الفهرس 
PATHOGENESIS OF TRAUMAOnly 14 pages are availabe for public view
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Abstract
Introduction: Every year, around 5.8 million people die worldwide due to events related to trauma, which corresponds to about 9.7 per 100000 population. About 40% of trauma related deaths are due to hemorrhage or its consequences. Causes of shock in the traumatized patient are hemorrhagic shock, compression of the heart due to tamponade or tension pneumothorax, cardiogenic shock (ischemia, arrhythmias) and neurogenic or spinal shock.
Objectives: The aim of this work is to determine the various effects of trauma on different body systems, how to assess these effects and determine the most suitable anesthetic management.
Data Sources: NCBI, Pubmed and PMC.
Data selection: this search studied 124 articles. The articles studied pathogenesis of trauma, shock and anesthetic management.
Data Extraction: if the studies did not fulfill the inclusion criteria, they were excluded.
Conclusion: Anesthesiologist comes across many unique challenges providing anesthesia for emergency surgery in unprepared trauma patient. Patients usually shocked and have full stomach. Shock is a clinical syndrome characterized by inadequate tissue perfusion that leads to decrease oxygen delivery to tissues and end-organ dysfunction. This process involves fluid resuscitation, the use of vasopressors, and blood transfusion.
Key words: Anesthesia, trauma, shock, coagulopathy, hemorrhage, resuscitation.
References: Bouglé A, Harrois A and Duranteau J (2013): Resuscitative strategies in traumatic hemorrhagic shock. Annals of Intensive Care journal; 3: 1.
Jacob M, Cola and Kumar P (2014): The challenge in management of hemorrhagic shock in trauma. Medical Journal, Armed Forces India; 70(2): 163–169.