How to determine the trauma patient’s response to IV fluid resuscitation?

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This topic involves several key concepts that include permissive hypotension (restrictive fluid resuscitation), which is a strategy that restricts fluid use before any bleeding is controlled to avoid excessive blood loss” Mizushima et al (2017).

Abstract:

The topic of damage control resuscitation has become increasingly popular during the last several years [1-4]. This topic involves several key concepts that include permissive hypotension (restrictive fluid resuscitation), which is a strategy that restricts fluid use before any bleeding is controlled to avoid excessive blood loss. However, the related studies have mainly evaluated patients with penetrating injury and in the pre-hospital setting. Therefore, it is unclear whether this approach provides benefits in cases of blunt trauma or in-hospital setting.

Reference:

Mizushima, Y., Nakao, S., Idoguchi, K. and Matsuoka, T. (2017) Fluid resuscitation of trauma patients: How much fluid is enough to determine the patient’s response? The American Journal of Emergency Medicine. January 21st. [epub ahead of print].

DOI: http://dx.doi.org/10.1016/j.ajem.2017.01.038

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