Acta clinica Croatica
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Acta clinica Croatica · Sep 2010
Case ReportsResuscitation of a polytraumatized patient with large volume crystalloid-colloid infusions--correlation between global and regional hemodynamics: case report.
Aggressive large volume resuscitation is obligatory to achieve necessary tissue oxygenation. An adequate venous preload normalizes global hemodynamics and avoids multiorgan failure (MOF) and death in patients with multiple injuries. Large volume resuscitation is associated with complications in minimally monitored patients. ⋯ We present a 24-year-old man with multiple injuries resuscitated with large volume infusions and monitored by transpulmonary thermodilution technique and gastric tonometry. It is very important to monitor regional hemodynamics that enables clinician to maintain the required relations between global and regional hemodynamics. It prevents the development of MOF and patient death.