Towards comprehensive care in crush syndrome: Expanding the multidisciplinary framework.

IF 2.3 Q2 ORTHOPEDICS
Luca Galassi, Federica Facchinetti
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引用次数: 0

Abstract

Crush syndrome demands an integrated multidisciplinary approach that spans acute surgical decisions and long-term functional recovery. In response to Khan et al's recent systematic review, we propose complementary perspectives that address two underrepresented dimensions: Vascular surgical decision-making and psychiatric rehabilitation. We emphasize the use of intraoperative technologies such as indocyanine green fluorescence angiography and compartment pressure monitoring to guide limb salvage strategies and reperfusion management. Additionally, we advocate for the systematic integration of mental health screening and trauma-informed psychiatric care to address the high prevalence of psychological distress in survivors. Embedding these domains into standardized protocols could enhance both short- and long-term outcomes, particularly in high-impact trauma and disaster settings.

迈向挤压综合征的综合护理:扩展多学科框架。
挤压综合征需要综合的多学科方法,包括急性手术决策和长期功能恢复。为了回应Khan等人最近的系统综述,我们提出了两个未被充分代表的维度的互补观点:血管手术决策和精神康复。我们强调术中技术的使用,如吲哚菁绿荧光血管造影和室压监测,以指导肢体保留策略和再灌注管理。此外,我们提倡系统地整合心理健康筛查和创伤知情的精神病学护理,以解决幸存者中普遍存在的心理困扰。将这些领域纳入标准化协议可以提高短期和长期结果,特别是在高影响的创伤和灾难环境中。
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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
814
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