In search of the optimal end points of resuscitation in trauma patients: a review.

作者: John M. Porter , Rao R. Ivatury

DOI: 10.1097/00005373-199805000-00028

关键词:

摘要: Complete resuscitation from shock is one of the primary concerns surgeon taking care injured patients. Traditionally, return to normalcy blood pressure, heart rate, and urine output has been end point resuscitation. Using these points may leave a substantial number patients, up 50 85% in some series, compensated shock, which if it persists ultimately lead death patient. Because this potential other are being used include supernormal values for oxygen transport variables (cardiac index, delivery, consumption), lactate, base deficit, gastric intramucosal pH. We believe that current data support use and/or pH as appropriate trauma The goal should be correct or all three markers tissue perfusion normal within initial 24 hours after injury.

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