{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T04:17:40Z","timestamp":1769833060144,"version":"3.49.0"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Anaesthesiologie"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1007\/s00101-026-01650-w","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T09:32:04Z","timestamp":1768815124000},"page":"143-151","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["S3-Leitlinie Intensivmedizin nach Polytrauma","S3 guidelines on intensive care medicine following polytrauma"],"prefix":"10.1007","volume":"75","author":[{"given":"Klemens","family":"Horst","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uwe","family":"Hamsen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Volmerig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carina","family":"Benst\u00f6m","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gernot","family":"Marx","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Hildebrand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,1,19]]},"reference":[{"key":"1650_CR1","unstructured":"H\u00f6fer C, Lefering R (2021) Jahresbericht 2021 In: TraumaRegister DGU 2021."},{"key":"1650_CR2","unstructured":"Dgu (2022) Deutsche Gesellschaft f\u00fcr Unfallchirurgie e.\u202fV.: S3-Leitlinie Polytrauma\/Schwerverletzten \u2013 Behandlung Version\u00a04.0 In: S3-Leitlinie Polytrauma\/Schwerverletzten."},{"key":"1650_CR3","unstructured":"Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e.\u202fV.: Leitlinien: Intensivmedizin nach Polytrauma (AWMF Register-Nr.: 040-014) In: AWMF-Regelwerk."},{"key":"1650_CR4","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1016\/j.jss.2019.04.005","volume":"242","author":"T Liu","year":"2019","unstructured":"Liu\u00a0T, Liu\u00a0P, Chen\u00a0J et\u00a0al (2019) A Randomized Controlled Trial of Surgical Rib Fixation in Polytrauma Patients With Flail Chest. J\u00a0Surg Res 242:223\u2013230","journal-title":"J Surg Res"},{"key":"1650_CR5","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1007\/s00113-023-01400-2","volume":"127","author":"C Spering","year":"2024","unstructured":"Spering\u00a0C, Moerer\u00a0O, White\u00a0TW et\u00a0al (2024) Surgical reconstruction of chest wall instability : Indications, contraindications and timing of surgery. Unfallchirurgie (heidelb) 127:171\u2013179","journal-title":"Unfallchirurgie (heidelb)"},{"key":"1650_CR6","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1055\/a-1898-7611","volume":"148","author":"J Neudecker","year":"2023","unstructured":"Neudecker\u00a0J, Schulz-Drost\u00a0S, Walles\u00a0T (2023) Treatment of Persistent Parenchymal Lung Injuries in Thoracic Trauma: Lung Laceration, Pleural Fistula and Pneumothorax. Zentralbl Chir 148:93\u2013104","journal-title":"Zentralbl Chir"},{"key":"1650_CR7","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1007\/s00068-019-01275-2","volume":"46","author":"B Ziapour","year":"2020","unstructured":"Ziapour\u00a0B, Mostafidi\u00a0E, Sadeghi-Bazargani\u00a0H et\u00a0al (2020) Timing to perform VATS for traumatic-retained hemothorax (a\u00a0systematic review and meta-analysis). Eur J Trauma Emerg Surg 46:337\u2013346","journal-title":"Eur J Trauma Emerg Surg"},{"key":"1650_CR8","first-page":"688","volume":"25","author":"BM Pereira","year":"2019","unstructured":"Pereira\u00a0BM (2019) Abdominal compartment syndrome and intra-abdominal hypertension. Curr Opin Crit Care 25:688\u2013696","journal-title":"Curr Opin Crit Care"},{"key":"1650_CR9","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1186\/s13054-020-2782-1","volume":"24","author":"IE De Laet","year":"2020","unstructured":"De Laet\u00a0IE, Malbrain\u00a0M, De Waele\u00a0JJ (2020) A Clinician\u2019s Guide to Management of Intra-abdominal Hypertension and Abdominal Compartment Syndrome in Critically Ill Patients. Crit Care 24:97","journal-title":"Crit Care"},{"key":"1650_CR10","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1007\/s00068-025-02774-1","volume":"51","author":"J Dormann","year":"2025","unstructured":"Dormann\u00a0J, Horst\u00a0K, Dahms\u00a0K et\u00a0al (2025) The optimal timing for definitive operative stabilization of pelvic fractures in polytrauma