BACKGROUND AND AIM: Solid organ (spleen and liver) injuries are dreaded by both surgeons and anesthesiologists because of associated high morbidity and mortality. The purpose of this review is to describe our experience of critical care concerns in solid organ injury, which otherwise has been poorly addressed in the literature. MATERIALS AND METHODS: Retrospective cohort of solid organ injury (spleen and liver) @entity1 was done from January 2010 to December 2011 in tertiary level @entity130 Center. RESULTS: Out of 624 @entity1661 @entity1 , a total of 212 @entity1 (70%) were admitted in intensive care unit (ICU). Their ages ranged from 6 to 74 years (median 24 years). Nearly 89% @entity1 in liver @entity130 and 84% @entity1 in @entity130 were male. @entity130 was blunt @entity1661 in 96% @entity1 and the most common associated injury was @entity764 . Average injury severity score, sequential organ failure assessment, @entity880 on admission was 16.84, 4.34 and 3.42 mmol/L and that of dying @entity1 were 29.70, 7.73 and 5.09 mmol/L, respectively. Overall mortality of ICU admitted solid organ injury was 15.55%. Major issues of concern in @entity130 were @entity548 , overwhelming @entity281 and post-splenectomy vaccination. Issues raised in @entity99 are damage control surgery, deadly triad, thromboelastography guided transfusion protocols and hemostatic agents. CONCLUSIONS: A protocol-based and multidisciplinary approach in high dependency unit can significantly reduce morbidity and mortality in @entity1 with solid organ injury.

Critical care issues in solid organ injury: Review and experience in a tertiary XXXX center.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhagic shock'] @entity1661 :: ('MESH:D000008', 'Disease') :: ['abdominal trauma'] @entity281 :: ('MESH:D007239', 'Disease') :: ['post-splenectomy infection'] @entity764 :: ('MESH:D013898', 'Disease') :: ['chest trauma'] @entity880 :: ('MESH:D019344', 'Chemical') :: ['lactate'] @entity99 :: ('MESH:D056486', 'Disease') :: ['liver injury'] @entity130 :: ('MESH:D014947', 'Disease') :: ['splenic injury', 'splenic trauma', 'Mechanism of injury', 'trauma']
@entity130 :: (MESH:D014947,Disease) :: ['trauma']
