Changes in the management of pediatric blunt splenic and hepatic injuries

Factors predicting the need for splenectomy in children with blunt splenic trauma

“…who suggested that management of splenic injury should be based on physiological response. In the last two decade, there has been numerous publications supporting the management of splenic injuries in children based on haemodynamic stability 9–12 …”

“…In the last two decade, there has been numerous publications supporting the management of splenic injuries in children based on haemodynamic stability. [9][10][11][12] Review of the current literature on the role of CT scan in predicting the optimal management of BST shows differing opinions. 1,3,4 We found a poor correlation in our study between grades of splenic injury and outcomes.…”

Throwing out the “grade” book: management of isolated spleen and liver injury based on hemodynamic status

“…The concept of basing treatment on hemodynamic status is not new. Since the 1980s, numerous authors have discussed management of splenic and hepatic injury based on physiologic response [8][9][10][11][12][13]. They concluded that ICU monitoring is not mandatory for stable patients and also set triggers for transfusion, outlined parameters for conversion to operative management, and encouraged earlier ambulation after injury.…”

Diversity of the Definition of Stable Vital Sign in Trauma Patients: Results of a Nationwide Survey

“…However, the numeric value and the determinants are frequently different. They have defined HS as BP ≥90 mmHg, [14][15][16][17][18] ≥100 mmHg, [19,20] and ≥110 mmHg (Table 6). [21] Besides the numeric value, the type of BP and the measuring technique of BP are amongother diversities.…”