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Management of blast injuries and shock lung.

Authors
  • Lavery, Gavin G
  • Lowry, Ken G
Type
Published Article
Journal
Current opinion in anaesthesiology
Publication Date
Apr 01, 2004
Volume
17
Issue
2
Pages
151–157
Identifiers
PMID: 17021544
Source
Medline
License
Unknown

Abstract

The potential for blast to cause injury depends on the nature of the explosive and environment in which the blast occurs. Soft tissue injury with environmental contamination is frequent. Optimal antimicrobial cover and strategies such as selective digestive decontamination may be advantageous. Early surgery should follow the principles of 'damage control'. Blast injury often leads to severe sepsis/systemic inflammatory response, multiple organ dysfunction and prolonged critical illness. In this clinical scenario, recent studies have shown improved outcome with the use of activated protein C, steroid replacement and aggressive control of blood glucose but have been less convincing regarding the use of immuno-nutrition.

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