文章基本信息

标题：New perspectives of volemic resuscitation in polytrauma patients: a review
本地全文：下载
作者：Ovidiu Horea Bedreag ; Marius Papurica ; Alexandru Florin Rogobete 等
期刊名称：Burns & Trauma
印刷版ISSN：2321-3876
出版年度：2016
卷号：4
期号：1
页码：5
DOI：10.1186/s41038-016-0029-9
语种：English
出版社：BioMed Central
摘要：Nowadays, fluid resuscitation of multiple trauma patients is still a challenging therapy. Existing therapies for volume replacement in severe haemorrhagic shock can lead to adverse reactions that may be fatal for the patient. Patients presenting with multiple trauma often develop hemorrhagic shock, which triggers a series of metabolic, physiological and cellular dysfunction. These disorders combined, lead to complications that significantly decrease survival rate in this subset of patients. Volume and electrolyte resuscitation is challenging due to many factors that overlap. Poor management can lead to post-resuscitation systemic inflammation causing multiple organ failure and ultimately death. In literature, there is no exact formula for this purpose, and opinions are divided. This paper presents a review of modern techniques and current studies regarding the management of fluid resuscitation in trauma patients with hemorrhagic shock. According to the literature and from clinical experience, all aspects regarding post-resuscitation period need to be considered. Also, for every case in particular, emergency therapy management needs to be rigorously respected considering all physiological, biochemical and biological parameters.
关键词：Multiple trauma ; Fluid resuscitation ; Intensive care ; Electrolyte imbalance