Are crystalloid-based fluid expansion strategies still relevant in the first hours of trauma induced hemorrhagic shock?

ABSTRACT:

Background

Crystalloid-based fluid resuscitation has long been a cornerstone in the initial management of trauma-induced hemorrhagic shock. However, its benefit is increasingly questioned as it is suspected to increase bleeding and worsen coagulopathy. The emergence of alternative strategies like permissive hypotension and vasopressor use lead to a shift in early trauma care practices. Critical appraisal of current evidence is necessary to guide clinicians and outline research perspectives.

Main text

Current guidelines for managing trauma-induced hemorrhagic shock suggest titrating fluids and using vasopressors to achieve minimal blood pressure targets until hemorrhage is controlled. In case of traumatic brain injury with severe hemorrhage, blood pressure target increases. T

SUBMITTER: Tubert P 

PROVIDER: S-EPMC11654417 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature