Princípios de atendimento hospitalar em cirurgia buco-maxilo-facial

2010 
As fraturas faciais frequentemente estao associadas a lesoes de outras regioes do corpo humano. O atendimento hospitalar e a assistencia ao paciente politraumatizado envolvem uma serie de etapas multidisciplinares, capazes de influenciar diretamente a sobrevivencia da vitima. O atendimento e dado de forma sequencial, tendo inicio com a avaliacao inicial, avaliacao secundaria, evolucao, internacao, alta hospitalar, e, por fim, o retorno ambulatorial e acompanhamento do paciente. Sendo assim, e de suma importância que o Cirurgiao Buco-maxilo-facial tenha amplo dominio no que diz respeito a estrutura funcional e organizacional do hospital onde atua, conhecendo toda a logistica hospitalar, evitando perda de tempo durante o atendimento a vitima, contribuindo ate mesmo para reducao dos custos hospitalares no tratamento do paciente politraumatizado. O objetivo deste trabalho e o de elucidar as etapas hospitalares presentes nos servicos de Cirurgia e Traumatologia Buco-maxilo-facial durante o atendimento ao politraumatizado, destacando sua importância no sucesso do tratamento e prognostico do paciente. Facial fractures are frequently associated with injuries to other body regions. Correct management of the hospitalized patient with multiple traumas involves a series of multidisciplinary steps that can directly influence the survival of the victim. The manegement follows a sequence that starts with the initial evaluation, secondary evaluation, progress notes, discharge and finally, the outpatient treatment and monitoring of the patient. It is therefore extremely important that the oral and maxillofacial surgeon has a broad understanding of the functional and organizational structures of the hospital where he/she works. This will reduce treatment time, contributing reduced hospital costs in the treatment of polytrauma patients. The aim of this work is to elucidate the steps involved in the treatment of hospitalized patients in the departments of Oral and Maxillofacial Surgery during multiple trauma care, highlighting its importance in successful treatment and prognosis.
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