End points in trauma management

Fluid resuscitation following traumatic haemorrhage has historically been instituted as soon after injury as possible. Patients suffering from haemorrhagic shock may receive several liters of crystalloid, in addition to colloid solutions, in order to normalize blood pressure, heart rate, urine outpu...

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Main Author: N Ganapathy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2007-01-01
Series:Indian Journal of Anaesthesia
Subjects:
Online Access:http://www.ijaweb.org/article.asp?issn=0019-5049;year=2007;volume=51;issue=6;spage=479;epage=485;aulast=Ganapathy
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author N Ganapathy
author_facet N Ganapathy
author_sort N Ganapathy
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description Fluid resuscitation following traumatic haemorrhage has historically been instituted as soon after injury as possible. Patients suffering from haemorrhagic shock may receive several liters of crystalloid, in addition to colloid solutions, in order to normalize blood pressure, heart rate, urine output and mental status, which are the traditional endpoints of resuscitation. Current theory and recent investigations have questioned this dogma. Resuscitation goals may be different when the patient is actively haemorrhaging and once bleeding has been controlled. Newer markers of tissue and organ system perfusion may allow a more precise determination of adequate resuscitation
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spelling doaj.art-e65bada4cdc248058c43cb62b7eaee252022-12-21T23:01:03ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492007-01-01516479485End points in trauma managementN GanapathyFluid resuscitation following traumatic haemorrhage has historically been instituted as soon after injury as possible. Patients suffering from haemorrhagic shock may receive several liters of crystalloid, in addition to colloid solutions, in order to normalize blood pressure, heart rate, urine output and mental status, which are the traditional endpoints of resuscitation. Current theory and recent investigations have questioned this dogma. Resuscitation goals may be different when the patient is actively haemorrhaging and once bleeding has been controlled. Newer markers of tissue and organ system perfusion may allow a more precise determination of adequate resuscitationhttp://www.ijaweb.org/article.asp?issn=0019-5049;year=2007;volume=51;issue=6;spage=479;epage=485;aulast=GanapathyTrauma; Resuscitation; Tissue hypoxia; Occult hypoperfusion; Perfusion
spellingShingle N Ganapathy
End points in trauma management
Indian Journal of Anaesthesia
Trauma; Resuscitation; Tissue hypoxia; Occult hypoperfusion; Perfusion
title End points in trauma management
title_full End points in trauma management
title_fullStr End points in trauma management
title_full_unstemmed End points in trauma management
title_short End points in trauma management
title_sort end points in trauma management
topic Trauma; Resuscitation; Tissue hypoxia; Occult hypoperfusion; Perfusion
url http://www.ijaweb.org/article.asp?issn=0019-5049;year=2007;volume=51;issue=6;spage=479;epage=485;aulast=Ganapathy
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