• Surg. Clin. North Am. · Oct 2017

    Review

    Balanced Resuscitation in Trauma Management.

    • Paul M Cantle and Bryan A Cotton.
    • Division of Acute Care Surgery, Department of Surgery, McGovern Medical School, University Professional Building, Memorial Hermann Hospital, University of Texas, at Houston, 6431 Fannin, MSB 4.286 Houston, TX 77030, USA.
    • Surg. Clin. North Am. 2017 Oct 1; 97 (5): 999-1014.

    AbstractOver the past decade substantial knowledge has been gained in understanding both the coagulopathy of trauma and the complications associated with aggressive crystalloid-based resuscitation. Balanced resuscitation, which includes permissive hypotension, limiting crystalloid use, and the transfusion of blood products in ratios similar to whole blood, has changed the previous standard of care. Prompt initiation of massive transfusion and the protocolled use of 1:1:1 product ratios have improved the morbidity and mortality of patients with trauma in hemorrhagic shock. Balanced resuscitation minimizes the impact of trauma-induced coagulopathy, limits blood product waste, and reduces the complications that occur with aggressive crystalloid resuscitation.Copyright © 2017 Elsevier Inc. All rights reserved.

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