Permissive hypotension/hypotensive resuscitation and restricted/controlled resuscitation in patients with severe trauma
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Permissive hypotension/hypotensive resuscitation and restricted/controlled resuscitation in patients with severe trauma
Achieving a balance between organ perfusion and hemostasis is critical for optimal fluid resuscitation in patients with severe trauma. The concept of “permissive hypotension” refers to managing trauma patients by restricting the amount of resuscitation fluid and maintaining blood pressure in the lower than normal range if there is continuing bleeding during the acute period of injury. This trea...
متن کاملFluid resuscitation and vasopressors in severe trauma patients.
PURPOSE OF REVIEW To discuss the fluid resuscitation and the vasopressor support in severe trauma patients. RECENT FINDINGS A critical point is to prevent a potential increase in bleeding by an overly aggressive resuscitative strategy. Indeed, large-volume fluid replacement may promote coagulopathy by diluting coagulation factors. Moreover, an excessive level of mean arterial pressure may ind...
متن کاملPermissive hypotensive resuscitation--an evolving concept in trauma.
Trauma fluid resuscitation continues to be a hotly debated issue. There is overwhelming experimental evidence to suggest that administration of resuscitation fluids is not entirely innocuous. Aggressive intravenous crystalloid administration in the presence of uncontrolled hemorrhage promotes continued bleeding and increases mortality. However this is countered by concerns that avoidance of flu...
متن کاملOvid: Resuscitation from severe brain trauma
ISSN: 00903493 Accession: 0000324619960200100005 Email Jumpstart Find Citing Articles ≪ Table of
متن کاملHypotensive Resuscitation among Trauma Patients
Hemorrhagic shock is a principal cause of death among trauma patients within the first 24 hours after injury. Optimal fluid resuscitation strategies have been examined for nearly a century, more recently with several randomized controlled trials. Hypotensive resuscitation, also called permissive hypotension, is a resuscitation strategy that uses limited fluids and blood products during the earl...
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ژورنال
عنوان ژورنال: Journal of Intensive Care
سال: 2017
ISSN: 2052-0492
DOI: 10.1186/s40560-016-0202-z