@article{ref1,
title="The treatment of severe and multiple injuries in intensive care unit: report of 80 cases",
journal="European review for medical and pharmacological sciences",
year="2014",
author="Chen, W. and Wang, Jiangping and Feng, Q. L. and Xu, S. C. and Xiang, L. and Feng, L. Y. and Chang, Z. L. and Ba, L.",
volume="18",
number="24",
pages="3797-3801",
abstract="OBJECTIVE: To summarize our case load in managing severe and multiple injuries (SMI) in the Intensive Care Unit (ICU). <br><br>PATIENTS AND METHODS: The clinical data of 80 SMI patients treated in our ICU from January 2009 to June 2013 were analyzed. <br><br>RESULTS: Results of these 80 SMI patients, 60 (75%) were salvaged and 15 (18.75%) died. The causes of death included severe head injury (n=7), severe chest injury (n=3), destruction of injured abdominal organs (n=2), and multiple organ dysfunction syndrome (n=3). Five patients (7.50%) gave up treatment and were discharged upon their own requests. Early application of continuous renal replacement therapy (CRRT) and enteral nutrition (EN) improved outcomes. <br><br>CONCLUSIONS: The key interventions during the ICU treatment of SMI include: adequate analgesia and appropriate sedation; timely management of hypoxemia; reasonable fluid resuscitation and CRRT.<p /> <p>Language: en</p>",
language="en",
issn="1128-3602",
doi="",
url="http://dx.doi.org/"
}