Intravenous fluid resuscitation for the trauma patient

@article{Roppolo2010IntravenousFR,
  title={Intravenous fluid resuscitation for the trauma patient},
  author={L. Roppolo and J. Wigginton and P. Pepe},
  journal={Current Opinion in Critical Care},
  year={2010},
  volume={16},
  pages={283–288}
}
Purpose of reviewAlthough longstanding practice in trauma care has been to provide immediate, aggressive intravenous fluid resuscitation to injured patients with presumed internal hemorrhage, recent experimental and clinical data suggest a more discriminating approach that first considers concurrent head injury, hemodynamic stability, and the presence of potentially uncontrollable hemorrhage (e.g., deep truncal injury) versus a controllable source (e.g., distal extremity wound). Recent… Expand
10-Year trend in crystalloid resuscitation: Reduced volume and lower mortality.
TLDR
The observed decrease in high-volume crystalloid resuscitations in the ED paralleled a reduction in mortality over the ten-year period, and adjusted mortality was higher in those receiving high- volume resuscitation. Expand
Development of a small-volume resuscitation fluid for trauma victims
TLDR
Lower P-selectin in ALM-treated animals may indicate improved endothelial function, and reduced platelet dysfunction and inflammation, however this requires further investigation. Expand
Effectiveness of intravenous fluid resuscitation in the emergency room for treatment of hypotension in dogs: 35 cases (2000-2010).
TLDR
Bolus fluid therapy for the treatment of hypotensive dogs resulted in increased in systolic arterial BP in all dogs, although the HR did not reliably decrease as might be expected. Expand
Muscle Oxygenation as an Early Predictor of Shock Severity in Trauma Patients
TLDR
The results obtained from this pilot study indicate that MOx correlates with shock severity in a population of trauma patients and holds promise to aid in patient triage and to evaluate patient condition throughout the course of resuscitation. Expand
Influence of prehospital volume replacement on outcome in polytraumatized children
TLDR
For the first time, a tendency was shown that excessive prehospital fluid replacement in children leads to a worse clinical course with higher mortality and that excessive fluid replacement has a negative influence on the ability to coagulate. Expand
The prevalence of hypotension and hypoxaemia in blunt traumatic brain injury in the prehospital setting of Johannesburg, South Africa: A retrospective chart review.
  • W. Stassen, T. Welzel
  • Medicine
  • South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
  • 2014
TLDR
There is a need for local guidelines to be developed to inform the quality of TBI care in the context of the developing world, as the prevalence of hypotension and hypoxaemia was much higher in this study than in international studies. Expand
Isolated abdominal trauma: diagnosis and clinical management considerations
TLDR
Abdominal trauma is a complex injury; the multidisciplinary approach has made nonoperative management feasible and effective and when surgical intervention is needed, it should be performed in an orderly fashion, within the context of the overall management. Expand
Trauma anaesthesia and critical care: the post trauma network era
TLDR
Trauma forms a core component of the curriculum for both the Royal College of Anaesthetists (RCA) and Faculty of Intensive Care Medicine (FICM) and many other regions in the UK have or are currently developing their own systems. Expand
Use of an impedance threshold device in spontaneously breathing patients with hypotension secondary to trauma: An observational cohort feasibility study
TLDR
In this observational cohort study of patients with hypotension secondary to trauma, the ITD was well tolerated, and MAP as well as systolic and diastolic blood pressure were improved. Expand
Diagnostic Accuracy of a Single Point-of-Care Prehospital Serum Lactate for Predicting Outcomes in Pediatric Trauma Patients
TLDR
Prehospital lactate level was higher in pediatric trauma patients who required critical care, including those who had normal prehospital vital signs and GCS, including children with severe traumatic injuries. Expand
...
1
2
3
...

References

SHOWING 1-10 OF 66 REFERENCES
Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries.
TLDR
For hypotensive patients with penetrating torso injuries, delay of aggressive fluid resuscitation until operative intervention improves the outcome. Expand
Prehospital hypertonic saline resuscitation of patients with hypotension and severe traumatic brain injury: a randomized controlled trial.
TLDR
In this study, patients with hypotension and severe TBI who received prehospital resuscitation with HTS had almost identical neurological function 6 months after injury as patients who received conventional fluid. Expand
Hypotensive resuscitation during active hemorrhage: impact on in-hospital mortality.
TLDR
Titration of initial fluid therapy to a lower than normal SBP during active hemorrhage did not affect mortality in this study, and overall mortality was decreased overall mortality and the lack of differentiation between groups likely include improvements in diagnostic and therapeutic technology. Expand
Comparison of standard and alternative prehospital resuscitation in uncontrolled hemorrhagic shock and head injury.
TLDR
DR is no worse and may be superior to conventional prehospital resuscitation with lactated Ringer's solution or diaspirin cross-linked hemoglobin and SPR leads to secondary cerebral ischemia in this model. Expand
Early use of vasopressors after injury: caution before constriction.
TLDR
Evidence is provided that the early use of vasopressors for hemodynamic support after hemorrhagic shock may be deleterious, and should be used cautiously and not in place of aggressive crystalloid resuscitation after severe blunt injury. Expand
Effect of immediate fluid resuscitation on the rate, volume, and duration of pulmonary vascular hemorrhage in a sheep model of penetrating thoracic trauma.
TLDR
In this sheep model of uncontrolled pulmonary vascular hemorrhage, immediate fluid resuscitation significantly increased the rate, volume, and duration of hemorrhage. Expand
Effect of initially limited resuscitation in a combined model of fluid-percussion brain injury and severe uncontrolled hemorrhagic shock.
TLDR
Early aggressive resuscitation, which is currently recommended, resulted in increased hemorrhage and failure to optimize cerebrovascular parameters, as evidenced by physiological parameters that remained within the limits of cerebral autoregulation. Expand
Individual patient cohort analysis of the efficacy of hypertonic saline/dextran in patients with traumatic brain injury and hypotension.
TLDR
Patients who have traumatic brain injuries in the presence of hypotension and receive HSD are about twice as likely to survive as those who receive standard of care. Expand
Guidelines for prehospital fluid resuscitation in the injured patient.
Although the need and benefit of prehospital interventions has been controversial for quite some time, an increasing amount of evidence has stirred both sides into more frequent debate. Proponents ofExpand
Prehospital hypertonic saline/dextran infusion for post-traumatic hypotension. The U.S.A. Multicenter Trial.
TLDR
Although this trial demonstrated trends supportive of HSD in hypotensive hemorrhagic shock patients requiring surgery, a larger sample size will be required to establish which subgroups of trauma patients might maximally benefit from the prehospital use of a small volume of hyperosmolar solution. Expand
...
1
2
3
4
5
...