Reanimación con fluidos y hemoderivados en trauma / Resuscitation with fluids and blood products in trauma
Rev. méd. Chile
;
142(6): 758-766, jun. 2014. ilus
Artículo
en Español
| LILACS
| ID: lil-722926
ABSTRACT
The leading cause of preventable death in trauma is uncontrolled bleeding. Some of these deaths may be secondary to the Acute Coagulopathy of Trauma, which is present in 30% of patients on admission to hospital. In recent years, Damage Control Resuscitation has been developed, which aims to give a hemostatic resuscitation and avoid deaths caused by bleeding. This strategy considers control of bleeding with damage control surgery or interventional procedures, early transfusion of all blood products, permissive hypotension and limited use of crystalloids. Several studies have reported that early transfusion of all blood products, with a ratio close to 11, may be associated with lower mortality and less requirements of total transfusions in trauma patients at risk of massive bleeding and massive transfusion. These findings must be corroborated in randomized controlled trials, along with determining the optimum ratio between blood products. In stable patients, a restrictive transfusion strategy is safe and appropriate.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Resucitación
/
Trastornos de la Coagulación Sanguínea
/
Traumatismo Múltiple
/
Fluidoterapia
Tipo de estudio:
Ensayo Clínico Controlado
Límite:
Humanos
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2014
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Pontificia Universidad Católica de Chile/CL
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