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  • Algoritmo Trauma Renal

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    Robert Macedo
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    The document provides guidelines for the management of renal trauma. It recommends: 1) Determining hemodynamic stability after primary resuscitation for suspected renal trauma. 2) For stable patients, administering antibiotics for all penetrating injuries excluding Grade 5 injuries and observing patients with non-visible hematuria. 3) For unstable patients or those with visible hematuria, performing ongoing resuscitation, multi-phase CT scan, and selective angioembolization if hemorrhage is identified.

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    algoritmo de trauma renal

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    algoritmo trauma renal

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    The document provides guidelines for the management of renal trauma. It recommends: 1) Determining hemodynamic stability after primary resuscitation for suspected renal trauma. 2) For stable patients, administering antibiotics for all penetrating injuries excluding Grade 5 injuries and observing patients with non-visible hematuria. 3) For unstable patients or those with visible hematuria, performing ongoing resuscitation, multi-phase CT scan, and selective angioembolization if hemorrhage is identified.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    15 views1 page

    Algoritmo Trauma Renal

    Uploaded by

    Robert Macedo
    The document provides guidelines for the management of renal trauma. It recommends: 1) Determining hemodynamic stability after primary resuscitation for suspected renal trauma. 2) For stable patients, administering antibiotics for all penetrating injuries excluding Grade 5 injuries and observing patients with non-visible hematuria. 3) For unstable patients or those with visible hematuria, performing ongoing resuscitation, multi-phase CT scan, and selective angioembolization if hemorrhage is identified.

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    © All Rights Reserved
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    of 1

    14

    -
    CT = computed tomography; Ht = haematocrit; SAE = selective angioembolisation.
    --- If haemodynamically unstable.
    ** Antibiotics should be administered for all penetrating injuries.
    * Excluding Grade 5 penetrating injuries.

    Figure 4.1.1 Management of renal trauma

    Management of renal trauma


    4.1.8
    Suspected
    renal trauma
    i
    Determine haemodynamic
    1. J

    Treatment algorithms
    1
    Stable
    I"
    stability
    aer primary resuscita on
    ....
    1
    Unstable
    1
    t
    1

    + Ongoing resuscita on, Failure


    Non-visible haematuria Visible haematuria mul phase CT & • Emergency
    laparotomy

    •
    angioembolisa on
    1 1
    1 1

    +
    1 1
    1 1

    Rapid decelera on
    Observa on injury or major
    .. Mul phase CT scan with Renal injury
    delayed images (pulsa le
    associated injuries or expanding
    haematoma)

    ,,,
    1
    No ac ve bleeding t
    I"
    ..
    � Ac ve bleeding/blush
    1 1
    Grade 5
    (penetra ng) 1

    + •
    '¡7
    UROLOGICAL TRAUMA - LIMITED UPDATE MARCH 2023

    Grade 1-3 Grade 4-5*

    ¡
    1 1

    ' ,.,

    D
    ,ir
    Angiography SAE unavailable
    Observa on, and selec ve �. Renal explora on (reconstruc on or
    Observa on, �.
    bed rest, serial angioembolisa on nephrectomy)
    bed rest, serial
    Ht according to (repeat if Failure
    Ht, an bio cs
    severity** unsuccessful)

    +
    Repeat Imaging
    �
    ,1,
    Persistant
    1
    urinary leak
    J,
    JJ stent or drain
    1

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