Outcomes from pediatric solid organ injury: role of standardized care guidelines
- 1 June 2005
- journal article
- research article
- Published by Wolters Kluwer Health in Current Opinion in Pediatrics
- Vol. 17 (3), 402-406
- https://doi.org/10.1097/01.mop.0000163693.96101.84
Abstract
Recent advances in the delivery of trauma and critical care in children have resulted in improved outcome following major injuries. It is imperative that physicians who treat injured children familiarize themselves with current treatment algorithms for abdominal trauma. Important contributions have been made in the diagnosis and treatment of children with abdominal injury by radiologists and endoscopists. This report examines the impact of consensus guidelines in the treatment of blunt abdominal solid organ injuries. Consensus guidelines for treatment of children with isolated spleen and liver injury are reviewed demonstrating conformity of care and significant reduction of resource utilization without adverse sequelae. Review of large datasets indicate contrasting rates of splenectomy depending on the expertise of the institution, emphasizing the need for wide dissemination of guidelines. Clinical experience and published reports addressing specific concerns about the nonoperative treatment of children with solid organ injuries and recent radiologic and endoscopic contributions have made pediatric trauma care increasingly nonoperative. Although the trend is in this direction, the pediatric surgeon should remain the physician-of-record in the multidisciplinary care of critically injured children.Keywords
This publication has 28 references indexed in Scilit:
- Physiology after Pediatric Splenic InjuryPublished by Wolters Kluwer Health ,2005
- The efficacy of ultrasonography in hemodynamically stable children with blunt abdominal trauma: a prospective comparison with computed tomographyEuropean Journal of Radiology, 2004
- Is Pediatric Trauma Still a Surgical Disease? Patterns of Emergent Operative Intervention in the Injured ChildPublished by Wolters Kluwer Health ,2004
- Significance of ‘blush’ on computed tomography scan in children with liver injuryJournal of Pediatric Surgery, 2003
- Predicting the Need for Laparotomy in Pediatric Trauma Patients on the Basis of the Ultrasound ScorePublished by Wolters Kluwer Health ,2003
- Risk factors for splenectomy in children with blunt splenic traumaJournal of Pediatric Surgery, 2002
- Utility of radiographic hepatic injury grade in predicting outcome for children after blunt abdominal trauma.Journal of Pediatric Surgery, 2002
- Prospective Results of A Standardized Algorithm Based on Hemodynamic Status for Managing Pediatric Solid Organ InjuryJournal of the American College of Surgeons, 2001
- Practice Patterns of Pediatric Surgeons Caring for Stable Patients with Traumatic Solid Organ InjuryPublished by Wolters Kluwer Health ,1997
- Organ Injury ScalingPublished by Wolters Kluwer Health ,1995