TY  - JOUR
PY  - 2019//
TI  - The evolving concept of damage control in neurotrauma: application of military protocols in civilian settings with limited resources
JO  - World neurosurgery
A1  - Rubiano, Andres Mariano
A1  - Maldonado, Miguel
A1  - Montenegro, Jorge H.
A1  - Restrepo, Claudia M.
A1  - Khan, Ahsan Ali
A1  - Monteiro, Ruy
A1  - Faleiro, Rodrigo M.
A1  - Carreño, José N.
A1  - Amorim, Robson
A1  - Paiva, Wellingson
A1  - Muñoz, Erick
A1  - Paranhos, Jorge
A1  - Soto, Alvaro
A1  - Armonda, Rocco A.
A1  - Rosenfeld, Jeffrey V.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - Damage control surgery has been described as a sequential therapeutic strategy that supports physiological restoration over anatomical repair in patients with critical injuries. The application of this concept in neurosurgery has evolved since early definitions in 1998. Current strategies have been supported by military neurosurgery experience and the concept is being applied in civilian settings with limited resources. The aim of this narrative review is to describe the evolution of the concept, the surgical techniques and the lessons learned from civilian and military neurosurgeons who apply the concept regularly, especially in practice at military hospitals or in civilian institutions with limited resources in low and middle income countries. Damage control in neurotrauma is a therapeutic option for severe traumatic brain injury management in austere environments. In order to apply the concept of damage control in neurotrauma while using an appropriate approach, lessons must be learned from experienced neurosurgeons who use this technique regularly.<br><br>Copyright © 2019. Published by Elsevier Inc.<p />  <p>Language: en</p>
LA  - en
SN  - 1878-8750
UR  - http://dx.doi.org/10.1016/j.wneu.2019.01.005
ID  - ref1
ER  -