{"id":391326,"date":"2025-09-04T11:45:00","date_gmt":"2025-09-04T14:45:00","guid":{"rendered":"https:\/\/hcxfmusp.org.br\/portal\/?p=391326"},"modified":"2025-09-05T12:22:19","modified_gmt":"2025-09-05T15:22:19","slug":"manobras-abdominais-em-trauma","status":"publish","type":"post","link":"https:\/\/hcxfmusp.org.br\/portal\/manobras-abdominais-em-trauma\/","title":{"rendered":"Manobras Cr\u00edticas no Trauma: principais t\u00e9cnicas e desafios"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"391326\" class=\"elementor elementor-391326\" data-elementor-settings=\"{&quot;ha_cmc_init_switcher&quot;:&quot;no&quot;}\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6ae86a98 e-flex e-con-boxed e-con e-parent\" data-id=\"6ae86a98\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1b4e9237 elementor-widget elementor-widget-text-editor\" data-id=\"1b4e9237\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: justify;\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-391330 size-full\" src=\"https:\/\/hcxfmusp.org.br\/portal\/wp-content\/uploads\/2025\/09\/Blog-HCX-Fmusp.png\" alt=\"\" width=\"1300\" height=\"400\" srcset=\"https:\/\/hcxfmusp.org.br\/portal\/wp-content\/uploads\/2025\/09\/Blog-HCX-Fmusp.png 1300w, https:\/\/hcxfmusp.org.br\/portal\/wp-content\/uploads\/2025\/09\/Blog-HCX-Fmusp-300x92.png 300w, https:\/\/hcxfmusp.org.br\/portal\/wp-content\/uploads\/2025\/09\/Blog-HCX-Fmusp-1024x315.png 1024w, https:\/\/hcxfmusp.org.br\/portal\/wp-content\/uploads\/2025\/09\/Blog-HCX-Fmusp-768x236.png 768w\" sizes=\"(max-width: 1300px) 100vw, 1300px\" \/><\/p><p style=\"text-align: justify;\"><span style=\"font-family: gabarito; font-size: 12pt;\"><span style=\"font-weight: 400;\">As <\/span><b>Manobras Cr\u00edticas no Trauma<\/b><span style=\"font-weight: 400;\"> s\u00e3o t\u00e9cnicas para o manejo de traumas graves, em que os segundos fazem a diferen\u00e7a para a vida do paciente.\u00a0<\/span><\/span><\/p><p style=\"text-align: justify;\"><span style=\"font-family: gabarito; font-size: 12pt;\"><span style=\"font-weight: 400;\">\u201cElas s\u00e3o r\u00e1pidas e espec\u00edficas, visam controlar hemorragias maci\u00e7as, permitir o acesso a grandes vasos e \u00f3rg\u00e3os vitais, e restaurar temporariamente a estabilidade do paciente politraumatizado\u201d, explica o Dr. Pedro Ferreira, M\u00e9dico da <\/span><span style=\"font-weight: 400;\">Disciplina de Cirurgia Geral e Trauma do Hospital das Cl\u00ednicas da USP.\u00a0<\/span><\/span><\/p><p style=\"text-align: justify;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\">Elas podem ser divididas em:<\/span><\/p><ul style=\"text-align: justify;\"><li style=\"font-weight: 400;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\">Manobras de controle vascular, como clampeamentos e shunts tempor\u00e1rios;<\/span><\/li><li style=\"font-weight: 400;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\">Manobras de acesso e exposi\u00e7\u00e3o, que permitem chegar a regi\u00f5es espec\u00edficas do abdome ou do retroperit\u00f4nio;<\/span><\/li><li style=\"font-weight: 400;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\"><span style=\"font-weight: 400;\">Manobras de conten\u00e7\u00e3o de sangramento difuso, como tamponamentos.<\/span><\/span><\/span><p>\u00a0<\/p><\/li><\/ul><p style=\"text-align: justify;\"><span style=\"font-size: 18pt; color: #005f61;\"><b style=\"font-family: gabarito;\">Quais manobras abdominais s\u00e3o mais comuns?