Empaquetamiento Cardíaco En Trauma: Un Último Recurso Que Puede Salvar La Vida. Reporte De Un Caso Y Revisión De La Literatura
Álvaro Castro, Alejandra Liz, Déborah Delgado, Fernando González
Keywords :
Cardiac injury, Cardiac packing, Damage control, Trauma surgery
Citation Information :
Castro Á, Liz A, Delgado D, González F. Empaquetamiento Cardíaco En Trauma: Un Último Recurso Que Puede Salvar La Vida. Reporte De Un Caso Y Revisión De La Literatura. Panam J Trauma Crit Care Emerg Surg 2022; 11 (2):102-106.
Cardiac injuries continue to be a challenge for trauma and emergency surgeons. Most of these patients arrive extremely grave, so they require immediate action by the surgeon repairing the wound to avoid death. In this context, patients may arrive even in cardiac arrest, associating severe homeostatic alterations with hypothermia, acidosis, and coagulopathy. The later can lead to the continuous bleeding despite several intents of surgical hemostasis. In this distressing situation, cardiac packing can be the last resource to save the life of an agonic patient. This is a well-known technique in cardiac surgery for stopping incontrollable bleeding. We believe that it's a procedure that can be applied to severe patients with cardiac injuries.
We report the case of a patient with cardiac injury who arrived at our Emergency Service and review the available literature.
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