Resuscitation Endpoints in Trauma
dc.contributor.author | Napolitano, Lena M. | en_US |
dc.date.accessioned | 2010-06-01T22:23:33Z | |
dc.date.available | 2010-06-01T22:23:33Z | |
dc.date.issued | 2005-03 | en_US |
dc.identifier.citation | Napolitano, Lena M. (2005). "Resuscitation Endpoints in Trauma." Transfusion Alternatives in Transfusion Medicine 6(4): 6-14. <http://hdl.handle.net/2027.42/75386> | en_US |
dc.identifier.issn | 1295-9022 | en_US |
dc.identifier.issn | 1778-428X | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/75386 | |
dc.description.abstract | Fluid and blood resuscitation is the mainstay of therapy for the treatment of hemorrhagic shock, whether due to trauma or other etiology. Cessation of hemorrhage with rapid hemostatic techniques is the first priority in the treatment of traumatic hemorrhagic shock, with concomitant fluid resuscitation with blood and crystalloids to maintain perfusion and organ function. “Hypotensive” or “low-volume” resuscitation has become increasingly accepted in the prehospital resuscitation phase of trauma, prior to definitive hemorrhage control, since aggressive fluid resuscitation may increase bleeding. Resuscitation after hemorrhage control is focused on restoration of tissue oxygenation. Efforts to optimize resuscitation have used “resuscitation endpoints” as markers of adequacy of resuscitation. The resuscitation endpoints that have been evaluated include both global (restoration of blood pressure, heart rate and urine output, lactate, base deficit, mixed venous oxygen saturation, ventricular end-diastolic volume) and regional (gastric tonometry, near-infrared spectroscopy for measurement of muscle tissue oxygen saturation) measures. This review critically evaluates the evidence regarding the use of resuscitation endpoints in trauma. | en_US |
dc.format.extent | 87102 bytes | |
dc.format.extent | 3109 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Ltd | en_US |
dc.rights | 2005 LMS Group | en_US |
dc.subject.other | Resuscitation | en_US |
dc.subject.other | Endpoints | en_US |
dc.subject.other | Perfusion | en_US |
dc.subject.other | Transfusion | en_US |
dc.subject.other | Crystalloid | en_US |
dc.subject.other | Colloid | en_US |
dc.title | Resuscitation Endpoints in Trauma | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Oncology and Hematology | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Professor of Surgery University of Michigan School of Medicine Ann Arbor, Michigan, USA | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/75386/1/j.1778-428X.2005.tb00127.x.pdf | |
dc.identifier.doi | 10.1111/j.1778-428X.2005.tb00127.x | en_US |
dc.identifier.source | Transfusion Alternatives in Transfusion Medicine | en_US |
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dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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