<\/b><\/span><\/p><p style=\"text-align: justify;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\">Entre as interven\u00e7\u00f5es mais realizadas em cen\u00e1rios de trauma grave est\u00e3o:<\/span><\/p><ul style=\"text-align: justify;\"><li style=\"font-weight: 400;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\">Toracotomia de reanima\u00e7\u00e3o com clampeamento da aorta;<\/span><\/li><li style=\"font-weight: 400;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\">Manobra de Pringle para controle de sangramento hep\u00e1tico;<\/span><\/li><li style=\"font-weight: 400;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\">Exposi\u00e7\u00e3o da aorta abdominal e grandes vasos por manobras de rota\u00e7\u00e3o visceral (Cattel e Mattox);<\/span><\/li><li style=\"font-weight: 400;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\">Tamponamento p\u00e9lvico e abdominal;<\/span><\/li><li style=\"font-weight: 400;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\"><span style=\"font-weight: 400;\">Controle de les\u00f5es card\u00edacas e pulmonares.<\/span><\/span><\/span><p>\u00a0<\/p><\/li><\/ul><h1 style=\"text-align: justify;\"><span style=\"font-size: 18pt; color: #005f61;\"><b style=\"font-family: gabarito;\">Por que aprender manobras abdominais \u00e9 importante?<\/b><\/span><\/h1><p style=\"text-align: justify;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\">Diante do alto risco de morte iminente, as manobras abdominais n\u00e3o admitem erro. A tomada de decis\u00e3o deve ser r\u00e1pida, e a execu\u00e7\u00e3o precisa.<\/span><\/p><p style=\"text-align: justify;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\">\u201cNo entanto, como s\u00e3o pouco frequentes, mesmo profissionais experientes podem n\u00e3o ter a oportunidade de pratic\u00e1-las com regularidade no dia a dia hospitalar&#8221;, ressalta o especialista.\u00a0<\/span><\/p><p style=\"text-align: justify;\"><span style=\"font-family: gabarito; font-size: 12pt;\"><span style=\"font-weight: 400;\">O Dr. Pedro Ferreira destaca que muitas dessas t\u00e9cnicas s\u00e3o consideradas procedimentos HALO (<\/span><i><span style=\"font-weight: 400;\">High Acuity, Low Occurrence<\/span><\/i><span style=\"font-weight: 400;\">), ou seja, alta acuidade e baixa ocorr\u00eancia, o que torna obrigat\u00f3rio o treinamento regular.<\/span><\/span><\/p><p>\u00a0<\/p><h2 style=\"text-align: justify;\"><span style=\"font-family: gabarito; font-size: 18pt; color: #005f61;\"><b>Entendendo as principais manobras<\/b><\/span><\/h2><h3 style=\"text-align: justify;\"><span style=\"font-family: gabarito; font-size: 14pt; color: #005f61;\"><b>O que \u00e9 Manobra de Pringle?<\/b><\/span><\/h3><p style=\"text-align: justify;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\">T\u00e9cnica utilizada para controlar sangramentos do f\u00edgado. Consiste em pin\u00e7ar temporariamente o ped\u00edculo hep\u00e1tico (estrutura que cont\u00e9m a art\u00e9ria hep\u00e1tica, veia porta e ducto biliar), interrompendo o fluxo sangu\u00edneo para o f\u00edgado e permitindo o controle da hemorragia.<\/span><\/p><h3 style=\"text-align: justify;\"><span style=\"font-family: gabarito; font-size: 14pt; color: #005f61;\"><b>O que \u00e9 Manobra de Mattox?