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Consensus must be found on intravenous fluid therapy management in trauma patients
Mora, Mauro; Santos, Margarida Reis; Cunha, Madalena; Melo, Filipe; Neves, Hugo; Abrantes, Tito.
Affiliation
  • Mora, Mauro; University of Porto. Abel Salazar Institute of Biomedical Sciences. Porto. Portugal
  • Santos, Margarida Reis; Nursing School of Porto. Porto. Portugal
  • Cunha, Madalena; Superior Health School of Viseu. Viseu. Portugal
  • Melo, Filipe; Centro Hospitalar Universitário do Algarve. Faro. Portugal
  • Neves, Hugo; Polytechnic Institute of Leiria. School of Health Sciences. Leiria. Portugal
  • Abrantes, Tito; Centro Hospitalar Tondela Viseu. Serviço de Pneumologia. Viseu. Portugal
Rev. Rol enferm ; 43(1,supl): 374-379, ene. 2020. tab
Article in English | IBECS | ID: ibc-193331
Responsible library: ES1.1
Localization: BNCS
ABSTRACT

Introduction:

Trauma is an important cause of death among young people and 30-40% of this mortality rate is due to hypovolemic shock, intensified by trauma's lethal triad Hypothermia, Acidosis, and Coagulopathy. Nurses are responsible for managing fluid therapy administration in trauma victims. The purpose of this study is to analyse the reasons why intravenous fluid therapy is recommended for trauma patients' hemodynamic stabilization.

Methods:

This narrative literature review included published and unpublished studies in English, Spanish or Portuguese between 1994 and January 2019. The search results were analyzed by two independent reviewers. Inclusion criteria encompasses quantitative studies involving trauma victims aged over 18 who underwent fluid therapy in a prehospital assessment context. Results and

Discussion:

11 quantitative studies were included. 9 involved the use of fluid therapy for hypotension treatment and 2 of the studies analyzed involved the use of warmed fluid therapy for hypothermia treatment. The analysis performed reveals that the administration of aggressive fluid therapy seems to be responsible for the worsening of the lethal triad. In the presence of traumatic brain injury, permissive hypotension is not allowed due to the negative impact on cerebral perfusion pressure. Used as warming measure, warmed fluid therapy does not seem to have a significant impact on body temperature.

Conclusions:

There is no consensus regarding the administration of fluid therapy to trauma patients. This conclusion clearly supports the need to develop more randomized controlled trials in order to understand the effectiveness of such measure when it comes to control hypovolemia and hypothermia
RESUMEN
No disponible
Subject(s)
Full text: Available Collection: National databases / Spain Database: IBECS Main subject: Multiple Trauma / Hypovolemia / Dehydration / Fluid Therapy / Hypothermia Limits: Humans Language: English Journal: Rev. Rol enferm Year: 2020 Document type: Article Institution/Affiliation country: Centro Hospitalar Tondela Viseu/Portugal / Centro Hospitalar Universitário do Algarve/Portugal / Nursing School of Porto/Portugal / Polytechnic Institute of Leiria/Portugal / Superior Health School of Viseu/Portugal / University of Porto/Portugal
Full text: Available Collection: National databases / Spain Database: IBECS Main subject: Multiple Trauma / Hypovolemia / Dehydration / Fluid Therapy / Hypothermia Limits: Humans Language: English Journal: Rev. Rol enferm Year: 2020 Document type: Article Institution/Affiliation country: Centro Hospitalar Tondela Viseu/Portugal / Centro Hospitalar Universitário do Algarve/Portugal / Nursing School of Porto/Portugal / Polytechnic Institute of Leiria/Portugal / Superior Health School of Viseu/Portugal / University of Porto/Portugal
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