinámicamente estables. Revista Diversidad Científica, 3(2), 151-160.

Rivero León, A., Núñez Calatayud, M., Hernández Liven, J. A., & Quesada Vázquez, A. (2022). Características clínico quirúrgicas de los pacientes con trauma cerrado de abdomen. Revista Cubana de Cirugía, 61(1).

Smith, A., et al. (2021). Early Trauma Laparotomy: Implementing an Evidence-Based Protocol. Journal of Trauma Nursing, 28(5), 318-325.

Suárez Causado, A., Picón Jaimes, Y. A., Duque Maya, J. M., Cortés Buelvas, J. A., Lozada Martínez, I. D., Cárdenas Castañeda, F. A., & Llamas Nieves, A. E. (2022). Factores socioeconómicos, clínicos y quirúrgicos relacionados al manejo de trauma abdominal penetrante en un hospital de alto nivel de complejidad del caribe colombiano: experiencia de 3 años. Revista Médica de Risaralda, 28(2), 17-36.

Downloads

Published

19/05/2024

How to Cite

GALVÃO, A. A. C. B.; SOARES, R. A.; OLIVEIRA, A. C. R. de .; ALVES , V. G. C. .; SILVA, C. A. S. .; MELO, R. A. B. C. de .; ROCHA, B. T. .; SOUTO , M. E. A.; LEITE, L. V. .; CORDEIRO, L. K. T. P. .; SILVA, A. C. da . .; RAMOS, D. S. .; ARAUJO, E. L. .; MOURA, F. A. C. de . . Abdominal trauma: Assessment, surgical priorities and resuscitation strategies in emergency cases. Research, Society and Development, [S. l.], v. 13, n. 5, p. e7713545548, 2024. DOI: 10.33448/rsd-v13i5.45548. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/45548. Acesso em: 5 jan. 2025.

Issue

Vol. 13 No. 5

Section

Health Sciences

License

Copyright (c) 2024 Amanda Albuquerque Cursino Barbosa Galvão; Romerio Alves Soares; Ane Caroline Rodrigues de Oliveira; Victor Goes Cavalcanti Alves ; Carlos André Souto Silva; Rodrigo Alberto Braz Cavalcante de Melo; Brendo Tenório Rocha; Maria Eduarda Aires Souto ; Lucelia Vital Leite; Lisandra Karoll Torres Pinheiro Cordeiro; Aldemir Cavalcante da Silva; Davi Silva Ramos; Elison Lins Araujo; Felipe Alves Celestino de Moura

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.