<\/b><\/span><\/h3><p style=\"text-align: justify;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\">\u00c9 a rota\u00e7\u00e3o das v\u00edsceras abdominais do lado esquerdo para expor a aorta abdominal e estruturas retroperitoneais, permitindo o acesso r\u00e1pido a grandes vasos em situa\u00e7\u00f5es de hemorragia maci\u00e7a.<\/span><\/p><h3 style=\"text-align: justify;\"><span style=\"font-family: gabarito; font-size: 14pt; color: #005f61;\"><b>O que \u00e9 Manobra de Cattel?<\/b><\/span><\/h3><p style=\"text-align: justify;\"><span style=\"font-family: gabarito; font-size: 12pt;\"><span style=\"font-weight: 400;\">De forma semelhante \u00e0 <\/span><b>Manobra de Mattox,<\/b><span style=\"font-weight: 400;\"> a manobra de Cattel envolve a rota\u00e7\u00e3o das v\u00edsceras do lado direito, proporcionando acesso \u00e0 veia cava inferior, aorta abdominal infrarrenal e vasos il\u00edacos, fundamentais para o controle de hemorragias retroperitoneais.<\/span><\/span><\/p><p>\u00a0<\/p><h2 style=\"text-align: justify;\"><span style=\"font-family: gabarito; font-size: 18pt; color: #005f61;\"><b>Quais os desafios dos m\u00e9dicos?<\/b><\/span><\/h2><p style=\"text-align: justify;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\">Desconhecer as manobras abdominais pode colocar a vida do paciente em risco. \u201cO maior desafio do cirurgi\u00e3o de trauma \u00e9 tomar decis\u00f5es r\u00e1pidas em cen\u00e1rios de extrema gravidade, muitas vezes com risco iminente de morte do paciente\u201d, avalia o Dr. Pedro.\u00a0<\/span><\/p><p style=\"text-align: justify;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\">N\u00e3o basta apenas conhecer o procedimento. \u201cO dom\u00ednio t\u00e9cnico das manobras deve vir acompanhado da capacidade de trabalhar em equipe, gerenciar recursos limitados e manter o racioc\u00ednio cl\u00ednico sob forte press\u00e3o emocional\u201d, completou o profissional.\u00a0<\/span><\/p><p>\u00a0<\/p><h2 style=\"text-align: justify;\"><span style=\"font-family: gabarito; font-size: 18pt; color: #005f61;\"><b>Curso de simula\u00e7\u00e3o real\u00edstica: Manobras Abdominais Cr\u00edticas em Trauma<\/b><\/span><\/h2><p style=\"text-align: justify;\"><span style=\"font-family: gabarito; font-size: 12pt;\"><span style=\"font-weight: 400;\">Quer aprimorar sua pr\u00e1tica cl\u00ednica e salvar vidas com mais efic\u00e1cia e seguran\u00e7a? O curso de simula\u00e7\u00e3o real\u00edstica <\/span><a href=\"https:\/\/ensino.hcxfmusp.org.br\/online\/mct-manobras-criticas-em-trauma-modulo-abdome\/p\"><span style=\"font-weight: 400;\">\u201cManobras Cr\u00edticas em Trauma &#8211; Abdome\u201d<\/span><\/a><span style=\"font-weight: 400;\"> \u00e9 a escolha perfeita para voc\u00ea.<\/span><\/span><\/p><p style=\"text-align: justify;\"><span style=\"font-family: gabarito; font-size: 12pt;\"><span style=\"font-weight: 400;\">Oferecido pelo HCX, o centro de aprendizagem do <\/span><a href=\"https:\/\/www.hc.fm.usp.br\/hc\/portal\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Hospital das Cl\u00ednicas da USP,<\/span><\/a><span style=\"font-weight: 400;\"> a forma\u00e7\u00e3o segue os mais altos padr\u00f5es de qualidade do maior hospital da Am\u00e9rica Latina, reconhecido entre os melhores do mundo pela Revista Newsweek.<\/span><\/span><\/p><p style=\"text-align: justify;\"><span style=\"font-family: gabarito; font-size: 12pt;\"><b>\u201c\u00c9 como o refresh do conhecimento e das habilidades relacionadas a essas manobras<\/b><span style=\"font-weight: 400;\">, em um ambiente seguro e supervisionado\u201d, avalia o Dr. Pedro Ferreira,\u00a0 coordenador do curso e M\u00e9dico da Disciplina de Cirurgia Geral e Trauma do Hospital das Cl\u00ednicas da USP.