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Nonoperative management has been established as a safe, effective treatment strategy for blunt solid organ injury. The guiding principle is that patients should be managed by their hemodynamic status as opposed to their radiographic grade of injury. The literature regarding nonoperative management is quite robust, and success rates have been reported to be greater than 95%. This has also resulted in further de-escalation of other therapies including decreasing ICU utilization, blood draws, and length of stay. Angioembolization can be a useful adjunct for blunt solid organ injuries; however, there is far less data regarding its indications and benefits.

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Non-operative Management of Blunt Solid Organ Injuries in Pediatric Trauma

  • 章节

  • 发表日期：

    2025年

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  • Erin West,
  • Pamela M. Choi

摘要

Nonoperative management has been established as a safe, effective treatment strategy for blunt solid organ injury. The guiding principle is that patients should be managed by their hemodynamic status as opposed to their radiographic grade of injury. The literature regarding nonoperative management is quite robust, and success rates have been reported to be greater than 95%. This has also resulted in further de-escalation of other therapies including decreasing ICU utilization, blood draws, and length of stay. Angioembolization can be a useful adjunct for blunt solid organ injuries; however, there is far less data regarding its indications and benefits.