patients: effects on clinical outcomes\u2014a\u00a0systematic review. Eur J Trauma Emerg Surg 51:100","journal-title":"Eur J Trauma Emerg Surg"},{"key":"1650_CR11","first-page":"677","volume":"69","author":"HA Vallier","year":"2010","unstructured":"Vallier\u00a0HA, Cureton\u00a0BA, Ekstein\u00a0C et\u00a0al (2010) Early definitive stabilization of unstable pelvis and acetabulum fractures reduces morbidity. J\u00a0Trauma 69:677\u2013684","journal-title":"J Trauma"},{"key":"1650_CR12","doi-asserted-by":"publisher","first-page":"730","DOI":"10.1097\/TA.0000000000002860","volume":"89","author":"GL Devaney","year":"2020","unstructured":"Devaney\u00a0GL, Bulman\u00a0J, King\u00a0KL et\u00a0al (2020) Time to definitive fixation of pelvic and acetabular fractures. J\u00a0Trauma Acute Care Surg 89:730\u2013735","journal-title":"J Trauma Acute Care Surg"},{"key":"1650_CR13","first-page":"935","volume":"68","author":"N Enninghorst","year":"2010","unstructured":"Enninghorst\u00a0N, Toth\u00a0L, King\u00a0KL et\u00a0al (2010) Acute definitive internal fixation of pelvic ring fractures in polytrauma patients: a\u00a0feasible option. J\u00a0Trauma 68:935\u2013941","journal-title":"J Trauma"},{"key":"1650_CR14","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1097\/BOT.0000000000001946","volume":"35","author":"DG Rojas","year":"2021","unstructured":"Rojas\u00a0DG, Coleman\u00a0JR, Moore\u00a0EE et\u00a0al (2021) The Association of Surgical Timing and Injury Severity With Systemic Complications in Severely Injured Patients With Pelvic Ring Injuries. J\u00a0Orthop Trauma 35:171\u2013174","journal-title":"J Orthop Trauma"},{"key":"1650_CR15","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1007\/s00068-024-02762-x","volume":"51","author":"E Steinfeld","year":"2025","unstructured":"Steinfeld\u00a0E, Horst\u00a0K, Ansems\u00a0K et\u00a0al (2025) Optimal timing of stabilization and operative technique for extremity fractures in polytrauma patients: a\u00a0systematic review and meta-analysis. Eur J Trauma Emerg Surg 51:27","journal-title":"Eur J Trauma Emerg Surg"},{"key":"1650_CR16","doi-asserted-by":"publisher","first-page":"551","DOI":"10.1097\/01.bot.0000161712.87129.80","volume":"19","author":"HC Pape","year":"2005","unstructured":"Pape\u00a0HC, Giannoudis\u00a0PV, Krettek\u00a0C et\u00a0al (2005) Timing of fixation of major fractures in blunt polytrauma: role of conventional indicators in clinical decision making. J\u00a0Orthop Trauma 19:551\u2013562","journal-title":"J Orthop Trauma"},{"key":"1650_CR17","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1097\/SLA.0b013e3181485750","volume":"246","author":"HC Pape","year":"2007","unstructured":"Pape\u00a0HC, Rixen\u00a0D, Morley\u00a0J et\u00a0al (2007) Impact of the method of initial stabilization for femoral shaft fractures in patients with multiple injuries at risk for complications (borderline patients). Ann Surg 246:491\u2013499 (discussion 499\u2013501)","journal-title":"Ann Surg"},{"key":"1650_CR18","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1097\/00005373-199408000-00018","volume":"37","author":"SM Fakhry","year":"1994","unstructured":"Fakhry\u00a0SM, Rutledge\u00a0R, Dahners\u00a0LE et\u00a0al (1994) Incidence, management, and outcome of femoral shaft fracture: a\u00a0statewide population-based analysis of 2805 adult patients in a\u00a0rural state. J\u00a0Trauma 37:255\u2013260","journal-title":"J Trauma"},{"key":"1650_CR19","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1097\/TA.0000000000003430","volume":"92","author":"RH Lewis Jr.","year":"2022","unstructured":"Lewis\u00a0RH Jr., Perkins\u00a0M, Fischer\u00a0PE et\u00a0al (2022) Timing is everything: Impact of combined long bone fracture and major arterial injury on outcomes. J\u00a0Trauma Acute Care Surg 92:21\u201327","journal-title":"J Trauma Acute Care Surg"}],"container-title":["Die Anaesthesiologie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00101-026-01650-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00101-026-01650-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00101-026-01650-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T12:40:46Z","timestamp":1769690446000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00101-026-01650-w"}},"subtitle":["Aspekte