Balanced Resuscitation in Trauma Management
2017; Elsevier BV; Volume: 97; Issue: 5 Linguagem: Inglês
10.1016/j.suc.2017.06.002
ISSN1558-3171
Autores Tópico(s)Abdominal Trauma and Injuries
ResumoOver the past decade substantial knowledge has been gained in understanding both the coagulopathy of trauma and the complications associated with aggressive crystalloid-based resuscitation. Balanced resuscitation, which includes permissive hypotension, limiting crystalloid use, and the transfusion of blood products in ratios similar to whole blood, has changed the previous standard of care. Prompt initiation of massive transfusion and the protocolled use of 1:1:1 product ratios have improved the morbidity and mortality of patients with trauma in hemorrhagic shock. Balanced resuscitation minimizes the impact of trauma-induced coagulopathy, limits blood product waste, and reduces the complications that occur with aggressive crystalloid resuscitation.
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