hemodynamic changes following routine fluid resuscitation in patients with blunt trauma

Hemodynamic Changes Following Routine Fluid Resuscitation in Patients With Blunt Trauma

BACKGROUND The management of trauma patients is often difficult. The American college of surgeons suggests using advanced trauma life support (ATLS) measures. ATLS is regarded as the gold standard for the resuscitation of cases with acute life threatening injuries. OBJECTIVES To assess the change in base excess (BE) values and central venous pressure (CVP) one and six hours after injection of...

Current Issues in Fluid Resuscitation Following Trauma

Fluid resuscitation in trauma

Appropriate fluid replacement is an essential component of trauma fluid resuscitation. Once he orrhage is controlled, restoration of normovolemia is a priority. In the presence of uncontrolled haemorrhage, aggressive fluid management may be harmful. The crystalloid-colloid debate continues but existing clinical practice is more likely to reflect local biases rather than evidence based medicine....

Immediate versus delayed fluid resuscitation in patients with trauma.

To the Editor: Dr. Bickell and his colleagues (Oct. 27 issue)1 conclude that among hypotensive patients with penetrating injuries to the torso, "delay of aggressive fluid resuscitation until operative intervention improves the outcome." However, their data do not support this conclusion. First, the alternate-day selection method used to determine therapy is not a true technique of randomization...

Blunt trauma resuscitation: the old can respond.

HYPOTHESIS Old and young trauma patients are capable of hyperdynamic response during standardized shock resuscitation. DESIGN The responses of old and young trauma patients resuscitated using a standardized protocol are compared in an inception cohort study. A standardized resuscitation protocol was used to attain and maintain an oxygen delivery index of 600 mL/min x m2 or greater (DO2I > or ...

Appendicitis following blunt abdominal trauma.

A young boy presented with history of abdominal trauma. History and initial clinical findings suggested a soft tissue injury. Due to increasing abdominal pain and fever, we proceeded with an exploratory laparotomy with a diagnosis of intra-abdominal injury, at which we found a perforated appendix. Appendicitis following blunt abdominal trauma needs high index of suspicion.