zur definitiven chirurgischen Versorgung","Aspects regarding definitive surgical treatment"],"short-title":[],"issued":{"date-parts":[[2026,1,19]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["1650"],"URL":"https:\/\/doi.org\/10.1007\/s00101-026-01650-w","relation":{},"ISSN":["2731-6858","2731-6866"],"issn-type":[{"value":"2731-6858","type":"print"},{"value":"2731-6866","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,19]]},"assertion":[{"value":"19 January 2026","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"Gem\u00e4\u00df den Richtlinien des Springer Medizin Verlags werden Autoren und Wissenschaftliche Leitung im Rahmen der Manuskripterstellung und Manuskriptfreigabe aufgefordert, eine vollst\u00e4ndige Erkl\u00e4rung zu ihren finanziellen und nichtfinanziellen Interessen abzugeben.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"K.\u00a0Horst\n                      : A.\u00a0Finanzielle Interessen: K.\u00a0Horst gibt an, dass kein finanzieller Interessenkonflikt besteht. \u2013\u00a0B.\u00a0Nichtfinanzielle Interessen: Uniklinik RWTH Aachen, ltd. Oberarzt | Mitgliedschaften: DGU, DVSE, AO, AE, Marburger Bund.\n                      U.\u00a0Hamsen\n                      : A.\u00a0Finanzielle Interessen: U.\u00a0Hamsen gibt an, dass kein finanzieller Interessenkonflikt besteht.\u00a0\u2013 B.\u00a0Nichtfinanzielle Interessen: Oberarzt Chirurgische Klinik, Schwerpunktleiter chirurg. Intensivmedizin, Berufsgenossenschaftliches Universit\u00e4tsklinikum Bergmannsheil, Bochum | Mitgliedschaften: Dt. Gesellschaft f\u00fcr Chirurgie, Dt. Gesellschaft f\u00fcr Unfallchirurgie, DIVI, Sprecher der Sektion Trauma der DIVI, Europ. Gesellschat f\u00fcr Intensivmedizin (ESICM).\n                      J.\u00a0Volmerig\n                      : A.\u00a0Finanzielle Interessen: J.\u00a0Volmerig gibt an, dass kein finanzieller Interessenkonflikt besteht. \u2013\u00a0B.\u00a0Nichtfinanzielle Interessen: Direktor der Klinik f\u00fcr Thoraxchirurgie, Kliniken Essen-Mitte gGmbH, Chefarzt der Klinik f\u00fcr Thoraxchirurgie, Rhein-Mass-Klinikum W\u00fcrselen | Schatzmeister der Deutschen Gesellschaft f\u00fcr Thoraxchirurgie DGT | Mitgliedschaften: BDC, ESTS, ERS, DGP.\n                      C.\u00a0Benst\u00f6m\n                      : A.\u00a0Finanzielle Interessen: C.\u00a0Benst\u00f6m gibt an, dass kein finanzieller Interessenkonflikt besteht.\u00a0\u2013 B.\u00a0Nichtfinanzielle Interessen: Professorin f\u00fcr Evidenzbasierte Gesundheitsforschung in An\u00e4sthesie und Intensivmedizin, Uniklinik RWTH Aachen | Mitgliedschaften: DGAI, DIVI.\n                      G.\u00a0Marx\n                      : A.\u00a0Finanzielle Interessen: G.\u00a0Marx gibt an, dass kein finanzieller Interessenkonflikt besteht. \u2013\u00a0B.\u00a0Nichtfinanzielle Interessen: Univ.-Prof. Dr. Gernot Marx, FRCA, Klinikdirektor, Klinik f\u00fcr Operative Intensivmedizin und Intermediate Care, Sprecher des Vorstands des Innovationszentrums Digitale Medizin Aachen, Universit\u00e4tsklinikum Aachen | Anstalt des \u00f6ffentlichen Rechts (A\u00f6R), Pauwelsstra\u00dfe\u00a030, 52074 Aachen | Pr\u00e4sident DGAI, Vorstandsvorsitzender DG Telemed.\n                      F.\u00a0Hildebrand\n                      : A.\u00a0Finanzielle Interessen: Stryker.\u00a0\u2013 B.\u00a0Nichtfinanzielle Interessen: Klinikdirektor, Klinik f\u00fcr Orthop\u00e4die, Unfall- und Wiederherstellungschirurgie, Uniklinik RWTH Aachen | 2.\u00a0Vize-Pr\u00e4sident DGU, Past-President ESTES.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Autoren"}},{"value":"Die vollst\u00e4ndige Erkl\u00e4rung zum Interessenkonflikt der Wissenschaftlichen Leitung finden Sie am Kurs der zertifizierten Fortbildung auf\n                      \n                      .","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Wissenschaftliche Leitung"}},{"value":"erkl\u00e4rt, dass f\u00fcr die Publikation dieser CME-Fortbildung keine Sponsorengelder an den Verlag flie\u00dfen.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Der Verlag"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Der Verlag"}}]}}