\u00a0<\/span><\/span><\/p><p style=\"text-align: justify;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\">O curso MCT \u00e9 \u00fanico no Brasil por oferecer:<\/span><\/p><ul style=\"text-align: justify;\"><li style=\"font-weight: 400;\"><span style=\"font-family: gabarito; font-size: 12pt;\"><b>Treinamento realista e 100% pr\u00e1tico: <\/b><span style=\"font-weight: 400;\">voc\u00ea tem acesso a modelo ex vivo e modelos su\u00ednos anestesiados, garantindo fidelidade anat\u00f4mica e simula\u00e7\u00e3o de cen\u00e1rios reais de instabilidade;<\/span><\/span><\/li><li style=\"font-weight: 400;\"><span style=\"font-family: gabarito; font-size: 12pt;\"><b>\u00canfase em Crisis Resource Management (CRM): voc\u00ea aprende <\/b><span style=\"font-weight: 400;\">mais do que t\u00e9cnica, mas tamb\u00e9m lideran\u00e7a, comunica\u00e7\u00e3o e tomada de decis\u00e3o;<\/span><\/span><\/li><li style=\"font-weight: 400;\"><span style=\"font-family: gabarito; font-size: 12pt;\"><b>Supervis\u00e3o direta de cirurgi\u00f5es do Pronto-Socorro do HCFMUSP<\/b><span style=\"font-weight: 400;\">: o Hospital das Cl\u00ednicas da USP \u00e9 refer\u00eancia nacional em trauma e os profissionais aplicam na pr\u00e1tica o conte\u00fado ensinado;<\/span><\/span><\/li><li style=\"font-weight: 400;\"><span style=\"font-family: gabarito; font-size: 12pt;\"><b>Estrutura de alta fidelidade<\/b><span style=\"font-weight: 400;\">: ao se tornar aluno, voc\u00ea pode vivenciar situa\u00e7\u00f5es cr\u00edticas em ambiente controlado e seguro.<\/span><\/span><\/li><\/ul><p style=\"text-align: justify;\"><span style=\"font-weight: 400; font-family: gabarito; font-size: 12pt;\">Aprenda com os melhores profissionais e estrutura de ponta! Saia pronto para momentos decisivos, salve vidas e seja reconhecido.\u00a0<\/span><\/p><p style=\"text-align: justify;\"><span style=\"font-family: gabarito; font-size: 12pt;\"><span style=\"font-weight: 400;\">Acesse a p\u00e1gina do curso <\/span><a href=\"https:\/\/ensino.hcxfmusp.org.br\/online\/mct-manobras-criticas-em-trauma-modulo-abdome\/p\"><span style=\"font-weight: 400;\">Manobras Cr\u00edticas em Trauma &#8211; Abdome<\/span><\/a><span style=\"font-weight: 400;\"> e saiba mais! Vagas limitadas!<\/span><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>As Manobras Cr\u00edticas no Trauma s\u00e3o t\u00e9cnicas para o manejo de traumas graves, em que os segundos fazem a diferen\u00e7a para a vida do paciente.\u00a0 \u201cElas s\u00e3o r\u00e1pidas e espec\u00edficas, visam controlar hemorragias maci\u00e7as, permitir o acesso a grandes vasos e \u00f3rg\u00e3os vitais, e restaurar temporariamente a estabilidade do paciente politraumatizado\u201d, explica o Dr. Pedro [&hellip;]<\/p>\n","protected":false},"author":168668,"featured_media":391327,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[390],"tags":[],"class_list":["post-391326","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.5 (Yoast SEO v23.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Manobras Cr\u00edticas no Trauma: principais t\u00e9cnicas e desafios - HCX - Portal<\/title>\n<meta name=\"description\" content=\"Diante do risco de morte, as manobras abdominais n\u00e3o admitem erro. 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